sb/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Manjrlmn / M / 50 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O paresthesias in all four extremities with difficulty in walking and getting up from squatting position since 6 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 is loss of water content of the cervical intervertebral discs.

There is atlanto-dens subluxation, with the atlanto-dens interval measuring approximately 9.0 mms. Soft tissue (hypointense on the T1 Weighted dimages and hyperintense on the T2 Weighted and Fast Scan (T2 *) images) is noted in the predental space between anterior arch of the C1 vertebra and the odontoid process. Cord compression is noted at the C1-C2 level with the cervical spinal cord showing a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images at the C1-C2 level suggesting cord edema/ischemia/gliotic changes. The tip of the odontoid is hypointense on all the pulse sequences and this may represent sclerosis.





Posterior peridiscal osteophytes are noted in the cervical region indenting the dural theca anteriorly. The facet joints at the C4-C5, C5-C6 and C6-C7 levels appear hypertrophied.

Fatty marrow changes are noted in the upper cervical vertebrae.

The visualized pre and paravertebral soft tissues are unremarkable.

IMPRESSION :

1. Atlanto-dens subluxation, with the atlanto-dens interval measuring approximately 9.0 mms. There is cord compression and cord signal alteration suggesting
cord edema/ischemia/gliotic changes. The soft tissue lesion in the predental space may represent pannus and rheumatoid arthritis should be excluded.

2. Posterior peridiscal osteophytes in the cervical region.

3. Facetal hypertrophy at the C4-C5, C5-C6 and C6-C7 levels.