Displaying items by tag: ligamentum
Sunday, 27 December 2015 16:48
11385
sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyzayan Palmn / M / 72 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
Alleged H/O trauma with loss of consciousness for 2 days, 4-5 months back with quadriplegia and bladder/bowel involvement.
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 reversal of the normal cervical lordotic curve.
There is reduction in height of the C4-C5, C5-C6 and C6-C7 intervertebral discs with loss of water content of the cervical intervertebral discs.
Posterior bulging discs with posterior peridiscal osteophytes are noted at the C3-C4, C4-C5 , C5-C6 and C6-C7 levels with indentation on the cervical spinal cord at the C4-C5 and C5-C6 levels. . There is also ligamentum flavum hypertrophy at the C6 level.
The cervical spinal cord at the C4-C5 and C5 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia.
Degenerative changes of the joints of Luschka is noted at the C4-C5 and C5-C6 levels bilaterally at the C6-C7 level on the right with corresponding neural foraminal narrowing.
Slight facetal hypertrophy is noted at the C4-C5 and C5-C6 levels on the left side.
The cervical vertebral bodies show spotty fatty marrow changes. The visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
- 2 -
IMPRESSION :
1. Posteriorly bulging discs with posterior peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and C6-C7 levels with ligamentum flavum hypertrophy at the C6 level.
2. Altered signal of the cervical spinal cord at the C4-C5 and C5 levels suggests cord edema/ischemia.
3. Degenerative changes of the joints of Luschka at the C4-C5 and C5-C6 levels bilaterally at the C6-C7 level on the right with corresponding neural foraminal narrowing.
4. Slight facetal hypertrophy at the C4-C5 and C5-C6 levels on the left side.
Date : 00.00.00
Name of the Patient : Abc Xyzayan Palmn / M / 72 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
Alleged H/O trauma with loss of consciousness for 2 days, 4-5 months back with quadriplegia and bladder/bowel involvement.
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 reversal of the normal cervical lordotic curve.
There is reduction in height of the C4-C5, C5-C6 and C6-C7 intervertebral discs with loss of water content of the cervical intervertebral discs.
Posterior bulging discs with posterior peridiscal osteophytes are noted at the C3-C4, C4-C5 , C5-C6 and C6-C7 levels with indentation on the cervical spinal cord at the C4-C5 and C5-C6 levels. . There is also ligamentum flavum hypertrophy at the C6 level.
The cervical spinal cord at the C4-C5 and C5 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia.
Degenerative changes of the joints of Luschka is noted at the C4-C5 and C5-C6 levels bilaterally at the C6-C7 level on the right with corresponding neural foraminal narrowing.
Slight facetal hypertrophy is noted at the C4-C5 and C5-C6 levels on the left side.
The cervical vertebral bodies show spotty fatty marrow changes. The visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
- 2 -
IMPRESSION :
1. Posteriorly bulging discs with posterior peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and C6-C7 levels with ligamentum flavum hypertrophy at the C6 level.
2. Altered signal of the cervical spinal cord at the C4-C5 and C5 levels suggests cord edema/ischemia.
3. Degenerative changes of the joints of Luschka at the C4-C5 and C5-C6 levels bilaterally at the C6-C7 level on the right with corresponding neural foraminal narrowing.
4. Slight facetal hypertrophy at the C4-C5 and C5-C6 levels on the left side.
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MRI Reports