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.
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.
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.
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. 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.