sb/hs/rg/nl

Name of the Patient : Abc Xlmn / F / 57 yrs.
Referred by : Dr. Abc Xyzrdiwalla.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O right sided headaches with burning sensation and giddiness.
Also C/O tinnitus on both sides (right more than left) with decreased hearing.
Known hypertensive.

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 is a small postero-central protruded disc at the C3-C4 level.

There is a fairly large left postero-lateral disc bulge with peridiscal osteophytes at the C4-C5 level with left neural foraminal narrowing and indentation on the left C5 nerve root.

Small posterior disc bulges with peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels indenting the dural theca anteriorly.

A focal hypointense signal on all the pulse sequences is noted in the C6 vertebral body. This may represent a sclerotic focus.
..2/.







Anterior_disc herniations with peridiscal osteophytes are noted at the C4-C5, C5-C6, C6-C7 and C7-D1 levels.

The rest of the cervical vertebral bodies 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 :

1. A fairly large left postero-lateral disc bulge with peridiscal osteophytes at the C4-C5 level with indentation on the left C5 nerve root.

2. A small postero-central protruded disc at the C3-C4 level.

3. Small posterior disc bulges with peridiscal osteophytes at the C5-C6 and C6-C7 levels.