ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzj Jlmn / M / 58 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the RUE and RLE with paresthesias.

EXAMINATION :

M.R.I of the cervical spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

There is continuous ossification of the posterior longitudinal ligament over the C3 to C5 vertebral levels.

A large posterior disc herniation with peridiscal osteophytes is seen at the C4-C5 level with compression of the spinal cord. The spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. This is isointense to normal cord on the T1 Weighted images and represents cord edema/ischemia.

A postero-central disc herniation is noted at the C3-C4 level with superior migration of the disc posterior to the C3 vertebral body.

Small posterior disc herniations are also noted at the C5-C6 and C6-C7 levels.

The C4-C5 and C5-C6 facet joints show degenerative changes. Ligamentum flavum hypertrophy is seen over the C3 to C5 vertebral levels.


The cervical intervertebral discs show loss of water content.

The cervical vertebral bodies show 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.

IMPRESSION :

1. Continuous ossification of posterior longitudinal ligament over the C3 to C5 vertebral levels.

2. A large posterior disc herniation with peridiscal osteophytes at the C4-C5 level with cord compression and altered cord signal at this level which represents cord edema/ischemia.

3. A postero-central disc herniation at the C3-C4 level with superior migration of the disc posterior to the C3 vertebral body.

4. Posterior disc herniations at the C5-C6 and C6-C7 levels.

5. Facetal arthropathy at the C4-C5 and C5-C6 levels.

6. Ligamentum flavum hypertrophy over the C3 to C5 vertebral levels.