ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc XyzVallmn / F / 38 yrs.
Referred by : Dr. Abc Xyzikhalikar.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias and weakness since 5 months.
H/O retention of urine 1 month ago for 15-20 days which has recovered now.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

3 mm thick T1 Weighted and T2 Weighted axial images.

3 mm thick T1 Weighted coronal images.

OBSERVATION :

There is a small subcentimeter lesion in the centre of the spinal cord at the D11-D12 level. This lesion is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images. A small eccentric hypointense speck is noted within the lesion on the T1 Weighted images which might represent a scolex and the lesion would represent a cysticercus (scans 102.4, 104.5, 105.6, 108.4).

There is surrounding edema which is seen to extend from the conus to the D7-D8 disc level.




- 2 - scan-00005

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 :

The MRI features are suggestive of a cysticercus in the colloid vesicular stage in the dorsal spinal cord at the D11-D12 level as described.

A follow up scan with contrast would be worthwhile.