Name of the Patient : Abc Xyzevi Tlmn / F / 47 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O heaviness, weakness and paresthesias on the right side of the face and in the RUE since 1 month.
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.
The cervical intervertebral discs show loss of water content. There is loss of normal cervical lordosis.
There is a suspicious hyperintense signal located within the spinal cord, centrally and involving the posterior columns from the C3 to C6 vertebral levels.
There is a small posterior disc bulge at the C5-C6 level with anterior indentation of the thecal sac.
Small postero-central disc protrusions are seen at the C2-C3 and C4-C5 levels.
The cervical vertebral bodies show hypointense signal on all pulse sequences suggesting excess of haematopoeitic marrow.
The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
- 2 - Scan-00005A
1. Patchy hyperintense signal within the spinal cord, centrally and involving the posterior column is not specific for a single etiology. This may represent myelitis or demyelinating disorder.
Subacute combined degeneration should be ruled out considering the marrow changes.
2. A small posterior disc bulge at the C5-C6 level.
3. Small postero-central disc protrusions at the C2-C3 and C4-C5 levels.