Name of the Patient : Abc Xyzben Kaplmn / F / 72 yrs.
Referred by : Dr. Abc Xyzy B. Shah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
H/O gait ataxia.
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.
There are postero-central disc herniations with posterior peridiscal osteophytes at the C3-C4 and C4-C5 levels with anterior indentation of the thecal sac.
Small posterior disc herniations are seen at the C5-C6 and C6-C7 levels with anterior indentation of the thecal sac. Mild ligamentum flavum hypertrophy is noted at the C4-C5, C5-C6 and C6-C7 levels. The cervical intervertebral discs show loss of water content.
Slight degenerative changes of the joints of Luschka at the C5-C6 level is noted, bilaterally.
Fatty changes are noted in the cervical vertebral bodies. A hemangioma with fatty content is noted in the D2 vertebral body.
The rest of 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.
The brain was screened with 5 mm thick T2 Weighted axial images which shows prominent perivascular spaces in the lentiform nuclei, corona radiata and centrum semiovale bilaterally. Slight prominence of the cerebellar folia is noted.
1. Postero-central disc herniations with posterior peridiscal osteophytes at the C3-C4 and C4-C5 levels.
2. Small posterior disc herniations at the C5-C6 and C6-C7 levels with mild ligamentum flavum hypertrophy at the C4-C5, C5-C6 and C6-C7 levels.