hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Ilmn / M / 46 yrs.
Referred by : Dr. Abc Xyznshah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain with pain radiating to the LUE with numbness.

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 :

The cervical intervertebral discs show loss of water content.

A posterior disc herniation with large peridiscal osteophytes is seen to indent the cord and the left C6 nerve root at the C5-C6 level.

A posterior disc herniation with peridiscal osteophytes, more to the left of the midline is seen to indent the thecal sac at the C6-C7 level.

A mild posterior disc bulge with small peridiscal osteophytes is noted at the C4-C5 level.

A right postero-lateral peridiscal osteophyte is noted at the C3-C4 level with slight right neural foraminal narrowing.

The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.








The cervical spinal cord reveals normal signal intensity.

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

IMPRESSION :

The MRI features are suggestive of :

1. A posterior disc herniation with large peridiscal osteophytes indenting the left C6 nerve root at the C5-C6 level.

2. A posterior disc herniation with peridiscal osteophytes, more to the left of the midline at the C6-C7 level.