sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzaxmi Nanalmn / F / 32 yrs.
Referred by : Dr. Abc Xyzikhalikar.
Examination : M.R.I. of the Cervico-Dorsal Spine.
CLINICAL PROFILE :
C/O paresthesias in BLE since 4 days.
C/O acute retention of urine.
EXAMINATION :
M.R.I of the cervico-dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The cervico-dorsal spinal cord over the C7 to D4 vertebral levels appear slightly swollen. There is an ill-defined, hyperintense signal on the T2 Weighted images in the cervico-dorsal spinal cord over these levels. This lesion appears isointense to normal cord on the T1 Weighted images. Resultant slight effacement of the subarachnoid space is noted.
Small postero-central protruded discs are noted at the C5-C6 and C6-C7 levels.
A bony spur is noted along the left lamina at the D2-D3 level and centrally at the D7 vertebral level with resultant slight effacement of the posterior subarachnoid space at these levels.
The visualized cervico-dorsal vertebral bodies reveal normal signal intensity. The visualized cervico-dorsal intervertebral discs show loss of water content. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
IMPRESSION :
1. Slight swelling of the cervico-dorsal spinal cord over the C7 to D4 vertebral levels with altered signal as described is not specific for a single etiology. These changes may suggest myelitis/demyelination.
2. Bony spur along the left lamina at the D2-D3 level and centrally at the D7 vertebral level with resultant slight effacement of the posterior subarachnoid space at these levels.