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Name of the Patient : Abc XyzBlmn / M / 52 yrs.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain with pain radiating to the LUE.

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 reversal of the normal cervical lordotic curve.

The cervical intervertebral discs show loss of water content and the C4-C5 and C5-C6 intervertebral discs appear reduced in height.

There is a postero-central disc herniation at the C3-C4 level with posterior peridiscal osteophytes with mild anterior indentation of the cord and bilateral neural foraminal narrowing. Slight inferior migration of the disc is seen posterior to the C4 vertebral body.

Posterior disc herniations are seen at the C4-C5, C5-C6 and C6-C7 levels with anterior indentation of the thecal sac and mild bilateral neural foraminal narrowing. Posterior peridiscal osteophytes are also noted at these levels.

A focal right paracentral discs herniation is noted at the C2-C3 level. The C2-C3 facet joint on the left side show degenerative changes.

The joints of Luschka at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels bilaterally show degenerative changes.
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The facet joints at the C3-C4, C4-C5 and C5-C6 levels show hypertrophic changes.

Anterior peridiscal osteophytes are seen in the cervical region.

The upper cervical vertebral bodies show fatty changes. 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. The right vertebral artery appears smaller than the left and may be a normal variant.

IMPRESSION :

1. A postero-central disc herniation at the C3-C4 level with posterior peridiscal osteophytes with slight inferior migration of the disc posterior to the C4 vertebral body.

2. Posterior disc herniations with posterior peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels.

3. Degenerative changes of the joints of Luschka at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels bilaterally.





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