Name of the Patient : Abc Xyzlmn / F / 35 yrs.
Referred by : Dr. Abc Xyzka / Dr. Abc Xyzonawalla.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache since 2 years with paresthesias and weakness of BLE since 3 months.
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
3 mm thick T2 Weighted coronal images.
There is seen a fairly large, intradural-extramedullary mass lesion in the upper and mid-dorsal spinal canal extending over about D3 to D7 vertebral levels. This lesion appears slightly hyperintense to normal CSF on all the pulse sequences and is located predominantly posteriorly and to the right of the spinal cord. Multiple septation/strands are noted within the lesion. The dorsal spinal cord over D3 to D8 vertebral levels is significantly compressed and displaced anteriorly to the left but however shows normal signal intensity.
The visualized dorsal intervertebral discs show loss of water content.
The visualized dorsal vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1-L2 level.
A fairly large, intradural-extramedullary mass lesion in the upper and mid-dorsal spinal canal extending over about D3 to D7 vertebral levels with cord compression is not specific for a single etiology. This most likely represents a nerve sheath tumor. The possibility of a cystic meningioma seems less likely.