ke/bv/rg/nl

Name of the Patient : Abc Xyzralmn / M / 28 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

H/O foramen magnum and C1-C2 decompression with dural grafting and C2 syringotomy done on 00.00.00.
For follow up.

EXAMINATION :

M.R.I of the cervical spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

6 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There are post-operative changes in the posterior soft tissues at the C2 and C3 levels with posterior fossa and C1-C2 decompression.

There is basilar invagination and the cerebellar tonsils are seen below the foramen magnum level.

A lesion is seen within the spinal cord extending over the C2 to D7 vertebral level and is seen to follow CSF signal intensity characteristics on all the pulse sequences and represents a syrinx. The cervical and dorsal spinal cord appears smaller in size as compared to normal.

Posterior disc bulges with small peridiscal osteophytes are noted at the C3-C4, C4-C5, C5-C6 and C6-C7 levels with anterior indentation of the thecal sac. These discs show loss of water content.
..2/.








- 2 - Scan-00008


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.

IMPRESSION :

1. Post-operative status.

2. Altered signal within the spinal cord extending over the C2 to D7 vertebral levels represent a syrinx.

As compared to the previous MRI dated 00.00.0000, there is considerable reduction in the size of the syrinx.