sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Plmn / M / 65 yrs.
Referred by : Dr. Abc Xyze / Dr. Abc Xyzzare.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to BUE and BLE with paresthesias since 15 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 loss of water content of the cervical intervertebral discs and loss of normal cervical lordosis. Slight retroplacement of the C4 over the C5 and C5 over the C6 vertebrae are noted.

There is continuous ossification of the posterior longitudinal ligament extending over the C3 to C6 vertebral levels.

Postero-central disc herniations with posterior peridiscal osteophytes are noted at the C3-C4, C4-C5, C5-C6 and C6-C7 levels. Cord compression is noted at the C3-C4, C4-C5 and C5-C6 levels, with the spinal cord appearing triangular in shape.

The cervical spinal cord at C1-C2 level appears atrophied and shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images, centrally.
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Suspicious hyperintense signal is also visualized within the spinal cord at the C3-C4, C4-C5 and C5-C6 levels (better appreciated on the axial images).

Slight ligamentum flavum prominence is noted in the cervical region at all the disc levels. There is facetal hypertrophy at the C4-C5 and C5-C6 levels.

Anterior peridiscal osteophytes are seen in the upper cervical region.

Diffuse fatty marrow changes are noted in the cervical vertebrae.

The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The atlanto-axial region is unremarkable.

IMPRESSION :

1. Continuous ossification of the posterior longitudinal ligament extending over the C3 to the C6 vertebral levels.

2. Postero-central disc herniations with posterior peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and C6-C7 levels with cord compression at the C3-C4, C4-C5 and C5-C6 levels.

3. Atrophy of the cervical spinal cord at the C1-C2 level with altered signal is of ? etiology ?? due to previous trauma.

4. Slight ligamentum flavum prominence in the cervical region at all the disc levels and facetal hypertrophy at the C4-C5 and C5-C6 levels.

5. Cervical canal stenosis at the C3-C4, C4-C5 and C5-C6 levels.