Date : 00.00.00
Name of the Patient : Abc Xyztali Shlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzzzare.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weak grip of the right hand with inability to move the RUE and dragging of the RLE.
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 mild retroplacement of the C3 vertebra over the C4 vertebra. There is loss of normal cervical lordosis.
The cervical intervertebral discs show loss of water content. The cervical vertebral bodies show areas of fatty replacement of normal marrow.
There are large left paracentral disc herniations with peridiscal osteophytes indenting the left ventral aspect of the cord at the C5-C6 and C6-C7 levels.
Right paracentral disc herniations with large peridiscal osteophytes are seen to indent the cord at the C3-C4 and C4-C5 levels.
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. Large left paracentral disc herniations with peridiscal osteophytes at the C5-C6 and C6-C7 levels.
2. Right paracentral disc herniations with large peridiscal osteophytes at the C3-C4 and C4-C5 levels.