hs/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyztala S. Shlmn / F / 46 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the LUE with paresthesias.

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 reversal of the normal cervical lordotic curve. The cervical intervertebral discs show loss of water content.

A large postero-central disc herniation with peridiscal osteophytes, more to the left of the midline is visualized compressing upon the cord at the C4-C5 level and the left C5 nerve root.

A posterior disc herniation with peridiscal osteophytes is seen to indent the cord and cause mild bilateral neural foraminal narrowing at the C6-C7 level. The cervical canal appears tight over this level.

Postero-central disc herniations with peridiscal osteophytes are seen at the C3-C4 and C5-C6 levels.

The C3-C4, C4-C5 and C5-C6 facet joints show mild degenerative changes.
Scan-00003


The cervical vertebral bodies show areas of fatty replacement of normal marrow. Areas of hypointensity on all the pulse sequences within the C6-C7 intervertebral disc may represent calcium/vacuum phenomena.

Anterior disc herniations with peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.

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 :

The MRI features are suggestive of :

1. A large postero-central disc herniation with peridiscal osteophytes, more to the left of the midline with canal stenosis at the C4-C5 level.

2. A posterior disc herniation with peridiscal osteophytes and a tight canal at the C6-C7 level.

3. Postero-central disc herniations with peridiscal osteophytes at the C3-C4 and C5-C6 levels.