Date : 00.00.00
Name of the Patient : Abc XyzKondulmn / M / 55 yrs.
Referred by : Dr. Abc Xyzarikh.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to BUE with paresthesias since 15-20 days.
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.
There is a right postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level with antero-lateral indentation of the thecal sac and right neural foraminal narrowing. There is mild indentation upon the exiting right C6 nerve root.
Posterior disc bulge with peridiscal osteophytes is noted at the C6-C7 level with bilateral neural foraminal narrowing and indentation upon the C7 nerve roots bilaterally. A posterior disc bulge is identified at the C3-C4 level.
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.
Small subcentimeter lymph nodes are seen deep to the sternomastoid muscles bilaterally.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
1. A right postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level with mild indentation upon the exiting right C6 nerve root.
2. Posterior disc bulge with peridiscal osteophytes at the C6-C7 level with bilateral neural foraminal narrowing and indentation upon the C7 nerve roots, bilaterally.