Name of the Patient : Abc XyzSalmn / F / 35 yrs.
Referred by : Dr. Abc Xyzmath.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the RUE with tingling since 6 months.
H/O fever since 3 weeks.
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 loss of normal cervical lordosis. The cervical intervertebral discs show loss of water content.
A large postero-central disc extrusion with peridiscal osteophytes is seen to compress upon the cord at the C6-C7 level. There is superior migration of the disc fragment. The cord at this level shows a subtle hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images and this may suggest cord edema/ischemia.
Right paracentral and left paracentral disc herniations with peridiscal osteophytes are seen to indent the cord at the C5-C6 and C4-C5 levels, respectively.
A mild posterior disc bulge is noted at the C3-C4 level.
There is slight posterior wedging of the C5, C6 and C7 vertebral bodies.
- 2 - Scan-00005
A hemangioma with fat content is noted in the C7 vertebral body.
The rest of the cervical vertebral bodies show normal signal intensity. 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.
The MRI features are suggestive of :
1. A large postero-central disc extrusion with peridiscal osteophytes compressing the cord with canal stenosis and cord edema/ischemia at the C6-C7 level.
2. A right paracentral disc herniation with peridiscal osteophytes at the C5-C6 level.
3. A left paracentral disc herniation with peridiscal osteophytes at the C4-C5 level.