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hs/sb/nl/nl
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.

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 :

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.
Scan-00003



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.

IMPRESSION :

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.

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