sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzakant Blmn / M / 58 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neck pain radiating to LUE and both shoulder (occasionally) since 5-6 months.
H/O injury to neck in 0000.
Known hypertensive. On Rx.
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 water content of the cervical intervertebral discs and loss of normal cervical lordosis.
There is evidence of continuous ossification of the posterior longitudinal ligament over C3-C4 disc level to the C6-C7 disc level.
Small postero-central disc herniations with posterior peridiscal osteophytes are noted at the C3-C4, C4-C5, C5-C5 and C6-C7 levels indenting the anterior dural theca at these levels.
Slight degenerative changes of the joints of Luschka is noted at the C5-C6 level bilaterally.
Type II degenerative marrow changes are noted adjacent to the C6-C7 intervertebral disc.
..2/.
The rest of the cervical vertebral bodies show normal signal intensity. The rest of 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. Continuous ossification of the posterior longitudinal ligament over C3-C4 disc level to the C6-C7 disc level.
2. Small postero-central disc herniations with posterior peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.
3. Slight degenerative changes of the joints of Luschka at the C5-C6 level bilaterally.