hs/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzbegum Anlmn / F / 37 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain with stiffness since 3-4 months

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.

OBSERVATION :

There are diffuse areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen to involve the C2, C3 and C4 vertebral bodies and pedicles bilaterally, anterior arch of the atlas on the right side, the lateral masses of the C1 and C2 vertebrae and both the occipital condyles.

A large soft tissue component is seen to extend into the anterior epidural space over the C1 to C4 levels and foramen magnum with resultant severe compression of the cervico-medullary junction and cervical spinal cord over these levels. The cord over these levels shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia/myelitis.

A smaller soft tissue component is noted within the pre and paravertebral soft tissues over the C1 to C4 vertebral levels. There is encasement of the right vertebral artery with absence of the normal flow void over these levels.



The cervical intervertebral discs show loss of water content.

The rest of the cervical vertebral bodies show normal signal intensity.

IMPRESSION :

The MRI features are suggestive of a pathologic process involving the C1 to C4 vertebrae with soft tissue extensions, cord compression and cord edema/isclmn / Myelitis as described. This most likely represents an infective etiology like tuberculosis.

However the possibility of this being a neoplastic process like a round cell tumor though less likely (cannot be entirely excluded).