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Date : 00.00.00
sb/bv
Name of the Patient : Abc XyzGailmn / M / 35 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O paresthesias from neck downwards since May 0000 with weakness in the LUE.

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 a postero-central disc herniation at the C4-C5 level with cord compression and canal stenosis. The cervical spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia.

A small, postero-central disc herniation with peridiscal osteophyte is noted at the C5-C6 level.

Slight facetal hypertrophy is noted at the C3-C4 and C4-C5 levels, more on the left side. The joints of Luschka at the C3-C4 level show early degenerative changes.

The cervical vertebral bodies reveal normal signal intensity. The remaining joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The atlanto-axial region and cervico-medullary junction are unremarkable.

IMPRESSION :

1. A postero-central disc herniation with canal stenosis at the C4-C5 level with cord compression and altered cord signal suggesting cord edema/ischemia.
2. A small, postero-central disc herniation with peridiscal osteophyte at the C5-C6 level.




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