sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzalmn / M / 43 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O paresthesias in both hands since 15 days.

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 cervical intervertebral discs.

A small, postero-central protruded disc is noted at the C3-C4 level.

A fairly large, posteriorly herniated disc with peridiscal osteophytes is noted at the C4-C5 level with cord compression and bilateral neural foraminal narrowing. Slight superior and inferior migration of the disc fragment is noted. The cervical spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia.

Small, postero-central disc herniation is noted at the C5-C6 level, indenting the dural theca anteriorly.







A small right paracentral disc herniation is noted at the C6-C7 level.

The cervical vertebral bodies 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 :

A fairly large, posteriorly herniated disc with peridiscal osteophytes at the C4-C5 level with cord compression and cord signal alteration at this level suggesting cord edema/ischemia.