Date : 00.00.00
Name of the Patient : Abc XyzA. Plmn / F / 45 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to all four extremities with weakness and paresthesias since 10 days.
C/O giddiness with fall 10 days back.
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 retroplacement of the C4 over the C5 vertebral body.
A large posterior disc herniation with peridiscal osteophytes is seen at the C4-C5 level with anterior compression of the spinal cord. The spinal cord over the C3 to C5 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. These are iso to hypointense to cord on the T1 Weighted images and would represent cord edema/ischemia/contusion. The facet joints at this level show hypertrophic changes.
A small postero-central disc protrusion with peridiscal osteophytes is noted at the C5-C6 level. The upper cervical 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 atlanto-axial region and the cervico-medullary junction are unremarkable.
1. Retroplacement of the C4 over the C5 vertebral body.
2. A large posterior disc herniation with peridiscal osteophytes at the C4-C5 level with anterior cord compression and cord signal alteration over the C3 to C5 levels representing cord edema/ischemia/contusion.
3. A small postero-central disc protrusion with small peridiscal osteophytes at the C5-C6 level.