sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzKundlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzavkar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O severe headaches since 1 week with 1 episode of LOC for 2-3 minutes.
C/O neckpain radiating to both shoulders (right more than left) since 1 year.
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 posterior disc bulges with peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels.
An anterior disc herniation with anterior peridiscal osteophytes is noted at the C6-C7 level.
The cervical vertebral bodies show normal signal intensity. 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 :
Small posterior disc bulges with peridiscal osteophytes at the C4-C5 and C5-C6 levels.