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<div class="K2FeedIntroText">ke/sb/rg/nl<br /> Date : 00.00.00<br /><br /> Name of the Patient : Abc XyzAlmn / F / 40 yrs. <br /> Referred by : Dr. Abc Xyzshi. <br /> Examination : M.R.I. of the Cervical Spine.<br /><br /> CLINICAL PROFILE: <br /><br /> C/O neck pain radiating to BUE since 6 months. <br /> On AKT for ? tuberculous spine. <br /><br /> EXAMINATION :<br /><br /> M.R.I of the cervical spine was performed using the following parameters :<br /><br /> 5 mm thick T1 Weighted and T2 Weighted sagittal images.<br /><br /> 5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.<br /><br /> OBSERVATION :<br /><br /> The tip of the odontoid process appears deficient but smooth in outline. There is atlanto-axial dislocation with atlanto-dens interval measuring approximately 1.8 cms. There is resultant indentation and compression of the cervico-medullary junction which shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images (isointense to normal cord on the T1 Weighted images) suggestive of cord edema/ischemia. <br /><br /> The left occipital condyle appears hypointense on all the pulse sequences suggesting sclerosis.<br /><br /> Small posterior disc protrusions with peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels. <br /><br /><br /><br /><br /><br /><br /> The cervical intervertebral discs show loss of water content.<br /><br /> The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.<br /><br /> Incidental note is made of enlarged lymphnodes in the deep cervical region.<br /><br /> IMPRESSION :<br /><br /> The MRI features are suggestive of :<br /><br /> 1. Smooth surface of the tip of the odontoid process which could be post-traumatic/post-infective. Sclerosis of the left occipital condyle may suggest previous infection.<br /><br /> 2. Atlanto-axial dislocation with atlanto-dens interval measuring approximately 1.8 cms. <br /><br /> 3. Cord compression with altered signal of the cervico-medullary junction suggestive of cord edema/ischemia. <br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /></div>

<div class="K2FeedIntroText">ke/sb/rg/nl<br /> Date : 00.00.00<br /><br /> Name of the Patient : Abc XyzAlmn / F / 40 yrs. <br /> Referred by : Dr. Abc Xyzshi. <br /> Examination : M.R.I. of the Cervical Spine.<br /><br /> CLINICAL PROFILE: <br /><br /> C/O neck pain radiating to BUE since 6 months. <br /> On AKT for ? tuberculous spine. <br /><br /> EXAMINATION :<br /><br /> M.R.I of the cervical spine was performed using the following parameters :<br /><br /> 5 mm thick T1 Weighted and T2 Weighted sagittal images.<br /><br /> 5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.<br /><br /> OBSERVATION :<br /><br /> The tip of the odontoid process appears deficient but smooth in outline. There is atlanto-axial dislocation with atlanto-dens interval measuring approximately 1.8 cms. There is resultant indentation and compression of the cervico-medullary junction which shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images (isointense to normal cord on the T1 Weighted images) suggestive of cord edema/ischemia. <br /><br /> The left occipital condyle appears hypointense on all the pulse sequences suggesting sclerosis.<br /><br /> Small posterior disc protrusions with peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels. <br /><br /><br /><br /><br /><br /><br /> The cervical intervertebral discs show loss of water content.<br /><br /> The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.<br /><br /> Incidental note is made of enlarged lymphnodes in the deep cervical region.<br /><br /> IMPRESSION :<br /><br /> The MRI features are suggestive of :<br /><br /> 1. Smooth surface of the tip of the odontoid process which could be post-traumatic/post-infective. Sclerosis of the left occipital condyle may suggest previous infection.<br /><br /> 2. Atlanto-axial dislocation with atlanto-dens interval measuring approximately 1.8 cms. <br /><br /> 3. Cord compression with altered signal of the cervico-medullary junction suggestive of cord edema/ischemia. <br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /></div>