Name of the Patient : Abc XyzMublmn / M / 55 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with pain radiating to BUE.
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 :
The cervical intervertebral discs show loss of water content.
There is a posterior and right postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level with anterior indentation of the thecal sac and right neural foraminal narrowing. Mild indentation on the right C6 nerve root is noted.
Small posterior disc herniations with peridiscal osteophytes
are noted at the C4-C5 and C6-C7 levels with anterior indentation of the thecal sac.
A postero-central disc herniation with peridiscal osteophytes is noted at the C3-C4 level.
The facet joints over the C3-C4 to C5-C6 levels are hypertrophied. Mild ligamentum flavum hypertrophy is noted over the C3-C4 to C6-C7 levels. Degenerative changes of the joints of Luschka are noted at the C3-C4 and C5-C6 levels.
There is suggestion of thickening of the posterior longitudinal ligament over the C4 to the C6 levels.
The cervical vertebral bodies show inhomogeneous marrow with predominant hypointense signal on all the pulse sequences which may represent sclerosis.
The visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord shows normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Incidental note is made of a small lacunar infarcts in the pons.
IMPRESSION :
The MRI features are suggestive of :
1. A posterior and right postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level with mild indentation on the right C6 nerve root.
2. Small posterior disc herniations with peridiscal osteophytes at the C4-C5 and C6-C7 levels.
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3. A postero-central disc herniation with peridiscal osteophytes at the C3-C4 level.
4. Hypertrophied facet joints over the C3-C4 to C5-C6 levels with mild ligamentum flavum hypertrophy over the C3-C4 to C6-C7 levels and degenerative changes of the joints of Luschka at the C3-C4 and C5-C6 levels.
5. Inhomogeneous marrow signal in the cervical vertebrae.
An infiltrative marrow disorder/metastasis should be excluded.