ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O dragging of feet since 5 years which has increased since 3-4 months.
C/O slipping off of chappals.
H/O hoarseness of voice since 5 years.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
7 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
Schmorls nodes are noted in the lower dorsal region. The mid dorsal intervertebral discs show loss of water content.
The visualized dorsal vertebral bodies and remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity. However there is a slight decrease in the calibre of the cord over the C7 to D10 levels.
The conus medullaris terminates at the D12-L1 level.
The cervico-dorsal spine was screened with 5 mm thick T2 Weighted sagittal images and shows small posterior disc bulges at the C4-C5 and C5-C6 levels
The brain was screened with 5 mm thick T1 Weighted and T2 Weighted axial images which shows slight fullness of the ventricular system and prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
IMPRESSION :
The MRI features are suggestive of :
1. Slight decrease in the calibre of the cord over the C7 to D10 levels.
2. Mild degenerative changes in the cervico-dorsal region.
3. Cerebral and cerebellar atrophy.