ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza Gailmn / F / 50 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O cervical lymphadenopathy. Operated in 0000 for the same. Received AKT.
C/O neck pain and severe pain in the right shoulder with restricted movements of the RUE.

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.

4 mm thick T1 Weighted and T2 Weighted coronal (with fat saturation) images.

OBSERVATION :

There are small postero-central disc protrusions at the C3-C4 and C4-C5 levels with anterior indentation of the thecal sac.

A small posterior disc bulge is seen at the C5-C6 level. The cervical intervertebral discs show loss of water content.

No obvious lesion is seen along the brachial plexus.

A subtle mixed signal characteristics lesion is seen on the T1 Weighted images in the D3 vertebral body on the right side. This is seen to turn hyperintense on the T2 Weighted images. There is no bony erosion or destruction seen (scans 105.6, 104.6).

No abnormally enlarged cervical lymphnodes are noted on this study.
..2/.





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

The cervical spinal cord reveals normal signal intensity.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and the visualized dorsal spinal cord shows normal signal intensity.

IMPRESSION :

The MRI features are suggestive of :

1. Small postero-central disc protrusions at the C3-C4 and C4-C5 levels.

2. A small posterior disc bulge at the C5-C6 level.

3. Altered signal in the D3 vertebral body on the right side most probably represents a hemangioma.