sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyznt Nlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain and pain in the left scapular region with paresthesias and wasting of the LUE.

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 continuous ossification of the posterior longitudinal ligament extending over the C2 to C6 vertebral levels.

There is loss of water content of the cervical intervertebral discs.

Postero-central disc herniations with peridiscal osteophytes are noted at the C3-C4, C4-C5 and C5-C6 levels, indenting the cervical spinal cord anteriorly.

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

Degenerative changes of the joints of Luschka are noted at the C5-C6 and C6-C7 levels bilaterally. Facetal hypertrophy is noted at the C4-C5 and C5-C6 levels bilaterally.

The cervical vertebral bodies show spotty fatty marrow changes.
..2/.







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. Continuous ossification of the posterior longitudinal ligament extending over the C2 to C6 vertebral levels.

2. Postero-central disc herniations with peridiscal osteophytes at the C3-C4, C4-C5 and C5-C6 levels.

3. A left paracentral disc herniation with peridiscal osteophytes at the C6-C7 level with left neural foraminal narrowing.

4. Degenerative changes of the joints of Luschka at the C5-C6 and C6-C7 levels bilaterally.

5. Facetal hypertrophy at the C4-C5 and C5-C6 levels bilaterally.