Date : 00.00.00
Name of the Patient : Abc XyzDlmn / M / 30 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to both shoulders since 1 1/2 months.
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
3 mm thick T1 Weighted coronal images.
There is scoliosis of the cervical spine with convexity to the left. Resultant clockwise rotational anomaly of the cervical vertebrae is noted.
There are congenital block C2/C3, C4/C5 and D1/D2/D3 vertebrae with intervening hypoplastic intervertebral discs. Probable hemivertebrae are noted in the upper dorsal region.
There is a posteriorly herniated disc with peridiscal osteophytes at the C3-C4 level with slight bilateral neural foraminal narrowing. Slight hypertrophy of the right facet joint is noted at the C3-C4 level.
A small posterior disc bulge is noted at the C7-D1 level.
The cervical vertebral bodies show normal signal intensity. The cervical intervertebral discs show loss of water content. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity. There is no cord compression.
The cervico-medullary junction is unremarkable.
Screening, T2 Weighted sagittal images of the dorsal spine do not show any significant feature of note, other than the segmentation anomalies in the upper dorsal region.
The MRI features are suggestive of :
1. Multiple segmentation anomalies of the cervical and upper dorsal vertebrae as described.
2. A posteriorly herniated with peridiscal osteophytes at the C3-C4 level.