ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzttam Sonalmn / M / 48 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weakness of BLE since 15 days and weakness of BUE since 2 days with bladder involvement since 20 days.
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 :
The cervical intervertebral discs show loss of water content.
There is a large posterior peridiscal osteophyte at the C5-C6 level with anterior indentation of the thecal sac. Mild ligamentum flavum hypertrophy is also noted at this level.
Small posterior disc bulges are seen at the C3-C4 and C4-C5 levels and a small postero-central disc herniation at the C6-C7 level.
The facet joints at the C4-C5 level show hypertrophic changes.
There is a fairly well-circumscribed lesion in the region of right lobe of thyroid which is slightly hypointense on the T1 Weighted and heterogeneously hyperintense on the T2 Weighted and Gradient images.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images which does not reveal any diagnostic feature of note. The visualized dorsal spinal cord shows normal signal intensity.
There is no cord compression.
IMPRESSION :
1. A large posterior peridiscal osteophyte at the C5-C6 level.
2. Small posterior disc bulges at the C3-C4 and C4-C5 levels.
3. A small postero-central disc herniation at the C6-C7 level.
4. A fairly well-circumscribed lesion in the region of the right lobe of thyroid gland represents a thyroid/parathyroid lesion with retrosternal extension and requires further evaluation.