sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzn Glmn / M / 60 yrs.
Referred by : Dr. Abc Xyzlwalkar
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O burning sensation in BUE and BLE with numbness since 6-7 months.
Now C/O weakness of BLE with weak grip on the right side 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 loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.

The mid cervical intervertebral discs are reduced in height.

There is ossification of the posterior longitudinal ligament at the C6 vertebral level with resultant cord compression. Slight ligamentum flavum hypertrophy is also noted at this level. The cervical spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which suggest cord edema/ischemia.







Posterior disc bulges with posterior peridiscal osteophytes are noted in the cervical region maximum at the C5-C6 and C6-C7 levels (due to the ossified posterior longitudinal ligament at these levels).

Anterior disc herniations with anterior peridiscal osteophytes are noted in the cervical region.

Degenerative changes of the joints of Luschka are noted at the C3-C4, C4-C5 and C5-C6 levels, bilaterally. Hypertrophic facetal arthropathy is also noted at the C4-C5, C5-C6 and C6-C7 levels bilaterally.

There is a well marginated, approximately 7.0 mms diameter sized hypointense lesion on the T1 Weighted images in the C5 vertebral body, anteriorly, which appears hyperintense on the T2 Weighted images and may represent a subchondral cyst.

The rest of the cervical vertebral bodies show spotty fatty marrow changes. The visualized pre and paravertebral soft tissues are unremarkable.

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

IMPRESSION :

1. Ossification of the posterior longitudinal ligament at the C6 vertebral level with resultant cord compression. Altered signal of the cervical spinal cord at this level suggests cord edema/ischemia.







2. Posterior disc bulges with posterior peridiscal osteophytes in the cervical region maximum at the C5-C6 and C6-C7 levels (due to the ossified posterior longitudinal ligament at these levels).

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

4. Hypertrophic facetal arthropathy at the C4-C5, C5-C6 and C6-C7 levels bilaterally.