ke/hs/nl/nl

Name of the Patient : Abc Xyz R. Plmn / F / 50 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the RUE with paresthesias and giddiness since 10-15 days.

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 a left paracentral disc herniation with peridiscal osteophytes at the C5-C6 level with anterior indentation of the cord and mild left neural foraminal narrowing.

A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the C6-C7 level. There are posteriorly bulging discs at the C3-C4 and C4-C5 levels.

The C3-C4, C4-C5 and C5-C6 facet joints show degenerative changes.

The cervical vertebral bodies are slightly more hypointense than normal on the T1 Weighted images and this may reflect a preponderance of hematopoeitic marrow (? anemia).

The cervical intervertebral discs show loss of water content.



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.

IMPRESSION :

1. A left paracentral disc herniation with peridiscal osteophytes at the C5-C6 level.

2. A postero-central disc herniation with peridiscal osteophytes at the C6-C7 level.

3. Facetal arthropathy at the C3-C4, C4-C5 and C5-C6 levels.