sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzv R. Talmn / M / 47 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to BUE (left more than right) with paresthesias.
Alleged H/O fall on 00.00.00.

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

There are posterior disc herniations with peridiscal osteophytes indenting the cord and narrowing both neural foramina at the C3-C4, C4-C5 and C6-C7 levels.

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

The cervical spinal cord at the C3-C4 and C4-C5 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images (iso to hypointense to normal cord on the T1 Weighted images) which would be suggestive of cord edema/ischemia.

A posterior disc bulge is noted at the C2-C3 level. Anterior disc herniations with peridiscal osteophytes are noted in the cervical region.




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The cervical vertebral bodies show normal signal intensity. The joints of Luschka at the C3-C4, C5-C6 and C6-C7 levels show degenerative changes bilaterally. The visualized pre and paravertebral soft tissues are unremarkable.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

1. Posterior disc herniations with peridiscal osteophytes indenting the spinal cord at the C3-C4, C4-C5 and C6-C7 levels.

2. A postero-central disc herniation at the C5-C6 level.

3. Cord signal alteration at the C3-C4 and C4-C5 levels suggest cord edema/ischemia.

4. Degenerative changes of the joints of Luschka at the C3-C4, C5-C6 and C6-C7 levels bilaterally.

As compared to the previous MRI (study no:0000) dated 00.00.00, there is decrease in the cord edema over the C3 to C5 vertebral levels with focal cord signal alteration at the C3-C4 and C4-C5 levels on this study. There is no significant change in the degree of disc herniations on the present study.