Name of the Patient : Abc XyzD. Palmn / M / 52 yrs.
Referred by : Dr. Abc Xyz Sane.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O paresthesias in BUE since 3 months.
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.
There is evidence of a large posterior disc extrusion, more to the right of the midline and indenting the cord at the C5-C6 level. The cord at this level shows a hyperintense signal on the T2 Weighted images (isointense to hypointense to normal cord on the T1 Weighted images) and this would represent cord edema/ischemia. Small posterior peridiscal osteophytes and ligamentum flavum hypertrophy is noted at the C5-C6 level.
A left postero-lateral disc herniation with peridiscal osteophytes is seen to indent the cord at the C6-C7 level. The left joint of Luschka at this level shows degenerative change with resultant narrowing of the left neural foramen.
A postero-central disc protrusion with peridiscal osteophytes is noted at the C4-C5 level.
The cervical intervertebral discs show loss of water content.
- 2 - Scan-00008
The upper cervical vertebral bodies show fatty replacement of normal marrow.
The rest of the cervical vertebral bodies show normal signal intensity. The remaining joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
The MRI features are suggestive of :
1. A large posterior disc extrusion, more to the right of the midline with small posterior peridiscal osteophytes, ligamentum flavum hypertrophy and a resultant tight canal at the C5-C6 level.
2. Altered signal of the cord at the C5-C6 level would represent cord edema/ischemia.
3. A left postero-lateral disc herniation with peridiscal osteophytes at the C6-C7 level.