hs/ke/nl/nl
/202 Date : 00.00.00

Name of the Patient : Abc Xyzha Plmn / F / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical & Dorsal
Spines.

CLINICAL PROFILE :

C/O weakness of BLE (left more than right) since 1 month.
C/O bladder involvement since 1 day.

EXAMINATION :

M.R.I of the cervical 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.

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 Fast Scan (T2 *) axial images.

The brain was screened with 5 mm thick T2 Weighted axial images.

OBSERVATION :

There are hyperintense areas on the T2 Weighted and Fast Scan (T2 *) images within the spinal cord over the cervico-medullary junction to the C2 vertebral level, at the C3 and C4 vertebral levels and over the D8 to D12 vertebral levels. A few of these lesions are central and posterior whereas a few are located laterally.

- 2 - Scan-00000/2

A small hyperintense lesion on the T2 Weighted images is seen in the pons antero-lateral to the fourth ventricle on the left side. There is mild fullness of the fourth ventricle.

A postero-central disc herniation with peridiscal osteophytes is seen to indent the cord at the C4-C5 level. A left paracentral disc herniation is seen to indent the cord at the C5-C6 level.

There is a posterior disc bulge with small peridiscal osteophytes at the C6-C7 level.

The cervical intervertebral discs show loss of water content.

A focal hyperintensity on all the pulse sequences is seen within the D9 vertebral body and this may represent a hemangioma with high fat content.

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

The atlanto-axial region is unremarkable.

The conus medullaris terminates at the L2 level.

IMPRESSION :

The MRI features are suggestive of areas of altered signal intensity within the spinal cord over the cervico-medullary junction to the C2 vertebral level, at the C3 and C4 vertebral levels and over the D8 to D12 vertebral levels and in the pons antero-lateral to the fourth ventricle on the left side and these most likely represent plaques of demyelination.

The possibility of this being due to myelitis is considered less likely.