Date : 00.00.00

Name of the Patient : Abc Xyzi K. Boclmn / F / 40 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O paraplegia with retention of urine since 2 days.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

3 mm T2 Weighted coronal images.

OBSERVATION :

There is seen a small, approximately 5.0 cms diameter sized well marginated hypointense lesion on all the pulse sequences within the dorsal spinal cord at the D11 vertebral level. There is slight increase in diameter of the dorsal spinal cord at D11 and D12 vertebral levels. The rest of the dorsal spinal cord over the D8 to D12 vertebral levels shows a hyperintense signal on the T2 Weighted images, centrally, which may represent cord edema/ischemia. Multiple serpingenous signal-void lesions are noted in the CSF space along the right lateral margin of the lower spinal cord over D11 to L2 vertebral levels. These may represent blood vessels. Minimal indentation on the right lateral margin of the dorsal spinal cord at D11 and D12 vertebral levels is noted.

The visualized dorsal vertebral bodies show normal signal intensity. The D10-D11 intervertebral disc shows slight loss of water content. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12-L1 level.
..2/.



- 2 - scan-00005


Screeening T2 Weighted sagittal images of the cervical spine shows a small postero-central disc herniation with peridiscal osteophyte at the C5-C6 level. There is no significant cord compression. The cervical spinal cord shows normal signal.

IMPRESSION :

Multiple serpingenous signal-void lesions in the CSF space along the right lateral margin of the lower spinal cord over D11 to L2 vertebral levels most likely represent an intradural vascular malformation. A signal-void lesion on all pulse sequences in the dorsal spinal cord at the D11 vertebral level may represent the nidus. Altered signal in the rest of the dorsal spinal cord over D8 to D12 vertebral levels may represent cord edema/ischemia.