ke/bv/nl/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzDolmn / M / 65 yrs.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the RUE with paresthesias.
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 postero-central disc herniation with small peridiscal osteophytes at the C3-C4 level with anterior indentation of the thecal sac.
There is retroplacement of the C5 over the C6 vertebral body with a posterior disc herniation at the C5-C6 level, causing anterior indentation of the spinal cord and bilateral neural foraminal narrowing (right more than left). There is probable indentation upon the right C6 nerve root. A large peridiscal osteophyte is also noted at this level.
A left paracentral disc herniation is seen at the C4-C5 level with anterior indentation of the thecal sac.
A posterior and a right far lateral disc protrusion is seen at the C6-C7 level with narrowing of the right neural foramen and indentation upon the right C7 nerve root.
The facet joints at the C4-C5 and C5-C6 levels show gross degenerative changes.
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.
IMPRESSION :
1. Retroplacement of the C5 over the C6 vertebral body.
2. A posterior disc herniation at the C5-C6 level and a large peridiscal osteophyte at this level, causing narrowing of the neural foramina bilaterally, right more than left with probable indentation upon the right C6 nerve root.
3. A posterior and a right far lateral disc protrusion at the C6-C7 level with right neural foraminal narrowing and indentation upon the right C7 nerve root.
4. A postero-central disc herniation with small peridiscal osteophytes at the C3-C4 level.
5. Degenerative changes of the facet joints at the C4-C5 and C5-C6 levels.