Date : 00.00.00
Name of the Patient : Abc Xyzine Fernalmn / F / 68 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the left shoulder with numbness in BUE and BLE (left more than right) since 15 days and heaviness of the head with giddiness.
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.
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs. The lower cervical intervertebral discs are reduced in height.
Minimal posterior disc bulges with peridiscal osteophytes are noted at the C2-C3 and C3-C4 levels.
Postero-central protruded discs with peridiscal osteophytes are noted at the C4-C5, C5-C6 and C6-C7 levels.
The upper cervical vertebral bodies show spotty fatty marrow changes.
Anterior disc herniations with peridiscal osteophytes are noted in the mid-cervical region.
The rest of 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.
Incidental note is made of an enlarged thyroid gland with multiple cystic lesions within. These appear hyperintense on all pulse sequences, ? colloid cysts. Resultant slight narrowing of the tracheal lumen is noted and retrosternal extension.
- 2 -
1. Postero-central protruded discs with peridiscal osteophytes at the C4-C5 and C5-C6 and C6-C7 levels.
2. An enlarged thyroid gland with retrosternal extension with multiple cystic lesions, ? colloid cysts.