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.