Date : 00.00.00

Name of the Patient : Abc Xyz Malkhelmn / M / 50 yrs.
Referred by : Dr. Abc Xyzodak / Dr. Abc Xyzndel.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O weakness of the LUE since 3 months with fasciculations. EMG s/o motor axon degeneration in both upper limbs with site of lesion at anterior horn cell level.

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 with posterior peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels with anterior indentation of the thecal sac. These interverterbal discs show loss of water content. Slight ligamentum flavum hypertrophy is noted at the C6-C7 level. Slight right neural foraminal narrowing is noted at the C5-C6 level.

The cervical vertebral bodies and 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. There is slight loss of normal ventral bulge of the cervical spinal cord at the C5-C6 level.
- 2 - scan-00009


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

IMPRESSION :

1. Small posterior disc herniations with posterior peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels.

2. Slight loss of ventral bulge of the cord on the left side at the C5-C6 level. Such changes may be seen in anterior horn cell disease.