Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 49 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with pain radiating to BUE with paresthesias since 1 year.
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.
The cervical intervertebral discs show loss of water content.
Left paracentral and left postero-lateral disc herniations with large peridiscal osteophytes are seen to indent the left ventral aspect of the cord and narrow the left neural foramen at the C5-C6 level.
A posterior disc herniation with peridiscal osteophytes, more to the right of the midline is seen to indent the thecal sac at the C6-C7 level.
A postero-central disc protrusion with small peridiscal osteophytes is seen to indent the thecal sac at the C3-C4 level.
Posterior disc bulges are noted at the C2-C3 and C4-C5 levels.
The C4-C5 and C5-C6 facet joints show 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.
The MRI features are suggestive of :
1. Left paracentral and left postero-lateral disc herniations with large peridiscal osteophytes at the C5-C6 level.
2. A posterior disc herniation with peridiscal osteophytes, more to the right of the midline at the C6-C7 level.
3. A postero-central disc protrusion with small peridiscal osteophytes at the C3-C4 level.
4. Facetal arthropathy at the C4-C5 and C5-C6 levels.