ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza Dillmn / F / 42 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the LUE with occasional tingling since 3 days.
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 :
The cervical intervertebral discs show loss of water content.
There is a left postero-lateral disc herniation with posterior peridiscal osteophytes at the C4-C5 level, with antero-lateral indentation of the spinal cord and left neural foraminal narrowing. There is indentation upon the left C5 nerve root.
A right paracentral disc herniation is noted at the C5-C6 level with antero-lateral indentation of the spinal cord.
Small postero-central disc protrusions are noted at the C2-C3 and C3-C4 levels.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. A left postero-lateral disc herniation with posterior peridiscal osteophytes at the C4-C5 level, with left neural foraminal narrowing and indentation upon the spinal cord and left C5 nerve root.
2. A right paracentral disc herniation at the C5-C6 level.