sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzrajilmn / M / 36 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Dorsal Spine.
(Post-contrast study).

CLINICAL PROFILE :

H/O laminectomy from D2-D4 with excision of an ependymoma on 00.00.00.
C/O numbness in BLE with difficulty in walking since then.

EXAMINATION :

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

5 mm thick T1 Weighted sagittal images.

6 mm thick T1 Weighted axial images.

5 mm thick T1 Weighted coronal images.

OBSERVATION :

After administration of contrast there is uniform enhancement of the intramedullary lesion, peripherally extending over the D2 and D3 vertebral levels. Central non-enhancing region may represent tumor related cyst/necrosis.

Enhancement is also noted in the posterior soft tissues in the dorsal region, at the site of previous surgery.

IMPRESSION :

Enhancing intramedullary lesion extending over the D2 and D3 vertebral levels may represent residual/recurrent ependymoma. The patient is status post-operative.