hs/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 28 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain and backache since 3 years.
H/O Pulmonary kochs 5 years back. Received AKT.
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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is a reversal of the normal cervical lordotic curve. The cervical intervertebral discs show loss of water content and the upper cervical vertebrae show areas of fatty replacement of normal marrow.
A postero-central disc herniation more to the right of the midline, with a large peridiscal osteophytes is seen to indent the cord at the C5-C6 level.
A small posterior peridiscal osteophytes is noted at the C6-C7 level. Mild posterior disc bulges are seen at the C3-C4 and C4-C5 levels.
The rest of 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.
(Hyperintense signal in the cord over the C3 to C6 level on the gradient images is artifactual).
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of a postero-central disc herniation, more to the right of the midline with a large peridiscal osteophyte at the C5-C6 level.