sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 56 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to BUE with paresthesias since 2-3 years which has increased over the last 2 months.
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 loss of water content of the cervical intervertebral discs.
There is evidence of continuous ossification of the posterior longitudinal ligament extending over the C2 to C6 vertebral levels.
Postero-central disc herniations with posterior peridiscal osteophytes are noted at the C2-C3, C3-C4 and C4-C5 levels, indenting the cervical spinal cord at the C2-C3 and C3-C4 levels.
Left paracentral disc herniations with peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels, indenting the cervical spinal cord anteriorly and to the left of the midline and narrowing the left neural foramen.
Slight prominence of the ligamentum flavum is noted in the mid cervical region over the C3-C4 to C6-C7 levels.
The facet joints in the cervical region appear hypertrophied.
The cervical vertebral bodies show spotty fatty changes suggestive of osteoporosis. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
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The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. Continuous ossification of the posterior longitudinal ligament extending over the C2 to C6 vertebral levels.
2. Postero-central disc herniations with posterior peridiscal osteophytes at the C2-C3, C3-C4 and C4-C5 levels.
3. Left paracentral disc herniations with peridiscal osteophytes at the C5-C6 and C6-C7 levels indenting the cervical spinal cord on the left side at these levels and narrowing the left neural foramen.