hs/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzGaffar Aklmn / M / 55 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O backache with paresthesias in the RLE and bowel involvement since 15 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 and Fast Scan (T2 *) axial images.

OBSERVATION :

There is a posterior disc herniation with peridiscal osteophytes indenting the cord at the C6-C7 level. The spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images and this may represents cord edema/ischemia.

A postero-central disc herniation with peridiscal osteophytes, more to the left of the midline is seen to indent the cord at the C5-C6 level. The C5-C6 facet joints show degenerative changes.

A small postero-central disc herniation with small peridiscal osteophytes is seen to indent the thecal sac at the C4-C5 level. The left facet joint at this level shows hypertrophic degenerative changes.

Ligamentum flavum hypertrophy is seen at the C5-C6 and C6-C7 levels with resultant tight canal at these levels.



There is a postero-central disc protrusion at the C3-C4 level. A posterior disc bulge with small peridiscal osteophytes is seen at the C7-D1 level.

The cervical intervertebral discs show loss of water content. Some of the cervical vertebral bodies show areas of fatty replacement of normal marrow.

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 :

The MRI features are suggestive of :

1. A posterior disc herniation with peridiscal osteophytes indenting the cord at the C6-C7 level.

2. A postero-central disc herniation with peridiscal osteophytes, more to the left of the midline at the C5-C6 level with facetal arthropathy.

3. Altered cord signal at the C6-C7 level may represent cord edema/ischemia.

4. A small postero-central disc herniation with small peridiscal osteophytes at the C4-C5 level.

5. Hypertrophic facetal arthropathy at the C4-C5 level on the left side.

6. Ligamentum flavum hypertrophy with resultant tight canal at the C5-C6 and C6-C7 levels.

7. A postero-central disc protrusion at the C3-C4 level.