Date : 00.00.00
Name of the Patient : Abc Xyzar Blmn / M / 35 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the LUE with paresthesias.
Alleged H/O vehicular accident prior to this.
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.
4 mm thick T2 Weighted coronal images.
There is forward translation of the C5 over the C6 vertebral body and retroplacement of the C6 over the C7 vertebra.
The posterior aspect of the C6 vertebral body is seen to indent the anterior aspect of the cord.
Pseudoposterior disc herniations with peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.
A small posterior disc bulge is seen at the C4-C5 level. The cervical intervertebral discs show loss of water content.
The C4-C5 facet joint on the left side show degenerative changes. Suspicious diastasis of the C5-C6 facet joint on the left is noted. There is widening of the interspinous distance between the C5 and C6 spinous processes. A probable fracture of C5 lamina on the left is noted.
- 3 - Scan-00003
There is a probable nerve root avulsion at the C4-C5 level on the left (scans 104.11, 206.10).
The cervical vertebral bodies 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.
1. Forward translation of the C5 over the C6 vertebral body with retroplacement of the C6 over the C7 vertebra.
2. Posterior aspect of the C6 vertebral body is seen to indent the anterior aspect of the cord.
3. Pseudoposterior disc herniations with peridiscal osteophytes at the C5-C6 and C6-C7 levels.
4. Suspicious diastasis of the C5-C6 facet joint on the left.
5. Probable nerve root avulsion at the C4-C5 level on the left.