hs/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with stiffness of the neck and pain radiating to the RUE since 00.00.00.
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 :
A posterior disc herniation with peridiscal osteophytes is seen to indent the thecal sac and narrow both neural foramina at the C3-C4 level.
Posterior disc herniations with peridiscal osteophytes, more to the right of the midline is seen to indent the thecal sac and narrow both neural foramina at the C4-C5 and C5-C6 levels. There appears to be a disc portion within the right lateral recess of the C5 vertebra.
The cervical intervertebral discs show loss of water content.
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.
A small cisrcumscribed area of hyperintensity on the T2 Weighted images is seen within the right lobe of the thyroid gland and this may require further evaluation.
IMPRESSION :
The MRI features are suggestive of :
1. A posterior disc herniation with peridiscal osteophytes at the C3-C4 level.
2. Posterior disc herniations, more to the right of the midline at the C4-C5 and C5-C6 level with a disc portion in the right lateral recess of the C5 vertebra.