hs.sb.rg,
Date : 00.00.00

Name of the Patient : Abc XyzChlmn / F / 35 yrs.
Referred by : Dr. Abc Xyzna.
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 :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

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

OBSERVATION :

There is reversal of the normal cervical lordotic curve. The cervical intervertebral discs show loss of water content. Susceptibility artifacts are noted on the right side over the C1 to C3 levels and these are most likely the result of dental fillings/prosthesis.

A large posterior disc extrusion with peridiscal osteophytes is seen to indent the cord at the C6-C7 level. Superior migration of the disc fragment is seen within the anterior epidural space (more to the right) at the C6 vertebral level. Also seen is indentation upon the right C7 nerve root.

A left paracentral disc herniation with peridiscal osteophytes is seen to indent the cord at the C5-C6 level.

A posterior disc bulge with large peridiscal osteophytes is seen to indent the thecal sac at the C4-C5 level.

The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.







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 large posterior disc extrusion with peridiscal osteophytes indenting the right C7 nerve root
at the C6-C7 level with a disc fragment within the anterior epidural space (more to the right) at the C6 vertebral level.

2. A left paracentral disc herniation with peridiscal osteophytes at the C5-C6 level.

3. A posterior disc bulge with large peridiscal osteophytes at the C4-C5 level.