Date : 00.00.00
Name of the Patient : Abc Xyzn Gailmn / M / 42 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weakness of BLE since 2 months.
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.
A postero-central and right postero-lateral disc extrusion is seen to compress upon the cord and indent the right C6 nerve root at the C5-C6 level. The cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images (isointense to normal cord on the T1 Weighted images) suggestive of cord edema/ischemia.
A small postero-central disc herniation is seen to indent the cord at the C3-C4 level.
A postero-central disc protrusion is seen at the C4-C5 level. There is a posterior disc bulge with peridiscal osteophytes at the C6-C7 level.
The C5-C6 facet joints show hypertrophic degenerative changes.
The cervical intervertebral discs show loss of water content.
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 MRI features are suggestive of :
1. A postero-central and right postero-lateral disc extrusion with canal stenosis at the C5-C6 level.
2. Altered cord signal at the C5-C6 level may represent cord edema/ischemia.
3. A small postero-central disc herniation at the C3-C4 level.
4. A postero-central disc protrusion at the C4-C5 level.
5. Facetal arthropathy at the C5-C6 level.