Date : 00.00.00
Name of the Patient : Abc XyzRolmn / F / 13 yrs.
Referred by : Dr. Abc Xyzikhalikar.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O fever with paraparesis and bladder involvement since 4 days.
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 T2 Weighted axial images.
The visualized cervico-dorsal spinal cord from the C3-C4 level downwards is seen to be swollen. It shows a central hyperintense signal on the T2 Weighted images (hypointense to normal cord on the T1 Weighted images). On screening the dorsal spine with 4 mm thick T2 Weighted sagittal images, this hyperintense signal is seen to extend upto the D10-D11 level.
The upper cervical intervertebral discs show loss of water content.
The visualized cervico-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.
The MRI features are suggestive of altered signal of the cervico-dorsal spinal cord from the C3-C4 level downwards upto the D10-D11 level. In the given clinical setting this most likely represents transverse myelitis (less likely to represent demyelination/ischemia).