Date : 00.00.00
Name of the Patient : Abc Xyzeet Klmn / F / 32 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain with radiation of pain to BUE with paresthesias.
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 evidence of a hyperintense signal on the T2 Weighted images within the posterior columns of the cervical spinal cord over the C2 to C5 vertebral levels. This is iso to hypointense to normal cord on the T1 Weighted images.
A postero-central disc herniation more to the left of the midline is seen to indent the cord at the C5-C6 level.
Posterior disc bulges are noted at the C3-C4 and C4-C5 levels.
The cervical vertebral bodies appear more hypointense than normal on the T1 Weighted images and this may suggest a preponderance of hematopoietic marrow.
The cervical intervertebral discs show loss of water content.
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.
The MRI features are suggestive of :
1. Altered signal within the posterior columns of the cervical spinal cord over the C2 to C5 vertebral levels with altered signal of the cervical vertebral bodies as described may represent subacute combined degeneration of the cord.
2. A postero-central disc herniation more to the left of the midline at the C5-C6 level.