Name of the Patient : Abc Xyz C. lmn / F / 50 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE with tingling in left foot.
H/O right mastectomy done in 0000. Received Chemotherapy (6 cycles).
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.
The cervical intervertebral discs show loss of water content.
There is slight retroplacement of the C5 over the C6 vertebra.
There is replacement of the normal marrow of the C5 vertebral body by hypointense areas on the T1 Weighted images to the left of the midline. This is seen to turn hyperintense on the T2 Weighted images.
A posterior disc herniation with a large peridiscal osteophyte is seen at the C5-C6 level with anterior indentation of the thecal sac and mild left neural foraminal narrowing. Mild ligamentum flavum hypertrophy is also seen at this level. An anterior disc herniation with peridiscal osteophytes is also seen at this level.
Small posterior disc bulges are seen at the C4-C5 and C6-C7 levels.
The rest of the visualized cervical and upper dorsal vertebral bodies show fatty changes suggesting osteoporosis.
The facet joints on the left side at the C3-C4 level shows degenerative changes.
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 MRI features are suggestive of :
1. Retroplacement of the C5 over the C6 vertebral body.
2. Altered signal of the C5 vertebral body represents
Type I degenerative changes.
3. A posterior disc herniation with a large peridiscal osteophyte at the C5-C6 level.