Date : 00.00.00
Name of the Patient : Abc XyzKlmn / M / 26 yrs.
Referred by : Dr. Abc Xyz. Desai.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the RUE with paresthesias since 10-15 days.
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.
There is loss of water content of the cervical intervertebral discs.
There is a fairly large, right postero-lateral disc herniation with peridiscal osteophytes at the C6-C7 level indenting the spinal cord, right C7 nerve root and narrowing the right neural foramen at that level.
Small posterior disc bulges are noted at the C4-C5 and C5-C6 levels.
Slight facetal hypertrophy is noted at the C3-C4 level bilaterally.
The cervical vertebral bodies 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.
1. A fairly large, right postero-lateral disc herniation with peridiscal osteophytes at the C6-C7 level indenting the spinal cord and right C7 nerve root.
2. Small posterior disc bulges at the C4-C5 and C5-C6 levels.