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sb/hs/nl.
Date : 00.00.00

Name of the Patient : Abc XyzKalmn / M / 45 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the RUE, off and on since 6-8 years.

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 normal cervical lordosis and loss of water content of the cervical intervertebral discs.

There are small, postero-central disc herniations at the C3-C4 and C4-C5 levels, indenting the cervical spinal cord anteriorly.

A postero-central and left postero-lateral disc herniation with peridiscal osteophytes is noted at the C5-C6 level, narrowing the left neural foramen. The C5-C6 facet joints shows degenerative changes.

A small, postero-central disc herniation with peridiscal osteophytes is noted at the C6-C7 level. The right joint of Luschka at the C6-C7 level shows degenerative changes.

The upper cervical vertebral bodies show fatty marrow changes.



The remaining 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.

IMPRESSION :

1. Small, postero-central disc herniations at the C3-C4 and C4-C5 levels.

2. A postero-central and left postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level, with left neural foraminal narrowing.

3. A small, postero-central disc herniation with peridiscal osteophytes at the C6-C7 level.

4. Degenerative changes of the joint of Luschka on the right side at the C6-C7 level.

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