sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzayan Palmn / M / 72 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

Alleged H/O trauma with loss of consciousness for 2 days, 4-5 months back with quadriplegia and bladder/bowel involvement.

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 reversal of the normal cervical lordotic curve.

There is reduction in height of the C4-C5, C5-C6 and C6-C7 intervertebral discs with loss of water content of the cervical intervertebral discs.

Posterior bulging discs with posterior peridiscal osteophytes are noted at the C3-C4, C4-C5 , C5-C6 and C6-C7 levels with indentation on the cervical spinal cord at the C4-C5 and C5-C6 levels. . There is also ligamentum flavum hypertrophy at the C6 level.

The cervical spinal cord at the C4-C5 and C5 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia.

Degenerative changes of the joints of Luschka is noted at the C4-C5 and C5-C6 levels bilaterally at the C6-C7 level on the right with corresponding neural foraminal narrowing.

Slight facetal hypertrophy is noted at the C4-C5 and C5-C6 levels on the left side.

The cervical vertebral bodies show spotty fatty marrow changes. The visualized pre and paravertebral soft tissues are unremarkable.

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

1. Posteriorly bulging discs with posterior peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and C6-C7 levels with ligamentum flavum hypertrophy at the C6 level.

2. Altered signal of the cervical spinal cord at the C4-C5 and C5 levels suggests cord edema/ischemia.

3. Degenerative changes of the joints of Luschka at the C4-C5 and C5-C6 levels bilaterally at the C6-C7 level on the right with corresponding neural foraminal narrowing.

4. Slight facetal hypertrophy at the C4-C5 and C5-C6 levels on the left side.