hs/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzja Plmn / F / 38 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to BUE since 6 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 :
A small postero-central disc protrusion is seen to indent the thecal sac at the C6-C7 level.
A posterior disc bulge is seen at the D1-D2 level.
There is fusion of the C5 and C6 vertebral bodies with a decrease in the antero-posterior dimensions of these vertebral bodies. This most likely represents congenital fusion.
The cervical intervertebral discs show loss of water content.
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.
..2/.
IMPRESSION :
The MRI features are suggestive of :
1. A small postero-central disc protrusion at the C6-C7 level.
2. Congenital fusion of the C5 and C6 vertebrae.
3. A posterior disc bulge at the D1-D2 level.