Date : 00.00.00
Name of the Patient : Abc Xyzi Salmn / F / 14 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O quadriparesis since 1 month with respiratory failure.
H/O viral infection 15 days prior to this.
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) Weighted axial images.
There is seen a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images in the spinal cord on either side of the midline over the C3-C4 disc level upto the C7-D1 disc level. This signal appears hypointense to normal cord on the T1 Weighted images. No significant cord atrophy or cord swelling is noted.
Small postero-central protruded discs are noted at the C5-C6 and C6-C7 levels.
There is loss of water content of the C6-C7 intervertebral disc.
The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Evidence of previous tracheotomy is noted.
Screening T2 Weighted sagittal images of the dorsal spine and T1 Weighted sagittal images of the lumbar spine do not reveal any significant feature of note.
Incidentally noted is right sided parahilar consolidation with probable enlarged subcarinal and right paratracheal lymphnodes.
Altered signal in the spinal cord on either side of the midline over the C3-C4 disc level upto the C7-D1 disc level as described most likely represents gliotic/myelomalacic changes, probably the sequelae of previous myelitis/demyelination.