Date : 00.00.00
Name of the Patient : Abc Xyzi Slmn / F / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the RUE with paresthesias since 2 months.
H/O fall 2 months ago.
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 a postero-central disc herniation at the C4-C5 level with compression of the spinal cord and resultant canal stenosis. The spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. This is isointense to normal cord on the T1 Weighted images. A left postero-lateral disc herniation is also noted at the C4-C5 level with left neural foraminal narrowing and indentation upon the left C5 nerve root.
A left postero-lateral disc herniation with large peridiscal osteophytes is seen at the C3-C4 level with left neural foraminal narrowing. There is indentation upon the left C4 nerve root.
Small postero-central disc protrusions are seen at the C2-C3, C5-C6 and C6-C7 levels.
- 2 - Scan-00009
Small posterior peridiscal osteophytes are seen at the C5-C6 and C6-C7 levels.
The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
The MRI features are suggestive of :
1. Postero-central disc herniation at the C4-C5 level with resultant canal stenosis and cord edema/ischemia at this level.
2. A left postero-lateral disc herniation at the C4-C5 level indenting the left C5 nerve root.
3. A left postero-lateral disc herniation with large peridiscal osteophytes at the C3-C4 level indenting the left C4 nerve root.
4. A small postero-central disc protrusions at the C2-C3, C5-C6 and C6-C7 levels.
5. Small posterior peridiscal osteophytes at the C5-C6 and C6-C7 levels.