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sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzh Chaudlmn / M / 57 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain and pain in the interscapular region with numbness in the LUE since 3 months.

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.

Small posterior disc bulges with peridiscal osteophytes are noted at the C3-C4, C4-C5 and C5-C6 levels, indenting the dural theca anteriorly.

A small posterior disc bulge with small peridiscal osteophytes is noted at the C6-C7 level.

Slight ligamentum flavum hypertrophy is noted at the C4 and C5 vertebral levels.

Degenerative changes of the joints of Luschka are noted at the C4-C5 level bilaterally and on the right at the C5-C6 and C6-C7 levels.

The facet joints at the C4-C5 and C5-C6 levels show degenerative changes.

The cervical vertebral bodies show spotty fatty marrow changes. 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.

Screening T2 Weighted sagittal images of the dorsal spine do not reveal any significant feature of note.

IMPRESSION :

1. Small posterior disc bulges with peridiscal osteophytes at the C3-C4, C4-C5 and C5-C6 levels.

2. Degenerative changes of the joints of Luschka at the C4-C5 level bilaterally and on the right at the C5-C6 and C6-C7 levels.

3. Facetal arthropathy at the C4-C5 and C5-C6 levels.




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    • Interventional Pain Procedure Templates
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