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Name of the Patient : Abc Xyzma Dalmn / F / 37 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the RUE with tingling since 2 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 normal cervical lordosis and loss of water content of the C4-C5, C5-C6 and C6-C7 intervertebral discs.

There are posterior disc herniations with peridiscal osteophytes at the C4-C5 and C5-C6 levels, indenting the dural theca anteriorly. Degenerative changes of the joints of Luschka on the right at the C4-C5 level and bilaterally at the C5-C6 level is noted with resultant corresponding neural foraminal narrowing. The right C5 nerve root is probably inflamed.

A small postero-central protruded disc is noted at the C6-C7 level.

The cervical vertebral bodies and the rest of the remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
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The cervical spinal cord reveals normal signal intensity.

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

IMPRESSION :

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

2. Degenerative changes of the joints of Luschka on the right at the C4-C5 level and bilaterally at the C5-C6 level with probable inflammation of the right C5 nerve root.





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