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Name of the Patient : Abc Xyzhai Ralmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O pain in the left shoulder and LUE.

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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is loss of normal cervical lordosis.

A left paracentral disc herniation with peridiscal osteophytes is seen to indent the left ventral aspect of the cord at the C6-C7 level.

A left postero-lateral disc herniation with peridiscal osteophytes is seen to indent the thecal sac and left C6 nerve root at the C5-C6 level.

There is mild left neural foraminal narrowing at the C5-C6 and C6-C7 levels.

There is a right paracentral disc bulge with peridiscal osteophytes at the C3-C4 level. Also seen is a posterior disc bulge with peridiscal osteophytes at the C4-C5 level.




The cervical intervertebral discs show loss of water content. The cervical vertebral bodies are more hypointense than normal on the T1 Weighted images and this may suggest preponderance of hematopoeitic marrow (? anemic).

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. A left paracentral disc herniation with peridiscal osteophytes at the C6-C7 level.

2. A left postero-lateral disc herniation with peridiscal osteophytes indenting the left C6 nerve root at the C5-C6 level.




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