Date : 00.00.00

Name of the Patient : Abc Xyz S. Ralmn / F / 17 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O neckpain with radiation to the LUE and LLE since 1 year. Paresthesias in BLE.

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.

4 mm thick T1 Weighted coronal images.

OBSERVATION :

There is seen a well marginated, intermediate signal intensity mass lesion on the T1 Weighted images in the region of the foramen magnum and cervico-medullary junction. This lesion appears heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images with a central hypointensity. The lesion is intradural-extramedullary in location and extends from just above the foramen magnum, upto the mid segment of C2. This lesion measures approximately 2.5 x 2.0 x 3.3 cms and is located posterior to the cervical cord at the C. V. junction. There is resultant cord compression and anterior displacement of the cord at the cervico-medullary junction. The cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia. Slight extension of the lesion along the left lateral margin of the cord is also noted.


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

The atlanto-axial region is unremarkable.

Screening, T2 Weighted sagittal images of the dorsal spine do not reveal any significant feature of note.

IMPRESSION :

An approximately 2.5 x 2.0 x 3.3 cms sized intradural-extramedullary mass lesion posterior to the cervical spinal cord at the foramen magnum and cervico-medullary junction as described is not specific for a single etiology. This most likely represents a nerve sheath tumor. There is resultant cord compression and cord signal alteration suggesting cord edema/ischemia.

A contrast enhanced scan would be worthwhile (patient refused contrast scan).