Date : 00.00.00

Name of the Patient : Abc Xyznath Nilmn / M / 43 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O pain in the cervical region and in the right arm with pain in the little and ring fingers.

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 C4-C5, C5-C6 and C6-C7 intervertebral discs.

There is a left paracentral disc herniation with a peridiscal osteophyte at the C4-C5 level with minimal indentation on the cervical spinal cord anteriorly.

A postero-central and right paracentral disc extrusion is noted at the C6-C7 level, with a part of the disc fragment lying along the posterior margin of the C7 vertebral body, to the right of the midline, in the anterior epidural space. Resultant mild indentation on the cervical spinal cord is noted.

A small posterior peridiscal osteophyte is noted at the C5-C6 level.

Degenerative changes of the joints of Luschka on the right at the C5-C6 level and on the left at the C6-C7 level is noted.

Type II degenerative marrow changes are noted adjacent to the C5-C6 disc.
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- 2 - Scan No:00006


The rest of the cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The rest of the joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The cervical spinal cord shows normal signal intensity.

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

IMPRESSION :

1. A left paracentral disc herniation with a peridiscal osteophyte at the C4-C5 level.

2. A postero-central and right paracentral disc extrusion at the C6-C7 level, with a part of the disc fragment lying along the posterior margin of the C7 vertebral body, to the right of the midline.

3. Degenerative changes of the joints of Luschka on the right at the C5-C6 level and on the left at the C6-C7 level.