ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzani Shlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O gait imbalance with tramulousness of BUE since 2-3 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 are small posterior disc herniations at the C2-C3, C3-C4, C4-C5, C5-C6, C6-C7 and C7-D1 levels with anterior indentation of the thecal sac. Posterior peridiscal osteophytes are noted at the these levels. 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 cervical spinal cord shows normal signal intensity.

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

The brain was screened with 5 mm thick T2 Weighted axial images and shows mild fullness of both the lateral ventricles and mild inflammatory changes in the right mastoid air cells and right maxillary sinus.

IMPRESSION :

Small posterior disc herniations at the C2-C3, C3-C4, C4-C5, C5-C6, C6-C7 and C7-D1 levels.