/56 Date : 00.00.00
Name of the Patient : Abc Xyz Salmn / M / 35 yrs.
Referred by : Dr. Abc Xyzoshi.
Examination : M.R.I. of the Cervical and Upper
CLINICAL PROFILE :
C/O pain in the entire back (on an off) since February 0000 with radiation of pain to the RUE and RLE with paresthesias.
M.R.I of the cervical and upper dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
The C2-C3, C3-C4 and C5-C6 intervertebral discs show loss of water content.
There is mild anti-clockwise rotation of the upper cervical vertebrae.
There are mild posterior disc bulges at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.
The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
There is no obvious mass lesion in the region of the thoracic outlet.
The dorsal spine was screened with 5 mm thick T2 Weighted (with fat saturation) sagittal images. The D5-D6 intervertebral disc shows loss of water content. A postero-central disc protrusion is seen at this level.
1. Mild posterior disc bulges at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.
2. A postero-central disc protrusion at the D5-D6 level.