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Date : 00.00.00

Name of the Patient : Abc Xyzlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzsra / Dr. Abc XyzShah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the RUE with paresthesias.

EXAMINATION :

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.

OBSERVATION :

The C7 vertebra is as marked on the film.

There is slight scoliosis of the cervical spine with slight convexity to the right. Anti-clockwise rotational anomaly of the upper cervical vertebrae is noted. Probable fusion of the posterior elements of C2 and C3 vertebrae is noted with a hypoplastic left lamina of C2. A congenital block, C5/C6 vertebra is noted.

Minimal posterior disc bulges are noted at the C3-C4 and C4-C5 levels. Slight degenerative changes of the joints of Luschka at C3-C4 and C4-C5 levels is noted bilaterally.

The cervical intervertebral discs show slight loss of water content.

The cervical vertebral bodies show normal signal intensity. The rest of 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.

Incidentally noted is inflammatory changes in the sphenoid sinus.

IMPRESSION :

1. Slight scoliosis of the cervical spine with slight convexity to the right.

2. Probable fusion of the posterior elements of C2 and C3 vertebrae with a hypoplastic left lamina of C2.

3. A congenital block, C5/C6 vertebra.

4. Slight mild degenerative changes of the joints of Luschka at C3-C4 and C4-C5 levels bilaterally.

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