Name of the Patient : Abc Xyza lmn / F / 42 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the LUE.
H/O follicular enlargement of the thyroid gland.
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.
There is a left paracentral disc herniation at the C6-C7 level with antero-lateral indentation of the cord and mild indentation upon the left C7 nerve root.
A small, posterior disc herniation is seen at the C5-C6 level with anterior indentation of the thecal sac.
Small posterior peridiscal osteophytes are noted at the C3-C4, C5-C6 and C6-C7 levels. The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the 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.
- 2 - Scan-00002
Thyroid glands were screened with 5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images and 4 mm thick T1 Weighted coronal images. Both the thyroid lobes appear bulky and lobulated. The right thyroid lobe measures approximately 8.0 x 3.0 x 2.6 cms. and the left thyroid gland measures approximately 8.0 x 2.2 x 1.8 cms. The isthmus also appears to be bulky and both the thyroid lobes and the isthmus are slightly hyperintense to muscle on the T1 Weighted images and turn slightly hyperintense on the T2 Weighted images. Smaller areas are noted in the inferior portion of the thryoid lobes which are seen to follow fat signal intensity characteristics on all the pulse sequences. There is mild compromise of the trachea. There is extension of the thyroid gland upto the suprasternal notch.
The MRI features are suggestive of :
1. A left paracentral disc herniation at the C6-C7 level with mild indentation upon the left C7 nerve root.
2. A small, posterior disc herniation at the C5-C6 level.
3. Small posterior peridiscal osteophytes at the C3-C4, C5-C6 and C6-C7 levels.
4. Enlarged thyroid glands (H/O follicular enlargement of the thyroid gland) as described with multiple thyroid nodules.