sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzNarlmn / M / 20 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O acute onset of asymmetric quadriparesis with respiratory embarrassment since 12 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.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of the C4-C5 and C5-C6 intervertebral discs.
There is seen an ill-defined, hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images in the cervical spinal cord, centrally, over the C2 to C5 vertebral levels. This lesion appears hypointense to the normal cord on the T1 Weighted images. The cervical spinal cord is slightly increased in diameter over these levels.
Minimal posterior disc bulges are noted at the C4-C5 and C5-C6 levels. The C2 vertebral body shows fatty marrow changes.
The rest of the cervical vertebral bodies show preponderance of hematopoeitic marrow. The remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
There is no cord compression.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Small, deep cervical lymph nodes are noted bilaterally.
IMPRESSION :
Slight swelling of the cervical spinal cord over the C2 to C5 vertebral levels with altered signal in the cord centrally, over these levels, most likely suggest myelitis, in the given clinical setting.
The possibility of demyelination seems less likely.