sb/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzDharmadhilmn / F / 43 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O tremors in the right hand with weakness of the RUE since 7-8 months.
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 with loss of normal cervical curvature.
There are fairly large, posterior peridiscal osteophytes, more to the left of the midline at the C5-C6 level, with left neural foraminal narrowing and indentation of the spinal cord and the traversing left C6 nerve root. A small posterior disc bulge is also noted at this level.
Small postero-central protruded discs with peridiscal osteophytes are noted at the C4-C5 and C6-C7 levels.
Slight facetal hypertrophy is noted at the C4-C5 and C5-C6 levels bilaterally.
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 :
1. Fairly large, posterior peridiscal osteophytes, more to the left of the midline at the C5-C6 level, with left neural foraminal narrowing and indentation of the spinal cord and the traversing left C6 nerve root.
2. Small postero-central protruded discs with peridiscal osteophytes at the C4-C5 and C6-C7 levels.