Date : 00.00.00
Name of the Patient : Abc Xyzray Dlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O paresthesias in BUE since 6 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.
There is evidence of a large postero-central disc extrusion with peridiscal osteophytes compressing upon the cord at the C4-C5 level. The cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images and which would represent cord edema/ischemia.
A postero-central disc herniation with small peridiscal osteophytes is seen to indent the cord at the C3-C4 level.
Small postero-central disc herniations with small peridiscal osteophytes are seen at the C5-C6 and C6-C7 levels.
A posterior disc bulge is seen at the D1-D2 level.
The C4-C5, C5-C6 and C6-C7 facet joints show degenerative changes. Mild ligamentum flavum hypertrophy is seen at the C4-C5 level.
- 2 - Scan-00009
There is a suggestion of ossification of the posterior longitudinal ligament posterior to the C4 vertebral body.
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.
1. A large postero-central disc extrusion with peridiscal osteophytes, ligamentum flavum hypertrophy and canal stenosis at the C4-C5 level.
2. Cord signal alteration at the C4-C5 level represents cord edema/ischemia.
3. A postero-central disc herniation with small peridiscal osteophytes at the C3-C4 level.
4. Small postero-central disc herniations with small peridiscal osteophytes at the C5-C6 and C6-C7 levels.