Name of the Patient : Abc Xyzm lmn / F / 11 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O stiffness of the neck with inability to move the neck since 7-8 months.
H/O loss of appetite.
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.
There is loss of normal cervical lordosis.
There is an ill-defined, hypointense signal on the T1 Weighted images involving the clivus, more to the right of the midline, the right occipital condyle and the right lateral mass of C1. This lesion appears hyperintense on the T2 Weighted and Fast Scan (T2 *) images. No significant soft tissue component is identified. The apical fat-pad is not well identified.
There is slight loss of water content of the upper cervical intervertebral discs.
The rest of 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.
The cervical spinal cord reveals normal signal intensity.
The cervico-medullary junction is unremarkable.
Incidentally noted is multiple enlarged lymph nodes deep to the sternocleidomastoid muscles bilaterally.
Altered signal in the clivus, more to the right of the midline, the right occipital condyle and the right lateral mass of C1 as described, may represent osteitis, in the given clinical setting. Tuberculous osteitis is a likely possibility.
The possibility of a neoplasm seems less likely.
Multiple enlarged lymph nodes are noted deep to the sternocleidomastoid muscles bilaterally.