hs/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Melmn / M / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O paresthesias in BUE and BLE since 3 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 normal cervical lordosis.

The cervical intervertebral discs show loss of water content.

A large posterior disc herniation with peridiscal osteophytes is seen to compress the cord at the C5-C6 level. The cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images and would represent cord edema/ischemia.

Postero-central disc herniations are seen to indent the cord at the C3-C4 and C4-C5 levels.

There is continuous ossification of the posterior longitudinal ligament over the C2 to the C4 vertebral level.



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The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The cervico-medullary junction is unremarkable.

IMPRESSION :

The MRI features are suggestive of :

1. A large posterior disc herniation with peridiscal osteophytes at the C5-C6 level with cord compression and canal stenosis.

2. Altered signal of the cord at the C5-C6 level
would represent cord edema/ischemia.

3. Postero-central disc herniations at the C3-C4 and C4-C5 levels with anterior indentation of the spinal cord.