Mr. MD SHABBIRUL ALAM CHOWDHURY UHID 166978
Mr. MD SHABBIRUL ALAM CHOWDHURY UHID 166978
Mr. MD SHABBIRUL ALAM CHOWDHURY UHID 166978
MRI
Brief Clinical Notes: Known case cervical myelopathy & HTN. H/O neck pain radiating to right upper limbs.
Rest of the vertebral bodies appear normal in height and demonstrate a normal pattern of marrow signal
intensity.
Focal signal intensity change is seen in cervical spinal cord at C4 vertebral level; appear hyperintense on
T2W image suggesting myelopathy.
Endplate signal intensity change noted in C6/C7 vertebrae; appear hypointense on T1WI, hyperintense on
T2W / STIR images – suggesting Modic type - I change.
C2-C3: Normal signal intensity in the disc with normal disc height is seen. Diffuse disc bulge with post erior
osteophyte indenting ventral subarachnoid space. Intervertebral foramina are normal on both sides.
MRI
C3-C4: Desiccated disc with reduction of disc height is seen. Central and both paracentral annular disc bulge
with posterior osteophyte indenting ventral subarachnoid space. Intervertebral foramen is narrowed on right
side. Mild spinal canal stenosis is noted.
C4-C5: Desiccated disc with normal disc height is seen. Diffuse disc bulge indenting ventral subarachnoid
space. Intervertebral foramina are normal on both sides.
C5-C6: Desiccated disc with normal disc height is seen. Central and both paracentral annular disc bulge wit h
posterior osteophyte indenting ventral subarachnoid space. Intervertebral foramen is narrowed on right side.
C6-C7: Desiccated disc with reduction of disc height is seen. Central and both paracentral annular disc bulge
with posterior osteophyte indenting ventral subarachnoid space. Intervertebral foramen is narrowed on right
side.
Impression:
1. Suggestive of cervical myelopathy at C4 vertebral level.
2. Cervical spondylosis with:
At disc levels:
• C3-C4: Desiccated disc with reduction of disc height. Central and both paracentral annular disc
bulge with posterior osteophyte indenting ventral subarachnoid space. Intervertebral foramen
narrowed on right side. Mild spinal canal stenosis.
PROF DR BRIG GEN A K M SHARIFUR RAHMAN
Consultant - Radiology & Imaging
MBBS, MCPS, FCPS (Radiology & Imaging)
MRI
• C5-C6: Desiccated disc with normal disc height. Central and both paracentral annular disc
bulge with posterior osteophyte indenting ventral subarachnoid space. Intervertebral foramen
narrowed on right side.
• C6-C7: Desiccated disc with reduction of disc height. Central and both paracentral annular disc
bulge with posterior osteophyte indenting ventral subarachnoid space. Intervertebral foramen
narrowed on right side.
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