Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 45 yrs.
Referred by : Dr. Abc Xyzlkarni / Dr. Abc Xyzhah.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 3-4 months.
M.R.I of the dorso-lumbar spine was performed after administration of contrast, using the following parameters :
4 mm thick T1 Weighted sagittal images (with and without fat saturation).
3 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted axial images.
4 mm thick T1 Weighted sagittal images through the cervico-dorsal and lumbo-sacral regions.
After contrast administration, there is seen linear enhancement along the posterior margin of the lower dorsal spinal cord over about D9 to D11 vertebral levels. A syrinx is noted in the lower dorsal spinal cord over the D9 to D11 levels, centrally, with irregularity of the margins over these levels. No enhancement is noted within the syrinx on this study.
The dorsal spinal cord proximal to the syrinx appears slightly smaller in calibre.
There is no focal area of abnormal enhancement in the cervico-dorsal spinal cord, in the lumbar region or along the meninges in these regions.
Syrinx in the lower dorsal spinal cord over the D9 to D11 vertebral levels, centrally with irregularity of the margins of the cord and linear enhancement along the posterior margin of the cord over these levels (? enhancement along the posterior meninges over the D9 - D11 levels). Arachnoiditis is a likely possibility.