sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyz Ganglmn / F / 52 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O radicular pain to the LUE since October 0000.

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 reduction in height of the C4-C5 and C5-C6 discs with loss of water content of the upper cervical intervertebral discs.

Small, postero-central protruded disc is noted at the C3-C4 level

Posteriorly bulging discs with posterior peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels indenting the dural theca anteriorly.

The upper cervical vertebral bodies show spotty fatty marrow changes. The C5 vertebral body shows a subcentimeter, hypointense lesion on the T1 Weighted images which appears hyperintense on the T2 Weighted images. Focal fatty change is also noted in the D4 vertebral body.

The 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.
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IMPRESSION :

1. Small postero-central portruded disc at the C3-C4 level.

2. Posteriorly bulging discs with posterior peridiscal osteophytes at the C4-C5 and C5-C6 levels.

3. Focal, subcentimeter lesion in the C5 vertebral body follows the signal characteristics of a bone cyst.