sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzee Thlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with paresthesias in BUE since 2 months.
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 normal cervical lordosis and loss of water content of the cervical intervertebral discs.
Small, postero-central protruded discs are noted at the C2-C3, C3-C4 and C4-C5 levels.
A small posterior disc herniation with peridiscal osteophytes is noted at the C5-C6 level.
Slight hypertrophy of the left facet joint at the C4-C5 and C5-C6 levels is noted.
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.
4 mm thick T1 Weighted sagittal images of the atlanto-axial region in flexion and extension do not reveal any significant feature of note.
Incidentally noted are inflammatory changes in the sphenoid sinus.
IMPRESSION :
1. Small, postero-central protruded discs at the C2-C3, C3-C4 and C4-C5 levels.
2. A small posterior disc herniation with peridiscal osteophytes at the C5-C6 level.
3. No significant abnormality is detected in the atlanto-axial region on the flexion and extension images.