Date : 00.00.00
Name of the Patient : Abc Xyzwar P. Trilmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to BUE (left more than right) with tingling and weakness of BUE and BLE.
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 large posterior disc herniation with peridiscal osteophytes at the C3-C4 level with compression of the spinal cord. Ligamentum flavum hypertrophy is noted at this level with resultant canal stenosis. The spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which is isointense to normal cord on the T1 Weighted images suggestive of cord edema/ischemia.
Small posterior disc bulge with peridiscal osteophyte is seen at the C5-C6 level. The joints of Luschka at this level also shows degenerative changes with bilateral neural foraminal narrowing. Mild ligamentum flavum hypertrophy is noted.
A small posterior disc herniation is noted at the C6-C7 level. The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show normal signal intensity. The remaining joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The facet joints at the C4-C5 and C5-C6 levels show hypertrophic degenerative changes.
The C1 is occipitalized.
The cervico-medullary junction is unremarkable.
1. A large posterior disc herniation with peridiscal osteophytes at the C3-C4 level with ligamentum flavum hypertrophy and resultant canal stenosis. Altered cord signal at this level suggests cord edema/ischemia.
2. Small posterior disc bulge with peridiscal osteophyte at the C5-C6 level with degenerative changes of the joints of Luschka and bilateral neural foraminal narrowing.
3. A small posterior disc herniation at the C6-C7 level.
4. Hypertrophic degenerative changes of the facet joints at the C4-C5 and C5-C6 levels.
5. Occipitalized C1.