ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzhand Malmn / M / 40 yrs.
Referred by : Dr. Abc Xyzzare.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O weakness and stiffness of BLE since 20 days.

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 a large posterior disc herniation at the C6-C7 level with anterior compression of the spinal cord. The spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. This is isointense to normal cord on the T1 Weighted images suggestive of cord edema/ischemia.

A small postero-central disc herniation is seen at the C7-D1 level with anterior indentation of the thecal sac. The cervical intervertebral discs show loss of water content.

Small, postero-central protruded discs with peridiscal osteophytes are noted at the C2-C3, C3-C4 and C4-C5 levels.

The cervical vertebral bodies 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. The clivus appears more horizontally oriented as compared to normal.
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Incidental note is made of prominence of the cerebellar folia.

The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and does not reveal any diagnostic feature of note.

IMPRESSION :

The MRI features are suggestive of :

1. A large posterior disc herniation at the C6-C7 level with cord compression and altered signal of the cord at this level suggestive of cord edema/ischemia.

2. A small postero-central disc herniation at the C7-D1 level.