Sunday, 27 December 2015 16:48

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Date : 00.00.00

Name of the Patient : Abc XyzNagalmn / M / 56 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O neckpain radiating to the LUE since 6 years.

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 fusion of the C5 and C6 vertebral bodies. There is a decrease in their antero-posterior dimensions as compared to other vertebral bodies which most likely represents congenital fusion.

A posterior disc bulge with peridiscal osteophytes (hard disc) is seen to indent the thecal sac at the C6-C7 level.

A posterior disc bulge is seen to indent the thecal sac at the C2-C3 level. Small posterior peridiscal osteophytes are seen at the C3-C4 and C4-C5 levels.

The right C4-C5 facet joint shows hypertrophic degenerative changes.

A posterior disc bulge with small posterior peridiscal osteophytes is noted at the D2-D3 level.
Scan-00000



An anterior disc herniation with peridiscal osteophytes is seen at the C6-C7 level. The cervical intervertebral discs normal show loss of water content. Areas of fatty replacement of normal marrow are seen in the cervical vertebral bodies.

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 :

1. Congenital fusion of the C5 and C6 vertebrae.

2. A posterior disc bulge with peridiscal osteophytes (hard disc) at the C6-C7 level.

3. A posterior disc bulge with small posterior peridiscal osteophytes at the D2-D3 level.

4. Hypertrophic facetal arthropathy on the right side at the C4-C5 level.


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