ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyza J. Karalmn / F / 45 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain with pain radiating to the RUE with paresthesias since 7 years.
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 a right postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level with anterior indentation of the thecal sac and right neural foraminal narrowing. Mild indentation upon the right C6 nerve root is seen.
A focal postero-central disc protrusion is seen at the C3-C4 level.
The C3-C4, C4-C5 and C5-C6 intervertebral discs show loss of water content.
The cervical vertebral bodies and the remaining intervertebral discs 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.
IMPRESSION :
The MRI features are suggestive of a right postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level with indentation upon the right C6 nerve root.