Normal
MRI OF CERVICAL SPINE:
Protocol:
Plain MR of the cervical spine was performed using routine turbo spin sequences in multiplanar planes of axial, sagittal and coronal planes using head and spine coils.The sequences used were T1 & T2 Axial, T1 & T2 Sagittal, T2 fat supressed coronal.
Findings:
There is loss of normal cervical lordosis with straightening of the cervical spine. The vertebral marrow signals of the cervical vertebrae are of adult marrow. The vertebral heights are maintained at all levels. No evidence of vertebral collapse or focal altered signals is noted within the vertebral bodies. Posterior elements including the pedicles are free.
The signal intensities of the annulus fibrosus and nucleus pulposus of cervical discs are relatively maintained at
all levels.The vertical heights of the cervical discs are relatively well-maintained.
No remarkable disc bulges or anterior thecal intentations are seen.No evidence of cord compression or cord edema is seen.
Pre and paravertebral soft tissues are unremarkable. No evidence of para-vertebral thickening or collection is seen.Ligamentum flavum is normal in volume and signal intensity. Mild degenerative changes noted at the facet joints.
Cranio-vertebral junction is normal.
IMPRESSION: MR STUDY OF THE CERVICAL SPINE IS ESSENTIALLY WITHIN NORMAL LIMITS.
MRI CERVICAL SPINE
A plain MR of the cervical spine was performed using routine turbo spin sequences in multiplanar planes of axial, sagittal and coronal planes using head and spine coils.
The sequences used were T1W TSE Axial, T2W TSE Axial, T1W TSE Sagittal, T2W TSE Sagittal, T2 fat suppressed TSE Sagittal along with MR myelograms in the Sagittal and Coronal planes.
There is mild straightening of the cervical spine with normal alignment. The vertebral marrow signals of the cervical vertebrae are of adult marrow. The vertebral heights are maintained at all levels. No evidence of vertebral collapse or focal altered signals is noted within the vertebral bodies. Posterior elements including the pedicles are free.
Pre and paravertebral soft tissues are unremarkable. No evidence of para-vertebral thickening or collection is seen.
The I/V disc shows normal signal intensity and height. No significant disc bulge or prolapse is noted.
Cervical spinal canal AP dimensions are within normal limits. Effective canal dimensions at the level of the disc are -
C2-C3 C3-C4 C4-C5 C5-C6 C6-C7 C7-D1
13 mm 12 mm 12 mm 13 mm 14 mm 13 mm
Cervical spinal cord reveals normal signal intensity and volume. No evidence of cord compression or cord edema is noted.
Ligamentum flavum, facet joints and uncovertebral joints are normal in volume and signal intensities. Neural foramina along with the exiting nerve roots appears normal without any evidence of nerve root compromise.
Cranio-vertebral junction is normal.
DEGENERATIVE DISC
MRI CERVICAL SPINE
A plain MR of the cervical spine was performed using routine turbo spin sequences in multiplanar planes of axial, sagittal and coronal planes using head and spine coils.
The sequences used were T1W TSE Axial, T2W TSE Axial, T1W TSE Sagittal, T2W TSE Sagittal, T2 fat suppressed TSE Sagittal along with MR myelograms in the Sagittal and Coronal planes.
There is mild straightening of the cervical spine with normal alignment. The vertebral marrow signals of the cervical vertebrae are of adult marrow. The vertebral heights are maintained at all levels. No evidence of vertebral collapse or focal altered signals is noted within the vertebral bodies. Posterior elements including the pedicles are free.
Degenerative changes of the vertebral bodies in the form of predominantly anterior osteophytosis are seen from C4- C6 vertebrae.
Pre and paravertebral soft tissues are unremarkable. No evidence of para-vertebral thickening or collection is seen.
There is decrease in the height of the C5-C6 and C6-C7 I/V discs with decrease in the T2 signal intensity and along with loss of the normal T2 signal of the annulus fibrosus and nucleus pulposus at these levels signifying disc degeneration.
There is diffuse postero-central disc bulges at C4-C5 & C6-C7 levels with indentation of the ventral subarachnoid spaces which has been well documented in the MR Myelogram Sagittal images. There is a focal postero-lateral dic bulge on the left side at C5-C6 level which is seen to impinge the left exiting C5 nerve root and encroach upon the neural foramina at that level. No indentation of the cervical spinal cord at these levels is noted without any evidence of altered signal intensity of the cord at these levels.
Cont..p/2..
Ligamentum flavum, facet joints and uncovertebral joints are normal in volume and signal intensities. Rest of the neural foramina along with the exiting nerve roots appears normal without any evidence of nerve root compromise.
Cervical spinal canal AP dimensions are within normal limits. Effective canal dimensions at the level of the disc are -
C2-C3 C3-C4 C4-C5 C5-C6 C6-C7 C7-D1
14.8 mm 14.2 mm 12.4 mm 12.1 mm 12.1 mm 12.9 mm
Cervical spinal cord reveals normal signal intensity and volume. No evidence of cord compression or cord edema is noted.
Cranio-vertebral junction is normal.
IMPRESSION: PLAIN MR STUDY OF THE CERVICAL SPINE REVEALS-
DEGENERATIVE DISC DISEASE AT C4-C5, C5-C6 AND C6-C7 LEVELS WITH DIFFUSE DISC BULGES AND VENTRAL THECAL INDENTATION ALONG WITH MILD IMPINGEMENT OF THE LEFT EXITING C5 NERVE ROOT. NO REMARKABLE CANAL STENOSIS OR CERVICAL SPINAL CORD COMPROMISE IS NOTED.
Normal
MRI OF CERVICAL SPINE:
Protocol:
Plain MR of the cervical spine was performed using routine turbo spin sequences in multiplanar planes of axial, sagittal and coronal planes using head and spine coils.The sequences used were T1 & T2 Axial, T1 & T2 Sagittal, T2 fat supressed coronal.
Findings:
There is loss of normal cervical lordosis with straightening of the cervical spine. The vertebral marrow signals of the cervical vertebrae are of adult marrow. The vertebral heights are maintained at all levels. No evidence of vertebral collapse or focal altered signals is noted within the vertebral bodies. Posterior elements including the pedicles are free.
The signal intensities of the annulus fibrosus and nucleus pulposus of cervical discs are relatively maintained at
all levels.The vertical heights of the cervical discs are relatively well-maintained.
No remarkable disc bulges or anterior thecal intentations are seen.No evidence of cord compression or cord edema is seen.
Pre and paravertebral soft tissues are unremarkable. No evidence of para-vertebral thickening or collection is seen.Ligamentum flavum is normal in volume and signal intensity. Mild degenerative changes noted at the facet joints.
Cranio-vertebral junction is normal.
IMPRESSION: MR STUDY OF THE CERVICAL SPINE IS ESSENTIALLY WITHIN NORMAL LIMITS.
MRI CERVICAL SPINE
A plain MR of the cervical spine was performed using routine turbo spin sequences in multiplanar planes of axial, sagittal and coronal planes using head and spine coils.
The sequences used were T1W TSE Axial, T2W TSE Axial, T1W TSE Sagittal, T2W TSE Sagittal, T2 fat suppressed TSE Sagittal along with MR myelograms in the Sagittal and Coronal planes.
There is mild straightening of the cervical spine with normal alignment. The vertebral marrow signals of the cervical vertebrae are of adult marrow. The vertebral heights are maintained at all levels. No evidence of vertebral collapse or focal altered signals is noted within the vertebral bodies. Posterior elements including the pedicles are free.
Pre and paravertebral soft tissues are unremarkable. No evidence of para-vertebral thickening or collection is seen.
The I/V disc shows normal signal intensity and height. No significant disc bulge or prolapse is noted.
Cervical spinal canal AP dimensions are within normal limits. Effective canal dimensions at the level of the disc are -
C2-C3 C3-C4 C4-C5 C5-C6 C6-C7 C7-D1
13 mm 12 mm 12 mm 13 mm 14 mm 13 mm
Cervical spinal cord reveals normal signal intensity and volume. No evidence of cord compression or cord edema is noted.
Ligamentum flavum, facet joints and uncovertebral joints are normal in volume and signal intensities. Neural foramina along with the exiting nerve roots appears normal without any evidence of nerve root compromise.
Cranio-vertebral junction is normal.
DEGENERATIVE DISC
MRI CERVICAL SPINE
A plain MR of the cervical spine was performed using routine turbo spin sequences in multiplanar planes of axial, sagittal and coronal planes using head and spine coils.
The sequences used were T1W TSE Axial, T2W TSE Axial, T1W TSE Sagittal, T2W TSE Sagittal, T2 fat suppressed TSE Sagittal along with MR myelograms in the Sagittal and Coronal planes.
There is mild straightening of the cervical spine with normal alignment. The vertebral marrow signals of the cervical vertebrae are of adult marrow. The vertebral heights are maintained at all levels. No evidence of vertebral collapse or focal altered signals is noted within the vertebral bodies. Posterior elements including the pedicles are free.
Degenerative changes of the vertebral bodies in the form of predominantly anterior osteophytosis are seen from C4- C6 vertebrae.
Pre and paravertebral soft tissues are unremarkable. No evidence of para-vertebral thickening or collection is seen.
There is decrease in the height of the C5-C6 and C6-C7 I/V discs with decrease in the T2 signal intensity and along with loss of the normal T2 signal of the annulus fibrosus and nucleus pulposus at these levels signifying disc degeneration.
There is diffuse postero-central disc bulges at C4-C5 & C6-C7 levels with indentation of the ventral subarachnoid spaces which has been well documented in the MR Myelogram Sagittal images. There is a focal postero-lateral dic bulge on the left side at C5-C6 level which is seen to impinge the left exiting C5 nerve root and encroach upon the neural foramina at that level. No indentation of the cervical spinal cord at these levels is noted without any evidence of altered signal intensity of the cord at these levels.
Cont..p/2..
Ligamentum flavum, facet joints and uncovertebral joints are normal in volume and signal intensities. Rest of the neural foramina along with the exiting nerve roots appears normal without any evidence of nerve root compromise.
Cervical spinal canal AP dimensions are within normal limits. Effective canal dimensions at the level of the disc are -
C2-C3 C3-C4 C4-C5 C5-C6 C6-C7 C7-D1
14.8 mm 14.2 mm 12.4 mm 12.1 mm 12.1 mm 12.9 mm
Cervical spinal cord reveals normal signal intensity and volume. No evidence of cord compression or cord edema is noted.
Cranio-vertebral junction is normal.
IMPRESSION: PLAIN MR STUDY OF THE CERVICAL SPINE REVEALS-
DEGENERATIVE DISC DISEASE AT C4-C5, C5-C6 AND C6-C7 LEVELS WITH DIFFUSE DISC BULGES AND VENTRAL THECAL INDENTATION ALONG WITH MILD IMPINGEMENT OF THE LEFT EXITING C5 NERVE ROOT. NO REMARKABLE CANAL STENOSIS OR CERVICAL SPINAL CORD COMPROMISE IS NOTED.
Comments