Date : 00.00.00
Name of the Patient : Abc XyzAlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Cervical Spine.
C/O neck pain radiating to BUE since 6 months.
On AKT for ? tuberculous spine.
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.
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.
The left occipital condyle appears hypointense on all the pulse sequences suggesting sclerosis.
Small posterior disc protrusions with peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels.
The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
Incidental note is made of enlarged lymphnodes in the deep cervical region.
The MRI features are suggestive of :
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.
2. Atlanto-axial dislocation with atlanto-dens interval measuring approximately 1.8 cms.
3. Cord compression with altered signal of the cervico-medullary junction suggestive of cord edema/ischemia.