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Name of the Patient : Abc Xyzn Plmn / M / 45 yrs.
Referred by : Dr. Abc XyzSonawane.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain with pain radiating to the RUE with paresthesias.

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 and loss of water content of the cervical intervertebral discs.

A large posterior and right postero-lateral disc herniation with peridiscal osteophytes is seen at the C5-C6 level with anterior indentation of the cord and right neural foraminal narrowing. Indentation upon the right C6 nerve root is noted.

There are small postero-central disc protrusions are noted at the C2-C3 and C3-C4 levels and a right postero-lateral disc bulge at the C4-C5 level. Small posterior peridiscal osteophytes are seen at the C3-C4 and C4-C5 levels.

A small left postero-lateral disc bulge is noted at the C6-C7 level.

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


The cervical vertebral bodies show hypointense signal on all the pulse sequences suggesting excess of haematopoeitic 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.

IMPRESSION :

1. A large posterior and right postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level with indentation upon the right C6 nerve root.

2. Small postero-central disc protrusions at the C2-C3 and C3-C4 levels.

3. A right postero-lateral disc bulge at the C4-C5 level.

4. A small left postero-lateral disc bulge at the C6-C7 level.





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