hs/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzm Ralmn / M / 10 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain on the left side and electric current like sensation passing through his body on extension of neck since 6 months.
H/O blow on the left side of the neck.

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 is evidence of a well-defined area of hyperintensity on the T2 Weighted and Fast Scan (T2 *) images within the cord at the C1/C2 level. This is near isointense to normal cord on the T1 Weighted images and in the given clinical setting of trauma would represent cord contusion.

There is mild clockwise rotation of the C2 and C3 vertebrae.

The cervical vertebral bodies and the intervertebral discs show normal signal intensity. 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.

IMPRESSION :

In the given clinical setting of trauma, the MRI features are suggestive of cord contusion at the C1/C2 level.