Date : 00.00.00
Name of the Patient : Abc XyzAmbelmn / M / 55 yrs.
Referred by : Dr. Abc Xyzan.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
H/O fall from bed 8 days back.
C/O inability to sit and stand since then.
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
There is a posterior disc herniation at the C3-C4 level with anterior indentation of the cord and bilateral neural foraminal narrowing.
A left postero-lateral disc herniation is seen at the C5-C6 level with antero-lateral indentation of the cord.
Small posterior disc bulge is noted at the C4-C5 level. Anterior disc herniation is seen at the C4-C5 level with peridiscal osteophytes. Posterior peridiscal osteophytes are seen over the C3-C4 to the C5-C6 levels. The cervical intervertebral discs show loss of water content.
The cervical spinal cord at the C5 level appears swollen and shows a hypointense signal on the T1 Weighted images. This is seen to turn hyperintense on the T2 Weighted and Fast Scan (T2 *) images.
Hyperintense signal is seen in the cervical spinal cord at the C3-C4 and C4-C5 levels on the T2 Weighted and Fast Scan (T2 *) images.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
Facetal hypertrophy is noted at the C3-C4 and C5-C6 levels.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and does not reveal any diagnostic feature of note.
The MRI features are suggestive of :
1. A posterior disc herniation at the C3-C4 level.
2. A left postero-lateral disc herniation at the C5-C6 level.
3. Altered signal of the cervical spinal cord at the C5 level would represent cord contusion in the given clinical setting.
4. Cord signal alteration at the C3-C4 and C4-C5 levels most likely represents cord edema/ischemia.