Date : 00.00.00
Name of the Patient : Abc Xyz Slmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weakness of BLE with wasting of the LLE since 1 year with weak grip.
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 are small posterior disc bulges at the C3-C4, C4-C5 and the C5-C6 levels with anterior indentation of the thecal sac.
The cervical intervertebral discs show loss of water content.
There is loss of normal ventral bulge of the cervical spinal cord, centrally and on the left side over the C5-C6 to the C6-C7 levels. A hyperintense speck is noted in the cervical spinal cord on the T2 Weighted images at the C6 and C6-C7 levels (scans 106.4, 105.18).
The C4-C5 and C5-C6 facet joints appear mildly hypertrophied.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
- 2 - Scan-00000
The atlanto-axial region and the cervico-medullary junction are unremarkable.
The MRI features are suggestive of :
1. Small posterior disc bulges at the C3-C4, C4-C5 and the C5-C6 levels.
2. Loss of normal ventral bulge of the cervical spinal cord, centrally and on the left side over the C5-C6 to the C6-C7 levels with subtle change in signal intensity as described would suggest anterior horn cell disease.