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Date : 00.00.00

Name of the Patient : Abc Xyzlmn / F / 48 yrs.
Referred by : Dr. Abc XyzSingh / Dr. Abc Xyzatankar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the LLE since 1 year.

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 normal cervical lordosis.

There is reduction in height of the C5-C6 disc and loss of water content of the C2-C3, C5-C6 and C6-C7 intervertebral discs.

There is a fairly large, posterior peridiscal osteophyte (hard disc) at the C5-C6 level, with cord compression. The cervical spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia. The cervical spinal cord appears triangular in shape at this level. There is also ligamentum flavum hypertrophy noted at the C5 vertebral level. Type I/III degenerative marrow changes are noted adjacent to the C5-C6 disc.

A small posterior disc bulge is noted at the C6-C7 level.

The facet joints at the C5-C6 level show hypertrophic changes.

Small posterior peridiscal osteophytes are noted at the C3-C4 and C4-C5 levels.
..2/.







Slight degenerative changes of the joint of Luschka on the left is noted at the C3-C4 level.

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

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

Screening, T2 Weighted sagittal images of the dorsal spine do not reveal any significant feature of note.

IMPRESSION :

A fairly large, posterior peridiscal osteophyte (hard disc) with canal stenosis at the C5-C6 level, with cord compression and cord signal alteration at this level suggesting cord edema/ischemia.


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