ke/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzwar P. Trilmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to BUE (left more than right) with tingling and weakness of BUE and BLE.

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 a large posterior disc herniation with peridiscal osteophytes at the C3-C4 level with compression of the spinal cord. Ligamentum flavum hypertrophy is noted at this level with resultant canal stenosis. The spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which is isointense to normal cord on the T1 Weighted images suggestive of cord edema/ischemia.

Small posterior disc bulge with peridiscal osteophyte is seen at the C5-C6 level. The joints of Luschka at this level also shows degenerative changes with bilateral neural foraminal narrowing. Mild ligamentum flavum hypertrophy is noted.

A small posterior disc herniation is noted at the C6-C7 level. The cervical intervertebral discs show loss of water content.
Scan-00008


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

The facet joints at the C4-C5 and C5-C6 levels show hypertrophic degenerative changes.

The C1 is occipitalized.

The cervico-medullary junction is unremarkable.

IMPRESSION :

1. A large posterior disc herniation with peridiscal osteophytes at the C3-C4 level with ligamentum flavum hypertrophy and resultant canal stenosis. Altered cord signal at this level suggests cord edema/ischemia.

2. Small posterior disc bulge with peridiscal osteophyte at the C5-C6 level with degenerative changes of the joints of Luschka and bilateral neural foraminal narrowing.

3. A small posterior disc herniation at the C6-C7 level.

4. Hypertrophic degenerative changes of the facet joints at the C4-C5 and C5-C6 levels.

5. Occipitalized C1.