Date : 00.00.00
Name of the Patient : Abc Xyznath Kalmn / M / 50 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O radicular pain to the LUE since 1 month.
H/O right supraclavicular region tuberculosis. On AKT since 00.00.00.
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.
Areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted and Fast Scan (T2 *) images are seen to involve the C6 and C7 vertebral bodies and the C7 pedicles bilaterally. The superior cortical endplate of the C7 vertebra is irregularly defined. There is extension of this pathologic process into the anterior epidural space with indentation of the cord over the C6 and C7 vertebral levels. Also seen is extension into the left neural foramen at the C6-C7 level and over the pre and paravertebral soft tissues over these levels.
Postero-central disc herniations with peridiscal osteophytes are seen to indent the cord at the C5-C6 and C6-C7 levels.
Posterior disc bulges with peridiscal osteophytes are seen at the C3-C4 and C4-C5 levels.
The C4-C5 and C5-C6 facet joints show degenerative changes.
The cervical intervertebral discs show loss of water content.
The rest of the cervical vertebral bodies show normal signal intensity. The joints of Luschka are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
The MRI features are suggestive of :
1. A pathologic process involving the C6 and C7 vertebrae with extensions as described most likely represents an infective process like tuberculosis. The possibility of this being a neoplastic process like a small cell tumor cannot be entirely excluded, although it seems less likely.
2. Postero-central disc herniations with peridiscal osteophytes at the C5-C6 and C6-C7 levels.