sb/ke/nl/nl

Name of the Patient : Abc XyzKalyalmn / M / 50 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain 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 loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.

There is a left postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level with indentation on the cervical spinal cord and narrowing the left neural foramen at that level.

Posterior disc protrusions with posterior peridiscal osteophytes are noted at the C3-C4, C4-C5 and C6-C7 levels.

Degenerative changes of the joints of Luschka are noted at the C3-C4 and C6-C7 levels bilaterally and at the C5-C6 level on the left, with resultant corresponding neural foraminal narrowing. Slight facetal hypertrophy is noted at the C3-C4 and C5-C6 levels.






There is slight loss of the normal ventral bulge of the cervical spinal cord at the C3-C4 and C4 levels. A hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images is seen in the cervical spinal cord, in the region of the anterior horn cells at these levels (scans 104.9, 10, 102.4).

The upper cervical vertebral bodies show spotty fatty marrow changes. The visualized pre and paravertebral soft tissues are unremarkable.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

Incidentally noted is a mega cisterna magna and a dilated fourth ventricle which may be further evaluated, if clinically indicated.

IMPRESSION :

1. A left postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level narrowing the left neural foramen at that level.

2. Posterior disc protrusions with posterior peridiscal osteophytes at the C3-C4, C4-C5 and C6-C7 levels.

3. Degenerative changes of the joints of Luschka at the C3-C4 and C6-C7 levels bilaterally and at the C5-C6 level on the left, with resultant corresponding neural foraminal narrowing. Slight facetal hypertrophy is noted at the C3-C4 and C5-C6 levels.

4. Slight loss of the normal ventral bulge of the cervical spinal cord at the C3-C4 and C4 levels with altered signal in the cervical spinal cord, in the region of the anterior horn cells at these levels may suggest anterior horn cell disease (the possibility of these changes being due to disc disease seems less likely). Kindly correlate clinically and with neurophysiological studies, if indicated.