sb/hs/nl/nl

Name of the Patient : Abc Xyzn Abdul Rlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzudva.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O progressive weakness with wasting and paresthesias in the LUE.

EXAMINATION :

M.R.I of the cervical spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

There is loss of water content of the cervical intervertebral discs.

Posterior disc herniations with peridiscal osteophytes are noted at the C3-C4, C4-C5 and C5-C6 levels, indenting the cervical cord anteriorly.

Small postero-central protruded discs with peridiscal osteophytes are noted at the C2-C3 and C6-C7 levels.

Facetal and ligamentum flavum hypertrophy is noted at the C3-C4, C4-C5 and C5-C6 levels.

The cervical spinal cord at the C4-C5 and C5-C6 levels shows a subtle hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which suggests cord edema/ischemia.
Scan-00006


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 and the cervico-medullary junction are unremarkable.

IMPRESSION :

1. Posterior disc herniations with peridiscal osteophytes at the C3-C4, C4-C5 and C5-C6 levels.

2. Small postero-central protruded discs with peridiscal osteophytes at the C2-C3 and C6-C7 levels.

3. Facetal hypertrophy at the C3-C4, C4-C5 and C5-C6 levels, with ligamentum flavum hypertrophy at these levels.

4. Cord signal alteration at the C4-C5 and C5-C6 levels suggests cord edema/ischemia.

5. Cervical canal stenosis at the C3-C4, C4-C5 and C5-C6 levels.