sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzanif Shlmn / M / 69 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the RUE and RLE with paresthesias and weak grip.

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 :

There is loss of water content of the cervical intervertebral discs.

There is continuous ossification of the posterior longitudinal ligament extending from the C2-C3 disc level upto the C6-C7 disc level, with resultant compromise of the cervical canal over these levels.

There is a fairly large, posteriorly herniated disc with a peridiscal osteophyte at the C3-C4 level with cord compression. Ligamentum flavum hypertrophy is also noted at this level. The cervical spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia/gliosis.

Smaller, postero-central disc herniations with peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels, indenting the cervical spinal cord anteriorly. Small postero-central protruded disc is noted at the C6-C7 level.


Slight facetal hypertrophy is noted at the C3-C4, C4-C5 and C5-C6 levels.

The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

1. Continuous ossification of the posterior longitudinal ligament extending from the C2-C3 disc level upto the C6-C7 disc level, with resultant compromise of the cervical canal over these levels.

2. A fairly large, posteriorly herniated disc with a peridiscal osteophyte at the C3-C4 level with cord compression and cord signal alteration suggesting cord edema/ischemia/gliosis.

3. Smaller, postero-central disc herniations with peridiscal osteophytes at the C4-C5 and C5-C6 levels.

4. Small postero-central protruded disc at the C6-C7 level.

5. Slight facetal hypertrophy at the C3-C4, C4-C5 and C5-C6 levels.

6. Cervical canal stenosis over the C3-C4 to C5-C6 disc levels.