Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 20 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weakness and wasting of BUE since 1 year.
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.
There is reduction in the antero-posterior dimension of the spinal cord over the C4-C5 to C7-D1 levels. There is loss of the normal ventral bulge of the cord, more so to the right side over these levels.
Hyperintense foci on the Fast Scan (T2 *) images are seen in the region of the anterior horn cells on the right side at the C5 and C6 levels. A centre hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images is seen at the C5-C6 level.
There are small posterior disc bulges at the C3-C4 and C5-C6 levels.
The upper cervical intervertebral discs show loss of water content.
The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
- 2 - Scan-00009
The atlanto-axial region and the cervico-medullary junction are unremarkable.
The MRI features are suggestive of loss of the normal ventral bulge with altered cord signal as described. Motor neuron disease should be excluded.