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sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xylmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain with paresthesias in the LUE and LLE since 15 days.

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 :

There is loss of water content of the cervical intervertebral discs.

There is a fairly large, posteriorly extruded disc at the C5-C6 level with bilateral neural foraminal narrowing and cord compression. Slight superior and inferior migration of the disc fragment is noted. The cervical spinal cord at the C5-C6 level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which suggests cord edema/ischemia.

Small postero-central protruded discs with peridiscal osteophytes are noted at the C3-C4, C4-C5 and C6-C7 levels.

Facetal hypertrophy is seen at the C3-C4, C4-C5 and C5-C6 levels bilaterally.

Diffuse fatty changes are seen 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 atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

1. A fairly large, posteriorly extruded disc at the C5-C6 level with cord compression and cord signal alteration suggesting cord edema/ischemia. Slight superior and inferior migration of the disc fragment is noted.

2. Small postero-central protruded discs with peridiscal osteophytes at the C3-C4, C4-C5 and C6-C7 levels.

3. Facetal hypertrophy at the C3-C4, C4-C5 and C5-C6 levels bilaterally.



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