sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzGailmn / F / 68 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O left sided neckpain since 1 month.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 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 all the cervical intervertebral discs.
The visualized cervico-dorsal vertebral bodies show spotty fatty marrow changes suggesting osteoporosis.
Small, postero-central protruded discs with peridiscal osteophytes are noted at the C3-C4, C4-C5, C5-C6 and C6-C7 levels, indenting the dural theca anteriorly.
Slight degenerative changes of the joints of Luschka is noted at the C4-C5 and C5-C6 levels bilaterally. Slight facetal hypertrophy is noted at the C3-C4 and C5-C6 levels.
Slight ligamentum flavum prominence is seen at the C3 and C6 vertebral levels.
The cervical spinal cord at the C5-C6 level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which may represent cord ischemia/gliosis.
- 2 - Scan-00007
The visualized pre and paravertebral soft tissues are unremarkable.
There is no significant cord compression.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Incidentally noted is a hyperintense signal on the T2 Weighted images, in the visualized pons, which may represent ischemic changes. Inflammatory changes are noted in the sphenoid sinus.
IMPRESSION :
1. Altered signal in the visualized cervico-dorsal vertebral bodies may suggest osteoporosis.
2. Small, postero-central protruded discs with 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 C4-C5 and C5-C6 levels bilaterally.
4. Altered signal in the pons may represent ischemic changes.