sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzMurdeslmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the RUE since 1 1/2 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 a small, postero-central protruded disc at the C3-C4 level.

A postero-central disc herniation with peridiscal osteophytes is noted at the C4-C5 level, indenting the cervical spinal cord anteriorly.

A fairly large, postero-central and right paracentral disc herniation with peridiscal osteophytes is noted at the C5-C6 level with cord compression. The cervical spinal cord at this level to the right of the midline shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which suggests cord edema/ischemia.

A postero-central and left paracentral dsic herniation with peridiscal osteophyte is noted at the C6-C7 level, indenting the cervical spinal cord anteriorly.
- 2 - scan-00003


Anterior peridiscal osteophytes are seen in the cervical region.

The facet joints at the C4-C5 and C5-C6 levels appear hypertrophied.

The cervical vertebral bodies show spotty fatty 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. A fairly large, postero-central and right paracentral disc herniation with peridiscal osteophytes at the C5-C6 level with cord signal alteration at this level, suggesting cord edema/ischemia.

2. A postero-central disc herniation with peridiscal osteophytes at the C4-C5 level.

3. A postero-central and left paracentral disc herniation with peridiscal osteophyte at the C6-C7 level.

4. A small, postero-central protruded disc at the C3-C4 level.