Displaying items by tag: patchy

ke/sb/nl/rg.
/00008 Date : 07/00.00.00

Name of the Patient : Abc Xyzta Yenclmn / F / 22 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

H/O backache with paresthesias in BLE (on and off) since 3 1/2 years.
C/O paraplegia with bladder/bowel involvement since 00.00.00.

EXAMINATION :

M.R.I of the dorsal 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.

After administration of contrast the following parameters were used :

4 mm thick T1 Weighted axial images.

3 mm thick T1 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is focal swelling of the dorsal spinal cord at the D7 and D8 vertebral levels. Few hypointense areas are seen within the dorsal spinal cord at these levels on the T1 Weighted images which are seen to turn hyperintense on the T2 Weighted images. The CSF space is unremarkable. On administration of contrast, there is faint patchy enhancement within the spinal cord at the D7 and D8 levels. There is no other area of abnormal enhancement within the cervico-dorsal spinal cord or the meninges.


The visualized dorsal vertebral bodies show spotty fatty marrow changes. The intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12 level.

Screening T1 Weighted sagittal images of the lumbo-sacral spine reveal anterior wedging of the L1 and L2 vertebral bodies. A gravid uterus is noted.

IMPRESSION :

Altered signal in the dorsal spinal cord at the D7 and D8 vertebral levels with patchy enhancement after contrast administration is not specific for a single diagnosis.

A pial vascular malformation should be ruled out.

The possibility of demyelination or a neoplasm seems less likely.