ke.bv.rg.





Name of the Patient : Abc XyzIslmn / F / 30 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck 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 straightening of the cervical spine with loss of water content of the cervical intervertebral discs.

A small left postero-lateral disc herniation with peridiscal osteophytes is seen at the C5-C6 level with left antero-lateral indentation of the thecal sac and mild left neural foraminal narrowing. There is degeneration of the joints of Luschka bilaterally at this level with indentation upon the left C6 nerve root.

A small postero-central disc herniation with peridiscal osteophytes is seen at the C6-C7 level with anterior indentation of the thecal sac.

A small postero-central disc herniation is also noted at the D2-D3 level.
Scan-00000

There are small posterior disc bulges at the C3-C4, C4-C5 and C7-D1 levels with mild anterior indentation of the thecal sac.

Mild degenerative changes of the joints of Luschka on the right side are noted at the C3-C4 and C4-C5 levels. The C4-C5 and C5-C6 facet joints show slight degeneration.

The cervical vertebral bodies show normal signal intensity. The remaining joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The cervical spinal cord over the C5 level downwards upto the D2 level appears smaller in calibre.

The cervical spinal cord reveals normal signal intensity.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

The MRI features are suggestive of :

1. A small left postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level.

2. A small postero-central disc herniation with peridiscal osteophytes at the C6-C7 level.

3. Small postero-central disc herniations at the D2-D3 level.

4. Smaller calibre of the spinal cord over the C5 to the D2 levels.