sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzti B. Salmn / F / 65 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
Known C/O CRF.
C/O puffiness of face with weakness of BUE and BLE.
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.
Small postero-central protruded discs with peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels indenting the dural theca anteriorly.
Small postero-central disc protrusions are noted at the C2-C3, C3-C4 and C6-C7 levels.
The C5 vertebral body is slightly wedged anteriorly without change in signal intensity. The upper cervical vertebral bodies show spotty fatty marrow changes.
The rest of the cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
- 2 - scan-00004
The atlanto-axial region and the cervico-medullary junction are unremarkable.
A Ryles tube is noted in position.
Incidentally noted is an enlarged thyroid gland.
IMPRESSION :
1. Small postero-central protruded discs with peridiscal osteophytes at the C4-C5 and C5-C6 levels.
2. Small postero-central disc protrusions at the C2-C3, C3-C4 and C6-C7 levels.
3. Enlarged thyroid gland.