Spinal infection, Myelitis

[Muhammad_Ahsen]

Dear All,

Hi! I am 37 years male suffering a disease of spinal cord inflammation, got treatment but yet to recover therefore all are requested to give me a suitable advice, MRI report is also attached,
MRI DORSAL SPINE WITH & WITHOUT CONTRAST

TECHNIQUE:
Multiplanar, multi-sequential images through dorsal spine were acquired with and without intravenous contrast administration.

CLINICAL INDICATION:
Difficulty in walking

FINDINGS:
Expansion of the dorsal spinal cord with ill-defined intramedullary abnormal signal intensity extending from D7 to D9 level, appearing isointense on T1W, heterogeneously hyperintense on T2 and fat sat sequences with heterogeneous post contrast enhancement. It measures approximately 6.5 x 1.3 x 1.3 cm (CC x TS x AP). Abnormal hyperintense signals are noted in the dorsal spinal cord extending both proximal and distal to the lesion superiorly up to D3 and inferiorly up to D11 vertebral level. Adjacent dural enhancement is noted extending inferiorly to D10 level.
Imaging findings are likely suggestive of inflammatory etiology (? myelitis) with other less likely differential of intramedullary neoplastic lesion. Requires further workup

Normal dorsal curvature noted.
Intervertebral disc spaces are preserved and discs show no abnormal signals.
No evidence of disc bulge or disc protrusion at any level causing thecal or foraminal compression. Vertebral height and alignment appears normal. No abnormal signals or marrow signal abnormality noted. Conus medullaris terminates normally at the level of L1.
Para spinal areas appear unremarkable.
Left sided hydronephrosis is noted, requires sonographic correlation


IMPRESSION:

Expansion of the dorsal spinal cord with ill defined enhancing intramedullary abnormal signal intensity extending from D7 to D9 level. Adjacent dural enhancement is noted extending inferiorly to D10 level. Imaging findings are likely suggestive of infective/inflammatory etiology (?myelitis) with other less likely differential of intramedullary neoplastic lesion.