ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzumar Slmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O gradually progressive wasting of the RUE with weak grip since 3 years.
H/O fall prior to this.
EMG s/o anterior horn cell disorder in bilateral C8, T1 and right C7 segment.

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 appears to be slight reduction in the antero-posterior dimension of the spinal cord over the C5 to the C7 levels with loss of normal ventral bulge, more so on the left side.
However there is no altered signal intensity seen in the spinal cord.

Small posterior disc bulges with peridiscal osteophytes are noted at the C4-C5, C5-C6 and C6-C7 levels.

The C5-C6 and C6-C7 intervertebral discs show loss of water content.

The cervical vertebral bodies and the remaining intervertebral discs 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.




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IMPRESSION :

1. Slight reduction in the antero-posterior dimension of the spinal cord over the C5 to the C7 levels with loss of normal ventral bulge, more so on the left side is suggestive of anterior horn cell disease (motor neurone disease).

2. Small posterior disc bulges with peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels.