Date : 00.00.00
Name of the Patient : Abc Xyz R. Malmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O radicular pain in the RUE.
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.
FEW IMAGES SHOW PATIENT MOTION.
There is scoliosis of the cervical spine with convexity to the left with clockwise rotation of the midcervical vertebrae.
There is fusion of the C4 and C5 vertebral bodies with partial obliteration of the C4-C5 intervertebral disc. Also seen is partial fusion of the C5 and C6 vertebral bodies with partial obliteration of the C5-C6 intervertebral disc. The antero-posterior dimension of these vertebral bodies is reduced and there appears to be fusion of their posterior elements suggesting a congenital origin.
Posterior disc herniations with peridiscal osteophytes are seen to indent the cord and narrow the neural foramina bilaterally at the C3-C4 and C6-C7 levels.
Mild posterior disc bulges with small peridiscal osteophytes are noted at the C7-D1 and D1-D2 levels.
Anterior disc herniations with peridiscal osteophytes are noted at the C3-C4 and C6-C7 levels.
The rest of the cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show areas of fatty replacement of the normal marrow.
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. Congenital fusion of the C4, C5 and C6 vertebrae.
2. Scoliosis of the cervical spine.
3. Posterior disc herniations with peridiscal osteophytes at the C3-C4 and C6-C7 levels.