sb/ke/nl/nl
Name of the Patient : Abc XyzP. lmn / M / 42 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with pain radiating to the RUE with paresthesias.
EXAMINATION :
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.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.
There is continuous ossification of the posterior longitudinal ligament at the C6 and C7 vertebral levels.
There is a postero-central and right paracentral disc herniation with peridiscal osteophytes at the C5-C6 level with right neural foraminal narrowing and indentation of the traversing right C6 nerve root.
A left paracentral disc herniation with peridiscal osteophytes is noted at the C6-C7 level, indenting the dural theca anteriorly.
A right postero-lateral disc herniation with peridiscal osteophytes is noted at the C4-C5 level with right neural foraminal narrowing.
Small posterior disc bulges are noted at the C2-C3 and C3-C4 levels.
Facetal hypertrophy are seen at the C3-C4, C4-C5, C5-C6 and C6-C7 levels. Degenerative changes of the joint of Luschka is noted at the C5-C6 level on the right.
The cervical vertebral bodies show normal signal intensity. 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.
IMPRESSION :
1. Continuous ossification of the posterior longitudinal ligament at the C6 and C7 vertebral levels.
2. A postero-central and right paracentral disc herniation with peridiscal osteophytes at the C5-C6 level with indentation of the traversing right C6 nerve root.
3. A left paracentral disc herniation with peridiscal osteophytes at the C6-C7 level.
4. A right postero-lateral disc herniation with peridiscal osteophytes at the C4-C5 level.
5. Small posterior disc bulges at the C2-C3 and C3-C4 levels.
6. Facetal hypertrophy at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.
7. Degenerative changes of the joint of Luschka at the C5-C6 level on the right.