sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzPalmn / M / 53 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O paresthesias in BUE and both soles since 1 month.
H/O fall 2 years back.

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 a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images in the posterior column and in the centre of the spinal cord over the C2 to the C4-C5 levels. This is isointense to cord on the T1 Weighted images.

Small, posterior disc herniations with peridiscal osteophytes are noted at the C3-C4, C4-C5 and C5-C6 levels with anterior indentation of the thecal sac.

Ligamentum flavum hypertrophy is noted at the C5-C6 level.

The cervical intervertebral discs show loss of water content.

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

The atlanto-axial region is unremarkable.
..2/.





- 2 - Scan-00004


IMPRESSION :

1. Altered cord signal in the posterior column and in the centre of the spinal cord over the C2 to the C4-C5 levels would represent cord demyelination.

The possibility of subacute combined degeneration should be ruled out. The possibility of myelitis seems unlikely.

2. Small, posterior disc herniations with peridiscal osteophytes at the C3-C4, C4-C5 and C5-C6 levels.