MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13636

Written by
sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Slmn / M / 70 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE since 6-7 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 water content of the lumbar intervertebral discs. Slight retroplacement of the L3 vertebra over the L4 vertebra is noted.

Posteriorly herniated discs with peridiscal osteophytes are noted at the L2-L3, L3-L4 and L4-L5 levels, with thecal sac compression and bilateral neural foraminal narrowing. The facet joints at these levels appear hypertrophied with resultant canal stenosis.

A small posterior disc herniation with bilateral neural foraminal narrowing is noted at the L5-S1 level. Facetal hypertrophy is noted at the L5-S1 level.

Bilateral far lateral (extraforaminal) disc herniations are noted over the L2-L3 to L5-S1 levels.

A small posterior disc bulge is noted at the L1-L2 level.
Type I and Type II degenerative marrow changes are noted adjacent to the L2-L3 disc. Type II degenerative changes are noted adjacent to nearly all the remaining lumbar intervertebral discs.
..2/.







The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L1 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 :

11.0 mm at L1-L2
9.0 mm at L2-L3
12.0 mm at L3-L4
9.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. Posteriorly herniated discs with peridiscal osteophytes at the L2-L3, L3-L4 and L4-L5 levels, with bilateral neural foraminal narrowing. Facetal hypertrophy is also noted over these levels with resultant canal stenosis.

2. A small posterior disc herniation with facetal hypertrophy at the L5-S1 level.

3. A small posterior disc bulge at the L1-L2 level.

4. Bilateral far lateral (extraforaminal) disc herniations over the L2-L3 to L5-S1 levels.
Sunday, 27 December 2015 16:48

13635

Written by
sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzuleman Ghalmn / M / 38 yrs.
Referred by : Dr. Abc XyzParekh.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O neckpain radiating to all four extremities with paresthesias.
Past H/O anterior microdiscectomy at C4/C5 in March 0000.

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 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.

Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells bilaterally.

IMPRESSION :

Normal study of the Brain.
Sunday, 27 December 2015 16:48

13634

Written by
sb/hs/nl/rg
Date : 00.00.00

Name of the Patient : Abc Xyzuleman Ghalmn / M / 38 yrs.
Referred by : Dr. Abc XyzParekh.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to all four extremities with paresthesias.
H/O anterior microdiscectomy of C4/C5 done in March 0000.

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.

OBSERVATION :

There is loss of water content of the cervical intervertebral discs. The C4-C5 intervertebral disc is not identified, the result of previous discectomy. The C4 and C5 vertebral bodies appar to be fused. The upper cervical vertebral bodies show spotty fatty marrow changes.

A postero-central disc herniation with peridiscal osteophyte is noted at the C3-C4 level, slightly more to the left of the midline with cord compression.

A posterior peridiscal osteophyte is noted at the C4-C5 disc level, indenting the dural theca anteriorly.

A left paracentral disc herniation with peridiscal osteophyte is noted at the C5-C6 level with left neural foraminal narrowing and probable indentation on the left C6 nerve root.

A small posterior peridiscal osteophyte is noted at the C6-C7 level.
..2/.






The facet joints at the C4-C5 and C5-C6 levels appear slightly hypertrophied.

The rest of the visualized cervical and upper dorsal vertebrae show a hypointense signal as compared to normal marrow on the T1 Weighted images, which remains isointense to normal marrow on the T2 Weighted images.

The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The cervical spinal cord at the C4-C5 disc level shows a hyperintense signal on the T2 Weighted images which may represent cord edema/gliosis.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

1. Post-operative status.

2. A postero-central disc herniation with peridiscal osteophyte at the C3-C4 level, slightly more to the left of the midline with cord compression.

3. A posterior peridiscal osteophyte at the C4-C5 disc level.

4. A left paracentral disc herniation with peridiscal osteophyte at the C5-C6 level with probable indentation on the left C6 nerve root.

5. A small posterior peridiscal osteophyte at the C6-C7 level.

6. Slight facetal hypertrophy at the C4-C5 and C5-C6 levels.
..3/.






- 3 - Scan-00004


7. Altered marrow signal in the visualized upper dorsal and lower cervical vertebrae suggests a preponderance of hematopoeitic marrow.

8. Cord signal alteration at the C4-C5 disc level may represent cord edema/gliosis.





Sunday, 27 December 2015 16:48

13633

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz M. Rampuralmn / M / 37 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE since 1 month.
H/O fall 4 years back.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is slight anterior wedging of the D12 vertebral body with focal fatty marrow changes, which may be the sequelae of previous trauma. The D11-D12 intervertebral disc shows loss of water content. Irregularity of the superior cortical margin of the D12 is noted. A small posterior disc bulge with peridiscal osteophytes is noted at the D11-D12 level. A schmorls node is also noted along the inferior margin of the D12.

The rest of the visualized dorso-lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The visualized dorso-lumbar spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L1-L2 level.
Scan-00002



IMPRESSION :

1. Slight anterior wedging of the D12 vertebral body with focal fatty marrow changes most likely the sequelae of previous trauma.

2. A small posterior disc bulge with peridiscal osteophytes at the D11-D12 level.

Sunday, 27 December 2015 16:48

13632

Written by
sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzra lmn / M / 49 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O generalized weakness with speech disturbances.
Known hypertensive. On Rx.

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 :

Lacunar infarcts are noted in the paraatrial regions, thalami and lentiform nuclei bilaterally, head of left caudate nucleus, in the frontal and parietal deep white matter bilaterally, splenium of the corpus callosum on the left and in the genu and body of the corpus callosum on the right. Hyperintense signal around the lacunar infarcts on the proton, T2 Weighted and FLAIR images in the periatrial regions bilaterally and in the head of the left caudate nucleus and in the genu of the corpus callosum on the right may represent gliotic changes.

There is mild dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight 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.

Inflammatory changes are noted in the left maxillary antrum.

R>
IMPRESSION :

1. Lacunar infarcts in the paraatrial regions, thalami and lentiform nuclei bilaterally, head of left caudate nucleus, in the frontal and parietal deep white matter bilaterally, splenium of the corpus callosum on the left and in the genu and body of the corpus callosum on the right with gliotic changes around some of these lesions as described.

2. Mild cerebral and cerebellar atrophy.


Sunday, 27 December 2015 16:48

13631

Written by
sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzngi Glmn / F / 36 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE with paresthesias.

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 :

Minimal posterior disc bulges are noted at the L4-L5 and L5-S1 levels.

The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L2 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 :

16.0 mm at L1-L2
14.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.

Incidentally noted is a bulky uterus.

IMPRESSION :

The MRI features are suggestive of minimal posterior disc bulges at the L4-L5 and L5-S1 levels.

Sunday, 27 December 2015 16:48

13630

Written by
sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzHilmn / M / 20 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since childhood.
Past H/O plant of a VP shunt done for hydrocephalus at the age of 2 1/2 years.

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 ill-defined, hypointense lesions on the T1 Weighted images in the fronto-parietal and posterior parietal region, periventricular white matter bilaterally and in the bilateral corona radiata and centrum semiovale and in the cerebellar white matter bilaterally. These lesions are slightly hyperintense to CSF on all the pulse sequences.

There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. The tip of the shunt tube is noted in the body of the right lateral ventricle.

The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidentally noted is a thick skull vault and cavum septum pellucidum and vergae.
- 3 - Scan-00000


IMPRESSION :

1. Post-shunt status with the tip of the shunt tube in the body of the right lateral ventricle.

2. Altered signal in the fronto-parietal and posterior parietal region, periventricular white matter bilaterally and in the bilateral corona radiata and centrum semiovale and in the cerebellar white matter bilaterally is not specific for a single etiology. These lesions may represent watershed ischemic lesions. The possibility of these changes being the sequelae of previous demyelination seems less likely.

3. Mild cerebral cortical atrophy.

Sunday, 27 December 2015 16:48

13629

Written by
sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Jalmn / M / 16 yrs.
Referred by : Dr. Abc Xyznkare.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the right hip and RLE since 3 months.

EXAMINATION :

M.R.I of both hips was performed using the following parameters :

5 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

5 mm thick Proton density sagittal images.

OBSERVATION :

The epiphysis of the femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within both the hip joints.

The musculature surrounding both the hip joints and the visualized pelvis is unremarkable.

IMPRESSION :

Normal study of both Hip joints.

Sunday, 27 December 2015 16:48

13628

Written by
sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzr Genlmn / M / 34 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

H/O RTA on 00.00.00 with weakness of BLE and bladder/bowel involvement.

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.

OBSERVATION :

There is slight loss of water content of the cervical intervertebral discs.

There is a fairly large, right paracentral extruded disc at the C4-C5 level with right neural foraminal narrowing with indentation on the traversing right C5 nerve root. A sequestered disc fragment is noted in the antero-lateral epidural space on the right along the posterior margin of the C4 vertebral body. This disc fragment extends nearly upto the C3-C4 disc level. Slight inferior migration of the disc fragment is also noted.

A small posterior disc herniation is noted at the C5-C6 level, indenting the dural theca anteriorly.

Postero-central protruded discs are noted at the C3-C4 and C6-C7 levels.
Scan-00008


The visualized cervical vertebral bodies appear hypointense when compared to normal fatty marrow on the T1 Weighted images but appears isointense to normal marrow on the T2 Weighted images.

Degenerative changes of the joints of Luschka are noted at the C3-C4 level on the left, bilaterally at the C4-C5 and C5-C6 levels and on the right side at the C6-C7 level.

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 :

1. A fairly large, right paracentral extruded disc at the C4-C5 level with indentation on the traversing right C5 nerve root. A sequestered disc fragment is seen in the antero-lateral epidural space on the right along the posterior margin of the C4 vertebral body.

2. A small posterior disc herniation at the C5-C6 level.

3. Postero-central protruded discs at the C3-C4 and C6-C7 levels.

4. Degenerative changes of the joints of Luschka at the C3-C4 level on the left, bilaterally at the C4-C5 and C5-C6 levels and on the right side at the C6-C7 level.

5. Altered marrow of cervical vertebrae may be seen with preponderance of hematopoeitic marrow.



Sunday, 27 December 2015 16:48

13627

Written by
sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzee Thlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain with paresthesias in BUE since 2 months.

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.

OBSERVATION :

There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.

Small, postero-central protruded discs are noted at the C2-C3, C3-C4 and C4-C5 levels.

A small posterior disc herniation with peridiscal osteophytes is noted at the C5-C6 level.

Slight hypertrophy of the left facet joint at the C4-C5 and C5-C6 levels is noted.

The cervical vertebral bodies show normal signal intensity. 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.

4 mm thick T1 Weighted sagittal images of the atlanto-axial region in flexion and extension do not reveal any significant feature of note.

Incidentally noted are inflammatory changes in the sphenoid sinus.

IMPRESSION :

1. Small, postero-central protruded discs at the C2-C3, C3-C4 and C4-C5 levels.

2. A small posterior disc herniation with peridiscal osteophytes at the C5-C6 level.

3. No significant abnormality is detected in the atlanto-axial region on the flexion and extension images.