sb/bv/rg/nl

Name of the Patient : Abc Xyzlmn / M / 42 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain with pain radiating to the LUE with numbness since 10 days.

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 normal cervical lordosis and loss of water content of the cervical intervertebral discs.

There is a fairly large, left postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level with left neural foraminal narrowing and indentation on the traversing left C6 nerve root.

A small, posterior disc bulge with peridiscal osteophytes is noted at the C4-C5 level.

A small postero-central protruded disc is noted at the C3-C4 level.

Degenerative changes of the left sided joint of Luschka at the C4-C5 level is noted with slight left neural foraminal narrowing.

The cervical vertebral bodies show normal signal intensity. 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.

IMPRESSION :

1. A fairly large, left postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level and indentation on the traversing left C6 nerve root.

2. Degenerative changes of the joints of Luschka on the left at the C4-C5 level with slight left neural foraminal narrowing.