Date : 00.00.00
Name of the Patient : Abc Xyzama Ylmn / F / 47 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to BUE and BLE with heaviness since 3 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.
There is loss of normal cervical curvature.
The cervical intervertebral discs show loss of water content.
There is a large left postero-lateral disc herniation at the C5-C6 level with peridiscal osteophyte with antero-lateral compression of the spinal cord and the left C6 nerve root. The spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images and is isointense to cord on the T1 Weighted images suggestive of cord edema/ischemia/contusion. A small disc portion is seen to migrate superiorly indenting the left C6 nerve root.
A left postero-lateral disc herniation with peridiscal osteophytes is noted at the C6-C7 level with antero-lateral indentation of cord and left neural foraminal narrowing.
Small postero-central disc herniations are noted at the C2-C3, C3-C4 and C4-C5 levels.
The cervical vertebral bodies 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.
Small subcentimeter lymphnodes are seen deep to the sternomastoid muscle bilaterally.
1. A large left postero-lateral disc herniation at the C5-C6 level with peridiscal osteophyte causing cord compression and cord signal alteration at this level suggestive of cord edema/ischemia/contusion.
2. A left postero-lateral disc herniation with peridiscal osteophytes at the C6-C7 level.