Date : 00.00.00
Name of the Patient : Abc XyzMilmn / M / 22 yrs.
Referred by : Dr. Abc Xyzchale
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O backache with paraplegia since 00.00.00.
H/O fever prior to this.
M.R.I of the cervico-dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
7 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
9 mm thick T1 Weighted and T2 Weighted axial images.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images.
There is evidence of a space occupying lesion within the posterior epidural space over the C6-C7 to the D12-L1 level. This lesion is hyperintense to CSF but hypointense to fat on the T1 Weighted images and turns hyperintense to both on the T2 Weighted and Fast Scan (T2 *) images. There is resultant compression and anterior displacement of the cord over these levels. The cord over these levels shows a hyperintense signal on the T2 Weighted images and would represent cord edema/ischemia/involvement by the pathologic process per se.
The spinal cord over the C5 to the C6 vertebral levels is swollen and shows a hyperintense signal on the T2 Weighted images.
Subtle areas of hyperintensity on the Fast Scan (T2 *) and T2 Weighted images are seen within the paraspinal soft tissues over the D1 to the D6 vertebral level.
The visualized cervico-dorso-lumbar vertebral bodies are more hypointense as compared to the normal marrow on the T1 Weighted images and these may represent a preponderance of hematopoietic marrow/?? myeloproliferative disorder.
The conus medullaris terminates at the L1 level.
The MRI features are suggestive of a space occupying lesion within the posterior epidural space over the C6-C7 to the D12-L1 level with cord compression and altered cord signal as described. This may represent an infective process like tuberculosis or neoplastic process like a small cell tumor.
Altered signal of the cervico-dorso-lumbar vertebral bodies may represent a preponderance of hematopoietic marrow/?? myeloproliferative disorder.