sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Plmn / M / 20 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache since 2 months.
H/O fever since 8 days.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) sagittal images.
8 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is seen a well-marginated CSF intensity lesion on all the pulse sequences in the dorsal spinal cord, centrally, extending over the D5 to D10 vertebral levels. This lesion most likely represents a syrinx.
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-L2 level.
IMPRESSION :
A small CSF intensity lesion on all the pulse sequences in the dorsal spinal cord, centrally, extending over the D5 to D10 vertebral levels most likely represents a syrinx.