Date : 00.00.00
Name of the Patient : Abc Xyznnisha lmn / F / 32 yrs.
Referred by : Dr. Abc Xyzan.
Examination : M.R.I. of the Cervical Spine.
C/O neckpain radiating to BUE (right more than left) with paresthesias with inability to walk since 6 months and swaying and loss of appetite.
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 *) axial images.
5 mm thick T1 Weighted coronal images.
There is seen a fairly large, approximately 3.5 x 1.7 x 2.8 cms sized lobulated, intradural-extramedullary and extradural mass lesion in the spinal canal, on the right at the C5 and C6 vertebral levels. This lesion is of intermediate signal on the T1 Weighted images and appears relatively hypointense on the T2 Weighted images (with few hyperintense areas within which may represent cystic/necrotic changes). This lesion is seen to extend out of the spinal canal into the right paravertebral region, through the right neural foramen at the C5-C6 level, which is widened. The cervical spinal cord over C4 to C6 vertebral levels is compressed and displaced to the left. There is a hyperintense signal on the Fast Scan (T2 *) images in the cervical spinal cord over these levels suggesting cord edema/ischemia. The right vertebral artery appears slightly smaller in size at the C5 and C6 vertebral levels and is displaced anteriorly by the lesion. There is scalloping of the right half of the C5 and C6 vertebrae posteriorly.
There is slight loss of water content of the cervical intervertebral discs.
Small posterior peridiscal osteophytes are noted in the cervical region.
The upper cervical vertebrae show spotty fatty marrow changes.
The rest of the cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized prevertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
A fairly large, approximately 3.5 x 1.7 x 2.8 cms sized lobulated, intradural-extramedullary and extradural mass lesion in the spinal canal, on the right at the C5 and C6 vertebral levels as described, most likely represents a nerve sheath tumor.