Date : 00.00.00
Name of the Patient : Abc Xyzn Suklmn / M / 43 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O cervical polyradiculopathy with proximal weakness of BUE and BLE and wasting of the right shoulder. Also C/O radicular pain in BLE.
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.
There is loss of normal cervical curvature and loss of water content of the cervical intervertebral discs.
There is a large posterior disc herniation at the C4-C5 level with posterior peridiscal osteophytes and anterior compression of the cord. The spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. This is isointense to the cord on the T1 Weighted images suggestive of cord edema/ischemia.
A posterior disc herniation with a peridiscal osteophytes is seen at the C5-C6 level with right neural foraminal narrowing.
Left postero-lateral disc herniation with peridiscal osteophytes are noted at the C6-C7 and C7-D1 levels.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
The vertebro-basilar system is dolichoectatic.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and which show a posterior disc herniation with peridiscal osteophytes at the L5-S1 level and indentation upon the foraminal portion of the right L5 nerve root. A small posterior disc bulge is also noted at the L4-L5 level.
The MRI features are suggestive of :
1. A large posterior disc herniation with posterior peridiscal osteophytes at the C4-C5 level with cord signal alteration at this level suggestive of cord edema/ischemia.
2. A posterior disc herniation with a peridiscal osteophytes at the C5-C6 level with right neural foraminal narrowing.
3. Left postero-lateral disc herniations with peridiscal osteophytes at the C6-C7 and C7-D1 levels.