Name of the Patient : Abc Xyzar Durlmn / M / 38 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with radiation to the LUE.
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 a postero-central and a left postero-lateral disc herniation with peridiscal osteophytes indenting the cord and the left C6 nerve root at the C5-C6 level.
There are small right paracentral disc herniations with peridiscal osteophytes indenting the thecal sac at the C4-C5 and C6-C7 levels.
A posterior disc bulge is noted at the C3-C4 level.
The cervical intervertebral discs show loss of water content.
The C4-C5, C5-C6 and C6-C7 facet joints show degenerative changes.
The joints of the Luschka show degenerative changes bilaterally at the C4-C5 level and on the right at the C5-C6 and C6-C7 levels.
The cervical vertebral bodies show areas of fatty replacement of normal marrow.
The rest of the joints of Luschka and 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.
The MRI features are suggestive of :
1. A postero-central and a left postero-lateral disc herniation with peridiscal osteophytes indenting the left C6 nerve root at the C5-C6 level.
2. Small right paracentral disc herniations with peridiscal osteophytes at the C4-C5 and C6-C7 levels.
3. Facetal arthropathy at the C4-C5, C5-C6 and C6-C7 levels.