sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzr Genlmn / M / 34 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

H/O RTA on 00.00.00 with weakness of BLE and bladder/bowel involvement.

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 slight loss of water content of the cervical intervertebral discs.

There is a fairly large, right paracentral extruded disc at the C4-C5 level with right neural foraminal narrowing with indentation on the traversing right C5 nerve root. A sequestered disc fragment is noted in the antero-lateral epidural space on the right along the posterior margin of the C4 vertebral body. This disc fragment extends nearly upto the C3-C4 disc level. Slight inferior migration of the disc fragment is also noted.

A small posterior disc herniation is noted at the C5-C6 level, indenting the dural theca anteriorly.

Postero-central protruded discs are noted at the C3-C4 and C6-C7 levels.
Scan-00008


The visualized cervical vertebral bodies appear hypointense when compared to normal fatty marrow on the T1 Weighted images but appears isointense to normal marrow on the T2 Weighted images.

Degenerative changes of the joints of Luschka are noted at the C3-C4 level on the left, bilaterally at the C4-C5 and C5-C6 levels and on the right side at the C6-C7 level.

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.

IMPRESSION :

1. A fairly large, right paracentral extruded disc at the C4-C5 level with indentation on the traversing right C5 nerve root. A sequestered disc fragment is seen in the antero-lateral epidural space on the right along the posterior margin of the C4 vertebral body.

2. A small posterior disc herniation at the C5-C6 level.

3. Postero-central protruded discs at the C3-C4 and C6-C7 levels.

4. Degenerative changes of the joints of Luschka at the C3-C4 level on the left, bilaterally at the C4-C5 and C5-C6 levels and on the right side at the C6-C7 level.

5. Altered marrow of cervical vertebrae may be seen with preponderance of hematopoeitic marrow.