MRI Reports (3472)
MRI Reports Database
hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Salmn / F / 13 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Brain and Spine.
CLINICAL PROFILE :
C/O fever since 2 1/2 months.
C/O headaches and seizures 1 1/2 months back.
H/O Pulmonary kochs since 00.00.00. On AKT since then.
H/O VP shunt 18 days back.
EXAMINATION :
The brain was scanned as requested using 5 mm thick T2 Weighted axial images.
The cervico-dorsal spine was scanned as requested using 4 mm thick T1 Weighted and T2 Weighted sagittal images.
The dorso-lumbar spine was scanned as requested using 5 mm thick T1 Weighted and T2 Weighted sagittal images and 5 mm thick T2 Weighted axial images.
OBSERVATION :
BRAIN :
There is a focal hyperintensity on the T2 Weighted images within the right cerebral peduncle.
Areas of hyperintensity are noted within the left lentiform nucleus and the white matter adjacent to the left frontal horn.
There is mild fullness of the ventricular system.
A ventriculostomy shunt tube is seen to course through the right parietal lobe with the tip of the tube lying within the right frontal horn.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Hypointense areas with susceptibility artifacts and fluid level on all the pulse sequences are seen within the frontal horns of both the lateral ventricles and these would represent air.
SPINE :
A small postero-central disc herniation is seen to indent the thecal sac at the L1-L2 level.
The L1-L2, L2-L3 and L3-L4 intervertebral discs show loss of water content.
The rest of the cervico-dorso-lumbar intervertebral discs show normal signal intensity.
The cervico-dorso-lumbar vertebral bodies show normal signal intensity.
The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
IMPRESSION :
1. Post-shunt status.
2. Mild fullness of the ventricular system.
..3/.
- 3 - Scan-00005
3. Areas of altered signal within the right cerebral peduncle, the left lentiform nucleus and the white matter adjacent to the left frontal horn may represent ischemic changes.
4. A small postero-central disc herniation at the L1-L2 level.
5. Air within the frontal horns of both the lateral ventricles.
Date : 00.00.00
Name of the Patient : Abc Xyz Salmn / F / 13 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Brain and Spine.
CLINICAL PROFILE :
C/O fever since 2 1/2 months.
C/O headaches and seizures 1 1/2 months back.
H/O Pulmonary kochs since 00.00.00. On AKT since then.
H/O VP shunt 18 days back.
EXAMINATION :
The brain was scanned as requested using 5 mm thick T2 Weighted axial images.
The cervico-dorsal spine was scanned as requested using 4 mm thick T1 Weighted and T2 Weighted sagittal images.
The dorso-lumbar spine was scanned as requested using 5 mm thick T1 Weighted and T2 Weighted sagittal images and 5 mm thick T2 Weighted axial images.
OBSERVATION :
BRAIN :
There is a focal hyperintensity on the T2 Weighted images within the right cerebral peduncle.
Areas of hyperintensity are noted within the left lentiform nucleus and the white matter adjacent to the left frontal horn.
There is mild fullness of the ventricular system.
A ventriculostomy shunt tube is seen to course through the right parietal lobe with the tip of the tube lying within the right frontal horn.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Hypointense areas with susceptibility artifacts and fluid level on all the pulse sequences are seen within the frontal horns of both the lateral ventricles and these would represent air.
SPINE :
A small postero-central disc herniation is seen to indent the thecal sac at the L1-L2 level.
The L1-L2, L2-L3 and L3-L4 intervertebral discs show loss of water content.
The rest of the cervico-dorso-lumbar intervertebral discs show normal signal intensity.
The cervico-dorso-lumbar vertebral bodies show normal signal intensity.
The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
IMPRESSION :
1. Post-shunt status.
2. Mild fullness of the ventricular system.
..3/.
- 3 - Scan-00005
3. Areas of altered signal within the right cerebral peduncle, the left lentiform nucleus and the white matter adjacent to the left frontal horn may represent ischemic changes.
4. A small postero-central disc herniation at the L1-L2 level.
5. Air within the frontal horns of both the lateral ventricles.
Published in
MRI Reports
hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzchal Palmn / M / 6 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O GTC seizures since the age of 1 year.
Known C/O neurocysticercosis.
For follow-up.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is seen an approximately 2.0 x 10.0 x 7.0 mms diameter sized well marginated, hyperintense lesion with a hypointense rim on the proton and T2 Weighted images in the right fronto-parietal, parafalcine region. This lesion is hypointense centrally, with a rim which is isointense to white matter on the T1 Weighted images. The margin is crenated. There is perilesional edema with effacement of the adjacent cortical sulcal spaces.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
An approximately 2.0 x 10.0 x 7.0 mms diameter sized lesion in the right fronto-parietal, parafalcine region as described, follows the signal characteristics of a neurocysticercus in the colloid-vesicular stage.
As compared to the previous MRI (study no:00007) dated 00.00.00, there is a slight decrease in the size of the lesion.
Date : 00.00.00
Name of the Patient : Abc Xyzchal Palmn / M / 6 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O GTC seizures since the age of 1 year.
Known C/O neurocysticercosis.
For follow-up.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is seen an approximately 2.0 x 10.0 x 7.0 mms diameter sized well marginated, hyperintense lesion with a hypointense rim on the proton and T2 Weighted images in the right fronto-parietal, parafalcine region. This lesion is hypointense centrally, with a rim which is isointense to white matter on the T1 Weighted images. The margin is crenated. There is perilesional edema with effacement of the adjacent cortical sulcal spaces.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
An approximately 2.0 x 10.0 x 7.0 mms diameter sized lesion in the right fronto-parietal, parafalcine region as described, follows the signal characteristics of a neurocysticercus in the colloid-vesicular stage.
As compared to the previous MRI (study no:00007) dated 00.00.00, there is a slight decrease in the size of the lesion.
Published in
MRI Reports
hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyza Glmn / F / 52 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to BLE with tingling in the fingers of both hands.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
Susceptibility artifacts due to dentures are noted.
There is loss of normal cervical lordosis.
A small postero-central disc herniation is seen to indent the thecal sac at the C4-C5 level.
Mild posterior disc bulges are noted at the C3-C4 and C5-C6 levels.
There appears to be an enlarged right paratracheal lymph node. The right lobe of the thyroid gland is larger than the one on the left.
The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show areas of replacement of fatty marrow.
The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
A small postero-central disc herniation at the C4-C5 level.
Date : 00.00.00
Name of the Patient : Abc Xyza Glmn / F / 52 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to BLE with tingling in the fingers of both hands.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
Susceptibility artifacts due to dentures are noted.
There is loss of normal cervical lordosis.
A small postero-central disc herniation is seen to indent the thecal sac at the C4-C5 level.
Mild posterior disc bulges are noted at the C3-C4 and C5-C6 levels.
There appears to be an enlarged right paratracheal lymph node. The right lobe of the thyroid gland is larger than the one on the left.
The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show areas of replacement of fatty marrow.
The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
A small postero-central disc herniation at the C4-C5 level.
Published in
MRI Reports
hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzra Walmn / F / 36 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 00.00.00.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
A small postero-central disc herniation is seen to indent the thecal sac at the L2-L3 level. This intervertebral disc shows loss of water content.
There are minimal posterior disc bulges at the L3-L4, L4-L5 and L5-S1 levels.
The L4-L5 and L5-S1 facet joints show degenerative changes.
The L3-L4, L4-L5 and L5-S1 intervertebral discs show slight loss of water content.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
12.0 mm at L2-L3
14.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. A small postero-central disc herniation at the L2-L3 level.
2. Minimal posterior disc bulges at the L3-L4, L4-L5 and L5-S1 levels.
3. Facetal arthropathy at the L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzra Walmn / F / 36 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 00.00.00.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
A small postero-central disc herniation is seen to indent the thecal sac at the L2-L3 level. This intervertebral disc shows loss of water content.
There are minimal posterior disc bulges at the L3-L4, L4-L5 and L5-S1 levels.
The L4-L5 and L5-S1 facet joints show degenerative changes.
The L3-L4, L4-L5 and L5-S1 intervertebral discs show slight loss of water content.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
12.0 mm at L2-L3
14.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. A small postero-central disc herniation at the L2-L3 level.
2. Minimal posterior disc bulges at the L3-L4, L4-L5 and L5-S1 levels.
3. Facetal arthropathy at the L4-L5 and L5-S1 levels.
Published in
MRI Reports
hs/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzo Blmn / M / 65 yrs.
Referred by : Dr. Abc Xyz Mehta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, giddiness, gait imbalance since 15 days.
Also C/O fever with chills since June 0000.
Known hypertensive & diabetic. On Rx.
H/O Pulmonary Kochs detected 00.00.00. On AKT since then.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There are foci of hyperintensity on the proton, T2 Weighted and FLAIR images within corona radiata and centrum semiovale bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.
Small areas with similar signal characteristics are noted in the periventricular white matter bilaterally.
There is mild fullness of the ventricular system. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of pansinusitis.
IMPRESSION :
The MRI features are suggestive of areas of altered signal intensity within the corona radiata, centrum semiovale and in the periventricular white matter bilaterally and these are most likely ischemic in etiology.
Date : 00.00.00
Name of the Patient : Abc Xyzo Blmn / M / 65 yrs.
Referred by : Dr. Abc Xyz Mehta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, giddiness, gait imbalance since 15 days.
Also C/O fever with chills since June 0000.
Known hypertensive & diabetic. On Rx.
H/O Pulmonary Kochs detected 00.00.00. On AKT since then.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There are foci of hyperintensity on the proton, T2 Weighted and FLAIR images within corona radiata and centrum semiovale bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.
Small areas with similar signal characteristics are noted in the periventricular white matter bilaterally.
There is mild fullness of the ventricular system. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of pansinusitis.
IMPRESSION :
The MRI features are suggestive of areas of altered signal intensity within the corona radiata, centrum semiovale and in the periventricular white matter bilaterally and these are most likely ischemic in etiology.
Published in
MRI Reports
hs/sb/rg/nl
/21 Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures with mild MR since childhood.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There are multiple small areas of hyperintensities on the proton and T2 Weighted images within the white matter in the fronto-parietal lobes bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images.
Note is made of a cavum septum pellucidum and vergae.
There is mild prominence of cerebellar folia bilaterally.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the sphenoid sinus, ethmoidal air cells and both maxillary sinuses.
IMPRESSION :
The MRI features are suggestive of multiple areas of altered signal intensity within the white matter in the fronto-parietal lobes bilaterally and these are not specific for a single etiology (?? ischemic foci).
A contrast enhanced scan would be worthwhile, if clinically indicated.
/21 Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures with mild MR since childhood.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There are multiple small areas of hyperintensities on the proton and T2 Weighted images within the white matter in the fronto-parietal lobes bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images.
Note is made of a cavum septum pellucidum and vergae.
There is mild prominence of cerebellar folia bilaterally.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the sphenoid sinus, ethmoidal air cells and both maxillary sinuses.
IMPRESSION :
The MRI features are suggestive of multiple areas of altered signal intensity within the white matter in the fronto-parietal lobes bilaterally and these are not specific for a single etiology (?? ischemic foci).
A contrast enhanced scan would be worthwhile, if clinically indicated.
Published in
MRI Reports
hs/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Khlmn / M / 50 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 6 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is mild retroplacement of the L5 vertebra over the S1 vertebra.
The lumbar intervertebral discs show loss of water content.
The L5-S1 intervertebral disc appears reduced in height.
A large postero-central disc herniation is seen to indent the thecal sac at the L2-L3 level. There is facetal and ligamentum flavum hypertrophy at this level with canal stenosis.
A small posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L5-S1 level.
A small posterior disc bulge is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level.
Small postero-central and left postero-lateral disc herniations are seen to indent the thecal sac and narrow the left neural foramen, respectively at the L3-L4 level.
..2/.
>
There is a left paracentral disc protrusion indenting the ventral aspect of the thecal sac at the L1-L2 level.
Bilateral far lateral (extraforaminal) disc herniations are noted at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
The remaining lumbar facet joints show degenerative changes. Mild ligamentum flavum hypertrophy is noted in the lumbar region.
The pedicles of the lumbar vertebrae appear to be congenitally short in their antero-posterior dimensions.
Multipe Schmorls nodes are noted in the lumbar region. Focal fatty changes/Type II degenerative changes are seen within the S1 and lumbar vertebral bodies.
Small anterior disc herniations are seen in the lumbar region.
A cortical renal cyst is noted on the right side.
The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S1-S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
11.0 mm at L1-L2
9.0 mm at L2-L3
12.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.
..3/.
- 3 - Scan-00008
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc herniation at the L2-L3 level with canal stenosis.
2. A small posterior disc herniation at the L5-S1 level.
3. A small posterior disc bulge at the L4-L5 level with a tight canal.
4. Small postero-central and left postero-lateral disc herniations at the L3-L4 level with a tight canal.
5. A left paracentral disc protrusion at the L1-L2 level.
6. Facetal arthropathy and mild ligamentum flavum hypertrophy in the lumbar region.
7. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
Date : 00.00.00
Name of the Patient : Abc Xyz Khlmn / M / 50 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 6 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is mild retroplacement of the L5 vertebra over the S1 vertebra.
The lumbar intervertebral discs show loss of water content.
The L5-S1 intervertebral disc appears reduced in height.
A large postero-central disc herniation is seen to indent the thecal sac at the L2-L3 level. There is facetal and ligamentum flavum hypertrophy at this level with canal stenosis.
A small posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L5-S1 level.
A small posterior disc bulge is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level.
Small postero-central and left postero-lateral disc herniations are seen to indent the thecal sac and narrow the left neural foramen, respectively at the L3-L4 level.
..2/.
>
There is a left paracentral disc protrusion indenting the ventral aspect of the thecal sac at the L1-L2 level.
Bilateral far lateral (extraforaminal) disc herniations are noted at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
The remaining lumbar facet joints show degenerative changes. Mild ligamentum flavum hypertrophy is noted in the lumbar region.
The pedicles of the lumbar vertebrae appear to be congenitally short in their antero-posterior dimensions.
Multipe Schmorls nodes are noted in the lumbar region. Focal fatty changes/Type II degenerative changes are seen within the S1 and lumbar vertebral bodies.
Small anterior disc herniations are seen in the lumbar region.
A cortical renal cyst is noted on the right side.
The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S1-S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
11.0 mm at L1-L2
9.0 mm at L2-L3
12.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.
..3/.
- 3 - Scan-00008
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc herniation at the L2-L3 level with canal stenosis.
2. A small posterior disc herniation at the L5-S1 level.
3. A small posterior disc bulge at the L4-L5 level with a tight canal.
4. Small postero-central and left postero-lateral disc herniations at the L3-L4 level with a tight canal.
5. A left paracentral disc protrusion at the L1-L2 level.
6. Facetal arthropathy and mild ligamentum flavum hypertrophy in the lumbar region.
7. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
Published in
MRI Reports
hs/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzli Shlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to LLE and left gluteal region since 7 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of normal lumbar lordosis. There slight retroplacement of the L5 vertebra over the S1 vertebra.
A large postero-central disc herniation with a peridiscal osteophyte is seen to indent the thecal sac at the L5-S1 level. A disc portion is seen to lie within the left lateral recess of the S1 vertebra with impingement of the traversing left S1 nerve root. A left postero-lateral (foraminal) disc herniation is seen to narrow the left neural foramina at the L5-S1 level. This intervertebral disc shows loss of water content.
Bilateral (left more than right) postero-lateral (foraminal) disc herniations are seen to narrow the neural foramina at the L4-L5 level.
Bilateral far lateral (extraforaminal) disc bulges are seen at the L3-L4, L4-L5 and L5-S1 levels.
The pedicles of the lower lumbar vertebrae appear to be congenitally short in their antero-posterior dimensions.
..2/.
The facet joints at the L4-L5 and L5-S1 levels appear slightly hypertrophied.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
16.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
5.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc herniation with a peridiscal osteophyte and canal stenosis at the L5-S1 level. A disc portion is seen to lie within the left lateral recess of the S1 vertebra with impingement of the traversing left S1 nerve root.
2. A left postero-lateral (foraminal) disc herniation
at the L5-S1 level.
3. Bilateral (left more than right) postero-lateral (foraminal) disc herniations at the L4-L5 level.
4. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.
5. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzli Shlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to LLE and left gluteal region since 7 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of normal lumbar lordosis. There slight retroplacement of the L5 vertebra over the S1 vertebra.
A large postero-central disc herniation with a peridiscal osteophyte is seen to indent the thecal sac at the L5-S1 level. A disc portion is seen to lie within the left lateral recess of the S1 vertebra with impingement of the traversing left S1 nerve root. A left postero-lateral (foraminal) disc herniation is seen to narrow the left neural foramina at the L5-S1 level. This intervertebral disc shows loss of water content.
Bilateral (left more than right) postero-lateral (foraminal) disc herniations are seen to narrow the neural foramina at the L4-L5 level.
Bilateral far lateral (extraforaminal) disc bulges are seen at the L3-L4, L4-L5 and L5-S1 levels.
The pedicles of the lower lumbar vertebrae appear to be congenitally short in their antero-posterior dimensions.
..2/.
The facet joints at the L4-L5 and L5-S1 levels appear slightly hypertrophied.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
16.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
5.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc herniation with a peridiscal osteophyte and canal stenosis at the L5-S1 level. A disc portion is seen to lie within the left lateral recess of the S1 vertebra with impingement of the traversing left S1 nerve root.
2. A left postero-lateral (foraminal) disc herniation
at the L5-S1 level.
3. Bilateral (left more than right) postero-lateral (foraminal) disc herniations at the L4-L5 level.
4. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.
5. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels.
Published in
MRI Reports
hs/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzllah Chaudlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzal S. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radicular pain in BLE with numbness since 1 year.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. The facet joints at this level shows hypertrophic degenerative changes. Also seen is ligamentum flavum hypertrophy with severe canal stenosis at this level. Bilateral far lateral (extraforaminal) disc herniations are noted at this level.
A small posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L3-L4 level.
There is a postero-central disc protrusion at the L5-S1 level.
Bilateral far lateral (extraforaminal) disc bulges are noted at the L1-L2, L2-L3, L3-L4 and L5-S1 levels. The rest of the facet joints in the lumbar region show degenerative changes.
The pedicles of the lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
..2/.
R>
The lumbar intervertebral discs show loss of water content.
A focal area of hyperintensity on the T1 Weighted images within the L3 vertebral body on the left side may represent a focal deposit of fat/hemangioma.
A Schmorls node is noted at the inferior aspect of the L1 vertebral body.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
13.0 mm at L1-L2
11.0 mm at L2-L3
10.0 mm at L3-L4
7.0 mm at L4-L5
8.0 mm at L5-S1.
Incidentally noted is a large right cortical renal cyst.
IMPRESSION :
The MRI features are suggestive of :
1. A posterior disc herniation with hypertrophic facetal arthropathy and ligamentum flavum hypertrophy with severe canal stenosis at the L4-L5 level.
2. Bilateral far lateral (extraforaminal) disc herniations at the L4-L5 level.
..3/.
- 3 - Scan-00006
3. A small posterior disc herniation at the L3-L4 level.
4. A postero-central disc protrusion at the L5-S1 level.
5. Facetal arthropathy in the lumbar region except at the L4-L5 level.
6. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
Date : 00.00.00
Name of the Patient : Abc Xyzllah Chaudlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzal S. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radicular pain in BLE with numbness since 1 year.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. The facet joints at this level shows hypertrophic degenerative changes. Also seen is ligamentum flavum hypertrophy with severe canal stenosis at this level. Bilateral far lateral (extraforaminal) disc herniations are noted at this level.
A small posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L3-L4 level.
There is a postero-central disc protrusion at the L5-S1 level.
Bilateral far lateral (extraforaminal) disc bulges are noted at the L1-L2, L2-L3, L3-L4 and L5-S1 levels. The rest of the facet joints in the lumbar region show degenerative changes.
The pedicles of the lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
..2/.
R>
The lumbar intervertebral discs show loss of water content.
A focal area of hyperintensity on the T1 Weighted images within the L3 vertebral body on the left side may represent a focal deposit of fat/hemangioma.
A Schmorls node is noted at the inferior aspect of the L1 vertebral body.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
13.0 mm at L1-L2
11.0 mm at L2-L3
10.0 mm at L3-L4
7.0 mm at L4-L5
8.0 mm at L5-S1.
Incidentally noted is a large right cortical renal cyst.
IMPRESSION :
The MRI features are suggestive of :
1. A posterior disc herniation with hypertrophic facetal arthropathy and ligamentum flavum hypertrophy with severe canal stenosis at the L4-L5 level.
2. Bilateral far lateral (extraforaminal) disc herniations at the L4-L5 level.
..3/.
- 3 - Scan-00006
3. A small posterior disc herniation at the L3-L4 level.
4. A postero-central disc protrusion at the L5-S1 level.
5. Facetal arthropathy in the lumbar region except at the L4-L5 level.
6. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
Published in
MRI Reports
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzi Shlmn / M / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O loss of sensation in the LLE with dragging of the LLE since 1 month.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyzi Shlmn / M / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O loss of sensation in the LLE with dragging of the LLE since 1 month.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
More...
ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzflmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Left Ankle & Foot.
CLINICAL PROFILE :
C/O pain and swelling over the left ankle since 1 month.
Known hypertensive. On Rx.
EXAMINATION :
M.R.I. of the left ankle and foot was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
4 mm thick T1 Weighted and STIR coronal images.
4 mm thick T1 Weighted and GRASS sagittal images.
OBSERVATION :
There is a hyperintense signal in the subcutaneous tissues around the left ankle on the T2 Weighted and STIR images. This is hypointense on the T1 Weighted images and is suggestive of subcutaneous edema. This is seen to extend into the lower one third of the left leg. No obvious collection is identified on this study.
Minimal effusion is seen within the left ankle joint.
A small hypointense speck is noted in the talus on all the pulse sequences which would represent a bone island. The trabecular pattern within the talus and calcaneum is prominent. A small, subchondral pit is noted in the dome of the talus, posteriorly (scans 102.9, 10).
No obvious bone destruction or erosion is evident.
The visualized tendons and ligaments around the left ankle show normal signal intensity.
The left foot was further screened with 6 mm thick T1 Weighted and T2 Weighted axial images which does not reveal any diagnostic feature of note.
IMPRESSION :
The MRI features are suggestive of cellulitis around the left ankle joint.
No other significant abnormality is detected.
Date : 00.00.00
Name of the Patient : Abc Xyzflmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Left Ankle & Foot.
CLINICAL PROFILE :
C/O pain and swelling over the left ankle since 1 month.
Known hypertensive. On Rx.
EXAMINATION :
M.R.I. of the left ankle and foot was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
4 mm thick T1 Weighted and STIR coronal images.
4 mm thick T1 Weighted and GRASS sagittal images.
OBSERVATION :
There is a hyperintense signal in the subcutaneous tissues around the left ankle on the T2 Weighted and STIR images. This is hypointense on the T1 Weighted images and is suggestive of subcutaneous edema. This is seen to extend into the lower one third of the left leg. No obvious collection is identified on this study.
Minimal effusion is seen within the left ankle joint.
A small hypointense speck is noted in the talus on all the pulse sequences which would represent a bone island. The trabecular pattern within the talus and calcaneum is prominent. A small, subchondral pit is noted in the dome of the talus, posteriorly (scans 102.9, 10).
No obvious bone destruction or erosion is evident.
The visualized tendons and ligaments around the left ankle show normal signal intensity.
The left foot was further screened with 6 mm thick T1 Weighted and T2 Weighted axial images which does not reveal any diagnostic feature of note.
IMPRESSION :
The MRI features are suggestive of cellulitis around the left ankle joint.
No other significant abnormality is detected.
Published in
MRI Reports
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Molmn / M / 33 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left facial hemiparesis.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick T1 Weighted coronal images through the IAM.
MR cisternogram was obtained in the coronal plane.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
IMPRESSION :
Slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally.
Date : 00.00.00
Name of the Patient : Abc Xyz Molmn / M / 33 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left facial hemiparesis.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick T1 Weighted coronal images through the IAM.
MR cisternogram was obtained in the coronal plane.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
IMPRESSION :
Slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally.
Published in
MRI Reports
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzn Almn / M / 15 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fever with chills with headaches since 7 days.
C/O 2 episodes of seizures since then.
C/O diplopia since 2 days.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Mucosal thickening is noted in the left maxillary antrum and left posterior ethmoidal air cells.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyzn Almn / M / 15 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fever with chills with headaches since 7 days.
C/O 2 episodes of seizures since then.
C/O diplopia since 2 days.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Mucosal thickening is noted in the left maxillary antrum and left posterior ethmoidal air cells.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzayan Ylmn / M / 16 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain and swelling over the right knee joint since 10 months.
EXAMINATION :
M.R.I of the right knee joint was performed using the following parameters :
4 mm thick T1 Weighted sagittal images.
5 mm thick T1 Weighted coronal images.
7 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
7 mm thick T2 Weighted (with fat saturation) coronal images.
OBSERVATION :
There is seen a defect along the postero-lateral wall of the distal right femur, in the metaphysis, with erosion of the cortex in that region. Ill-defined hypointense signal on the T1 Weighted images is noted in the marrow adjacent to this lesion. This marrow signal appears heterogeneously hyperintense on the T2 Weighted images.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images along the posterior, lateral and anterior margins of the distal right femur, which appears hyperintense on the T2 Weighted images. This lesion appears deep to the vastus lateralis intermedius and medialis muscles which are displaced peripherally by the lesion. The vasti muscles in the distal segment of the right thigh however shows a hyperintense signal on
the T2 Weighted images, suggesting myositis. The biceps femoris muscle is displaced postero-laterally by the lesion and the popliteal vessels are displaced posteriorly. Extension of the soft tissue lesion into the suprapatellar bursa is also noted.
The supero-inferior extent of the above described lesion is about 13.0 cms from the knee joint space. There is however, no involvement of the knee joint space per se.
IMPRESSION :
Defect in the postero-lateral margin of the distal end of the right femur, in its metaphysis, with soft tissue lesion around the distal end of the right femur as described is not specific for a single etiology. This most likely represents chronic osteomyelitis with an abscess around the distal right femur.
The possibility of a neoplasm like a perosteal sarcoma cannot be entirely ruled out, though less likely.
Date : 00.00.00
Name of the Patient : Abc Xyzayan Ylmn / M / 16 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain and swelling over the right knee joint since 10 months.
EXAMINATION :
M.R.I of the right knee joint was performed using the following parameters :
4 mm thick T1 Weighted sagittal images.
5 mm thick T1 Weighted coronal images.
7 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
7 mm thick T2 Weighted (with fat saturation) coronal images.
OBSERVATION :
There is seen a defect along the postero-lateral wall of the distal right femur, in the metaphysis, with erosion of the cortex in that region. Ill-defined hypointense signal on the T1 Weighted images is noted in the marrow adjacent to this lesion. This marrow signal appears heterogeneously hyperintense on the T2 Weighted images.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images along the posterior, lateral and anterior margins of the distal right femur, which appears hyperintense on the T2 Weighted images. This lesion appears deep to the vastus lateralis intermedius and medialis muscles which are displaced peripherally by the lesion. The vasti muscles in the distal segment of the right thigh however shows a hyperintense signal on
the T2 Weighted images, suggesting myositis. The biceps femoris muscle is displaced postero-laterally by the lesion and the popliteal vessels are displaced posteriorly. Extension of the soft tissue lesion into the suprapatellar bursa is also noted.
The supero-inferior extent of the above described lesion is about 13.0 cms from the knee joint space. There is however, no involvement of the knee joint space per se.
IMPRESSION :
Defect in the postero-lateral margin of the distal end of the right femur, in its metaphysis, with soft tissue lesion around the distal end of the right femur as described is not specific for a single etiology. This most likely represents chronic osteomyelitis with an abscess around the distal right femur.
The possibility of a neoplasm like a perosteal sarcoma cannot be entirely ruled out, though less likely.
Published in
MRI Reports