Name of the Patient : Abc Xyzh Bhanlmn / M / 39 yrs.
Referred by : Dr. Abc Xyzsekar.
Examination : M.R.I. of the Dorsal Spine.
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.
The brain was screened with 5 mm thick T1 Weighted sagittal images and 5 mm thick T2 Weighted axial images.
The cervical spine was screened with 4 mm thick T2 Weighted sagittal images.
There is loss of water content of the upper and middorsal intervertebral discs.
There is atrophy of the dorsal spinal cord over the D2 to D10 vertebral levels. There is an ill-defined, hyperintense signal on the T2 Weighted images along the anterior margin of the dorsal spinal cord over the D3 to D8 vertebral levels. This lesion appears near isointense to the normal cord on the T1 Weighted images. Slight irregularity of the anterior margin of the dorsal spinal cord over these levels is also noted. There is no extrinsic cord compression.
The visualized dorsal vertebral bodies reveal normal signal intensity. The facet joints at the D9-D10 and D10-D11 levels appear slightly hypertrophied with capsular ligament hypertrophy at the D10-D11 level.
The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 level.
Incidentally noted is a soft tissue nodule in the lung parenchyma on the left posteriorly, at the D6 vertebral level (scan 108.9).
Screening images of the brain reveal pansinusitis.
Screening images of the cervical spine do not reveal any significant feature of note.
1. Atrophy of the dorsal spinal cord over the D2 to D10 vertebral levels with altered signal along the anterior margin of the dorsal cord over the D3 to D8 vertebral levels most likely is the sequelae of previous myelitis with gliotic/myelomalacic changes along its anterior margin as described.
2. Slight facetal hypertrophy at the D9-D10 and D10-D11 levels.
As compared to the previous MRI dated 00.00.0000, the signal change in the dorsal cord is better appreciated on the present study. No other significant change is noted.