hs/sb/nl/nl
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.
EXAMINATION :
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.
OBSERVATION :
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.
IMPRESSION :
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).