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ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzahad Aleslmn / M / 48 yrs.
Referred by : Dr. Abc Xyzain.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

H/O injury to brachial plexus 25 years ago.
C/O inability to move LUE since then.

EXAMINATION :

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.

4 mm thick T1 Weighted and T2 Weighted (with fat saturation) coronal images.

3 mm thick T1 Weighted oblique sagittal images.

OBSERVATION :

There is an extradural lesion in the left neural foramen at the C6-C7 and C7-D1 levels. This lesion is seen to follow CSF signal intensity characteristics on all the pulse sequences and would represent a pseudomeningocele, probably the result of previous trauma and subsequent nerve root avulsion. The anterior and posterior horns on the left side at this level are not well-visualized. Slight irregularity of the cord is noted at the C7-D1 level on the left.

Small posterior disc bulges are noted at the C3-C4 and C4-C5 levels.

Left postero-lateral disc herniations with peridiscal osteophytes are noted at the C5-C6, C6-C7 and C7-D1 levels.



The cervical intervertebral discs show loss of water content.

The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The cervical spinal cord reveals normal signal intensity.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

The MRI features are suggestive of extradural lesions in the left neural foramen at the C6-C7 and C7-D1 levels, following CSF signal and would represent pseudomeningoceles, probably the result of previous trauma and subsequent nerve root avulsion.



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