hs/sb/rg.
Name of the Patient : Abc Xyzhai D. lmn / M / 76 yrs.
Referred by : Dr. Abc Xyzdakia.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to BUE (right more than left) with paresthesias since 20 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 normal cervical lordosis. The cervical intervertebral discs show loss of water content and the C3-C4 to the C6-C7 intervertebral discs are decreased in height.
Large posterior disc herniations with peridiscal osteophytes are seen to indent the cord at the C4-C5, C5-C6 and C6-C7 levels.
A postero-central disc herniation with peridiscal osteophytes is seen to indent the cord at the C3-C4 level.
A postero-central disc protrusion with a small peridiscal osteophyte is noted at the C2-C3 level.
The C3-C4, C4-C5 and C5-C6 facet joints show degenerative changes.
The cervical vertebral bodies show areas of fatty replacement of normal marrow.
..2/.
- 2 - Scan-00009
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 :
1. Large posterior disc herniations with peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels with a resultant tight canal at these levels.
2. A postero-central disc herniation with peridiscal osteophytes at the C3-C4 level.