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Name of the Patient : Abc Xyzeo Waghlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain with paresthesias in the LUE and the RLE.

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 :

The cervical intervertebral discs show loss of water content.

There is evidence of ossification of the posterior longitudinal ligament over the C3 to C7 levels.

A large posterior disc herniation with peridiscal osteophytes is seen to indent the cord at the C5-C6 level. Slight ligamentum flavum hypertrophy is noted at this level.

The cervical spinal cord at the C5 and C6 vertebral levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. This is iso to hypointense to normal cord on the T1 Weighted images and may represent cord edema/ischemia/gliosis.

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

Also seen is a left postero-lateral disc herniation with peridiscal osteophytes indenting the left ventral aspect of the cord and narrowing the left neural foramen at the C6-C7 level.
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There is a posterior disc bulge with peridiscal osteophytes at the C3-C4 level.

A posterior disc protrusion is seen at the C7-D1 level.

The C4-C5 and C5-C6 facet joints on the left side show hypertrophic degenerative changes. The C4-C5 and C5-C6 facet joints on the right side show mild degenerative changes.

The cervical vertebral bodies show areas of fatty replacement of normal marrow. The 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. Ossification of the posterior longitudinal ligament over the C3 to C7 levels.

2. A large posterior disc herniation with peridiscal osteophytes and ligamentum flavum hypertrophy with canal stenosis at the C5-C6 level.

3. A posterior disc herniation with peridiscal osteophytes and a tight canal at the C4-C5 level.

4. A left postero-lateral disc herniation with peridiscal osteophytes with a tight canal at the C6-C7 level.

5. Cord signal alteration at the C5 and C6 vertebral levels may represent cord edema/ischemia/gliosis.





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