hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzed Balmn / M / 46 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O pain in BUE since 6 months with paresthesias.

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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is evidence of a postero-central disc herniation with peridiscal osteophytes indenting the cord at the C6-C7 level. The cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images and may represent cord contusion/edema.

A right postero-lateral disc herniation with peridiscal osteophyte is seen to indent the right antero-lateral aspect of the cord and narrow the right neural foramen at the C5-C6 level.

There is a postero-central disc protrusion with small peridiscal osteophytes at the C4-C5 level. A posterior disc bulge with small peridiscal osteophytes is noted at the C3-C4 level.

The C5-C6 facet joints bilaterally show degenerative changes.

The joints of Luschka show degenerative changes bilaterally over the C3-C4 to the C6-C7 levels and on the left side at the C2-C3 level.

The tip of the odontoid process is ill-defined and shows a few hypointense areas on all the pulse sequences and may represent sclerotic changes (? degeneration).

The cervical intervertebral discs show loss of water content.

The upper cervical vertebral bodies show areas of fatty replacement of normal marrow. Anterior disc herniations with peridiscal osteophytes are seen at the C4-C5 and C5-C6 levels. The visualized pre and paravertebral soft tissues are unremarkable.

The cervico-medullary junction is unremarkable.

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc herniation with peridiscal osteophytes with a resultant tight canal at the C6-C7 level.

2. Altered cord signal at the C6-C7 level may represent cord contusion/edema.

3. A right postero-lateral disc herniation with peridiscal osteophyte at the C5-C6 level.

4. A postero-central disc protrusion with small peridiscal osteophytes at the C4-C5 level.

5. Facetal arthropathy at the C5-C6 level bilaterally.