hs/sb/nl/rg.

Name of the Patient : Abc XyzMolmn / M / 50 yrs.
Referred by : Dr. Abc Xyz.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

C/O pain in the left inferior scapular region with dysphagia.

EXAMINATION :

M.R.I of the cervico-dorsal spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is loss of normal cervical lordosis. The visualized cervico-dorsal intervertebral discs show loss of water content.

A postero-central disc herniation with peridiscal osteophytes is seen to indent the cord at the C5-C6 level.

Small postero-central disc herniations with peridiscal osteophytes are seen to indent the thecal sac at the C4-C5 and C6-C7 levels.

There are posterior disc bulges at the C2-C3 and C3-C4 levels.

The C5-C6 facet joints show hypertrophic degenerative changes. The C4-C5 and C6-C7 facet joints show mild degenerative changes.



Few of the cervical vertebral bodies show areas of fatty replacement of normal marrow.

The visualized cervico-dorsal spinal cord and remaining visualized cervico-dorsal vertebral bodies show normal signal intensity.

The visualized pre and paravertebral soft tissues are unremarkable.

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc herniation with peridiscal osteophytes and hypertrophic facetal arthropathy at the C5-C6 level.

2. Small postero-central disc herniations with peridiscal osteophytes and mild facetal arthropathy at the C4-C5 and C6-C7 levels.