ke/bv/rg/nl

Name of the Patient : Abc Xyz K. Almaklmn / F / 50 yrs.
Referred by : Dr. Abc Xyz.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

Known C/O multiple sclerosis.
C/O difficulty in walking.
H/O anterior decompression with C5-C6 discectomy.

EXAMINATION :

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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

The dorsal spinal cord from the D5 level to D8 vertebral levels appears slightly smaller in calibre.

A subtle hyperintense signal is seen within the dorsal spinal cord from the D5-D6 to the D9 vertebral levels involving the cord centrally and the posterior columns. This is isointense to cord on the T1 Weighted images.

A small posterior peridiscal osteophyte is noted at the D9-D10 level with anterior indentation of the cord.

The 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 conus medullaris terminates at the L1 level.
..2/.






- 2 - Scan-00008


IMPRESSION :

In a known C/O multiple sclerosis, the MRI features are suggestive of smaller calibre of the dorsal spinal cord from the D5 level to D8 vertebral levels with altered signal within the dorsal spinal cord from the D5-D6 to D9 vertebral levels is suggestive of demyelinating lesions within the spinal cord with cord atrophy.