sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzayan Ylmn / M / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O wasting of the LLE with difficulty in walking since 3 1/2 months.

EXAMINATION :

The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images. No significant feature of note was identified. Hence a cervical spine study was performed.

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 water content of the cervical intervertebral discs.

There is a fairly large posteriorly extruded disc with a peridiscal osteophyte at the C6-C7 level. Slight superior migration of the disc fragment is noted. The cervical spinal cord at this level appears slightly atrophied and shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images (hypointense on the T1 Weighted images) suggesting myelomalacic changes.

A posteriorly herniated disc with a peridiscal osteophyte is noted at the C5-C6 level, with cord compression.



Postero-central protruded discs with peridiscal osteophytes are noted at the C2-C3, C3-C4 and C4-C5 levels.

Facetal hypertrophy is noted at the C3-C4 level on the right and at the C6-C7 level bilaterally.

Slight ligamentum flavum hypertrophy is noted at the D1-D2 and D2-D3 levels.

The cervical vertebral bodies reveal 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.

Screening, T2 Weighted sagittal images of the dorsal spine reveal slight facetal hypertrophy at the D8-D9 and D9-D10 levels.

IMPRESSION :

1. A fairly large posteriorly extruded disc with a peridiscal osteophyte at the C6-C7 level with slight superior migration of the disc fragment and resultant canal stenosis.

2. Atrophy of the cord at the C6-C7 level with cord signal alteration suggests myelomalacic changes.

3. A posteriorly herniated disc with a peridiscal osteophyte at the C5-C6 level, with cord compression.