Date : 00.00.00
Name of the Patient : Abc Xyzra Thlmn / M / 14 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with stiffness and weakness of BUE.
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.
3 mm thick T2 Weighted coronal images (with fat saturation).
The cervical spinal cord is expanded, more so over the C3 to C6 vertebral levels. There is mild posterior scalloping of the C4, C5 and C6 vertebral bodies. There is effacement of the surrounding CSF space over the C3 to C6 levels.
Areas of hyperintensity as compared to normal CSF are seen on all the pulse sequences within the spinal cord over the C3 to C6 vertebral levels. Also seen is a linear hypointensity on all the pulse sequences within this lesion, in the antero-posterior direction and this may represent a fibrous septum. A well-defined area which is near isointense to CSF is seen within the cord at the C3 level and this may represent a cystic/necrotic component. Also seen is a hyperintense signal on the T2 Weighted images cephalad and caudad to this lesion and extending upto the cervico-medullary junction and the D2 vertebral levels respectively, and this may represent edema.
Posterior peridiscal osteophytes are noted at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.
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 brain was screened with 5 mm thick T2 Weighted axial images. There is fullness of the fourth ventricle and mild prominence of the cerebellar folia.
The MRI features are suggestive of an intramedullary mass lesion within the cervical spinal cord as described. This may represent a neoplastic process like an astrocytoma or an ependymoma. This is less likely to represent a hemangioblastoma.
A contrast enhanced study would be worthwhile.