Name of the Patient : Abc Xyz P. Bhallmn / F / 18 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with paresthesias and weakness in BLE since 15 days.
C/O bladder/bowel involvement since 3 days.
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.
There is seen a well-defined approximately 1.2 x 1.0 x 2.8 cms sized intradural-extramedullary mass lesion in the spinal canal at the D10 and D11 vertebral levels. This lesion is of intermediate signal on the T1 Weighted images and appears heterogeneously hyperintense on the T2 Weighted images. The lesion is located anterior and to the right of the dorsal spinal cord and compresses and displaces the cord posteriorly and to the left. The dorsal spinal cord over the D7 to D11 vertebral levels shows a hyperintense signal on the T2 Weighted images, suggesting cord edema/ischemia.
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-L1 level.
An approximately 1.2 x 1.0 x 2.8 cms sized intradural- extramedullary mass lesion at the D10 and D11 vertebral levels, as described may represent either a nerve sheath tumor or a meningioma. There is resultant cord compression and cord signal alteration suggesting cord edema/ischemia.