ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzTriplmn / M / 64 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O gait imbalance since 2 1/2 years.

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 curvature.

The cervical intervertebral discs show loss of water content.

There is a large postero-central disc herniation with peridiscal osteophytes at the C4-C5 level and anterior compression of the spinal cord. The spinal cord at the C4-C5 and C5 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. These are isointense to cord on the T1 Weighted images and suggestive of cord edema/ischemia.

Posterior disc herniations with peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels with anterior indentation of the thecal sac.

Small, postero-central disc protrusions are noted at the C2-C3 and C3-C4 levels.

The C3-C4 and C4-C5 facet joints on the left side show degenerative changes.
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Ligamentum flavum hypertrophy is noted at the C3-C4, C4-C5 and C6-C7 levels with resultant tight canal over these levels.

Fatty changes are noted in the cervical vertebrae. Hypointense signal on the T1 Weighted images in the right antero-lateral aspect of the C6 vertebral body on all the pulse sequences would represent sclerosis.

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 gross degenerative changes in the cervical spine with ;

1. A large postero-central disc herniation with peridiscal osteophytes at the C4-C5 level and ligamentum flavum hypertrophy with cord compression and cord signal alteration at the C4-C5 and C5 levels suggestive of cord edema/ischemia with canal stenosis.

2. Posterior disc herniations with peridiscal osteophytes at the C5-C6 and C6-C7 levels

3. Ligamentum flavum hypertrophy at the C3-C4 and C6-C7 levels with resultant tight canal.