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sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz G. Dhlmn / M / 67 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O loss of sensation of BUE and gait imbalance since 2 months and pain in the fingers of both hands.

EXAMINATION :

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.

OBSERVATION :

There is loss of water content of the cervical intervertebral discs.

Fairly large, postero-central disc herniations with peridiscal osteophytes are noted at the C3-C4, C4-C5, C5-C6 and C6-C7 levels with resultant cord compression. There is also ligamentum flavum hypertrophy at these levels with cervical canal stenosis. The cervical spinal cord at the C4-C5 and C5-C6 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which suggests cord edema/ischemia. Facetal hypertrophy is also noted over the C3-C4 to C6-C7 levels.

A small postero-central disc protrusion is noted at the C2-C3 level.

The cervical vertebral bodies show spotty fatty marrow changes. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
- 2 - scan-00000



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

IMPRESSION :

1. Fairly large, postero-central disc herniations with peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and C6-C7 levels with resultant cord compression. There is also ligamentum flavum hypertrophy at these levels with cervical canal stenosis.

2. Altered signal of the cord at the C4-C5 and C5-C6 levels suggests cord edema/ischemia.


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