hs/bv/rg
Date : 00.00.00
Name of the Patient : Abc Xyztar Llmn / M / 34 yrs.
Referred by : Dr. Abc XyzJain.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain and giddiness.
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 :
The cervical intervertebral discs show loss of water content.
A posterior disc herniation with large posterior peridiscal osteophytes is seen to indent the thecal sac at the C5-C6 level.
A postero-central disc herniation is seen to indent the thecal sac at the C4-C5 level.
A posterior disc bulge is noted at the C3-C4 level.
Small posterior peridiscal osteophytes are noted at the C3-C4 and C4-C5 levels.
The facet joints at the C4-C5 level show degenerative changes.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
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The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. A posterior disc herniation with large posterior peridiscal osteophytes at the C5-C6 level.
2. A postero-central disc herniation with facetal arthropathy at the C4-C5 level.
3. Small posterior peridiscal osteophytes at the C3-C4 and C4-C5 levels.