Mr. MD SHABBIRUL ALAM CHOWDHURY UHID 166978

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INVESTIGATION REPORT

Lab/Manual No : 166978 Order No : OP24/22636


Patient Name : Mr. MD SHABBIRUL ALAM CHOWDHURY UHID : 597464
Age/Gender : 56 Y/M Sample Collected : 01/08/2023 12:26PM
Referred By : Dr. MOHAMMAD NAJIM UDDIN Sample Received : 01/08/2023 3:48PM
Ward/Bed No : OPD Report Date : 01/08/2023 7:07PM
Clinical History : Cervical Report Status : Finalized

MRI

ROI - SHORT SEQUENCE MRI

MRI OF CERVICAL SPINE

Brief Clinical Notes: Known case cervical myelopathy & HTN. H/O neck pain radiating to right upper limbs.

Techniques: Multiplanar & multisequence MRI of cervical spine was performed.

Findings: (Reporting on films and PACS).

Loss of cervical lordotic curvature is noted.

The vertebral alignment is within normal limits.

Marginal osteophytes are noted in C2-C7 vertebrae.

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.

PROF DR BRIG GEN A K M SHARIFUR RAHMAN


Consultant - Radiology & Imaging
MBBS, MCPS, FCPS (Radiology & Imaging)

PreparedBy PROF DR BRIG GEN A K M SHARIFUR RAHMAN


Page 1 of 3
INVESTIGATION REPORT
Lab/Manual No : 166978 Order No : OP24/22636
Patient Name : Mr. MD SHABBIRUL ALAM CHOWDHURY UHID : 597464
Age/Gender : 56 Y/M Sample Collected : 01/08/2023 12:26PM
Referred By : Dr. MOHAMMAD NAJIM UDDIN Sample Received : 01/08/2023 3:48PM
Ward/Bed No : OPD Report Date : 01/08/2023 7:07PM
Clinical History : Cervical Report Status : Finalized

MRI

ROI - SHORT SEQUENCE 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.

Whole spine screening:


Loss of lumbar lordotic curvature is noted.
Marginal osteophytes are noted in L2- L5 vertebrae.
Disc desiccation is seen at variable levels.
Mild disc bulge is noted at L3-L4, L4-L5 & L5-S1 levels indenting ventral thecal sac.
Lumbar & dorsal spinal cord is normal in morphology and signal intensity.

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)

PreparedBy PROF DR BRIG GEN A K M SHARIFUR RAHMAN


Page 2 of 3
INVESTIGATION REPORT
Lab/Manual No : 166978 Order No : OP24/22636
Patient Name : Mr. MD SHABBIRUL ALAM CHOWDHURY UHID : 597464
Age/Gender : 56 Y/M Sample Collected : 01/08/2023 12:26PM
Referred By : Dr. MOHAMMAD NAJIM UDDIN Sample Received : 01/08/2023 3:48PM
Ward/Bed No : OPD Report Date : 01/08/2023 7:07PM
Clinical History : Cervical Report Status : Finalized

MRI

ROI - SHORT SEQUENCE 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.
--- End of Report ---

PROF DR BRIG GEN A K M SHARIFUR RAHMAN


Consultant - Radiology & Imaging
MBBS, MCPS, FCPS (Radiology & Imaging)

PreparedBy PROF DR BRIG GEN A K M SHARIFUR RAHMAN


Page 3 of 3

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