sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzsad Bharlmn / M / 59 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to BUE with paresthesias since 3 years.

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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.

There are postero-central protruded discs with peridiscal osteophytes at the C3-C4 and C5-C6 levels, indenting the dural theca anteriorly.

A right paracentral protruded disc with peridiscal osteophytes is noted at the C4-C5 level indenting the dural theca anteriorly.

A left postero-lateral disc herniation with peridiscal osteophytes is noted at the C6-C7 level with slight left neural foraminal narrowing.

Posterior peridiscal osteophytes are noted at the C7-D1 level.


Degenerative changes of the joints of Luschka are noted on the right at the C3-C4, C4-C5 and C5-C6 levels with resultant right neural foraminal narrowing. Facetal hypertrophy is also noted at these levels bilaterally.

The visualized cervical vertebral bodies show spotty fatty marrow changes. 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.

Screening, T1 Weighted sagittal images of the lumbar spine reveal posteriorly bulging discs at the L3-L4, L4-L5 and L5-S1 levels with slight bilateral neural foraminal narrowing.

IMPRESSION :

1. Postero-central protruded discs with peridiscal osteophytes at the C3-C4 and C5-C6 levels.

2. A right paracentral protruded disc with peridiscal osteophytes at the C4-C5 level.

3. A left postero-lateral disc herniation with peridiscal osteophytes at the C6-C7 level.

4. Posterior peridiscal osteophytes at the C7-D1 level.

5. Degenerative changes of the joints of Luschka on the right at the C3-C4, C4-C5 and C5-C6 levels with resultant right neural foraminal narrowing.

6. Facetal hypertrophy at the C3-C4, C4-C5 and C5-C6 levels bilaterally.