MedMantra.com MedMantra.com Healthcare Access for Masses Microjobs Online Consultation Telemedicine Medical Market Medical Education MCQs Question Bank https://www.medmantra.com/itemlist/tag/loss 2024-05-09T05:09:47+00:00 11369 2015-12-27T16:48:00+00:00 2015-12-27T16:48:00+00:00 https://www.medmantra.com/item/139-11369 Regular User finance@medmantra.com <div class="K2FeedIntroText">ke/hs<br /> Date : 00.00.00<br /><br /> Name of the Patient : Abc XyzSalmn / M / 53 yrs.<br /> Referred by : Dr. Abc Xyzah.<br /> Examination : M.R.I. of the Cervical Spine.<br /><br /> CLINICAL PROFILE : <br /><br /> C/O neckpain and numbness/tingling in both hands and BLE with gait imbalance since 6-8 months.<br /><br /> EXAMINATION :<br /><br /> M.R.I of the cervical spine was performed using the following parameters :<br /><br /> 5 mm thick T1 Weighted and T2 Weighted sagittal images.<br /><br /> 5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.<br /><br /> OBSERVATION :<br /><br /> There is loss of normal cervical curvature. There is a decrease in the height of the C4 and C5 vertebral bodies with slight anterior wedging of the C3, C4 and C5 vertebral bodies. <br /><br /> There is retroplacement of the C5 vertebra over the C6 vertebra.<br /><br /> There are large posterior peridiscal osteophytes, more to the right of the midline, at the C3-C4, C4-C5 and C5-C6 levels with anterior indentation of the cord and bilateral neural foraminal narrowing. <br /><br /> The spinal cord at the C4-C5 and C5-C6 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. This is isointense to normal cord on the T1 Weighted images and is suggestive of cord edema/ischemia/gliosis.<br /><br /> The C3-C4, C4-C5 and C5-C6 facet joints show degenerative changes. Anterior disc herniations with anterior peridiscal osteophytes are noted at these levels. <br /><br /> The joints of Luschka on the right side show degenerative changes at the C4-C5 and C5-C6 levels. <br /> ..2/. <br /><br /><br /><br /><br /><br /><br /><br /><br /><br /> - 2 - <br /><br /><br /> There is reduction in height of the C3-C4, C4-C5 and C5-C6 intervertebral discs with loss of water content of the cervical and upper dorsal intervertebral discs.<br /><br /> The cervical vertebral bodies show areas of fatty replacement of normal marrow. The <br /> visualized pre and paravertebral soft tissues are unremarkable.<br /><br /> The atlanto-axial region and the cervico-medullary junction are unremarkable.<br /><br /> The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images which shows degenerative changes in the lumbar spine with posterior disc bulges at the L3-L4, L4-L5 and L5-S1 levels and Schmorls nodes in the dorso-lumbar region.<br /><br /> IMPRESSION :<br /><br /> 1. Retroplacement of the C5 vertebra over the C6 vertebra.<br /><br /> 2. Large posterior peridiscal osteophytes (hard discs) at the C3-C4, C4-C5 and C5-C6 levels with resultant canal stenosis at the C4-C5 and C5-C6 levels.<br /><br /> 3. Cord signal alteration at the C4-C5 and C5-C6 levels suggests cord edema/ ischemia/gliosis.<br /><br /><br /></div> <div class="K2FeedIntroText">ke/hs<br /> Date : 00.00.00<br /><br /> Name of the Patient : Abc XyzSalmn / M / 53 yrs.<br /> Referred by : Dr. Abc Xyzah.<br /> Examination : M.R.I. of the Cervical Spine.<br /><br /> CLINICAL PROFILE : <br /><br /> C/O neckpain and numbness/tingling in both hands and BLE with gait imbalance since 6-8 months.<br /><br /> EXAMINATION :<br /><br /> M.R.I of the cervical spine was performed using the following parameters :<br /><br /> 5 mm thick T1 Weighted and T2 Weighted sagittal images.<br /><br /> 5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.<br /><br /> OBSERVATION :<br /><br /> There is loss of normal cervical curvature. There is a decrease in the height of the C4 and C5 vertebral bodies with slight anterior wedging of the C3, C4 and C5 vertebral bodies. <br /><br /> There is retroplacement of the C5 vertebra over the C6 vertebra.<br /><br /> There are large posterior peridiscal osteophytes, more to the right of the midline, at the C3-C4, C4-C5 and C5-C6 levels with anterior indentation of the cord and bilateral neural foraminal narrowing. <br /><br /> The spinal cord at the C4-C5 and C5-C6 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. This is isointense to normal cord on the T1 Weighted images and is suggestive of cord edema/ischemia/gliosis.<br /><br /> The C3-C4, C4-C5 and C5-C6 facet joints show degenerative changes. Anterior disc herniations with anterior peridiscal osteophytes are noted at these levels. <br /><br /> The joints of Luschka on the right side show degenerative changes at the C4-C5 and C5-C6 levels. <br /> ..2/. <br /><br /><br /><br /><br /><br /><br /><br /><br /><br /> - 2 - <br /><br /><br /> There is reduction in height of the C3-C4, C4-C5 and C5-C6 intervertebral discs with loss of water content of the cervical and upper dorsal intervertebral discs.<br /><br /> The cervical vertebral bodies show areas of fatty replacement of normal marrow. The <br /> visualized pre and paravertebral soft tissues are unremarkable.<br /><br /> The atlanto-axial region and the cervico-medullary junction are unremarkable.<br /><br /> The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images which shows degenerative changes in the lumbar spine with posterior disc bulges at the L3-L4, L4-L5 and L5-S1 levels and Schmorls nodes in the dorso-lumbar region.<br /><br /> IMPRESSION :<br /><br /> 1. Retroplacement of the C5 vertebra over the C6 vertebra.<br /><br /> 2. Large posterior peridiscal osteophytes (hard discs) at the C3-C4, C4-C5 and C5-C6 levels with resultant canal stenosis at the C4-C5 and C5-C6 levels.<br /><br /> 3. Cord signal alteration at the C4-C5 and C5-C6 levels suggests cord edema/ ischemia/gliosis.<br /><br /><br /></div>