sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Klmn / M / 57 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the LUE with paresthesias since 4 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 water content of the cervical intervertebral discs.
Posteriorly herniated discs with peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels. Degenerative changes of the joints of Luschka and the facet joints, bilaterally, is also noted at these levels, with bilateral neural foraminal narrowing.
Small posterior disc bulges with peridiscal osteophytes are noted at the C4-C5 and C3-C4 levels.
Minimal degenerative change is noted in the atlanto-axial region with marginal sclerosis at the odontoid tip.
The rest of the cervical vertebral bodies show normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
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The cervical spinal cord reveals normal signal intensity.
The cervico-medullary junction is unremarkable.
IMPRESSION :
1. Posteriorly herniated discs with peridiscal osteophytes at the C5-C6 and C6-C7 levels.
2. Degenerative change of the joints of Luschka and the facet joints, bilaterally at C5-C6 and C6-C7 levls.
3. Degenerative change in the atlanto-axial region.