St. Mary's Hospital
111 E. Spring St.
Streator, IL  61364
(815) 673-2311

Radiology

Name:         Wallingford, C. Robert
MRN:          00308-295
Pt Loc:       XRAY
Acct. No:     003082951001
ATTND MD:     Rakesh K. Garg, MD
Adm date      10/18/2001

ANATOMICAL PART: Magnetic Resonance Imaging Examination of the Cervical Spine

DATE:   10/18/01    No.:   3291-0003

Routine magnetic resonance imaging examination of the cervical spine was 
performed with sagittal and axial images obtained in various sequences. There 
is severe degenerative disc disease seen throughout the cervical spine with 
disc space narrowing, subchondral sclerosis and hypertrophic osteophyte 
formation at all levels, but especially at the C3-4, C4-5, C5-6, and C6-7 
levels. There is loss of the normal cervical lordosis with a moderate 
kyphosis centered at approximately the C5 level. Severe cord compression 
was seen at the C3-4, C4-5, and especially the C5-6 levels where there is 
diffuse disc protrusion/herniations with posterior osteophyte formation 
compressing the cervical cord and marked cord atrophy at these levels. 
Foraminal narrowing is seen at multiple levels due to the hypertrophic 
osteophyte formation in combination with uncal vertobral osteophyte 
formation and degenerative changes of the facet joints. 

IMPRESSION:
1. Loss of the normal cervical lordosis with a moderate kyphosis centered 
   at the C5 level. Moderately severe degenerative disc disease seen 
   throughout the cervical spine but especially the C3-4, C4-5, C5-6, and C6-7
   levels where there is anterior and posterior osteophyte formation. 
2. 3 to 4 mm retrolisthesis of C5 on C6 and 3 mm retrolisthesis of C6 on C7. 
3. Severe cord compression at the C4-5, C5-6 andat the C6-7 levels due to 
   posterior osteophyte formation in combination with the retrolisthesis 
   with diffuse disc herniation.


Mark D. Hilborn, MD

MDH/djc  d:  10/24/2001   8:59 A   t:   10/24/2001   9:07  A
job # 004852  doc  # 58109
cc:  Rakesh K Garg, MD
     Mark D. Hilborn, MD