ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzn Billmn / M / 55 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the RUE.
C/O backache with pain radiating to the LLE.
H/O fever since 15 days.

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 postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the C5-C6 level.

There are small postero-central disc herniations at the C3-C4 and C4-C5 levels with anterior indentation of the thecal sac.

A small right paracentral disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the C6-C7 level.

The cervical intervertebral discs show loss of water contnet.

The C3-C4, C4-C5, C5-C6 and C6-C7 facet joints show degenerative changes.


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.

IMPRESSION :

1. A postero-central disc herniation with peridiscal osteophytes at the C5-C6 level.

2. Small postero-central disc herniations at the C3-C4 and C4-C5 levels.

3. A small right paracentral disc herniation at the C6-C7 level.

3. Facetal arthropathy bilaterally at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.