sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / M / 26 yrs.
Referred by : Dr. Abc Xyzwalla.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

C/O pain in the right shoulder and pain on the left side of chest.

EXAMINATION :

M.R.I of the cervico-dorsal spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is evidence of a congenital block D2 and D3 vertebra. The spinous processes of these vertebrae appear fused. No signal change is noted in these vertebral bodies. The C5-C6, D1-D2 and D3-D4 intervertebral discs show slight loss of water content.

A small postero-central protruded disc is noted at the C5-C6 level.

The visualized cervico-dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The visualized cervico-dorsal spinal cord reveals normal signal intensity. There is no cord compression.

IMPRESSION :

1. Congenital block D2 and D3 vertebra with fusion of the spinous processes of these vertebrae, without signal change or cord compression.

2. A small postero-central protruded disc at the C5-C6 level.