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Name of the Patient : Abc Xyzlmn / M / 48 yrs.
Referred by : Dr. Abc Xyztal.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O paresthesias in all four extremities with slipping off of chappals.

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 :

A postero-central disc extrusion is seen to indent the cord at the C4-C5 level.

Postero-central disc herniations are seen to indent the thecal sac at the C3-C4 and C5-C6 levels.

The cervical spinal cord at the C5 and C6 vertebral levels shows a hyperintense signal on the T2 Weighted images. This is iso to hypointense to normal cord on the T1 Weighted images and may represent cord edema/gliosis (? whiplash injury).

There is a postero-central disc protrusion at the C6-C7 level.

The C3-C4, C4-C5 and C5-C6 facet joints show degenerative changes. Small posterior peridiscal osteophytes are noted at these levels.




The cervical intervertebral discs show loss of water content.

The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc extrusion at the C4-C5 level.

2. Postero-central disc herniations at the C3-C4 and C5-C6 levels.

3. Altered cord signal at the C5 and C6 levels may represent cord edema/gliosis (? the result of a whiplash injury).

4. Facetal arthropathy at the C3-C4, C4-C5 and C5-C6 levels.