Date : 00.00.00
Name of the Patient : Abc Xyzumar Glmn / M / 56 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain since 3 months.
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 curvature and loss of water content of the cervical intervertebral discs.
A postero-central disc herniation is noted at the C4-C5 level with anterior indentation of the cord.
A left postero-lateral disc bulge is noted at the C5-C6 level with peridiscal osteophytes with mild left neural foraminal narrowing. This disc appears reduced in height. Anterior peridiscal osteophytes are also seen at this level.
A small posterior disc bulge is seen at the C3-C4 level.
The cervical vertebral bodies show spotty fatty changes.
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 at the C4-C5 level.
2. A left postero-lateral disc bulge with peridiscal osteophytes at the C5-C6 level with mild left neural foraminal narrowing.