sb/ke/rg.
Name of the Patient : Abc Xyz Chiplulmn / M / 61 yrs.
Referred by : Dr. Abc Xyzanushali.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O gait imbalance since 2-3 years.
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.
The brainstem was screened with 5 mm thick T1 Weighted sagittal images and 5 mm thick T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the cervical intervertebral discs.
There are small postero-central protruded discs with peridiscal osteophytes at all the cervical intervertebral disc levels over C2-C3 to C6-C7 levels.
The cervical vertebral bodies show normal signal intensity. 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.
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Small bright foci in the pons on the T2 Weighted images most likely represent prominent perivascular spaces rather than ischemic lesions.
A small bright focus on the T2 Weighted images in the left periatrial region may represent an ischemic focus.
Mild ventricular dilatation is noted with age related cerebral and cerebellar atrophy.
Inflammatory changes are noted in the maxillary sinuses and ethmoidal and mastoid air cells bilaterally.
IMPRESSION :
1. Small postero-central protruded discs with peridiscal osteophytes at all the cervical intervertebral disc levels over C2-C3 to C6-C7 levels.
2. No significant abnormality is detected in the brain on this study.