Findings
- Linear T2/STIR signal hyperintensity extending through the left aspect of the spinal cord at the level of T10-T11
- T2/STIR hyperintense dorsal epidural collection spanning the visualized portions of the lower cervical, thoracic, and upper lumber spinal canal
- T2/STIR signal hyperintensity in the posterior paraspinal soft tissues on the left at the level of T11-T12
- Mild multilevel broad-based disc bulges, which in combination with the dorsal epidural collection contribute to mild multilevel spinal canal stenosis
- Normal marrow signal
- Normal alignment
Diagnosis
Spinal cord laceration
Sample Report
T2/STIR signal hyperintensity in the posterior paraspinal soft tissues on the left at the level of T11-T12 consistent with reported history of stab wound. A linear area of T2/STIR hyperintensity extends from this area into the left aspect of the spinal cord at the level of T10-T11, which raises concern for dural laceration and cord laceration.
T2/STIR hyperintense dorsal epidural collection spanning the visualized portions of the lower cervical, thoracic, and upper lumber spinal canal, which given signal characteristics is favored to represent a large posttraumatic CSF leak.
Mild multilevel broad-based disc bulges, which in combination with the dorsal epidural collection contribute to mild multilevel spinal canal stenosis.
Discussion