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Name of the Patient : Abc Xyzhar R. Nilmn / M / 47 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain with pain radiating to the LUE with 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 :

There is loss of water content of all the cervical intervertebral discs except the C6-C7 disc.

There is continuous ossification of the posterior longitudinal ligament over the C3-C4 to the C5-C6 disc level.

There are fairly large posterior and left postero-lateral disc herniations with peridiscal osteophytes at the C4-C5 and C5-C6 levels, with cord compression and left neural foraminal narrowing. The cervical spinal cord at the C4-C5 level shows a hyperintense signal on the T2 Weighted images and is isointense to cord on the T1 Weighted images which suggest cord edema/ischemia/contusion.

A postero-central disc herniation with peridiscal osteophytes is noted at the C3-C4 level.

Degenerative changes of the joints of Luschka on the left is noted at the C4-C5 and C5-C6 levels. The facet joints at these levels also appear slightly hypertrophied.


Fatty changes are seen in the upper cervical vertebral bodies. The rest of the cervical vertebral bodies show normal signal intensity. The remaining 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 C3-C4 to the C5-C6 disc level.

2. Fairly large posterior and left postero-lateral disc herniations with peridiscal osteophytes at the C4-C5 and C5-C6 levels, with cord compression and left neural foraminal narrowing.

3. Altered signal of the cervical spinal cord at the C4-C5 level suggest cord edema/ischemia/contusion.

4. A postero-central disc herniation with peridiscal osteophytes at the C3-C4 level.

5. Degenerative changes of the joints of Luschka on the left at the C4-C5 and C5-C6 levels and facetal hypertrophy at these levels bilaterally.