Date : 00.00.00
Name of the Patient : Abc Xyza Dlmn / F / 44 yrs.
Referred by : Dr. Abc Xyznkhara / Dr. Abc Xyzhah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O backache and neck pain radiating to BUE and the LLE with paresthesias since 2 years.
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 loss of normal cervical curvature.
The C4-C5, C5-C6 and C6-C7 intervertebral discs show loss of water content.
A postero-central and left postero-lateral disc herniation with small peridiscal osteophytes is seen at the C5-C6 level with anterior indentation of the spinal cord and mild left neural foraminal narrowing.
Small posterior disc herniations with small peridiscal osteophytes are seen at the C4-C5 and C6-C7 levels.
A small posterior disc bulge is noted at the C3-C4 level.
Diffuse fatty changes are noted within the cervical vertebral bodies. 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 postero-central and left postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level.
2. Small posterior disc herniations with peridiscal osteophytes at the C4-C5 and C6-C7 levels.