sb/bv/rg/nl







Name of the Patient : Abc Xyzo Molmn / M / 54 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to BUE 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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is loss of normal cervical lordosis, reduction in height of the C4-C5, C5-C6 and C6-C7 intervertebral discs and loss of water content of the cervical intervertebral discs. Slight decrease in height of the C4, C5 and C6 vertebral bodies is also noted.

There are posteriorly herniated discs with peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels with bilateral neural foraminal narrowing and indentation on the cervical spinal cord, anteriorly maximum at the C5-C6 level. The cervical spinal cord at the C5 vertebral level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. There is also degenerative changes of the joints of Luschka at these levels bilaterally with resultant bilateral neural foraminal narrowing. Slight facetal hypertrophy is also noted at the C4-C5, C5-C6 and C6-C7 levels.





Small postero-central protruded disc is noted at the C3-C4 level with degenerative changes of the joints of Luschka on the left at this level.

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.

IMPRESSION :

1. Posteriorly herniated discs with peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels with bilateral neural foraminal narrowing and indentation on the cervical spinal cord anteriorly, maximum at the C5-C6 level. Altered signal of the cervical spinal cord at the C5 vertebral level suggests cord edema/ischemia.

2. Degenerative changes of the joints of Luschka and facetal hypertrophy at the C4-C5, C5-C6 and C6-C7 levels with resultant lateral recess stenosis.

3. Small postero-central protruded disc at the C3-C4 level with degenerative changes of the joints of Luschka on the left at this level.