Name of the Patient : Abc Xyz Trevlmn / M / 42 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain, chest pain and pain at the back of the head with pain radiating to the LUE with paresthesias.
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.
There is a small posterior disc herniation with peridiscal osteophytes, more to the left of the midline at the C5-C6 level.
A small postero-central disc herniation is noted at the C6-C7 level.
Small posterior disc bulges are noted at the C3-C4 and C4-C5 levels.
Mild degenerative changes of the joints of Luschka are noted at the C4-C5, C5-C6 and C6-C7 levels bilaterally and at the C7-D1 level on the left with corresponding neural foraminal narrowing. Facetal hypertrophy is noted in the cervical region.
The upper cervical vertebral bodies show spotty fatty marrow changes. The remaining cervical vertebral bodies show preponderance of hematopoeitic marrow (more hypointense on the T1 Weighted images).
The visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Screening, T2 Weighted sagittal images of the dorsal spine do not reveal any significant feature of note.
1. A small posterior disc herniation with peridiscal osteophytes, more to the left of the midline at the C5-C6 level.
2. A small postero-central protruded disc at the C6-C7 level.
3. Degenerative changes of the joints of Luschka at the C4-C5, C5-C6 and C6-C7 levels bilaterally and at the C7-D1 level on the left with corresponding neural foraminal narrowing with facetal hypertrophy in the cervical region.