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.