Date : 00.00.00
Name of the Patient : Abc XyzKlmn / M / 42 yrs.
Referred by : Dr. Abc Xyzolanki / Dr. Abc Xyzhah.
Examination : M.R.I. of the Cervical Spine.
C/O neck pain radiating to the LUE with tingling since 1 1/2 months. Also C/O giddiness.
H/O fall 2 months back.
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.
The cervical intervertebral discs show loss of water content.
Postero-central disc herniations, more to the left of the midline are seen to indent the ventral aspect of the cord at the C4-C5 and C5-C6 levels.
A left postero-lateral disc herniation is seen to narrow the left neural foramen at the C6-C7 level with indentation upon the spinal cord and the left C7 nerve root. Part of the disc is seen at the C6 vertebral level.
Small posterior peridiscal osteophytes are noted over the C3-C4 to the C6-C7 level.
The pedicles of the cervical vertebrae appear congenitally short in their antero-posterior dimensions.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
There is anterior wedging of the C6 vertebra without any change in signal intensity.
The facet joints on the right side at the C4-C5, C5-C6 and C6-C7 levels show hypertrophic changes.
The cervical spinal cord shows normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
The MRI features are suggestive of :
1. Postero-central disc herniations, more to the left of the midline at the C4-C5 and C5-C6 levels.
2. A left postero-lateral disc herniation at the C6-C7 level with indentation upon the spinal cord and the left C7 nerve root.