Name of the Patient : Abc Xyzant lmn / M / 47 yrs.
Referred by : Dr. Abc Xyzmpat.
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 loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.

There is a postero-central disc herniation with a large peridiscal osteophytes at the C3-C4 level with anterior indentation of the thecal sac. The joints of Luschka at this level show degenerative changes with bilateral neural foraminal narrowing.

Small postero-central disc protrusions are seen at the C2-C3 and C4-C5 levels. Mild posterior disc bulges are noted at the C5-C6 and C6-C7 levels. The joints of Luschka at the C4-C5 and C6-C7 levels on the right side show degenerative changes.

Anterior disc herniations with anterior peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.

Mild ligamentum flavum hypertrophy is seen at the C6-C7 level.
Scan-00001

Fatty marrow changes are seen in the cervical vertebral bodies.

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.

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc herniation with a large peridiscal osteophytes at the C3-C4 level.

2. Small postero-central disc protrusions at the C2-C3 and C4-C5 levels.

As compared with previous scan dated 00.00.00. there is a marginal increase in the size of the peridiscal osteophytes at the C3-C4 level. No other significant change is noted.