Date : 00.00.00
Name of the Patient : Abc Xyzalmn / F / 15 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain with paresthesias in all four extremities since 7 days.
H/O fever +.
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 dorsal spine was screened with 3 mm thick T2 Weighted sagittal images.
The cervical spinal cord and the upper dorsal spinal cord is swollen. Hyperintense signal is seen on the T2 Weighted and the Fast Scan (T2 *) images, centrally extending from the cervico-medullary junction upto the conus. This is hypointense to the cord on the T1 Weighted images. The CSF space is effaced in the upper cervical region. There is no cord compression.
The cervical vertebral bodies and the intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region is unremarkable.
The MRI features are suggestive of altered signal intensity within the spinal cord centrally extending from the cervico-medullary junction upto the conus. This most likely represents myelitis in the given clinical setting.
The possibility of this being demyelination or ischemic changes appear less likely.