hs/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzPalmn / M / 62 yrs.
Referred by : Dr. Abc Xyzrade.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the LUE with numbness since 1 month.
H/O left shoulder dislocation in 0000.

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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is slight forward translation of the C7 over the D1 vertebra.

There is loss of normal cervical lordosis. The cervical intervertebral discs show loss of water content and the C5-C6 and C6-C7 intervertebral discs are decreased in height.

Posterior disc herniations with posterior peridiscal osteophytes are seen to indent the thecal sac at the C5-C6 and C6-C7 levels.

A postero-central disc herniation is noted at the C4-C5 level. Posterior disc bulges with peridiscal osteophytes are noted at the C2-C3 and C3-C4 levels.

The cervical vertebral bodies show normal signal intensity. The joints of Luschka are unremarkable.
..2/.






Note is made of an enlarged right paratracheal lymph node.

The cervical spinal cord reveals normal signal intensity.

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

IMPRESSION :

The MRI features are suggetive of :

1. Forward translation of the C7 over the D1 vertebra.

2. Posterior disc herniations with posterior peridiscal osteophytes at the C5-C6 and C6-C7 levels.

3. A postero-central disc herniation at the C4-C5 level.

4. An enlarged right paratracheal lymph node.