Date : 00.00.00
Name of the Patient : Abc Xyzal V. Tlmn / M / 10 yrs.
Referred by : Dr. Abc XyzBavadekar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O sudden onset of retention of urine on 00.00.00 with weakness of BLE since then.
H/O fever prior to this.
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
The cervical spinal cord appears swollen and shows a hyperintense signal, extending from the cervico-medullary junction to about the D3 vertebral level on the T2 Weighted and Fast Scan (T2 *) images, predominantly central in location. This area appears predominantly hypointense on the T1 Weighted images. There is effacement of the surrounding CSF space over the C2 to the C6 vertebral levels.
There is no cord compression.
Another area of similar signal intensity is located within the dorsal spinal cord extending over the D8 to the D11 vertebral levels.
The cervical vertebral bodies and the intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region is unremarkable.
The MRI features are suggestive of a swollen cervical spinal cord with altered signal extending from the cervico-medullary junction to about the D3 vertebral level and also over the D8 to D11 vertebral levels.
This most likely represents myelitis, in the given clinical setting.
The possibility of demyelinating or ischemic lesion seems less likely.