sb/ke/nl/nl
/00006 Date : 27/00.00.00

Name of the Patient : Abc Xyz Nallmn / F / 41 yrs.
Referred by : Dr. Abc Xyz. Kapadia.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O numbness in BLE (right more than left) with difficulty in walking since 6 months.
Now C/O progressive weakness of BLE.

EXAMINATION :

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

5 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.

After administration of contrast, the following parameters were used :

4 mm thick T1 Weighted sagittal and axial images.

4 mm thick T1 Weighted coronal images.

OBSERVATION :

There is loss of water content of the cervical intervertebral discs.

There is seen a well marginated approximately 1.4 x 1.0 x 3.0 cms sized intradural-extramedullary mass lesion in the cervical spinal canal, extending over the C5 and C6 vertebral levels, anterior to the spinal cord and to the




right of the midline. This lesion is relatively hypointense when compared to the normal cord on the T1 Weighted images and appears hyperintense on the T2 Weighted and Fast Scan (T2 *) images with focal hypointense signal within. There is resultant cord compression and cord displacement posteriorly and to the left at these levels. It is difficult to assess the cord signal at the C5 and C6 vertebral levels.

After administration of contrast, there is fairly homogeneous enhancement of the lesion at the C5 and C6 vertebral levels with enhancement of the nerve roots on the right side at the C4-C5 level.

Posterior disc bulges with posterior peridiscal osteophytes are noted at the C4-C5, C5-C6 and C6-C7 levels.

Degenerative changes of the joints of Luschka are noted at the C5-C6 level on the right and C6-C7 level on the left. Slight facetal hypertrophy is noted at the C4-C5 and C5-C6 levels.

The cervical vertebral bodies show normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

An approximately 1.4 x 1.0 x 3.0 cms sized intradural- extramedullary mass lesion in the cervical spinal canal, extending over the C5 and C6 vertebral levels, anterior to the spinal cord and to the right of the midline with enhancement as described. This most probably represents a nerve sheath tumor.

Degenerative changes are noted in the cervical spine at the C4-C5, C5-C6 and C6-C7 levels as described.