Date : 00.00.00
Name of the Patient : Abc Xyz Paidlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with pain radiating to the LUE with paresthesias and wasting since 2-4 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 large postero-central and left postero-lateral disc extrusion is seen to indent the cord and the left C7 nerve root at the C6-C7 level.
A posterior and left postero-lateral disc extrusion is seen to indent the cord and the left C6 nerve root at the C5-C6 level.
There is narrowing of the left neural foramen at the C5-C6 and C6-C7 levels.
Posterior disc bulges are seen at the C3-C4 and C4-C5 levels.
There is slight sclerosis of the tip of the odontoid process.
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 cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
The MRI features are suggestive of :
1. A large postero-central and left postero-lateral disc extrusion indenting the left C7 nerve root at the C6-C7 level.
2. A postero-central and left postero-lateral disc extrusion indenting the left C6 nerve root at the C5-C6 level.