ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzi Kalmn / M / 25 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with numbness.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is a hyperintense signal on the T2 Weighted images within the dorsal spinal cord, centrally over the D6 to the D11-D12 levels. This is hypointense to normal cord on the T1 Weighted images. The CSF space is unremarkable.

Intermediate signal intensity areas are noted in the posterior aspect of the lung parenchyma on the left side at the D4-D5 level which are seen to turn hyperintense on the T2 Weighted images and would represent consolidation.

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.







The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images which shows a posterior disc herniation at the L5-S1 level and anterior indentation of the thecal sac.

IMPRESSION :

The MRI features are suggestive of altered signal within the dorsal spinal cord, centrally over the D6 to the D11-D12 levels and is not specific for a single etiology. The possibilities to be considered are :

a. Myelitis.

b. Demyelination.

c. Ischemia/infarction - less likely.