Date : 00.00.00

Name of the Patient : Abc Xyzddin Halmn / M / 65 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to BUE (right more than left) with paresthesias since 3 months.

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.

There is continuous ossification of the posterior longitudinal ligament extending over C3 to C7 vertebral levels.

A fairly large, posteriorly herniated disc with posterior peridiscal osteophytes is noted at the C3-C4 level with cord compression and bilateral neural foraminal narrowing. The cervical spinal cord at this level shows a hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia.

Left paracentral disc herniations with peridiscal osteophyes are noted at the C4-C4 and C5-C6 levels indenting the cervical spinal cord at these levels. Resultant left neural foraminal narrowing is also noted.

Postero-central disc herniations with peridiscal osteophytes are noted at the C6-C7 and C7-D1 levels, indenting the cervical spinal cord, anteriorly.
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A small postero-central protruded disc is noted at the C2-C3 level.

Anterior disc herniations with anterior peridiscal osteophyes are noted in the cervical region.

Facetal hypertrophy is noted at the C3-C4, C4-C5 and C5-C6 levels. Slight ligamentum flavum hypertrophy is also noted at the C2-C3, C3-C4, C6-C7 and C7-D1 levels.

The cervical vertebral bodies show spotty fatty marrow changes. 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. Continuous ossification of the posterior longitudinal ligament extending over C3 to C7 vertebral levels.

2. A fairly large, posteriorly herniated disc with posterior peridiscal osteophytes at the C3-C4 level with cord compression and cord edema/ischemia at this level.

3. Left paracentral disc herniations with peridiscal osteophyes at the C4-C4 and C5-C6 levels with left neural foraminal narrowing.

4. Postero-central disc herniations with peridiscal osteophytes at the C6-C7 and C7-D1 levels.

5. Cervical canal stenosis at the C3-C4, C4-C5, C5-C6, C6-C7 and C7-D1 levels.