Date : 00.00.00
Name of the Patient : Abc Xyzh Plmn / M / 40 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the LUE since 3 months.
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.
The cervical intervertebral discs show loss of water content.
There is a fairly large left postero-lateral disc herniation with small peridiscal osteophytes at the C5-C6 level with antero-lateral indentation of the cord, left neural foraminal narrowing and indentation on the left C6 nerve root (scans 105.16, 104.15-16). The disc material is also seen to migrate superiorly and is noted posterior to the C5 vertebra.
Small posterior disc protrusions are seen at the C3-C4 and C4-C5 levels.
The facet joints at the C4-C5, C5-C6 and C6-C7 levels appear hypertrophied.
The cervical vertebral bodies appear more hypointense than normal and this may suggest a preponderance of haematopoeitic marrow. 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.
The MRI features are suggestive of :
1. A fairly large left postero-lateral disc herniation at the C5-C6 level with indentation on the spinal cord and left C6 nerve root.
2. Small posterior disc protrusions at the C3-C4 and C4-C5 levels.