ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzh Gorvlmn / M / 34 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
(Post-contrast Study).

CLINICAL PROFILE :

C/O neckpain with paresthesias in BLE.
H/O neck manipulation prior to this (in a saloon).
MRI contrast study to r/o granuloma.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.
After administration of contrast the following parameters were obtained :
4 mm thick T1 Weighted axial and sagittal images.

OBSERVATION :

The spinal cord at the C1-C2 level still shows a hyperintense signal on the T2 Weighted images and is isointense to cord on the T1 Weighted images. After administration of contrast there is no enhancement in the spinal cord or the meninges.

The brain was screeend with 5 mm thick T2 Weighted axial images and after administration of contrast 5 mm thick T1 Weighted axial images with magnetization transfer were obtained and which does not reveal any diagnostic feature of note.

There is a left postero-lateral disc herniation at the C5-C6 level with antero-lateral indentation of the cord and left neural foraminal narrowing.

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Small posterior disc bulge is seen at the C4-C5 level and a small disc protrusion at the C3-C4 level. Posterior peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels.

IMPRESSION :

Cord signal alteration at the C1-C2 level is suggestive of
a cord contusion in the given clinical setting.