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sb/bv/rg.
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.
(Post-contrast Study).

CLINICAL PROFILE :

C/O neckpain radiating to the RUE with numbness since 4 years.
Alleged H/O fall prior to this.

EXAMINATION :

M.R.I of the cervical spine was performed after contrast administration using the following parameters :

4 mm thick T1 Weighted sagittal and coronal images.
6 mm thick T1 Weighted axial images.

OBSERVATION :

After contrast administration, there is intense enhancement of the intramedullary lesion which is seen to extend over the C2-C3 disc level upto the C6 vertebral level. There is no enhancement of the cystic intramedullary lesion at the cervico-medullary junction and over the C6 to D5 vertebral levels although some peripheral enhancement is noted. These non-enhancing, cystic lesions represent tumor related cysts/syrinx.

There is no other focal area of abnormal enhancement in the cervical and dorsal spinal cord or along the meninges.

IMPRESSION :

The contrast enhanced study reveals an enhancing intramedullary lesion extending over C2-C3 disc level upto the C6 vertebral level, which may represent an intramedullary neoplasm. Tumor related cysts/syrinx are noted as described.

The possibility of an infective/inflammatory etiology seems unlikely.
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