sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzrlmn / F / 68 yrs.
Referred by : Dr. Abc Xyzlkaka / Dr. Abc Xyzroff.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O gait imbalance 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 peridiscal osteophytes are noted at the C3-C4, C4-C5 and C5-C6 levels indenting the dural theca anteriorly.
Degenerative changes of the joints of Luschka is seen at the C4-C5 and C5-C6 levels on the left.
Slight facetal hypertrophy is noted at the C4-C5 level on the left.
The cervical vertebral bodies show spotty fatty marrow changes. 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.
IMPRESSION :
1. Small posterior peridiscal osteophytes at the C3-C4, C4-C5 and C5-C6 levels.
2. Degenerative changes of the joints of Luschka at the C4-C5 and C5-C6 levels on the left.
3. Slight facetal hypertrophy at the C4-C5 level on the left.