Date : 00.00.00

Name of the Patient : Abc Xyzhand Dlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzampat / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O wasting of the RLE with loss of sensation over the left sole and foot.
Now C/O paresthesias in the left hand.
EMG shows no evidence of a peripheral nerve or root lesion in the left upper and both lower limbs.

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 cervical intervertebral discs.

There is a posteriorly herniated disc with peridiscal osteophyte at the C5-C6 level indenting the dural theca anteriorly.

Small posterior disc bulges with posterior peridiscal osteophytes are noted at the C2-C3, C3-C4 and C4-C5 levels.

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.

IMPRESSION :

1. A posteriorly herniated disc with peridiscal osteophyte at the C5-C6 level.

2. Small posterior disc bulges with posterior peridiscal osteophytes at the C2-C3, C3-C4 and C4-C5 levels.