Date : 00.00.00
Name of the Patient : Abc XyzJalmn / M / 37 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the LUE with paresthesias since 4 months.
H/O HIV +ve with haemoptysis.
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 slight retroplacement of the C5 over the C6 vertebra with reversal of normal lordotic curve.
The cervical intervertebral discs show loss of water content.
A right postero-lateral disc herniation with peridiscal osteophyte is seen at the C2-C3 level with mild indentation upon the right C3 nerve root.
Small left postero-lateral disc bulges with small peridiscal osteophytes are seen at the C3-C4 and C4-C5 levels.
Posterior disc herniations are noted at the C5-C6 and C6-C7 levels with anterior indentation of the thecal sac.
Posterior peridiscal osteophytes are 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. Slight retroplacement of the C5 over the C6 vertebra.
2. Small left postero-lateral disc bulges with small peridiscal osteophytes at the C3-C4 and C4-C5 levels.
3. Posterior disc herniations at the C5-C6 and C6-C7 levels with small posterior peridiscal osteophytes at the C5-C6 level.
4. A right postero-lateral disc herniation with peridiscal osteophyte at the C2-C3 level with mild indentation upon the right C3 nerve root.