hs/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzKhlmn / M / 23 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O occasional neck pain radiating to BUE with numbness since 3 years.
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 :
Mild posterior disc bulges are noted at the C2-C3, C3-C4 and C6-C7 levels. Small postero-central disc protrusions are noted at the C4-C5 and C5-C6 levels.
The facet joints at the C4-C5 level shows mild degenerative changes.
The cervical vertebral bodies and intervertebral discs show normal signal intensity. 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.
IMPRESSION :
The MRI features are suggestive of :
1. Mild posterior disc bulges at the C2-C3, C3-C4 and C6-C7 levels.
2. Small postero-central disc protrusions at the C4-C5 and C5-C6 levels.
3. Mild facetal arthropathy at the C4-C5 level.