Name of the Patient : Abc Xyzo Y. Tendolmn / M / 56 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with pain radiating to BUE with paresthesias and wasting of the RUE.
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 fusion of the C4 and C5 vertebral bodies with a decrease in their antero-posterior dimensions and the fusion is most likely congenital in etiology.
A posterior disc herniation with peridiscal osteophytes, more to the right of the midline is seen to indent the cord at the C5-C6 level.
There is a posterior disc herniation with peridiscal osteophytes indenting the cord at the C6-C7 level.
There is ossification of the posterior longitudinal ligament over the C5-C6 to the C6-C7 level. The cord over these levels shows a subtle hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images and would represent cord edema/ischemia/gliosis. Bilateral neural foraminal narrowing is noted at the C5-C6 and C6-C7 levels.
A posteriorly bulging disc is noted at the C3-C4 level.
There is facetal hypertrophy at the D2-D3 and D3-D4 levels.
The cervical intervertebral discs show loss of water content. The cervical vertebral bodies show areas of fatty replacement of normal marrow.
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 posterior disc herniation with peridiscal osteophytes, more to the right of the midline at the C5-C6 level.
2. A posterior disc herniation with peridiscal osteophytes at the C6-C7 level.
3. Ossification of the posterior longitudinal ligament over the C5-C6 to the C6-C7 level.
4. Altered cord signal over the C5-C6 to the C6-C7 level may represent cord edema/ischemia/gliosis.