Date : 00.00.00
Name of the Patient : Abc Xyzrajilmn / M / 36 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the mid back since 6-7 months.
M.R.I of the cervico-dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
There is loss of water content of the cervical intervertebral discs.
There is seen a well marginated, intramedullary lesion within the upper dorsal spinal cord at the D2 and D3 vertebral levels. This lesion is of intermediate signal on the T1 Weighted images but appears hypointense on the T2 Weighted images.
There is a hypointense lesion on the T1 Weighted images within the cervical spinal cord extending over the C2 to D1 and D4 to D8 vertebral levels. This lesion appears hyperintense on the T2 Weighted images and represents a syrinx/tumor related cyst. The cervico-dorsal spinal cord over the C2 to D8 vertebral levels appears increased in its transverse dimensions. Multiple septae are noted in the proximal syrinx/cyst.
Small posterior disc bulges with posterior peridiscal osteophytes are noted in the cervical region.
The cervical vertebral bodies 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.
An intramedullary mass lesion within the upper dorsal spinal cord at the D2 and D3 vertebral levels as described is not specific for a single etiology. An intramedullary neoplasm (astrocytoma/ependymoma) may be considered in the differential diagnosis (less likely to be infective in etiology). A tumor related cyst/syrinx is noted proximal and distal to the lesion as described.
A contrast enhanced scan would be worthwhile.