Date : 00.00.00

Name of the Patient : Abc Xyzr G. Plmn / M / 30 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

H/O fall from a height on 00.00.00.
C/O neck pain with weakness of BUE and BLE since then.

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 reversal of the normal cervical lordotic curve.

There is slight subluxation of the C3 vertebra over the C4 vertebra, more so on flexion.

Posterior disc bulges are noted at the C2-C3, C4-C5 and C6-C7 levels.

Hyperintnse signal is seen on the T2 Weighted images within the spinal cord at the C5 and C6 levels suggestive of cord edema/contusion (in the ginen clinical setting of trauma). Also seen is a hyperintense signal on the T2 Weighted images within the prevertebral soft tissues over the C4 to C6 levels may suggests soft tissue edema/contusion (? haemorrhage).

A slight tight spinal canal noted over the C3-C4 to C6-C7 levels.


The cervical vertebral bodies and the intervertebral discs show normal signal intensity. The joints of Luschka are unremarkable.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

The brain was screened with 5 mm thick T2 Weighted axial images and does not reveal any significant feature of note.

IMPRESSION :

The MRI features are suggestive of :

1. Reversal of the normal cervical lordotic curve.

2. Slight subluxation of the C3 vertebra over the C4 vertebra.

3. Posterior disc bulges at the C2-C3, C4-C5 and C6-C7 levels.

4. Altered signal in the spinal cord at the C5 and C6 levels suggestive of cord edema/contusion (in the ginen clinical setting of trauma).

5. Altered signal within the prevertebral soft tissues over the C4 to C6 levels may suggests soft tissue edema/contusion (? haemorrhage).

6. A slight tight spinal canal over the C3-C4 to C6-C7 levels.