ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzand Blmn / M / 65 yrs.
Referred by : Dr. Abc Xyzdia.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 2 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.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is beaking of the cerebellar tonsils and the tip is seen to lie approximately 4.0 mms below the foramen magnum. The clivus is more horizontally placed as compared to normal.
A well-defined lesion is seen within the spinal cord extending over the C1-C2 to the dorsal level. This lesion is seen to follow CSF signal characteristics on all the pulse sequences and would represent a syrinx.
Small posterior disc bulges are noted at the C4-C5 and C6-C7 levels. The cervical intervertebral discs show loss of water content.
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 hydrocephalus as described with the lumbar spine study.
IMPRESSION :
The MRI features are suggestive of a Arnold-Chiari malformation.