hs/bv
Date : 00.00.00

Name of the Patient : Abc Xyzdali I. Shlmn / M / 28 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O neckpain radiating to the RUE and RLE followed with numbness/weakness of the LUE and LLE with difficulty in walking due to tremors and tingling in the RLE 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 appears to be congenital fusion of the C2 and C3 vertebrae.

A large postero-central disc extrusion with peridiscal osteophytes is seen to compress upon the spinal cord at the C3-C4 level. Slight inferior migration of the disc is visualized. The cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia.

The facet joints at the C3-C4 and C4-C5 levels show mild degenerative changes.







The cervical intervertebral discs show loss of water content.

The cervical vertebral bodies show normal signal intensity. 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 :

1. Congenital fusion of the C2 and C3 vertebrae.

2. A large postero-central disc extrusion with peridiscal osteophytes compressing the spinal cord at the C3-C4 level with cord signal alteration suggesting cord edema/ischemia and canal stenosis.