sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzvati Bhalmn / F / 50 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the LUE with paresthesias.
H/O Pulmonary kochs in 0000. Received AKT.
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.
Small posterior peridiscal osteophytes are noted at the C3-C4 and C6-C7 levels with a small posterior disc herniation at the C6-C7 level.
A small, left paracentral disc herniation with peridiscal osteophytes is noted at the C5-C6 level with slight degenerative changes of the joints of Luschka on the left at that level.
Fatty marrow changes are noted in the upper cervical vertebrae.
The rest of the cervical vertebral bodies show normal signal intensity. The remaining joints of Luschka and 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.
Lymphnodes are identified deep to the sternomastoid muscles bilaterally.
IMPRESSION :
1. A small, left paracentral disc herniation with peridiscal osteophytes at the C5-C6 level with slight degenerative changes of the joints of Luschka on the left at that level.
2. Small posterior peridiscal osteophytes at the C3-C4 and C6-C7 levels with a small posterior disc herniation at the C6-C7 level.
Compared to the previous MRI dated 00.00.00, there is no significant change noted.