Date : 00.00.00
Name of the Patient : Abc Xyz Khlmn / M / 47 yrs.
Referred by : Dr. Abc Xyzani.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
H/O fall from a height 20 years back with swelling (off and on) of the right arm since then.
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 normal cervical lordosis.
Posterior disc bulges with peridiscal osteophytes are seen to indent the thecal sac at the C5-C6 and C6-C7 levels. The joints of Luschka at the C6-C7 level show mild degenerative changes with mild bilateral neural foraminal narrowing.
A linear hypointensity on all the pulse sequences is seen within the inferior aspect of the C5 vertebral body and may represent compressed trabeculae. Hypointense areas on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen within this vertebral body and this may represent bone edema.
Type II/III degenerative changes are seen within the cervical vertebral bodies.
Mild posterior disc bulges are noted at the C3-C4 and C4-C5 levels. Small posterior peridiscal osteophytes are noted at the C2-C3 level.
Anterior disc herniations with peridiscal osteophytes are seen at the C5-C6 and C6-C7 levels. The cervical intervertebral discs show loss of water content.
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.
The MRI features are suggestive of :
1. Posterior disc bulges with peridiscal osteophytes at the C5-C6 and C6-C7 levels.
2. Mild posterior disc bulges at the C3-C4 and C4-C5 levels.