ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / F / 30 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the RUE 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 a postero-central and right paracentral disc herniation with peridiscal osteophytes at the C4-C5 level with anterior indentation of the spinal cord. Superior and inferior migration of the disc in the right lateral recess of the C4 and C5 vertebral bodies is noted with impingement of the right C5 and the C6 nerve roots. There is also disc material identified in the right neural foramen at the C4-C5 level with compression of the right C5 nerve root.

A right postero-lateral disc herniation is seen at the C5-C6 level with mild right neural foraminal narrowing and indentation upon the right C6 nerve root. The C5-C6 intervertebral disc shows loss of water content.

Small peridiscal osteophytes are seen at the C3-C4 and C5-C6 levels.







The cervical vertebral bodies and the remaining intervertebral discs 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 and right paracentral disc herniation with peridiscal osteophytes at the C4-C5 level with superior and inferior migration of the disc in the right lateral recess of the C4 and C5 vertebrae and in the right neural foramen at this level with impingement of the right C5 and C6 nerve roots.

2. A right postero-lateral disc herniation at the C5-C6 level with indentation upon the right C6 nerve root.