sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / F / 55 yrs.
Referred by : Dr. Abc Xyzsani / Dr. Abc Xyzhatt.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE (left more than right) with numbness.
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 normal cervical lordosis and loss of water content of the cervical intervertebral discs.
There is a fairly large, left paracentral disc herniation with peridiscal osteophytes at the C5-C6 level with resultant indentation on the cervical spinal cord anteriorly.
Postero-central protruded discs are noted at the C3-C4 and C4-C5 levels. Small posterior disc bulges are noted at the C2-C3 and C6-C7 levels.
The cervical vertebral bodies show spotty fatty marrow changes. The 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.
IMPRESSION :
1. A fairly large, left paracentral disc herniation with peridiscal osteophytes at the C5-C6 level with resultant indentation on the cervical spinal cord anteriorly.
2. Postero-central protruded discs at the C3-C4 and C4-C5 levels.