ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzh Gorvlmn / M / 34 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain with paresthesias in BLE.
H/O neck manipulation prior to this (in a saloon).

EXAMINATION :

M.R.I of the cervical spine was performed using the following parameters :

4 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, C6-C7 and upper dorsal intervertebral discs.

There is a left postero-lateral disc herniation at the C5-C6 level with antero-lateral indentation of the cord and left neural foraminal narrowing. The joints of Luschka on the right side also show mild degenerative changes with mild right neural foraminal narrowing. There is also mild ligamentum flavum hypertrophy at the C5-C6 level.

Small posterior disc bulge is seen at the C4-C5 level and a small disc protrusion at the C3-C4 level. Posterior peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels.

The spinal cord at the C1-C2 level shows a hyperintense signal on the T2 Weighted images and is isointense to cord on the T1 Weighted images. This may represent cord edema/contusion in the given clinical setting.


The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The rest of 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. Cord signal alteration at the C1-C2 level may represent cord edema/contusion in the given clinical setting.

2. A left postero-lateral disc herniation at the C5-C6 level with mild degenerative changes of the joints of Luschka at this level with a small posterior disc bulge at the C4-C5 level with posterior peridiscal osteophytes at the C4-C5 and C5-C6 levels.