Date : 00.00.00
Name of the Patient : Abc XyzR. Motalmn / M / 77 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Cervical Spine.
H/O fall +.
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.
There appears to be partial fusion of the C3, C4 and C5 vertebral bodies. The cervical intervertebral discs show loss of water content. The cervical vertebral bodies show areas of fatty replacement of normal marrow.
Posterior disc herniations with peridiscal osteophytes are seen to indent the cord over the C2-C3 to C6-C7 levels. Ligamentum flavum hypertrophy is noted at the C2-C3, C5-C6 and C6-C7 levels with resultant indentation upon the dorsal aspect of the cord at these levels.
The spinal cord at the C2-C3 and C6-C7 levels shows a hyperintense signal on the T2 Weighted images and this may suggest cord edema/ischemia.
The facet joints on the right side at the C3-C4, C4-C5 and C5-C6 levels show hypertrophic degenerative changes. The joints of Luschka on the left side show degenerative changes with left neural foraminal narrowing at the C5-C6 and C6-C7 levels.
Anterior disc herniations with peridiscal osteophytes are noted over the C3-C4 to the C6-C7 level.
The rest of the joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
Intermediate signal intensity is seen around the odontoid process with slight irregularity of the lens on the T1 Weighted images. This is seen to turn heterogenously hyperintense on the T2 Weighted and Fast Scan (T2 *) images and may be due to ? pannus ? degenerative changes.
The cervico-medullary junction are unremarkable.
The MRI features are suggestive of :
1. Partial fusion of the C3, C4 and C5 vertebral bodies.
2. Posterior disc herniations with peridiscal osteophytes over the C2-C3 to C6-C7 levels.
3. Ligamentum flavum hypertrophy at the C2-C3, C5-C6 and C6-C7 levels with severe canal stenosis.
4. Cord signal alteration at the C2-C3 and C6-C7 levels may suggest cord edema/ischemia.
5. Hypertrophic facetal arthropathy on the right side at the C3-C4, C4-C5 and C5-C6 levels.