sb/bv/rg.
A
Name of the Patient : Abc XyzAnlmn / M / 36 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
Known C/O mental retardation with seizures.
C/O progressive weakness of the LLE with bladder incontinence since January 0000.
H/O encephalitis at the age of 5 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.
OBSERVATION :
There is loss of water content of the cervical intervertebral discs.
A posteriorly herniated disc with peridiscal osteophytes, more to the right of the midline is noted at the C4-C5 level with indentation on the cervical spinal cord, anteriorly. Degenerative changes of the Joints of Luschka are noted at this level, bilaterally.
Small posterior peridiscal osteophytes are noted at the C5-C6 level with degenerative changes of the left sided joint of Luschka at this level.
Small postero-central protruded discs are noted at the C3-C4 and C6-C7 levels.
Slight facetal hypertrophy is noted at the C4-C5 and C5-C6 levels bilaterally with ligamentum flavum hypertrophy at the C4-C5 level.
..2/.
- 2 - Scan-00004A
The cervical vertebral bodies show normal signal intensity. The rest of 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.
Screening T2 Weighted sagittal images of the dorsal spine do not reveal any significant feature of note.
IMPRESSION :
1. A posteriorly herniated disc with peridiscal osteophytes, more to the right of the midline, at the C4-C5 level with degenerative changes of the Joints of Luschka.
2. Small posterior peridiscal osteophytes at the C5-C6 level with degenerative changes of the left sided joint of Luschka at this level.
3. Small postero-central protruded discs at the C3-C4 and C6-C7 levels.
4. Slight facetal hypertrophy at the C4-C5 and C5-C6 levels bilaterally with ligamentum flavum hypertrophy at the C4-C5 level.