ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Shlmn / F / 26 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O weakness of BLE since 3 months.
Known C/O TB arachnoiditis since 2 months. On AKT.

EXAMINATION :

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.

OBSERVATION :

The spinal cord over the D3 level downwards upto the conus medullaris appears to be swollen and shows irregular outline. This shows hyperintense signal on the T2 Weighted images predominantly in the centre with skip lesions (isointense to normal cord on the T1 Weighted images) over D5 to D10 vertebral levels. The CSF space appears effaced and shows intermediate signal on the T1 Weighted images.

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 L1 level.

IMPRESSION :

In a known C/O tuberculous arachnoiditis the MRI features are suggestive of altered signal in the spinal cord over the D3 level downwards upto D10 level. This may suggest myelitis or ischemic changes (due to arachnoiditis).

A contrast enhanced scan would be worthwhile.