Date : 00.00.00
Name of the Patient : Abc Xyz. Glmn / M / 70 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
C/O wasting of the RUE since 1 1/2 years.
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.
4 mm thick STIR coronal images.
There are large posterior peridiscal osteophytes (hard discs) and posterior disc bulges indenting the cord at the C3-C4 and C4-C5 levels. There is bilateral neural foraminal narrowing at these levels. The cord over the C3-C4 to the C4-C5 level shows hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images and which may represent cord edema/ischemia.
Posterior disc bulges with peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.
The facet joints at the C2-C3, C3-C4 and C4-C5 levels show hypertrophic degenerative changes bilaterally.
The C3-C4, C4-C5, C5-C6 and C6-C7 intervertebral discs are decreased in height. The cervical intervertebral discs show loss of water content. The cervical vertebral bodies show areas of fatty replacement of normal marrow.
There are anterior disc herniations with peridiscal osteophytes over the C3-C4 to C6-C7 levels.
The odontoid process is irregularly defined and this may be due to degenerative changes (?? pannus). A mass lesion which is predominantly hypointense with a few hyperintense areas within it on the STIR images is noted in the posterior soft tissues in the neck on the right side. This is most likely a fat containing tumor.
Also seen are soft tissue intensity lesions in the upper lobes of both lungs.
The MRI features are suggestive of large posterior peridiscal osteophytes with posterior disc bulges at the C3-C4 and C4-C5 levels with cord edema/ischemia over the C3-C4 to the C4-C5 level. Also seen is canal stenosis at the C3-C4 and C4-C5 levels.
Smaller posterior disc bulges with peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.