ke/sb/rg.
Date : 00.00.00
Name of the Patient : Abc XyzAklmn / M / 55 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O sudden onset of weakness of the RLE since 4 days.
H/O fever with chills since 10 days.
EXAMINATION :
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 T2 Weighted axial images.
OBSERVATION :
The dorsal intervertebral discs show loss of water content.
The visualized dorsal vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1 level.
Incidental note is made of a left pleural effusion.
The lumbo-sacral spine was screened with 5 mm T1 Weighted sagittal images and reveals a small posterior disc herniation at the L5-S1 level.
Scan-00009
The cervico-dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and 5 mm thick Fast Scan (T2 *) axial images and shows small posterior disc bulge with peridiscal osteophytes at the C5-C6 and C6-C7 levels and hyperintense signal in the cervical cord on the T2 Weighted images at the C6-C7 level suggesting cord edema/ischemia/contusion.
IMPRESSION :
1. No significant abnormality is detected within the dorsal spine on this study.
2. Small posterior disc bulge with peridiscal osteophytes at the C5-C6 and C6-C7 levels with altered signal
at the C6-C7 level suggestive of cord edema/ischemia/contusion.
3. A small posterior disc herniation at the L5-S1 level.