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ke/hs/nl/nl

Name of the Patient : Abc Xyze Mlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain with pain radiating to the LUE with numbness.

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 straightening of the cervical spine with loss of water content of the cervical intervertebral discs.

A left postero-lateral disc herniation with peridiscal osteophytes is seen at the C5-C6 level with left antero-lateral indentation of the cord and left neural foraminal narrowing. There is mild indentation upon the left C6 nerve root.

There is a small postero-central disc herniation at the C6-C7 level.

A left postero-lateral disc protrusion is noted at the C4-C5 level. Posterior disc bulges are noted at the C2-C3 and C3-C4 levels.

The left joint of Luschka at the C4-C5, C5-C6 and C6-C7 levels show mild degenerative changes.

Fatty changes are noted in the cervical vertebral bodies and the clivus.


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 :

1. A left postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level with mild indentation upon the left C6 nerve root.

2. A small postero-central disc herniation at the C6-C7 level.

3. A left postero-lateral disc protrusion at the C4-C5 level.




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