hs/sb
Date : 00.00.00

Name of the Patient : Abc XyzDhilmn / M / 43 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzta.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O neckpain radiating to the RUE since 15 days.

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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is evidence of a large right postero-lateral disc extrusion indenting the right ventro-lateral aspect of the cord and the right C6 nerve root at the C5-C6 level. Slight right neural foraminal narrowing is noted at this level.

A postero-central disc protrusion is noted at the C4-C5 level. Mild posterior disc bulges are noted at the C2-C3 and C3-C4 levels.

Hyperintense striations on the T1 Weighted images are noted within the D1 vertebral body and this may represent a hemangioma. The C2 and C3 vertebrae show areas of fatty replacement of normal marrow. The rest of the cervico-dorsal vertebral bodies are more hypointense than normal on the T1 Weighted images and this may reflect preponderance of hematopoeitic marrow (? anemic).




The C3-C4, C4-C5 and C5-C6 intervertebral discs show loss of water content.

The remaining intervertebral discs 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.

IMPRESSION :

The MRI features are suggestive of a large, right postero-lateral disc extrusion indenting the right C6 nerve root at the C5-C6 level.