Name of the Patient : Abc Xyzikalmn / M / 55 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O sudden onset of weakness of BLE with bladder/bowel involvement since 12 days.
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
There is loss of water content of the dorsal intervertebral discs.
There is an ill-defined, hyperintense signal on the T2 Weighted images in the lower dorsal spinal cord over about D8 to D12 vertebral levels. This lesion is nearly isointense to normal cord on the T1 Weighted images. There is no cord compression.
A small, right paracentral disc herniation with peridiscal osteophytes is noted at the D11-D12 level.
Left paracentral protruded discs with peridiscal osteophytes are noted at the D10-D11 and D9-D10 levels.
Posterior peridiscal osteophytes are noted at the D7-D8 and D8-D9 levels.
The visualized dorsal vertebral bodies 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.
Screening, images of the cervical and lumbo-sacral regions do not reveal any significant feature of note.
1. Ill-defined, altered signal in the lower dorsal spinal cord over about the D8 to D12 vertebral levels may represent myelitis/demyelination, in the given clinical setting.
2. A small, right paracentral disc herniation with peridiscal osteophytes at the D11-D12 level.
3. Left paracentral protruded discs with peridiscal osteophytes at the D10-D11 and D9-D10 levels.
4. Posterior peridiscal osteophytes at the D7-D8 and D8-D9 levels.