ke/sb/rg.
Date : 00.00.00
Name of the Patient : Abc XyzN. Halmn / F / 40 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Cranio-Vertebral Junction.
CLINICAL PROFILE :
C/O weakness of the LLE since 3-4 months with tingling in BUE, swaying while walking and slurred speech since 15 days.
EXAMINATION :
M.R.I of the cranio-vertebral junction 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.
4 mm thick T1 Weighted coronal images.
OBSERVATION :
There is a right paracentral disc herniation with large peridiscal osteophytes at the C6-C7 level with antero-lateral indentation of the cord.
Small postero-central disc herniations are seen at the C3-C4, C4-C5 and C5-C6 levels. A posterior disc bulge is seen at the C2-C3 level. The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show normal signal intensity. 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.
..2/.
IMPRESSION :
1. A right paracentral disc herniation with large peridiscal osteophytes at the C6-C7 level.
2. Small postero-central disc herniations at the C3-C4, C4-C5 and C5-C6 levels.