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hs/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzhan Tholmn / M / 45 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain and backache radiating to BUE and RLE with paresthesias in BUE since 1-2 years.

EXAMINATION :

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.

OBSERVATION :

There is loss of normal cervical lordosis. The cervical intervertebral discs show loss of water content.

There is mild ossification of the posterior longitudinal ligament in the cervical region, more so over the C1 to C4 vertebral levels.

A large postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the C4-C5 level.

Postero-central disc herniations are seen to indent the thecal sac at the C2-C3 and C3-C4 levels.

Posterior disc herniations with peridiscal osteophytes are seen to indent the thecal sac at the C5-C6 and C6-C7 levels.





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.

IMPRESSION :

The MRI features are suggestive of :

1. A large postero-central disc herniation with peridiscal osteophytes at the C4-C5 level.

2. Postero-central disc herniations at the C2-C3 and C3-C4 levels.

3. Posterior disc herniations with peridiscal osteophytes at the C5-C6 and C6-C7 levels.

4. Mild ossification of the posterior longitudinal ligament in the cervical region, more so over the C1 to C4 vertebral levels.


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