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ke/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzshore Pabrlmn / M / 36 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

C/O neckpain and neck stiffness with inability to move the neck to the right and bend forwards since 3-4 months.
C/O radicular pain with paresthesias in the RUE.
H/O lifting heavy weights.

EXAMINATION :

M.R.I of the cervico-dorsal spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is a right postero-lateral disc herniation at the C5-C6 level with antero-lateral indentation of the cord and right neural foraminal narrowing. There is indentation upon the right C6 nerve root.

Small right paracentral disc herniation is noted at the C3-C4 level.

Small postero-central disc protrusions are seen at the C4-C5 and C6-C7 levels. The cervical and visualized upper dorsal intervertebral discs show loss of water content.

The visualized cervico-dorsal vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.






The visualized cervico-dorsal spinal cord reveals normal signal intensity.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

1. A right postero-lateral disc herniation at the C5-C6 level with indentation upon the right C6 nerve root.

2. Small postero-central disc protrusions at the C4-C5 and C6-C7 levels.

3. Small, right paracentral disc herniation at the C3-C4 level.

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