sb/hs/nl/nl

Name of the Patient : Abc Xyzngh Bhagatslmn / M / 60 yrs
Referred by : Dr. Abc Xyzh.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O weakness of BLE with gait ataxia and paresthesias.

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 :

Thee is loss of water content of the cervical intervertebral discs.

There is continuous ossification of the posterior longitudinal ligament over the C4-C5 to C6-C7 disc levels with resultant compromise of the cervical canal.

There are fairly large posteriorly herniated discs with peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels, with cord compression.

A posterior disc herniation with posterior peridiscal osteophytes is noted at the C3-C4 level indenting the cervical spinal cord anteriorly. A posterior disc bulge is noted at the C2-C3 level.

Ligamentum flavum hypertrophy is noted over the C3-C4 to the C6-C7 levels with compromise of the posterior epidural space.

Facetal hypertrophy is noted at the C3-C4, C4-C5, C5-C6 and C6-C7 levels bilaterally, more so on the left.
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The cervical spinal cord over the C4 to C6 vertebral levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which may represent cord edema/ischemia/gliosis.

The cervical vertebral bodies show inhomogeneous marrow signal with predominant focal fatty marrow changes.

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 :

1. Continuous ossification of the posterior longitudinal ligament over the C4-C5 to C6-C7 disc levels with resultant compromise of the cervical canal.

2. Fairly large posteriorly herniated discs with peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels, with cord compression.

3. A posterior disc herniation with posterior peridiscal osteophytes at the C3-C4 level.

4. Ligamentum flavum hypertrophy over the C3-C4 to the C6-C7 levels with compromise of the posterior epidural space.

5. Facetal hypertrophy at the C3-C4, C4-C5, C5-C6 and C6-C7 levels bilaterally, more so on the left.

6. Altered cord signal over the C4 to C6 vertebral levels may represent cord edema/ischemia/gliosis.