hs/sb/rg/nl

Name of the Patient : Abc Xyz lmn / M / 24 yrs.
Referred by : Dr. Abc Xyzzare.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O sudden onset of weakness of the LLE since 2-3 days.
H/O pain in the LLE with fever for 2-3 days prior to the onset.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is evidence of a hyperintense signal on the T2 Weighted images within the centre of the spinal cord and conus medullaris over the D5 to L1 vertebral levels. This is iso to hypointense to normal cord on the T1 Weighted images.

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

The conus medullaris terminates at the L1-L2 level.

The cervical spine and lumbar spine were screened with 4 mm thick T2 Weighted and 4 mm thick T1 Weighted sagittal images, respectively and do not show any significant feature of note.

IMPRESSION :

The MRI features are suggestive of altered signal within the spinal cord and conus medullaris over the D5 to L1 vertebral levels. This may represent myelitis/demyelination or ischemia (less likely).