Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 59 yrs.
Referred by : Dr. Abc Xyzshar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O radicular pain radiating to the LUE.
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 water content of the cervical intervertebral discs.
Posterior peridiscal osteophytes are noted at the C3-C4 level.
A posteriorly herniated disc with posterior peridiscal osteophytes is noted at the C4-C5 level with indentation upon the cervical spinal cord anteriorly. Bilateral neural foraminal narrowing is noted at this level. The cervical spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images anteriorly suggesting cord edema/ischemia.
Small postero-central protruded discs are noted at the C5-C6 and C6-C7 levels.
Degenerative changes of the joints of Luschka are noted at the C3-C4 and C5-C6 levels on the right, at the C6-C7 level on the left and at the C4-C5 level bilaterally. Slight facetal hypertrophy is noted at the C4-C5 and C5-C6 levels bilaterally.
The upper cervical vertebral bodies show spotty fatty marrow changes.
The rest of the cervical vertebral bodies show normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
1. A posteriorly herniated disc with posterior peridiscal osteophytes at the C4-C5 level with cord signal alteration suggesting cord edema/ischemia.
2. Small postero-central protruded discs at the C5-C6 and C6-C7 levels.