ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzA. Plmn / F / 45 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to all four extremities with weakness and paresthesias since 10 days.
C/O giddiness with fall 10 days back.

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 retroplacement of the C4 over the C5 vertebral body.

A large posterior disc herniation with peridiscal osteophytes is seen at the C4-C5 level with anterior compression of the spinal cord. The spinal cord over the C3 to C5 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. These are iso to hypointense to cord on the T1 Weighted images and would represent cord edema/ischemia/contusion. The facet joints at this level show hypertrophic changes.

A small postero-central disc protrusion with peridiscal osteophytes is noted at the C5-C6 level. The upper cervical intervertebral discs show loss of water content.
Scan-00006


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

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

1. Retroplacement of the C4 over the C5 vertebral body.

2. A large posterior disc herniation with peridiscal osteophytes at the C4-C5 level with anterior cord compression and cord signal alteration over the C3 to C5 levels representing cord edema/ischemia/contusion.

3. A small postero-central disc protrusion with small peridiscal osteophytes at the C5-C6 level.