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Name of the Patient : Abc Xyz lmn / M / 18 yrs.
Referred by : Dr. Abc Xyzvan.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache since 4 days.
C/O bladder/bowel involvement since 2 days.
C/O weakness of BLE (left more than right) since 1 day.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

9 mm thick T1 Weighted and T2 Weighted axial images.

The cervical spine was screened with 4 mm thick T2 Weighted sagittal images and the lumbar spine was screened with 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

The L5 vertebra appears to be sacralized and the L1 and D7 vertebrae are as marked on the film. Please correlate with plain radiographs.

The dorsal spinal cord, centrally, over the D1 to D10 vertebral levels shows a hyperintense signal on the T2 Weighted images. This is iso to hypointense to normal cord on the T1 Weighted images. The cord over these levels is swollen. This signal is seen to extend into the cervical spinal cord upto the C3 vertebral level.

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 D12 level.

IMPRESSION :

The MRI features are suggestive of altered cord signal within the C3 to D10 vertebral levels. This may represent myelitis/demyelination (less likely to represent ischemia).