Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 35 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the RUE since 1 week.
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.
There is reversal of the normal cervical curvature.
A large postero-central and a right postero-lateral disc herniation with small posterior peridiscal osteophytes is seen at the C5-C6 level with anterior indentation of the thecal sac and right neural foraminal narrowing. There is impingement of the right C6 nerve root. Slight superior migration of the disc is noted into the right lateral recess of the C5 vertebra.
A posterior disc bulge is noted at the C4-C5 level with anterior indentation of the thecal sac.
The C4-C5 and C5-C6 intervertebral discs show loss of water content.
The cervical vertebral bodies and the remaining 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 atlanto-axial region and the cervico-medullary junction are unremarkable.
The MRI features are suggestive of :
1. A large postero-central and a right postero-lateral disc herniation with small posterior peridiscal osteophyte at the C5-C6 level impinging the right C6 nerve root.
2. A posterior disc bulge at the C4-C5 level.