زينات حسن محمد

Patient Name: ‫زينات حسن محمد‬
Study Date: 27/11/2024

Ref. ‫التامين الصحى‬
MRI OF THE CERVICAL SPINE

 TECHNIQUE:-
 Plate 1: Sagittal T1-WI.
 Plate 3: Axial T2*-WI.
 FINDINGS:-
 Straightened cervical curve.
 Anterior marginal osteophytic lipping of the opposing vertebral end
plates
 Diminished bright T2 signal of the examined discs with multi level
height reduction denoting their degeneration.
 No focal marrow signal alteration or structural collapse of the examined
vertebra.
 C2/3 posterior disc protrusion seen indenting the ventral CSF space with
no neural compromise.
 C3/4 small posterior disc protrusion is seen indenting the ventral CSF
space with no neural compromise.
 C4/5 left para central disc protrusions seen obliterating the ventral CSF
space, indenting the cord and encroaching upon the corresponding neural
exit pathways at left side .
 C5/6 and C6/7 posterior and bi-posterolateral disc protrusions/posterior
osteophyte complex are seen obliterating the ventral CSF space, indenting
the cord and encroaching upon the corresponding neural exit pathways
bilaterally
 Intact cervicomedullary junction and cord.
 No paravertebral masses or collections.
 OPINION:-
 Advanced cervical spondylodegenerative changes with multilevel
disc lesions as described .
Best Regards;
Mohamed Nosir ,MSC
Dr. Ahmed Zidan (MD)
MRI OF THE DORSAL SPINE

 TECHNIQUE:-
 Plate 3: Axial T2-WI.
 FINDINGS:-
 preserved dorsal curve.
 Anterior marginal osteophytic lipping of the opposing vertebral end
plates
 Diminished bright T2 signal of the examined discs with multi level
height reduction denoting their degeneration.
 No focal marrow signal alteration or structural collapse of the examined
vertebra.
 D1/2 left posterolateral disc protrusion/posterior osteophyte complex is
seen obliterating the ventral CSF space, indenting the cord and
encroaching upon the left neural exit pathways
 D2/3 & D3/4 posterior disc bulge seen indenting the ventral CSF space
mild encroaching upon the corresponding neural exit pathways
 C7-D1 and D8/9 down to D12/L1 variable degrees of posterior disc
bulge seen indenting the ventral CSF space encroaching upon the
corresponding neural exit pathways more at D12/L1 level
 Normal size and signal intensity of the dorsal spinal cord.
 D11-12 bilateral facet arthropathy.
 No paravertebral masses or collections.
 OPINION:-
 dorsal spondylodegenerative changes with multilevel disc lesions as
described .
Best Regards;
Mohamed Nosir ,MSC
MRI EXAMINATION OF THE LUMBAR SPINE

Technique of Examination:-
- Sagittal T1 & T2 WIS (plates 1,2)
- Axial T1 & T2 WIs (plates 3,4)
MRI Findings:
 lumbar scoliosis with convex to the right side.
 Mild forward slippage of L4 over L5 vertebrae is seen secondary to
bilateral L4-5 facetal arthropathy.
 Slight retrolisthesis is also noted at L2/3 & L3-4 levels.
 Lumbar spondylodegenerative changes manifested by variable degrees of
reduced T2 signal brightness and height of the lumbar discs with
anteriormarginalosteophytic lipping and mild subchondral degenerative
marrow changes of their opposing vertebral endplates.
 L1/2 , L2-3 and L5/S1 marked posterior disc bulges are seen indenting the
thecal sac ventrally and encroaching on the exit neural foramina bilaterally.
 L3-4 large posterior disc herniation is seen compressing the thecal sac
against hypertrophied ligamenta flava causing marked spinal canal stenosis
and encroaching on both exit neural foramina embarrassing L3 and L4
nerve roots.
 L4-5 large posterior pseudo disc herniation is seen compressing the thecal sac
against hypertrophied ligamenta flava causing marked spinal canal stenosis and
encroaching on both exit neural foramina embarrassing L4 and L5 nerve roots.
 L5/S1 bilateral facet arthropathy.
 Normal appearance of the conus medullaris and cauda equine nerve roots.
 No paraspinal lesions.
Opinion:
 Roto-scoliosis of lumbar spine
 Lumbar spondylodegenerativechanges with first degree degenerative
spondylolithesis of at L4-5 level and multiple disc lesions on top of
developmental spinal canal stenosis most marked at L3/4 and L4/5
levels as described.
Much obliged;
Mohamed Nosir ,MSC

زينات حسن محمد

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زينات حسن محمد

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Patient Name: ‫زينات حسن محمد‬

Study Date: 27/11/2024

MRI OF THE CERVICAL SPINE

MRI OF THE DORSAL SPINE

MRI EXAMINATION OF THE LUMBAR SPINE

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