sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzma Malmn / F / 54 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O weakness of the RLE since many years.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

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

The dorsal spine was screened with 4 mm thick T1 Weighted sagittal images and the brain was screened with 5 mm thick T2 Weighted axial images.

OBSERVATION :

There is slight loss of cervical intervertebral discs.

There is cerebellar tonsillar herniation through the foramen magnum with the tip of the tonsils lying posterior to the cervical cord at about the C1-C2 level. Mild compression of the cervico-medullary junction is noted.

There is a CSF signal intensity lesion on all the pulse sequences in the cervico-dorsal spinal cord centrally, extending over the C1-C2 to D8 vertebral levels. This lesion represents a syrinx. Resultant slight increase in the cervico-dorsal spinal cord calibre over these levels is noted.
Scan-00001


Small posterior disc bulges are noted in the cervical region.

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

The atlanto-axial region is unremarkable.

Screening images of the brain reveal mild dilatation of both the lateral ventricles. The third and fourth ventricles are noted.

Incidentally noted is an enlarged thyroid gland.

IMPRESSION :

Cerebellar tonsillar herniation through the foramen magnum, with a syrinx in the cervico-dorsal region extending from the C1-C2 level upto the D8 vertebral levels suggests a Chiari malformation.