sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzd Hussain / 45 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to BUE (right more than left) with paresthesias.

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 the cervical intervertebral discs.

There is evidence of a transverse fracture of the odontoid process with anterior subluxation of the fractured fragment and the C1 vertebra over the rest of the C2 vertebra. There is resultant impingement of the cervical spinal cord by the residual odontoid process at the C2 vertebral level. The cervical spinal cord at this level appears smaller in diameter and shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which suggest cord edema/ischemia/myelomalacic changes. The rest of the cervical spinal cord also appears slightly smaller in calibre as compared to normal.

Small postero-central disc herniation with peridiscal osteophyte is noted at the C2-C3 and C3-C4 levels. Slight ligamentum flavum hypertrophy is noted at the C4 vertebral level.



The C2 vertebral body shows spotty fatty marrow changes.

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

IMPRESSION :

1. Fracture of the odontoid process with anterior subluxation of the fractured fragment and the C1 vertebra over the rest of the C2 vertebra and resultant impingement of the cervical spinal cord by the residual odontoid process at the C2 vertebral level.

2. Altered signal of the cervical spinal cord at the C2 level with change in calibre suggest cord edema/ischemia/myelomalacic changes.

3. Small postero-central disc herniation with peridiscal osteophyte at the C2-C3 and C3-C4 levels.

4. Slight ligamentum flavum hypertrophy at the C4 vertebral level.