sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc XyzF. lmn / M / 56 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Cervical Spine.
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 are small postero-central protruded discs at the C3-C4 and C4-C5 levels.
A small posterior disc herniation with peridiscal osteophytes is noted at the C5-C6 level.
There is slight ligamentum flavum prominence at the C4-C5 and C5-C6 levels.
Degenerative changes of the joint of Luschka on the left at C5-C6 level is noted.
Slight facetal hypertrophy is noted at the C4-C5, C5-C6, C6-C7 levels.
The cervical vertebral bodies show normal signal intensity. The rest of 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 brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick FLAIR coronal images. Small bright foci on T2 Weighted images are noted in the right periatrial region, left lentiform nucleus and in the genu of the corpus callosum on the right. These changes may represent ischemic changes/lacunar infarcts.
There is mild dilatation of both the lateral and the third ventricles. Fourth ventricle is normal. There is no midline shift.
Inflammatory changes are noted in the ethmoidal air cells bilaterally.
IMPRESSION :
1. Small postero-central protruded discs at the C3-C4 and C4-C5 levels.
2. A small posterior disc herniation with peridiscal osteophytes at the C5-C6 level.
3. Slight ligamentum flavum prominence at the C4-C5 and C5-C6 levels.
4. Degenerative changes of the joint of Luschka on the left at C5-C6 level.
5. Slight facetal hypertrophy at the C4-C5, C5-C6, C6-C7 levels.
6. Altered signal in the right periatrial region, left lentiform nucleus and in the genu of the corpus callosum on the right may represent ischemic changes/lacunar infarcts.