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Name of the Patient : Abc Xyzchanlmn / M / 86 yrs.
Referred by : Dr. Abc Xyzykar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain since 2 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 slight wedging of the C3 vertebral body. The body of C2 and the upper half of the body of C3 vertebra appear hypointense on the T1 Weighted images and heterogeneously hyperintense on the T2 Weighted images. The C2-C3 intervertebral disc also appears hyperintense on the T2 Weighted images. There is a bulge of the posterior margin of the body of the C2 vertebra with resultant thecal sac compression. There is also facetal and ligamentum flavum hypertrophy at the C2-C3 level with resultant canal stenosis.

Small postero-central protruded discs with peridiscal osteophytes are noted at the C3-C4, C5-C6 and C6-C7 levels, indenting the dural theca anteriorly. Facetal and ligamentum flavum hypertrophy is noted at the C5-C6 and C6-C7 levels.







The rest of the cervical vertebral bodies show spotty fatty marrow changes. The remaining cervical intervertebral discs show loss of water content. 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. Altered signal in the body of C2 and the upper half of the body of C3 vertebrae and the C2-C3 intervertebral disc as described most likely represents osteitis with discitis, probably tuberculous in etiology. The possibility of a neoplasm should be ruled out in view of the age of the patient.

Posterior bulge of the body of the C2 vertebra and facetal and ligamentum flavum hypertrophy at the C2-C3 level cause canal stenosis at that level.

2. Small postero-central protruded discs with peridiscal osteophytes at the C3-C4, C5-C6 and C6-C7 levels, with facetal and ligamentum flavum hypertrophy at the C5-C6 and C6-C7 levels and canal stenosis.



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