Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O weakness of BLE with pain and paresthesias since 8 months.
The cervico-dorsal region was screened with 4 mm thick T1 Weighted and T2 Weighted sagittal images.
After administration of contrast, 4 mm thick T1 Weighted sagittal and coronal (with fat saturation) images and 6 mm thick T1 Weighted axial images (with and without fat saturation) were obtained.
There is still seen an ill-defined hyperintense signal on the T2 Weighted images in the upper dorsal spinal cord over D2 to D6 vertebral levels.
The dorsal spinal cord over these levels appears slightly swollen.
After contrast administration, focal enhancement is noted along the right antero-lateral margin of the dorsal spinal cord at the D3-D4 and D4 levels (scan 106.6 & 106.7).
No abnormal meningeal enhancement is noted.
Increase in size in the dorsal spinal cord over the D2 to D6 vertebral levels with altered signal and focal enhancement in that region as described is not specific for a single etiology. A neoplasm or demyelination may be considered as differential diagnosis.
As compared to the previous MRI dated 00.00.00 (Study No.00009), there seems to be slight proximal increase in the extent of the lesion upto the D2 vertebral level on the present study.