sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzli Wlmn / F / 51 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the LUE since 15 days.
H/O similar complaints in 0000 from which patient recovered.

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 C4-C5, C5-C6 and C6-C7 intervertebral discs.

A small posterior peridiscal osteophyte is noted at the C3-C4 level.

Posterior and left postero-lateral disc herniations with fairly large posterior peridiscal osteophytes are noted at the C4-C5, C5-C6 and C6-C7 levels, indenting the dural theca anteriorly. Slight neural foraminal narrowing is noted at these levels, bilaterally. There is also ligamentum flavum hypertrophy at the C5 and C6 vertebral levels. The joints of Luschka on the right at the C4-C5 level and bilaterally at the C5-C6 level show mild degenerative changes.

Slight facetal hypertrophy is noted at the C3-C4, C4-C5 and C5-C6 levels.

The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.

The cervical spinal cord reveals normal signal intensity.
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The atlanto-axial region and the cervico-medullary junction are unremarkable.

Incidentally noted is an approximately 1.0 cm diameter sized hyperintense lesion on all the pulse sequences in the left globe of the thyroid gland which is a ? complicated thyroid cyst.

IMPRESSION :

1. Posterior and left postero-lateral disc herniations with fairly large posterior peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels.

2. Ligamentum flavum hypertrophy at the C5 and C6 vertebral levels.

3. Degenerative changes of the joints of Luschka on the right at the C4-C5 level and bilaterally at the C5-C6 level.

As compared to the previous MRI dated 00.00.00, there is no significant change noted.