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Date : 00.00.00

Name of the Patient : Abc XyzChatalmn / F / 9 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

C/O inability to move neck since birth.

EXAMINATION :

M.R.I of the cervico-dorsal spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

6 mm thick T1 Weighted and T2 Weighted axial images.

4 mm thick T1 Weighted coronal images.

OBSERVATION :

There is scoliosis of the cervico-dorsal spine with convexity to the right. Segmentation anomalies of the cervico-dorsal vertebrae is noted. Resultant clockwise and anti-clockwise rotational anomalies of the cervico-dorsal vertebrae is noted. The spinal cord at the cervico-dorsal junction is placed to the left in the spinal canal. The upper dorsal spinal cord is placed to the right of the midline in the spinal canal. There is evidence of a right sided aortic arch and a right sided descending thoracic aorta.

Lobulated soft tissue lesions are noted at the left apex, in the subcarinal and para-aortic regions and in the right hemithorax, laterally.

The visualized cervico-dorsal vertebral bodies show normal signal.


The visualized cervico-dorsal spinal cord reveals normal signal intensity.

Probable occipitalization of the C1 vertebra is noted.

The cervico-medullary junction is unremarkable.

Screening, T1 Weighted sagittal images of the dorso-lumbar region do not reveal any significant feature of note.

IMPRESSION :

1. Scoliosis of the cervico-dorsal spine with convexity to the right, with segmentation anomalies of the cervico-dorsal vertebrae.

2. Probable occipitalization of the C1 vertebra.

3. Lobulated lesions at the apex of the right lung, in the right hemithorax, laterally and in the subcarinal and para-aortic regions are not specific for a single etiology. These lesions may represent enlarged lymphnodes, pleural thickening or may represent multiple neurofibromas.

4. Right sided aortic arch with a right sided descending thoracic aorta.




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