Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 58 yrs.
Referred by : Dr. Abc Xyzpase.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the RUE with paresthesias since 1 1/2 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.
The cervical intervertebral discs show loss of water content.
A right paracentral disc herniation with peridiscal osteophytes is seen to indent the right ventral aspect of the cord and probably the right C6 nerve root at the C5-C6 level.
A small right paracentral disc herniation with small peridiscal osteophytes is seen to indent the right ventral aspect of the cord at the C6-C7 level.
Posterior disc bulges with small peridiscal osteophytes are seen to indent the thecal sac at the C2-C3 and C4-C5 levels. A posterior disc bulge is seen at the C3-C4 level.
The C2, C3 and C4 vertebral bodies show areas of fatty replacement of normal marrow.
The left joint of Luschka at the C3-C4 level show mild degenerative changes.
The rest of the cervical vertebral bodies show normal signal intensity. The remaining 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 right paracentral disc herniation with peridiscal osteophytes at the C5-C6 level.
2. A small right paracentral disc herniation with small peridiscal osteophytes at the C6-C7 level.