Date : 00.00.00
Name of the Patient : Abc Xyz Qurlmn / F / 23 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the RUE with numbness since 4 years.
Alleged H/O fall prior to this.
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
The lower medulla, cervical and upper dorsal spinal cords are increased in diameter.
There is seen an ill-marginated, intermediate signal intensity mass lesion on the T1 Weighted images in the cervical spinal cord, extending over the C2 to C6 vertebral levels. This lesion appears heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images. A similar signal intensity intramedullary lesion is noted at the D2 and D3 vertebral levels. Effacement of the CSF space in the cervical region is noted.
CSF signal intensity lesion on all the pulse sequences is noted in the distal medulla and the cervico-medullary junction and within the cervical spinal cord at the C7 and D1, D4 and D5 vertebral levels. These lesions may represent tumor related cysts/syrinx.
The inferior margin of the above described lesion, including the tumor related cyst is at the D5 vertebral level.
There is slight loss of water content of the C2-C3 to C5-C6 intervertebral discs.
Minimal posterior disc bulges are noted at the C4-C5 and C5-C6 levels.
A heterogeneous signal intensity, intramedullary mass lesion extending from the distal medulla upto the D5 vertebral level, is not specific for a single etiology. This most likely represents an intramedullary neoplasm like an astrocytoma or an ependymoma.
The possibility of an infective/inflammatory lesion seems less likely.
A contrast enhanced scan may be worthwhile.