Scan No: 00003 Date: 1/3/99
Name of the Patient : Abc Xylmn / M / 70 yrs.
Referred by : Dr. Abc Xyzpat / Dr. Abc Xyzdeo.
Examination :M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O tingling in both the hands since 8-10 days.

EXAMINATION:

M.R.I of the cervical spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

There is evidence of a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images within the posterior columns of the cervical spinal cord bilaterally, over the C3 to C5 vertebral levels and on the left side at the C2 vertebral level. These areas are isointense to normal cord on the T1 Weighted images.

A right paracentral disc herniation with peridiscal osteophytes is seen to indent the right ventral aspect of the cord at the C5-C6 level.

A posterior disc herniation is seen to indent the thecal sac at the C4-C5 level. A small posterior disc herniation is seen to indent the thecal sac at the C6-C7 level.

Posterior disc bulges are evident at the C2-C3 and C3-C4 levels. Mild ligamentum flavum hypertrophy is noted at the C4-C5, C5-C6 and C6-C7 levels.

- 2 - Scan No: 00003



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 and the cervico-medullary junction are unremarkable.

IMPRESSION :

The MRI features are suggestive of areas of altered signal intensity within the posterior columns of the cervical spinal cord over the C2 to C5 vertebral levels. These may represent areas of demyelination (? multiple sclerosis, ? subacute combined degeneration of the cord).