ke/bv/nl/nl
Name of the Patient : Abc Xyzsh Milmn / M / 28 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
H/O railway accident in 0000 for which left axillary artery embolectomy on 00.00.00 and left brachial artery vein graft done on 00.00.00.
C/O pain in the LLE with wasting since 0000.
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 are extradural lesions in the C5-C6, C6-C7 and C7-D1 neural foramina on the left side which are seen to follow CSF intensity characteristics on all the pulse sequences and would represent pseudomeningoceles, the result of previous injury. There is slight indentation upon the left lateral aspect of the cord at the C6 and C7 levels. The cervical intervertebral discs except for the C6-C7 disc show loss of water content.
The cervical vertebral bodies 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 atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of pseudomeningocele formation in the C5-C6, C6-C7 and C7-D1 neural foramina on the left side, the result of previous injury.
As compared to the previous MRI dated 00.00.00, the large lesion in the left supraclavicular region is not identified on this study.