sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzGondhallmn / M / 58 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to BUE with paresthesias since 4 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 normal cervical lordosis and loss of water content of the cervical intervertebral discs.
There is occipitalization of the atlas. The atlanto-dens interval measures approximately 2.0 mms. There is no atlanto-dens subluxation.
Small postero-central protruded discs with peridiscal osteophytes are noted in the cervical region.
The upper cervical vertebral bodies show spotty fatty marrow changes.
The rest of 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 cervico-medullary junction is unremarkable.
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IMPRESSION :
1. Occipitalization of the atlas without atlanto-dens subluxation.
2. Small postero-central protruded discs with peridiscal osteophytes in the cervical region.