Name of the Patient : Abc Xyz Mlmn / F / 23 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O painful neck movement.
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 T1 Weighted coronal images.
Areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images are seen to involve the occipital condyle, the anterior arch and lateral masses of the C1 vertebra and the lateral masses, body and odontoid process of the C2 vertebra.
There is extension of this pathologic process into the pre and paravertebral soft tissues at these levels. Also seen is mild indentation upon the thecal sac at these levels.
Enlarged deep cervical lymph nodes are seen bilaterally within the neck.
The C2-C3 intervertebral disc shows loss of water content.
The rest of the cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The cervico-medullary junction is unremarkable.
The MRI features are suggestive of a pathologic process involving the atlanto-axial region as described and this most likely represents an infective process like tuberculosis. The possibility of this representing a neoplastic process is less likely.