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.
..2/.
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.