sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzti Nalmn / F / 39 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the RUE and RLE with paresthesias.

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 postero-central protruded discs are noted at the C2-C3 and C4-C5 levels.

Degenerative changes of the joints of Luschka are noted at the C3-C4 level bilaterally, more on the left side, with resultant corresponding neural foraminal narrowing.

Minimal posterior disc bulges are noted at the C5-C6 and C6-C7 levels.

The cervical vertebral bodies appear slightly hypointense as compared to normal marrow on the T1 Weighted images but appear isointense to normal marrow on the T2 Weighted images, which may suggest conversion of normal fatty marrow to hematopoietic marrow.

The rest of 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.

Small, subcentimeter lymphnodes are noted deep to the sternocleidomastoid muscles bilaterally.

IMPRESSION :

1. Small postero-central protruded discs at the C2-C3 and C4-C5 levels.

2. Degenerative changes of the joints of Luschka at the C3-C4 level bilaterally, more on the left side, with resultant corresponding neural foraminal narrowing.

3. Preponderance of hematopoeitic marrow which needs further evaluation.