ke/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyza Chalmn / F / 18 yrs.
Referred by : Dr. Abc Xyzthare.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O weakness of BLE since 15 days.
C/O bleeding PV since 1 month.

EXAMINATION :

M.R.I of the dorso-lumbar 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 are ill-defined, hypointense areas on the T1 Weighted images replacing the normal marrow of the S1, L3, D12 and D10 vertebral bodies. These are nearly isointense to normal marrow on the T2 Weighted images.

The rest of the lumbar vertebral bodies and the 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 D12-L1 level and the thecal sac terminates at the S1 level.

The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and 5 mm thick Fast Scan (T2 *) axial images. Hyperintense areas are noted on the T2 Weighted and Gradient images within the spinal cord extending over the C7 to the D2 levels. No compressive pathology is noted.



IMPRESSION :

1. Altered signal in the S1, L3, D12 and D10 vertebral bodies is not specific for a single etiology. The possibilities to be considered are :

a. Infective osteitis, ? tuberculous in etiology.

b. Neoplastic process like small cell tumor.

2. Altered signal within the spinal cord extending over the C7 to the D2 levels may be seen with :

a. Myelitis.

b. Demyelination