hs/bv/rg/nl

Name of the Patient : Abc Xyzram Govalmn / M / 55 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the RUE since 10-12 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 reversal of the normal cervical lordotic curve. The cervical intervertebral discs show loss of water content and the C5-C6 intervertebral disc is decreased in height.

A posterior disc herniation with peridiscal osteophytes is seen to indent the cord and narrow both neural foramina at the C5-C6 level. The joints of Luschka at this level show degenerative changes.

There is a postero-central disc herniation with peridiscal osteophytes indenting the cord at the C4-C5 level.

There is a left paracentral disc protrusion at the C2-C3 level. A posterior disc bulge is noted at the C3-C4 level.

The left facet joints at the C4-C5 and C5-C6 levels show degenerative changes.

The cervical vertebral bodies show areas of fatty replacement of normal marrow.
..2/.






- 2 - Scan-00006


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 :

The MRI features are suggestive of :

1. A posterior disc herniation with peridiscal osteophytes at the C5-C6 level.

2. A postero-central disc herniation with peridiscal osteophytes at the C4-C5 level.

3. A tight canal at the C4-C5 and C5-C6 levels.