Date : 00.00.00
Name of the Patient : Abc Xyz Chaurlmn / F / 46 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain with paresthesias in BLE and gait imbalance since 5 months.
H/O fever (on & off).
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.
There is slight collapse of the C6 vertebral body which
appears hypointense on all the pulse sequences. There is slight bulging of the posterior margin of this vertebra with indentation of the thecal sac. The C5-C6 intervertebral disc shows normal height and loss of water content.
Small posterior peridiscal osteophytes are noted at the C3-C4 and the C5-C6 levels.
The cervical intervertebral discs show loss of water content.
The rest of the cervical vertebral bodies show spotty fatty marrow changes. 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.
Incidental note is made of small deep cervical lymphnodes bilaterally and a mega cisterna magna.
The MRI features are suggestive of collapse of the C6 vertebral body with altered signal which is not specific for a single etiology. The differential diagnosis would include,
1. Healed infective process.
2. Post-traumatic, superimposed on an osteoporotic spine.
3. Sclerotic Metastasis/myeloma.