hs/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza D. Plmn / F / 70 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O paraplegia with bladder involvement since 2 days.

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 Fast Scan (T2 *) axial images.

The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and the cervical spine was screened with 5 mm thick T2 Weighted sagittal images.

FEW IMAGES SHOW PATIENT MOTION (PATIENT WAS NOT COOPERATIVE).

OBSERVATION :

A central area of hyperintensity on the T2 Weighted and Fast Scan (T2 *) images is seen within the cord over the D6 to D11 vertebral levels. This is iso to hypointense to normal cord on the T1 Weighted images.

There is no cord compression.

The visualized dorsal intervertebral discs show loss of water content. The visualized dorsal vertebral bodies show fatty marrow changes suggesting osteoporosis.

The visualized pre and paravertebral soft tissues are unremarkable.

Small posterior disc protrusions are seen at the D11-D12 and L1-L2 levels. ..2/.







IMPRESSION :

The MRI features are suggestive of altered cord signal over the D6 to D11 vertebral levels. The differential diagnosis may include :

1. Myelitis (most likely).

2. Demyelination.

3. Ischemia.