sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with involuntary shifting of the neck towards the right and numbness in the LUE since 6 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 water content of the cervical intervertebral discs.
There is a posteriorly herniated disc with peridiscal osteophytes at the C3-C4 level, indenting the dural theca anteriorly. Degenerative changes of the joints of Luschka are noted at this level, bilaterally, with resultant neural foraminal narrowing.
Small, postero-central disc herniations with peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels.
Small posterior disc bulges are noted at the C2-C3 and C6-C7 levels.
Focal fatty marrow changes are noted in the cervical vertebrae.
The remaining 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 :
1. A posteriorly herniated disc with peridiscal osteophytes at the C3-C4 level and degenerative changes of the joints of Luschka, bilaterally at this level.
2. Small, postero-central disc herniations with peridiscal osteophytes at the C4-C5 and C5-C6 levels.