Date : 00.00.00
Name of the Patient : Abc Xyzed Ylmn / M / 20 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O paraplegia since 10 days with fever.
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
The cervical spine was screened with 4 mm thick T2 Weighted sagittal images and the lumbar spine was screened with 5 mm thick T1 Weighted sagittal images.
There are patchy, ill-defined, hyperintense areas on the T2 Weighted images in the dorsal spinal cord centrally and peripherally at the D9, D10-D11, D11 and D11-D12 levels. These lesions appear relatively hypointense to normal cord on the T1 Weighted images.
Similar signal intensity changes are noted in the upper dorsal region and at the C5 vertebral level.
The visualized 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 level.
Screening images of the lumbar spine do not reveal any significant feature of note.
Patchy altered signal in the dorsal spinal cord centrally and peripherally at the D9, D10-D11, D11 and D11-D12 levels, in the upper dorsal region and at the C5 vertebral level as described is not specific for a single etiology. These changes may represent myelitis/demyelination.