sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzi T. Glmn / F / 60 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O giddiness with paresthesias on the right side of the body since 1 day with slurred speech.
Known hypertensive.

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.

There is slight wedging of the C4 and C5 vertebral bodies with spotty fatty marrow changes.

Slight hypertrophy of the facet joints is noted at the C4-C5 and C5-C6 levels.

The upper cervical vertebral bodies show spotty fatty marrow changes.

The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

Hyperintense signal is seen in the spinal cord over the C5 to the C7 levels predominantly in the centre on the Fast scan (T2 *) images.

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

Incidentally noted is an enlarged thyroid gland.

Screening, T2 Weighted sagittal images of the dorsal spine do not reveal any significant feature of note.

IMPRESSION :

1. Small postero-central protruded discs with peridiscal osteophytes at the C4-C5 and C5-C6 levels.

2. Slight hypertrophy of the facet joints at the C4-C5 and C5-C6 levels.

3. Altered signal in the cord over the C5 to C7 levels may be seen with myelitis/demyelination.