Date : 00.00.00

Name of the Patient : Abc Xyzo Waghlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain with sudden onset of weakness of BLE and the LUE since 8 days.

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, T2 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.

There is slight forward translation of the C4 over the C5 vertebra with a resultant pseudo posterior disc herniation at that level.

Small postero-central protruded discs are noted at the C2-C3 and C3-C4 levels.

A fairly large posterior peridiscal osteophyte is noted at the C5-C6 level, indenting the dural theca anteriorly.

A fairly large, postero-central and left postero-lateral disc herniation is noted at the C6-C7 level with left neural foraminal narrowing and indentation on the left C7 nerve root. Superior migration of the disc fragment is noted along the posterior margin of the C5 vertebral body. There is resultant mild cord compression at the C5-C6 level.


The degenerative changes of the joints of Luschka on the left at the C4-C5 and C5-C6 levels is noted. Facetal hypertrophy on the left is noted at the C3-C4 and C4-C5 levels.

The cervical vertebral bodies show replacement of normal fatty marrow by hematopoietic marrow.

The rest of 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. Slight forward translation of the C4 over the C5 vertebra with a resultant pseudo posterior disc herniation at that level.

2. Small postero-central protruded discs at the C2-C3 and C3-C4 levels.

3. A fairly large posterior peridiscal osteophyte at the C5-C6 level.

4. A fairly large, postero-central and left postero-lateral disc herniation at the C6-C7 level with left neural foraminal narrowing and indentation on the left C7 nerve root. Superior migration of the disc fragment is noted along the posterior margin of the C5 vertebral body with resultant mild cord compression at the C5-C6 level.

5. Degenerative changes of the joints of Luschka on the left at the C4-C5 and C5-C6 levels.

6. Facetal hypertrophy on the left at the C3-C4 and C4-C5 levels.