syrinx

sir
myname suresh age 35 yrs. sex
Buccal smear
Causes of sexual dysfunction
Child abuse - sexual
Delayed ejaculation
Erection problems
Female sexual dysfunction
Inhibited sexual desire
Orgasmic dysfunction
Puberty and adolescence
Safe sex
Sexual intercourse - painful
;m

my mri report date;4.4.2011
mri of cervical spine has been perfomed using t1w,t2w&STIRseqence inmultiple planes.
IMAGING FEATURE:-
ALIGNMENT AND CURVATURE
Curvature of the penis
OF CERVICAL VERTEBRAE
Cervical vertebrae
Lumbar vertebrae
Vertebrae
IS MAINTAINED. THE CERVICAL VERTEBRAE
Cervical vertebrae
Lumbar vertebrae
Vertebrae
REVEAL NORMALCORTICAL OUTLINE AND MARROW
Bone marrow aspiration
Bone marrow biopsy
Bone marrow culture
Bone marrow from hip
Bone marrow transplant
SIGNAL INTENSITY.NO HYPERINTENSITY IS SEEN ON STIR SEQUENCE TO SUGGEST SPONDYLITIS.MARGINAL OSTEOPHYTES ARE SEEN ALONG THE CERVIAL VERTEBRAE
Cervical vertebrae
Lumbar vertebrae
Vertebrae
.
INTERVERTEBRAL DISCS SHOW DEGENERATION/DESSICATION IN THE FORM OF DECREASED SIGNAL INTENSITY ON T2W SEQUENCES.
there are prominent left paracentral osteophyte disc complexes at c5-c6 causing indentaion on theventral aspect of  thecal sac and narrowing of left neural foraminae whth mild impingement over the nerve root at this level on left side.
there are mild posterior osteophyte disc complexes at c4-5 and c6-c7 level causing indentation on the ventral aspect of thecal sac.
there isa vaery thin central linear csf intensity lesion within the cord extending form c4to c5 suggestive of syrinx.
rest of the carvical spinl cord is normal in caliber and signal intensity.no abonoral intramedullary signals are seen
.
the facet joints are normal

atlanto-axial distance is normal.

no evidence of tonsilar herniation.

the spinal canal measures 12mm.atc2-3,13mm.atc3-4,12mm.at c4-5, 10mm.atc5-6&11mm.at c6-7 in ap diameter.

IMPRESSIONS;-
*prominent left paracentral osteophyte disc compleses at c5-c6 causing indentation on the ventral aspect of thecal sac and narrowing of left neural foraminae with mild impingement over the nerve root at this level on left side.
*MILD POSTERIOR OSTEOPHYTE DISC COMPLEXES AT C4-5 AND C6-7 LEVEL CAUSING INDENTATION ON THE VENTRAL ASPECT OF THECAL SAC.
8VERY THIN CENTRAL LINEAR CSF INTENSITY LESION WITHIN THE CORD EXTENGING FROM C4TO C5 SUGGESTIVE OF SYRINX.
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