ke/bv
Date : 00.00.00

Name of the Patient : Abc Xyz Mlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain and pain in the dorsal region radiating to both shoulder since 2 years.

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 C5/C6 block vertebra which is probably congenital in origin.

The odontoid process is seen to be in close proximity of the cervico-medullary junction with obliteration of the CSF space in neutral and flexion positions. However there is no basilar invagination.

A small posterior disc bulge is seen at the C6-C7 level with anterior indentation of the thecal sac. This disc shows slight 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 cervical spinal cord reveals normal signal intensity.

Flexion images of the cervical spine do not reveal any diagnostic feature of note.

The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images which are unremarkable.

IMPRESSION :

1. Congenital block C5/C6 vertebra.

2. Indentation upon the cervico-medullary junction by the odontoid process.