sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Govlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzat.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O backache since 1 month with weakness of BLE and bladder involvement since 00.00.00.

EXAMINATION :

M.R.I of the cervical 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.

OBSERVATION :

There is slight increase in the diameter of the cervical spinal cord over about the C3 to C7 vertebral levels. There is seen an ill-defined, hyperintense signal on the T2 Weighted and Fast Scan (T2 * ) images in the cervical spinal cord, centrally over C4 to D1 vertebral levels but also involving the posterior and lateral columns. This lesion appears isointense to the normal cord on the T1 Weighted images.

There is slight loss of water content of the C2-C3 intervertebral disc.

The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

Screening, T2 Weighted sagittal images of the dorsal spine reveals subtle hyperintense signal in the mid and lower dorsal spinal cord.
..2/.



- 2 - scan-00002


IMPRESSION :

Slight increase in the diameter of the cervical spinal cord over about the C3 to C7 vertebral levels with altered signal as described is not specific for a single etiology. Myelitis is a likely possibility.

The possibility of a demyelinating lesion may be considered as a differential diagnosis.