sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc XyzR. Plmn / F / 47 yrs.
Referred by : Dr. Abc Xyzsai.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O sudden onset of weakness of BLE since 00.00.00 with paresthesias.
H/O low grade fever since 2-3 years.

EXAMINATION :

M.R.I of the dorsal spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and Fast Scan (T2 *) Weighted axial images.
5 mm thick T2 Weighted axial images.

OBSERVATION :

There is seen a diffuse, ill-defined, hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images in the dorsal spinal cord, centrally extending over atleast the D4 to L1 vertebral levels. This lesion appears near isointense to normal cord on the T1 Weighted images.

There is slight loss of water content of the D7-D8 and D8-D9 intervertebral discs.

The visualized dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

There is no extrensic cord compression.

The conus medullaris terminates at the L2 level.
..2/.





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IMPRESSION :

Altered signal in the dorsal spinal cord, centrally extending over atleast the D4 to L1 vertebral levels as described, most likely represents myelitis in the given clinical setting.

The possibility of a demyelinating lesion though less likely, cannot be entirely excluded.