Date : 00.00.00

Name of the Patient : Abc Xyz Navglmn / M / 52 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O numbness in the fingers of the left hand since 00.00.00.

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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is loss of water content of the cervical intervertebral discs.

Small postero-central protruded discs are noted at the C2-C3, C3-C4 and C4-C5 levels.

Fairly large, posterior peridiscal osteophytes (hard discs) are noted at the C5-C6 level with slight bilateral neural foraminal narrowing.

A postero-central and right paracentral disc herniation with peridiscal osteophytes is seen at the C6-C7 level, indenting the dural theca anteriorly.

Anterior peridiscal osteophytes are seen in the lower cervical region.






Degenerative changes of the joints of the Luschka is noted at the C5-C6 level bilaterally and at the C6-C7 level on the left. Resultant left neural foraminal narrowing is noted at the C6-C7 level. The facet joints at the C4-C5 and C5-C6 levels show degenerative changes bilaterally.

Probable ossification of the posterior longitudinal ligament is noted at the C6 vertebral level.

A suspicious, hyperintense signal on the sagittal T2 Weighted images in the cervical spinal cord at the C6 vertebral level is not identified on the axial images and is most likely artifactual.

The cervical vertebral bodies show normal signal intensity. 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 :

1. Small postero-central protruded discs at the C2-C3, C3-C4 and C4-C5 levels.

2. Fairly large, posterior peridiscal osteophytes (hard discs) at the C5-C6 level with slight bilateral neural foraminal narrowing.
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3. A postero-central and right paracentral disc herniation at the C6-C7 level with peridiscal osteophytes.

4. Degenerative changes of the joints of the Luschka at the C5-C6 level bilaterally and at the C6-C7 level on the left with resultant left neural foraminal narrowing at the C6-C7 level.

5. Degenerative changes of the facet joints at the C4-C5 and C5-C6 levels.

6. Probable ossification of the posterior longitudinal ligament at the C6 vertebral level.