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sb/ke/rg/nl

Name of the Patient : Abc Xyzlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzni / Dr. Abc Xyzhijwala.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain with pain radiating to the RUE with paresthesias in BUE and weak grip since June 0000.

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 slight loss of water content of the mid-cervical intervertebral discs.

A small, right paracentral protruded disc is noted at the C5-C6 level.

Minimal posterior disc bulges are seen at the C3-C4 and C4-C5 levels.

Slight facetal hypertrophy is noted at the C4-C5 level on the left.

The cervical vertebral bodies and the remaining intervertebral discs 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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IMPRESSION :

1. A small, right paracentral protruded disc at the C5-C6 level.

2. Minimal posterior disc bulges at the C3-C4 and C4-C5 levels.

3. Slight facetal hypertrophy at the C4-C5 level on the left.




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