Date : 00.00.00
Name of the Patient : Abc XyzN. Amlmn / F / 59 yrs.
Referred by : Dr. Abc Xyzadkat.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the LUE and tingling with swelling in the left axillary region and a lump in the left arm distally, since 1 month.
H/O left mastectomy 6 years back. Received chemotherapy.
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.
Small posterior disc herniations with peridiscal osteophytes are noted at the C3-C4, C4-C5 and C5-C6 levels with anterior indentation of the thecal sac.
A small postero-central disc protrusion is noted at the C2-C3 level.
The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show fatty marrow changes suggesting osteoporosis. 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.
The MRI features are suggestive of :
1. Small posterior disc herniations with peridiscal osteophytes at the C3-C4, C4-C5 and C5-C6 levels.
2. A small postero-central disc protrusion at the C2-C3 level.