Date : 00.00.00

Name of the Patient : Abc Xyzkash Milmn / M / 55 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O tinging in BUE and BLE with giddiness since 15 days.
Alleged H/O fall 6 months back.

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. There is a decrease in the height of the C5 and C6 vertebral bodies with posterior bulging.

There are posterior disc herniations at the C3-C4, C4-C5, C5-C6 and C6-C7 levels with posterior peridiscal osteophytes and anterior indentation of the thecal sac. Bilateral neural foramianl narrowing is noted at these levels with slight facetal arthropathy. The left C4-C5 facet joint shows hypertrophic degenerative changes.

Hyperintense signal is noted within the cervical spinal cord over the C3 to the C5 levels on the T2 Weighted and Fast Scan (T2 *) images and which is isointense to normal cord on the T1 Weighted images.

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. Posterior disc herniations at the C3-C4, C4-C5, C5-C6 and C6-C7 levels with posterior peridiscal osteophytes with a tight canal over these levels.

2. Altered signal within the cervical spinal cord over the C3 to the C5 levels suggests cord edema/ischemia (?? demyelination).