sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Palmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O weakness of the RUE since 3 years.
C/O weakness of the LUE since 1 year.

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 :

There is loss of normal cervical lordosis and loss of water content of the C3-C4 and C5-C6 intervertebral discs.

There is a right paracentral disc herniation at the C5-C6 level.

The cervical spinal cord at the C5 and C6 vertebral levels appears atrophied. There is an ill-defined hypointense signal on the T1 Weighted images in the cervical spinal cord at the C5-C6 level. This lesion appears hyperintense on the T2 Weighted and Fast Scan (T2 *) images.

Small postero-central protruded disc with peridiscal osteophytes is noted at the C3-C4 level and a small left paracentral protruded disc is noted at the C4-C5 level.

A hyperintense signal seen in the posterior column of the spinal cord at the C3-C4 level on the T2 Weighted sagittal images is not seen on the axial scans and is most likely artifactual.
..2/.







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

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

IMPRESSION :

1. Atrophy of the cervical spinal cord at the C5 and C6 vertebral levels with cord signal alteration at the C5-C6 level may suggest myelomalacia.

2. A right paracentral disc herniation at the C5-C6 level.

3. Small postero-central protruded disc with peridiscal osteophytes at the C3-C4 level and a small left paracentral protruded disc at the C4-C5 level.