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sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzShlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyz Pandey.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O neck pain radiating to the LUE and LLE with paresthesias since 15 days.

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 and slight loss of water content of the cervical intervertebral discs.

Small postero-central protruded discs are noted at the C2-C3 and C3-C4 levels.

A posterior peridiscal osteophyte is noted at the C4-C5 level indenting the dural theca anteriorly, more to the right of the midline.

A left postero-lateral disc herniation is noted at the C5-C6 level with left neural foraminal narrowing and indentation on the spinal cord and left C6 nerve root.

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

Degenerative changes of the joints of Luschka are noted at the C3-C4 level on the left and on the right at C4-C5 level. Slight right neural foraminal narrowing is noted at the C4-C5 level.
..2/.





- 2 - Scan-00007


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

The cervical spinal cord shows normal signal intensity.

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

The right lobe of the thyroid gland appears slightly larger than the left.

IMPRESSION :

1. A left postero-lateral disc herniation at the C5-C6 level with indentation on the left C6 nerve root and spinal cord.

2. Posterior peridiscal osteophytes at the C4-C5 level.






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