hs/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyza Llmn / F / 12 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O sudden onset of neck pain with weakness of the LUE since 2 days.
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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is evidence of a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images within the cervical spinal cord over the C2 to C4-C5 levels. This is iso to hypointense to normal cord on the T1 Weighted images. It is located more so anteriorly and to the left within the cord.
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 and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of altered signal within the cervical cord over the C2 to C4-C5 levels as described. The imaging features suggest demyelination (less likely to be ischemia or myelitis).