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 after contrast administration using the following parameters :
4 mm thick T1 Weighted sagittal and coronal images.
6 mm thick T1 Weighted axial images.
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.
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.