Date : 00.00.00
Name of the Patient : Abc Xyza Mahlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O weakness of BLE with bladder involvement since 6 days.
M.R.I of the cervico-dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
There is slight increase in diameter of the cervical and upper dorsal spinal cord. There is an ill-defined, hyperintense signal on the T2 Weighted images in the cervico-dorsal spinal cord centrally extending from the C3 to D11 vertebral levels. This lesion is relatively hypointense on the T1 Weighted images. Slight effacement of the CSF space in the cervical region is noted.
The visualized cervico-dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
There is no cord compression.
The conus medullaris terminates at the L1-L2 level.
T2 Weighted sagittal images of the dorso-lumbar region reveal a small posterior disc bulge at the L5-S1 level.
Altered signal in the cervico-dorsal spinal cord over the C3 to D11 vertebral levels as described, most likely represents myelitis in the given clinical setting.
The possibility of demyelination seems less likely.