hs/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyztala Ylmn / F / 40 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O weakness of BUE and BLE since 4-5 months with paresthesias.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

7 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images.

OBSERVATION :

The spinal cord from the cervico-medullary junction to the D7 vertebral level is expanded. The cord over these levels has a variegated appearance. On the T1 Weighted images this lesion shows areas of hypointensity which turn hyperintense on the T2 Weighted images and may represent cystic changes. Also seen are areas which are iso to hypointense to normal cord on all the pulse sequences and may represent a solid component. Areas of marked hypointensity on the T2 Weighted and Fast Scan (T2 *) images within this lesion are seen at the D3 vertebral level and it may represent hemosiderin/deposition of paramagnetic substances.

Mild posterior disc bulges are seen at the C5-C6 and C6-C7 levels.



An area of hyperintensity on the T2 Weighted images is seen within the posterior aspect of the D11 vertebral body and this may represent a hemangioma.

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 is unremarkable.

IMPRESSION :

The MRI features are suggestive of an intramedullary mass lesion within the spinal cord from the cervico-medullary junction to the D7 vertebral level and this most likely represents a neoplastic process like an astrocytoma or an ependymoma.

A contrast enhanced scan may be worthwhile.