Date : 00.00.00

Name of the Patient : Abc Xyza P. Goklmn / F / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O neckpain with paresthesias in BUE and BLE since 1 month.

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 ossification of the posterior longitudinal ligament over the C3 to C5 vertebral levels with resultant indentation upon the cord.

Large postero-central disc herniations, more to the right of the midline are seen to compress the cord at the C4-C5 and C5-C6 levels. Also seen are postero-central disc herniations indenting the cord at the C3-C4 and C6-C7 levels.

The cervical spinal cord at the C4-C5 level shows a hyperintense signal on the T2 Weighted images (which is isointense to normal cord on the T1 Weighted images) which would be suggestive of cord edema/ischemia.

There are large posterior peridiscal osteophytes (hard discs) at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.
Scan-00006


The spinal canal is tight over the C3-C4 to C6-C7 levels with severe stenosis at the C4-C5 level.

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. Probable ossification of the posterior longitudinal ligament over the C3 to C5 vertebral levels.

2. Large postero-central disc herniations, more to the right of the midline at the C4-C5 and C5-C6 levels.

3. Postero-central disc herniations indenting the cord at the C3-C4 and C6-C7 levels.

4. Altered cord signal at the C4-C5 level which may represent cord edema/ischemia.

5. Large posterior peridiscal osteophytes (hard discs) at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.

6. Tight spinal canal over the C3-C4 to C6-C7 levels with severe stenosis at the C4-C5 level.