Name of the Patient : Abc XyzSaleh Hulmn / M / 63 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with gait imbalance and wasting of BUE since 1 year.
H/O C2-C6 laminectomy in July 0000.
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.
There is loss of water content of the cervical intervertebral discs. The C6-C7 intervertebral disc appears reduced in height.
There appears to be laminectomy in the cervical region over the C4 to the C6 vertebral levels.
There are posterior disc herniations with peridiscal osteophytes at the C4-C5 and C5-C6 levels with anterior indentation upon the cervical spinal cord. The cervical spinal cord appears triangular in shape and appears to be of smaller calibre over these levels. The cervical spinal cord shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images over the C5 and C6 levels which appears isointense on the T1 Weighted images and would represent cord edema/ischemia/gliosis.
There are posterior disc bulges at the C2-C3, C3-C4 and C6-C7 levels.
- 2 - Scan-00008
There is hypertrophy of the facet joints at the C4-C5 and C5-C6 levels bilaterally.
The joints of Luschka at the C4-C5 and C6-C7 levels show degenerative changes.
Metallic susceptibility artifacts are seen over the C4 to C7 levels, the result of previous surgery.
Anterior peridiscal osteophytes are seen in the lower cervical region.
The cervical vertebral bodies show spotty fatty marrow changes.
The rest of the joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
The lumbar spine was screened with 5 mm thick T1 Weighted sagital images and shows posterior disc herniations at L4-L5 and L5-S1 levels.
The MRI features are suggestive of :
1. Post-operative status.
2. Posterior disc herniations with peridiscal osteophytes at the C4-C5 and C5-C6 levels.
3. Smaller calibre of the cervical spinal cord with altered signal over C4 to C6 vertebral levels would represent cord edema/ischemia/gliosis.