Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 41 yrs.
Referred by : Dr. Abc Xyz Janjire.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain and low back pain with radiating pain to the RUE and RLE and tingling since 7 years.
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 loss of water content of the cervical intervertebral discs.
A postero-central disc herniation with peridiscal osteophytes is noted at the C5-C6 level, indenting the dural theca anteriorly. Slight ligamentum flavum hypertrophy is also noted at this level.
Small postero-central protruded discs are noted at the C3-C4, C4-C5 and C6-C7 levels.
Slight facetal hypertrophy is noted at the C5-C6 level.
The cervical vertebral bodies show normal signal intensity. 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.
1. A postero-central disc herniation with peridiscal osteophytes at the C5-C6 level with slight ligamentum flavum and facetal hypertrophy at this level.
2. Small postero-central protruded discs at the C3-C4, C4-C5 and C6-C7 levels.