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Spinal Report

The MRI report for 24-year-old male Akhilesh N.C. indicates loss of cervical lordosis likely due to muscle spasm, mild disc bulges at C4-C5 and C5-C6 levels, and small hemangiomas in C6, D6, and D12 vertebral bodies. The lumbar spine shows sacralization of L5 with a posterior disc bulge at L4-L5 causing moderate narrowing of the spinal canal and compression of left traversing nerve roots. Overall, there is no evidence of significant nerve root compression or inflammatory spondylitis.

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0% found this document useful (0 votes)
84 views4 pages

Spinal Report

The MRI report for 24-year-old male Akhilesh N.C. indicates loss of cervical lordosis likely due to muscle spasm, mild disc bulges at C4-C5 and C5-C6 levels, and small hemangiomas in C6, D6, and D12 vertebral bodies. The lumbar spine shows sacralization of L5 with a posterior disc bulge at L4-L5 causing moderate narrowing of the spinal canal and compression of left traversing nerve roots. Overall, there is no evidence of significant nerve root compression or inflammatory spondylitis.

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Akhil Nc
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© © All Rights Reserved
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Name [Link].N.

C Patient ID AS_TUT_MRI_8293

Accession No 18_008293_202097 Age/Gender 24Y / Male


[Link] PRAKASH.M M.B.B.S.
Referred By Date 3-Sep-2020
M.S. GENERAL SURGERY

MRI REPORT - WHOLE SPINE


TECHNIQUE:
T1W, T2W Sagittal T2W STIR CoronalSI joints
T2W Axial MR Myelogram

CERVICAL SPINE:
Loss of cervical lordosis - likely due to muscle spasm.
Mild postero central disc bulge and grade II disc dessication is seen at C4-C5 and C5-
C6 levels mildly impinging on ventral thecal sac. No neural foraminal narrowing or
nerve root compression is seen.
Small hemangioma noted in C6 vertebral body.
The vertebral bodies, pedicles, laminae, transverse processes show normal morphology
and MR signal pattern.
The facet joints and neural foraminae appear normal.
The alignment of the vertebrae is normal.
The cervical canal dimensions from C2 to C7 is as follows
Level C2-3 C3-C4 C4-C5 C5-C6 C6-C7 C7-D1
Cm 1.13 0.93 0.95 0.83 1.05 1.07

The cervical spinal cord and the CSF display normal signal intensity in all sequences.
There is no evidence of tonsilar herniation.
The cranio vertebral junction is normal. The atlanto-axial joint is normal.
The pre and paraspinal regions do not show any abnormal soft tissue lesion or
abnormal signal intensity.

Page 1 of 4
Name [Link].N.C Patient ID AS_TUT_MRI_8293

Accession No 18_008293_202097 Age/Gender 24Y / Male


[Link] PRAKASH.M M.B.B.S.
Referred By Date 3-Sep-2020
M.S. GENERAL SURGERY

DORSAL SPINE:
Small hemangioma noted in D6 and D12 vertebral bodies.
The vertebral pedicles, laminae, spinous process and transverse process of the dorsal
spine show normal morphology.
All the dorsal intervertebral discs show normal morphology and MR signal intensities.
The spinal canal dimensions are within normal limits.
The dorsal spinal cord and the sub arachnoid space are normal.
The paraspinal soft tissues appear normal.
LUMBAR SPINE:
Sacralization of L5 vertebra with bilateral L5 transverse process articulating with
sacrum ( type II b).
Diffuse posterior disc bulge with right foraminal protrusion and grade II disc
dessication is seen at L4-L5 level causing moderate narrowing of spinal canal , right
lateral recess , right neural foramina and mild narrowing of left neural foramina
compression left traversing nerve roots.
Mild postero central disc bulge is seen at L3-L4 and L5-S1 levels. No thecal sac
indentation , neural foraminal narrowing or nerve root compression is seen.
The facet joints and neural foraminae appear normal.
The Pedicles, laminae, spinous process and transverse process of the lumbar vertebrae
show normal morphology. No evidence of spondylolysis.
The ligamentum flavum thickness is within normal limits.
The bony spinal canal diameter is normal.
Level L1-2 L2-3 L3-4 L4-5 L5-S1
Cm 1.53 1.56 1.33 0.93 0.80

Page 2 of 4
Name [Link].N.C Patient ID AS_TUT_MRI_8293

Accession No 18_008293_202097 Age/Gender 24Y / Male


[Link] PRAKASH.M M.B.B.S.
Referred By Date 3-Sep-2020
M.S. GENERAL SURGERY

The spinal cord, conus medullaris and the sub arachnoid space are normal.
The nerve roots of the cauda equina appear normal.
The paraspinal soft tissues appear normal.
Both sacroiliac joints appear normal.
IMPRESSION:
 Loss of cervical lordosis - likely due to muscle spasm.
 Mild postero central disc bulge and grade II disc dessication is seen at
C4-C5 and C5-C6 levels mildly impinging on ventral thecal sac. No
neural foraminal narrowing or nerve root compression is seen.
 Small hemangioma noted in C6 , D6 and D12 vertebral bodies.
 Sacralization of L5 vertebra with bilateral L5 transverse process
articulating with sacrum ( type II b).
 Diffuse posterior disc bulge with right foraminal protrusion and grade
II disc dessication is seen at L4-L5 level causing moderate narrowing of
spinal canal , right lateral recess , right neural foramina and mild
narrowing of left neural foramina compression left traversing nerve
roots.
 Mild postero central disc bulge is seen at L3-L4 and L5-S1 levels. No
thecal sac indentation , neural foraminal narrowing or nerve root
compression is seen.
 No evidence of infective or inflammatory spondylitis.

[Link] Thangaraj.,MD RD
Radiologist

Page 3 of 4
Name [Link].N.C Patient ID AS_TUT_MRI_8293

Accession No 18_008293_202097 Age/Gender 24Y / Male


[Link] PRAKASH.M M.B.B.S.
Referred By Date 3-Sep-2020
M.S. GENERAL SURGERY

Page 4 of 4

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