hs/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzDalmn / F / 50 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O numbness from the waist downwards. Patient has received AKT in the past for chest affliction.

EXAMINATION :

M.R.I of the dorsal spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

6 mm thick T1 Weighted and T2 Weighted axial images.

The cervical spine was screened with 4 mm thick T2 Weighted sagittal images.

OBSERVATION :

There is a slight increase in the diameter of the spinal cord over the D6-D7 to the D9-D10 level. The cord over these levels shows a hyperintense patchy signal, centrally on the T2 Weighted images (iso to hypointense to normal cord on the T1 Weighted images).

The cervico-dorsal spinal cord at the C7-D1 level appears to be slightly smaller in diameter without any change in signal intensity.

There is a small right paracentral disc protrusion at the D8-D9 levels.

A few of the dorsal intervertebral discs show loss of water content.


The visualized dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

IMPRESSION :

The MRI features are suggestive of altered cord signal over the D6-D7 to the D9-D10 levels. This is not specific for a single diagnosis. The differential diagnosis would include,

1. Myelitis.

2. Demyelination.

3. Ischemia (less likely).

A MR examination of the brain/contrast would be worthwhile if clinically indicated.