sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O wasting and weakness with paresthesias in the LUE 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.
OBSERVATION :
There is loss of water content of all the cervical intervertebral discs except the C2-C3 disc. There is loss of normal ventral bulge of the cervical spinal cord, centrally and more to the left of the midline over the C5 to C7 vertebral levels. The cervical spinal cord appears smaller in calibre over these levels. No obvious signal change is identified in the cervical spinal cord at these levels.
Minimal posterior disc bulges are noted at the C3-C4, C4-C5 and C5-C6 levels.
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 and the cervico-medullary junction are unremarkable.
T2 Weighted axial images of the brain do not reveal any significant feature of note.
..2/.
IMPRESSION :
Loss of normal ventral bulge of the cervical spinal cord, centrally and more to the left of the midline over the C5 to C7 vertebral levels may suggest anterior horn cell disease.