ke/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzarayan Agalmn / M / 42 yrs.
Referred by : Dr. Abc Xyzpta.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the LUE with paresthesias since 2-3 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.

A right postero-lateral disc herniation with peridiscal osteophytes is seen at the C4-C5 level with right antero-lateral indentation of the cord and right neural foraminal narrowing.

A postero-central and a left postero-lateral disc herniation with peridiscal osteophytes is noted at the C5-C6 level with anterior indentation of the cord and left neural foraminal narrowing. Mild indentation upon the left C6 nerve root is also noted.

A small postero-central disc herniation with posterior peridiscal osteophytes is also seen at the C6-C7 level. A posterior disc bulge is noted at the C3-C4 level.

The C4-C5 and C5-C6 facet joints show degenerative changes.

There is a hyperintense focus on the Fast Scan (T2 *) images within the right side of the cord at the C4 level and this may represents edema/gliosis (se/im 105/9).
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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 atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

The MRI features are suggestive of :

1. A right postero-lateral disc herniation with peridiscal osteophytes at the C4-C5 level.

2. A postero-central and a left postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level with mild indentation upon the left C6 nerve root.

3. A small postero-central disc herniation peridiscal osteophytes at the C6-C7 level.

4. Altered signal within the cord on the right side at the C4 level may represent edema/gliosis.