ke/hs
Date : 00.00.00
Name of the Patient : Abc Xyzn G. Glmn / F / 42 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to BUE and BLE with paresthesias in the LUE and BLE since 2 months.
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 small posterior disc bulge with peridiscal osteophytes at the C5-C6 level with anterior indentation of the thecal sac.
Small posterior peridiscal osteophytes are also noted at the C4-C5 and C6-C7 levels.
The C4-C5, C5-C6, C6-C7 and C7-D1 intervertebral discs show loss of water content.
The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. 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.
Incidental note is made of a hyperintense lesion in the isthmus and the left lobe of the thyroid on the T1 Weighted and T2 Weighted images and would represent a cyst/nodule which would require further evaluation.
IMPRESSION :
1. A small posterior disc bulge with peridiscal osteophytes at the C5-C6 level.
2. Small posterior peridiscal osteophytes at the C4-C5 and C6-C7 levels.