hs/hs
Date : 00.00.00

Name of the Patient : Abc XyzL. Plmn / M / 55 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O weakness of BUE and BLE with bladder incontinence.

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.


The patient was unable to co-operate for the study and the image quality obtained was not satisfactory. On conferring with the resident, it was not possible for the patient to be sedated in the given condition.

From what we can infer from the images obtained, there appears to be a space-occupying lesion anterior to the spinal cord over the C2 to C7 vertebral levels. There is resultant cord compression (However the cord signal cannot be ascertained with any degree of confidence). This lesion may represent granulation tissue/abscess (? tuberculous) or a neoplastic process like a small cell tumor or metastasis. There is a suspicion that the signal of the C4 and C5 vertebrae may be altered.

However, we feel that if feasible, the patients study needs to be repeated under sedation, preferably with the use of contrast material.

Thanking you,