sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Ylmn / M / 16 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the RUE with weakness and numbness, gradually progressing over the last 2 years.
Now similar complaints in the LUE.
Alleged H/O fall from a tree 4 years back.
EXAMINATION :
M.R.I of the cervico-dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of normal ventral bulge of the cervical spinal cord over the C5 vertebral level to the C7-D1 disc level, centrally and more to the right of the midline. There is however, no signal change in the visualized cervico-dorsal spinal cord.
The visualized cervico-dorsal vertebral bodies and the intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
There is no extrinsic cord compression.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
Loss of normal ventral bulge of the cervical spinal cord over the C5 vertebral level to the C7-D1 disc level, centrally and more to the right of the midline may be seen with motor neuron disease.