hs/ke/nl/rg.
Name of the Patient : Abc Xyza Nilmn / F / 45 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with paresthesias in BUE and giddiness.
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 :
Small postero-central disc herniations with peridiscal osteophytes are seen to indent the thecal sac at the C4-C5, C5-C6 and C6-C7 levels.
A mild posterior disc bulge with peridiscal osteophytes is noted at the C3-C4 level.
The cervical intervertebral discs show loss of water content. 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 cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
The brain was screened with 5 mm thick T2 Weighted axial images. A small hyperintense area is seen in the left periatrial white matter and this may be ischemic in etiology.
IMPRESSION :
The MRI features are suggestive of :
1. Small postero-central disc herniations with peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels.
2. A mild posterior disc bulge with peridiscal osteophytes at the C3-C4 level.