Date : 00.00.00
Name of the Patient : Abc Xyzv Ylmn / M / 29 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
H/O sudden onset of retention of urine with weakness of BLE on 00.00.00.
H/O fever since 2 months.
M.R.I of the cervico-dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
8 mm thick T1 Weighted and Fast Scan (T2 *) and 10 mm thick T2 Weighted axial images.
There is slight increase in diameter of the cervical spinal cord. There is an ill-defined, hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images in the cervico-dorsal spinal cord, centrally, extending over the C2 to the tip of conus medullaris. This lesion appears hypointense to normal cord on the T1 Weighted images.
There are ill-defined, hyperintense areas on the T2 Weighted and Fast Scan (T2 *) images in the posterior paraspinal muscles in the cervical and upper dorsal regions. This signal appears iso to slightly hypointense to normal muscle on the T1 Weighted images.
The visualized cervico-dorsal vertebral bodies show preponderance of hematopoeitic marrow. The visualized intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
There is no cord compression.
The conus medullaris terminates at the L2 level.
Slight increase in the diameter of the cervico-dorsal spinal cord with altered signal in the cervical and dorsal spinal cords, centrally most likely suggest myelitis in the given clinical setting. Altered signal in the posterior paraspinal soft tissues in the cervical and upper dorsal regions would represent inflammatory/ischemic changes.