Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 39 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the left shoulder since 1 month.
H/O similar complaints in the 0000.
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.
4 mm thick T1 Weighted coronal images.
There is occipitalization of the atlas and the odontoid process is seen to be short.
There is mild retroplacement of the C3 vertebra over the C4 vertebra. There appears to be ossification of the posterior longitudidnal ligament over the C1 to the C3-C4 level.
Postero-central disc herniations are seen to indent the thecal sac at the C2-C3 and C3-C4 levels.
Postero-central disc protrusions are noted at the C4-C5 and C5-C6 levels.
The C3-C4, C4-C5 and C5-C6 facet joints show degenerative changes.
The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies and the intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The cervico-medullary junction is unremarkable.
The MRI features are suggestive of :
1. Occipitalization of the atlas and a short odontoid process.
2. Ossification of the posterior longitudidnal ligament over the C1 to the C3-C4 level.
3. Postero-central disc herniations at the C2-C3 and C3-C4 levels.
4. Postero-central disc protrusions at the C4-C5 and C5-C6 levels.
5. Facetal arthropathy at the C3-C4, C4-C5 and C5-C6 levels.