hs/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzd Sanlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O cervical spondylosis 6 months back.
Also C/O backache radiating to the RLE.

EXAMINATION :

M.R.I of the cervical spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

A small postero-central disc herniation with a peridiscal osteophyte is seen to indent the thecal sac at the C3-C4 level.

Postero-central disc protrusions are noted at the C4-C5 and C5-C6 levels. A posterior disc bulge is seen at the C6-C7 level.

Irregularly defined areas of hypointensity on all the pulse sequences are seen in the region of the odontoid process and may represent degenerative changes/pannus (? rheumatoid arthritis).

The cervical intervertebral discs show loss of water content.
Scan-00006


The left C2-C3 facet joint shows degenerative changes.

The left lobe of the thyroid gland is seen to be enlarged.

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

The cervical spinal cord shows normal signal intensity.

The cervico-medullary junction is unremarkable.

IMPRESSION :

The MRI features are suggestive of :

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

2. Postero-central disc protrusions at the C4-C5 and C5-C6 levels.

3. Degenerative changes/pannus (? rheumatoid arthritis) in the region of the odontoid process.

4. An enlarged left lobe of the thyroid gland which requires further evaluation.