sb/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyza Malplmn / F / 50 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the LUE since 3 months.
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.
5 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is loss of water content of the cervical intervertebral discs.
There is a left postero-lateral (foraminal) disc herniation with peridiscal osteophyte at the C6-C7 level with left neural foraminal narrowing and indentation on the traversing left C7 nerve root (scans 105.16, 104.16, 102.3, 103.4).
Small postero-central protruded discs with peridiscal osteophytes is noted at the C4-C5 and C5-C6 levels.
The cervical vertebral bodies show spotty fatty marrow changes suggesting osteoporosis. 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.
Centimetre and subcentimetre lymph nodes are identified deep to the sternocleidomastoid muscles bilaterally.
The coronal images through the brachial plexus do not reveal any significant feature of note.
IMPRESSION :
A left postero-lateral (foraminal) disc herniation with peridiscal osteophyte at the C6-C7 level with indentation on the traversing left C7 nerve root.