Date : 00.00.00
Name of the Patient : Abc Xyzkh lmn / M / 39 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O backache and neckpain with pain radiating to all four extremities and paresthesias.
H/O Potts spine in the dorso-lumbar region in 0000. Received AKT.
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.
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.
Small postero-central protruded discs with peridiscal osteophytes are noted at the C2-C3, C3-C4 and C4-C5 levels.
Fatty marrow changes are noted in the upper cervical vertebral bodies.
The rest of 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.
Screening, T1 Weighted sagittal images of the lumbo-sacral and dorsal spines reveal anterior wedging of the L1 vertebral body with reduction in the D12-L1 disc space and fatty marrow changes in the D12 and L1 vertebral bodies. These changes could be the sequelae of previous tuberculous osteitis with discitis.
1. Small postero-central protruded discs with peridiscal osteophytes at the C2-C3, C3-C4 and C4-C5 levels.
2. Changes in the D12 and L1 vertebral bodies and the D12-L1 intervertebral disc is the sequelae of previous tuberculous osteitis with discitis.