Sunday, 27 December 2015 16:48

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Date : 00.00.00

Name of the Patient : Abc Xyz Banlmn / F / 8 yrs.
Referred by : Dr. Abc Xyzvadekar.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O weakness of BLE with bladder involvement.
? ATM.

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.
8 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

The visualized cervical and nearly entire dorsal spinal cord appears swollen and shows a hyperintense signal on the T2 Weighted images which appears hypointense on the T1 Weighted images. The CSF space is unremarkable.

The visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

There is no cord compression.

The conus medullaris terminates at the L1 level.

IMPRESSION :

Altered signal of the cervical and nearly entire dorsal spinal cord is not specific for a single diagnosis. The differential diagnosis would include :

1. Myelitis.

2. Demyelination.

The possibility of an ischemic lesion seems unlikely.
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