Displaying items by tag: 106/8).

ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyztiprasad Ylmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Post-contrast Study of the Cervico-dorsal Spine.

CLINICAL PROFILE :

C/O weakness of BLE since 1 1/2 months with incontinence of urine since 3 days.
H/O Pulmonary kochs. On AKT since 3 months.


EXAMINATION :

M.R.I of the cervico-dorsal region was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

After administration of contrast, the following parameters were used :

4 mm thick T1 Weighted sagittal images (with fat saturation).

5 mm thick T1 Weighted axial images.

OBSERVATION :

There are hyperintense areas within the spinal cord on the T2 Weighted images over the C7 to the D4 vertebrae. These are isointense to hypointense to normal cord on the T1 Weighted images.

On administration of contrast, there is very subtle enhancement in the cord at the D2-D3 level (se/im: 106/8). There is no other area of enhancement in the spinal cord or the meninges.

Soft tissue intensity lesions are seen in the right lung.
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IMPRESSION :

The MRI features are suggestive of altered signal within the spinal cord over the C7 to the D4 vertebrae. The possibilities to be considered are :

1. Myelitis.

2. Demyelination.

3. Ischemia.