MRI Reports (3472)
MRI Reports Database
hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzGhlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to the RLE 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 :
A large postero-central disc extrusion is seen to compress upon the thecal sac at the L4-L5 level. A disc portion is seen to lie within the anterior epidural space at the L4 and L5 vertebral levels.
The L3-L4 facet joint on the left side shows hypertrophic degenerative changes. The L4-L5 and L5-S1 facet joints show mild degenerative changes.
Bilateral far lateral (extraforaminal) disc bulges are noted at the L4-L5 level. The L4-L5 intervertebral disc shows loss of water content.
There is a posterior disc bulge at the L5-S1 level.
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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
10.0 mm at L4-L5
16.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc extrusion with canal stenosis at the L4-L5 level. A disc portion is seen to lie within the anterior epidural space at the L4 and L5 vertebral levels.
2. Hypertrophic facetal arthropathy on the left side at the L3-L4 level.
3. Mild facetal arthropathy at the L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc XyzGhlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to the RLE 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 :
A large postero-central disc extrusion is seen to compress upon the thecal sac at the L4-L5 level. A disc portion is seen to lie within the anterior epidural space at the L4 and L5 vertebral levels.
The L3-L4 facet joint on the left side shows hypertrophic degenerative changes. The L4-L5 and L5-S1 facet joints show mild degenerative changes.
Bilateral far lateral (extraforaminal) disc bulges are noted at the L4-L5 level. The L4-L5 intervertebral disc shows loss of water content.
There is a posterior disc bulge at the L5-S1 level.
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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
10.0 mm at L4-L5
16.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc extrusion with canal stenosis at the L4-L5 level. A disc portion is seen to lie within the anterior epidural space at the L4 and L5 vertebral levels.
2. Hypertrophic facetal arthropathy on the left side at the L3-L4 level.
3. Mild facetal arthropathy at the L4-L5 and L5-S1 levels.
Published in
MRI Reports
hs/bv/rg/nl
Scan No :00001 Date : 00.00.00
Name of the Patient : Abc Xyzilaben N.Zalmn / F / 69 yrs
Referred by : Dr. Abc Xyzra.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with numbness since 10 days.
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 scoliosis of the lumbar spine with convexity to the left. Resultant clockwise rotation of the upper lumbar vertebrae is identified.
There is anterior wedging of the L2 vertebral body.
Posterior disc herniations with peridiscal osteophytes is seen to indent the thecal sac at the L2-L3 and L4-L5 levels.
Posterior disc bulges with small peridiscal osteophytes are noted at the L3-L4 and L5-S1 levels. Bilateral far lateral (extraforaminal) disc bulges are seen at the L2-L3, L4-L5 and L5-S1 levels.
The L4-L5 and L5-S1 facet joints on the left side shows severe hypertrophic degenerative changes. The facet joints at the L4-L5 and L5-S1 levels on the right side and bilaterally at the L3-L4 level show hypertrophic degenerative changes. Facetal hypertrophy is seen at the L2-L3 level.
There is severe ligamentum flavum hypertrophy at the L4-L5 and L5 levels.
Type II degenerative changes are noted in the L2, L4 and L5 vertebral bodies. The lumbar vertebral bodies show areas of fatty replacement suggesting osteoporotic changes.
The lumbar intervertebral discs show loss of water content.
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
14.0 mm at L2-L3
15.0 mm at L3-L4
13.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Posterior disc herniations with peridiscal osteophytes at the L2-L3 and L4-L5 levels.
2. Severe hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels on the left side.
3. Hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels on the right side and bilaterally at the L3-L4 level.
4. Canal stenosis at the L4-L5 level with tight canal at the L2-L3 level.
Scan No :00001 Date : 00.00.00
Name of the Patient : Abc Xyzilaben N.Zalmn / F / 69 yrs
Referred by : Dr. Abc Xyzra.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with numbness since 10 days.
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 scoliosis of the lumbar spine with convexity to the left. Resultant clockwise rotation of the upper lumbar vertebrae is identified.
There is anterior wedging of the L2 vertebral body.
Posterior disc herniations with peridiscal osteophytes is seen to indent the thecal sac at the L2-L3 and L4-L5 levels.
Posterior disc bulges with small peridiscal osteophytes are noted at the L3-L4 and L5-S1 levels. Bilateral far lateral (extraforaminal) disc bulges are seen at the L2-L3, L4-L5 and L5-S1 levels.
The L4-L5 and L5-S1 facet joints on the left side shows severe hypertrophic degenerative changes. The facet joints at the L4-L5 and L5-S1 levels on the right side and bilaterally at the L3-L4 level show hypertrophic degenerative changes. Facetal hypertrophy is seen at the L2-L3 level.
There is severe ligamentum flavum hypertrophy at the L4-L5 and L5 levels.
Type II degenerative changes are noted in the L2, L4 and L5 vertebral bodies. The lumbar vertebral bodies show areas of fatty replacement suggesting osteoporotic changes.
The lumbar intervertebral discs show loss of water content.
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
14.0 mm at L2-L3
15.0 mm at L3-L4
13.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Posterior disc herniations with peridiscal osteophytes at the L2-L3 and L4-L5 levels.
2. Severe hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels on the left side.
3. Hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels on the right side and bilaterally at the L3-L4 level.
4. Canal stenosis at the L4-L5 level with tight canal at the L2-L3 level.
Published in
MRI Reports
hs/sb/nl/rg.
s Date : 00.00.00
Name of the Patient : Abc Xyzernalmn / F / 29 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches.
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.
IMPRESSION :
No abnormality is detected within the brain on this study.
s Date : 00.00.00
Name of the Patient : Abc Xyzernalmn / F / 29 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches.
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.
IMPRESSION :
No abnormality is detected within the brain on this study.
Published in
MRI Reports
hs/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Kaplmn / F / 20 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.
(Post-contrast Study).
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE since 1 year which has increased since 4 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed, after contrast administration using the following parameters :
4 mm thick T1 Weighted sagittal and coronal images.
4 mm thick T1 Weighted axial images.
4 mm thick T1 Weighted axial images with fat saturation.
OBSERVATION :
There is evidence of a well-defined, extramedullary/ intradural mass lesion within the spinal canal at the L1/L2 levels and measuring approximately 1.5 x 1.8 x 2.1 cms. This lesion is seen to enhance intensely and fairly homogeneously.
IMPRESSION :
The MRI features are suggestive of a well-defined, extramedullary/intradural mass lesion within the spinal canal at the L1/L2 levels and measuring approximately 1.5 x 1.8 x 2.1 cms. This most likely represents a neoplastic process like a neurofibroma.
A meningioma is less likely.
Date : 00.00.00
Name of the Patient : Abc Xyz Kaplmn / F / 20 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.
(Post-contrast Study).
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE since 1 year which has increased since 4 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed, after contrast administration using the following parameters :
4 mm thick T1 Weighted sagittal and coronal images.
4 mm thick T1 Weighted axial images.
4 mm thick T1 Weighted axial images with fat saturation.
OBSERVATION :
There is evidence of a well-defined, extramedullary/ intradural mass lesion within the spinal canal at the L1/L2 levels and measuring approximately 1.5 x 1.8 x 2.1 cms. This lesion is seen to enhance intensely and fairly homogeneously.
IMPRESSION :
The MRI features are suggestive of a well-defined, extramedullary/intradural mass lesion within the spinal canal at the L1/L2 levels and measuring approximately 1.5 x 1.8 x 2.1 cms. This most likely represents a neoplastic process like a neurofibroma.
A meningioma is less likely.
Published in
MRI Reports
hs/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz. Dlmn / M / 56 yrs.
Referred by : Dr. Abc Xyzonawalla.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to the RLE 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 :
A small right paracentral disc herniation is seen to indent the thecal sac at the L5-S1 level. Right postero-lateral and right far lateral disc herniations are seen to narrow the right neural foramen and indent the exiting right L5 nerve root at the L5-S1 level.
Left postero-lateral and left far lateral disc herniations are seen to narrow the left neural foramen and indent the exiting left L4 nerve root at the L4-L5 level. A right far lateral (extraforaminal) disc protrusion is noted at this level.
A right far lateral (extraforaminal) disc herniation is seen to indent the exiting right L3 nerve root at the L3-L4 level. The left facet joint at this level shows hypertrophic degenerative changes.
The L4-L5 and L5-S1 facet joints show degenerative changes with probable joint effusion at the L4-L5 level.
A posterior disc bulge is seen at the L4-L5 level.
The L3-L4, L4-L5 and L5-S1 intervertebral discs show 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 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 :
16.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A small right paracentral disc herniation at the L5-S1 level.
2. Right postero-lateral and right far lateral disc herniations indenting the exiting right L5 nerve root at the L5-S1 level.
3. Left postero-lateral and left far lateral disc herniations indenting the exiting left L4 nerve root at the L4-L5 level.
..3/.
- 3 - Scan-00008
4. A right far lateral (extraforaminal) disc herniation
indenting the exiting right L3 nerve root at the L3-L4 level.
5. Hypertrophic facetal arthropathy on the left side at the L3-L4 level.
6. Facetal arthropathy at the L4-L5 and L5-S1 levels.
7. A right far lateral (extraforaminal) disc protrusion at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyz. Dlmn / M / 56 yrs.
Referred by : Dr. Abc Xyzonawalla.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to the RLE 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 :
A small right paracentral disc herniation is seen to indent the thecal sac at the L5-S1 level. Right postero-lateral and right far lateral disc herniations are seen to narrow the right neural foramen and indent the exiting right L5 nerve root at the L5-S1 level.
Left postero-lateral and left far lateral disc herniations are seen to narrow the left neural foramen and indent the exiting left L4 nerve root at the L4-L5 level. A right far lateral (extraforaminal) disc protrusion is noted at this level.
A right far lateral (extraforaminal) disc herniation is seen to indent the exiting right L3 nerve root at the L3-L4 level. The left facet joint at this level shows hypertrophic degenerative changes.
The L4-L5 and L5-S1 facet joints show degenerative changes with probable joint effusion at the L4-L5 level.
A posterior disc bulge is seen at the L4-L5 level.
The L3-L4, L4-L5 and L5-S1 intervertebral discs show 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 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 :
16.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A small right paracentral disc herniation at the L5-S1 level.
2. Right postero-lateral and right far lateral disc herniations indenting the exiting right L5 nerve root at the L5-S1 level.
3. Left postero-lateral and left far lateral disc herniations indenting the exiting left L4 nerve root at the L4-L5 level.
..3/.
- 3 - Scan-00008
4. A right far lateral (extraforaminal) disc herniation
indenting the exiting right L3 nerve root at the L3-L4 level.
5. Hypertrophic facetal arthropathy on the left side at the L3-L4 level.
6. Facetal arthropathy at the L4-L5 and L5-S1 levels.
7. A right far lateral (extraforaminal) disc protrusion at the L4-L5 level.
Published in
MRI Reports
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Glmn / F / 40 yrs.
Referred by : Dr. Abc Xyznwal Pannu.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias 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 :
The L4-L5 intervertebral disc shows loss of water content.
A large posterior disc herniation with peridiscal osteophytes is seen to indent the thecal sac and narrow both neural foramina with impingement of both the exiting L4 nerve roots at the L4-L5 level. Bilateral foraminal and extraforaminal disc herniations are noted at this level.
There is a postero-central disc protrusion at the L5-S1 level.
The L3-L4, L4-L5 and L5-S1 facet joints show degenerative changes.
Bilateral far lateral (extraforaminal) disc bulges are noted at the L2-L3 and L3-L4 levels.
There is an anterior disc herniation at the L4-L5 level.
- 2 - Scan-00007
Type I (hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images) degenerative changes are seen within the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc. Type II (isointense to fat) degenerative changes are seen in the antero-superior aspect of the L3 vertebral body.
The lumbar intervertebral discs show loss of water content.
The rest of the lumbar vertebral bodies 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 L2 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 :
14.0 mm at L1-L2
14.0 mm at L2-L3
16.0 mm at L3-L4
16.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large posterior disc herniation with peridiscal osteophytes causing canal stenosis at the L4-L5 level with foraminal and extraforaminal disc herniations at this level.
3. Facetal arthropathy at the L3-L4, L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz Glmn / F / 40 yrs.
Referred by : Dr. Abc Xyznwal Pannu.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias 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 :
The L4-L5 intervertebral disc shows loss of water content.
A large posterior disc herniation with peridiscal osteophytes is seen to indent the thecal sac and narrow both neural foramina with impingement of both the exiting L4 nerve roots at the L4-L5 level. Bilateral foraminal and extraforaminal disc herniations are noted at this level.
There is a postero-central disc protrusion at the L5-S1 level.
The L3-L4, L4-L5 and L5-S1 facet joints show degenerative changes.
Bilateral far lateral (extraforaminal) disc bulges are noted at the L2-L3 and L3-L4 levels.
There is an anterior disc herniation at the L4-L5 level.
- 2 - Scan-00007
Type I (hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images) degenerative changes are seen within the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc. Type II (isointense to fat) degenerative changes are seen in the antero-superior aspect of the L3 vertebral body.
The lumbar intervertebral discs show loss of water content.
The rest of the lumbar vertebral bodies 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 L2 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 :
14.0 mm at L1-L2
14.0 mm at L2-L3
16.0 mm at L3-L4
16.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large posterior disc herniation with peridiscal osteophytes causing canal stenosis at the L4-L5 level with foraminal and extraforaminal disc herniations at this level.
3. Facetal arthropathy at the L3-L4, L4-L5 and L5-S1 levels.
Published in
MRI Reports
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzLlmn / M / 51 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE.
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 appears to be sacralization of the L5 vertebra and it is as marked on the film. Please correlate with plain radiographs. There is loss of water content of the L4-L5 intervertebral disc.
There is a postero-central disc herniation at the L4-L5 level indenting the dural theca anteriorly. A right postero-lateral and far lateral disc bulge is also noted at this level with slight right neural foraminal narrowing.
Right far lateral (extraforaminal) disc bulges are seen at the L2-L3 and L3-L4 levels. A posterior disc bulge is noted at the L5-S1 level.
Slight facetal hypertrophy is noted at the L3-L4 and L4-L5 levels.
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.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
19.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra. Please correlate with plain radiographs.
2. A postero-central disc herniation and a right postero-lateral and far lateral disc bulge at the L4-L5 level with slight right neural foraminal narrowing.
3. Slight facetal hypertrophy at the L3-L4 and L4-L5 levels.
4. A posterior disc bulge at the L5-S1 level.
5. Right far lateral (extraforaminal) disc bulges at the L2-L3 and L3-L4 levels.
Date : 00.00.00
Name of the Patient : Abc XyzLlmn / M / 51 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE.
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 appears to be sacralization of the L5 vertebra and it is as marked on the film. Please correlate with plain radiographs. There is loss of water content of the L4-L5 intervertebral disc.
There is a postero-central disc herniation at the L4-L5 level indenting the dural theca anteriorly. A right postero-lateral and far lateral disc bulge is also noted at this level with slight right neural foraminal narrowing.
Right far lateral (extraforaminal) disc bulges are seen at the L2-L3 and L3-L4 levels. A posterior disc bulge is noted at the L5-S1 level.
Slight facetal hypertrophy is noted at the L3-L4 and L4-L5 levels.
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.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
19.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra. Please correlate with plain radiographs.
2. A postero-central disc herniation and a right postero-lateral and far lateral disc bulge at the L4-L5 level with slight right neural foraminal narrowing.
3. Slight facetal hypertrophy at the L3-L4 and L4-L5 levels.
4. A posterior disc bulge at the L5-S1 level.
5. Right far lateral (extraforaminal) disc bulges at the L2-L3 and L3-L4 levels.
Published in
MRI Reports
hs/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzd lmn / M / 56 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O left sided weakness.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick FLAIR coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
NECK MRA IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is evidence of an area of hyperintensity on the FLAIR and T2 Weighted images within the left postero-lateral aspect of the medulla.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
The left vertebral artery is hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, right vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The left vertebral artery is hypoplastic.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Altered signal in the postero-lateral aspect of the medulla most likely is ischemic in etiology (left lateral medullary infarct)
2. No significant abnormality is detected on the intracranial and neck MRA on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzd lmn / M / 56 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O left sided weakness.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick FLAIR coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
NECK MRA IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is evidence of an area of hyperintensity on the FLAIR and T2 Weighted images within the left postero-lateral aspect of the medulla.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
The left vertebral artery is hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, right vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The left vertebral artery is hypoplastic.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Altered signal in the postero-lateral aspect of the medulla most likely is ischemic in etiology (left lateral medullary infarct)
2. No significant abnormality is detected on the intracranial and neck MRA on this study.
Published in
MRI Reports
hs/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza Khlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzoshipura.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE since 6 months with weakness of BLE and bladder/bowel involvement since 2-3 weeks.
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 a decrease in the height of the L4 vertebral body. Areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images are seen to involve the L3 and L4 vertebral bodies and the antero-superior aspect of the L5 vertebral body. The L4 pedicles are also involved bilaterally as are the L3-L4 and L4-L5 intervertebral discs.
There is extension of this pathologic process into the anterior epidural space at the L3 and L4 vertebral levels with resultant compression upon the thecal sac.
Also seen is extension into the pre and paravertebral soft tissues over the L3 to L5 verterbal levels. A large right psoas muscle lesion (abscess) is also seen with extension into the visualized pelvis. A small right paravertebral component is also noted at the L2 vertebral level.
Posterior disc bulges are noted at the L4-L5 and L5-S1 levels. The L3-L4 and L4-L5 facet joints show degenerative changes.
..2/.
There is atrophy of the lumbar paraspinal muscles. Also seen is a markedly distended bladder. The rest of the lumbar intervertebral discs show loss of water content.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The dorsal spine was sceened with 4 mm thick T1 Weighted sagittal images. A large well-defined lesion which is hyperintense to normal muscle is seen in the posterior soft tissues over the D3 to D7 levels and this may represent an abscess.
IMPRESSION :
The MRI features are suggestive of :
1. Areas of altered signal within the L3 and L4 vertebral bodies and the L3-L4 and L4-L5 intervertebral discs with soft tissue extensions as described. This most likely represents a infective process like tuberculosis.
This is less likely to represent a neoplastic process like a small cell tumor or secondaries.
2. A lesion within the posterior soft tissues over the D3 to D7 vertebral levels most likely represents an abscess.
Date : 00.00.00
Name of the Patient : Abc Xyza Khlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzoshipura.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE since 6 months with weakness of BLE and bladder/bowel involvement since 2-3 weeks.
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 a decrease in the height of the L4 vertebral body. Areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images are seen to involve the L3 and L4 vertebral bodies and the antero-superior aspect of the L5 vertebral body. The L4 pedicles are also involved bilaterally as are the L3-L4 and L4-L5 intervertebral discs.
There is extension of this pathologic process into the anterior epidural space at the L3 and L4 vertebral levels with resultant compression upon the thecal sac.
Also seen is extension into the pre and paravertebral soft tissues over the L3 to L5 verterbal levels. A large right psoas muscle lesion (abscess) is also seen with extension into the visualized pelvis. A small right paravertebral component is also noted at the L2 vertebral level.
Posterior disc bulges are noted at the L4-L5 and L5-S1 levels. The L3-L4 and L4-L5 facet joints show degenerative changes.
..2/.
There is atrophy of the lumbar paraspinal muscles. Also seen is a markedly distended bladder. The rest of the lumbar intervertebral discs show loss of water content.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The dorsal spine was sceened with 4 mm thick T1 Weighted sagittal images. A large well-defined lesion which is hyperintense to normal muscle is seen in the posterior soft tissues over the D3 to D7 levels and this may represent an abscess.
IMPRESSION :
The MRI features are suggestive of :
1. Areas of altered signal within the L3 and L4 vertebral bodies and the L3-L4 and L4-L5 intervertebral discs with soft tissue extensions as described. This most likely represents a infective process like tuberculosis.
This is less likely to represent a neoplastic process like a small cell tumor or secondaries.
2. A lesion within the posterior soft tissues over the D3 to D7 vertebral levels most likely represents an abscess.
Published in
MRI Reports
hs/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzBagayalmn / M / 42 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O left sided weakness.
EXAMINATION :
The brain was screened with 5 mm thick FLAIR coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
There is an ill-defined, hyperintense signal on the FLAIR images in the right paraatrial region, right frontal periventricular and deep white matter, right corona radiata, right high parietal, parafalcine cortex and in the splenium of the corpus callosum on the right. These lesions most likely represent ischemic lesions.
There is a wedge shaped CSF signal intensity lesion in the left cerebellar hemisphere, inferiorly. Perilesional hyperintense signal on the FLAIR images may represent gliotic changes.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
There is narrowing of the supraclinoid portion of the right internal carotid artery and the proximal, M1 segment of the right middle cerebral artery.
The right posterior comunicating artery is seen to be prominent.
The left vertebral artery is hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid artery on the left and the petrous and cavernous segments of the right internal carotid artery show normal signal and calibre. The visualized anterior cerebral, left middle cerebral, basilar, right vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The left vertebral artery is hypoplastic. The lower segment of the left vertebral artery is not well visualized.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Altered signal in the right paraatrial region, right frontal periventricular and deep white matter, right corona radiata, right high parietal parafalcine cortex, in the splenium of the corpus callosum on the right are most likely ischemic lesions.
2. Areas of cystic encephalomalacia in the left cerebellar hemisphere, inferiorly, is most likely the sequelae of a previous vascular insult.
3. Narrowing of the supraclinoid portion of the right internal carotid artery and the proximal M1 segment of the right middle cerebral artery.
4. Hypoplastic left vertebral artery. The lower segment of the left vertebral artery is not well visualized.
Date : 00.00.00
Name of the Patient : Abc XyzBagayalmn / M / 42 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O left sided weakness.
EXAMINATION :
The brain was screened with 5 mm thick FLAIR coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
There is an ill-defined, hyperintense signal on the FLAIR images in the right paraatrial region, right frontal periventricular and deep white matter, right corona radiata, right high parietal, parafalcine cortex and in the splenium of the corpus callosum on the right. These lesions most likely represent ischemic lesions.
There is a wedge shaped CSF signal intensity lesion in the left cerebellar hemisphere, inferiorly. Perilesional hyperintense signal on the FLAIR images may represent gliotic changes.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
There is narrowing of the supraclinoid portion of the right internal carotid artery and the proximal, M1 segment of the right middle cerebral artery.
The right posterior comunicating artery is seen to be prominent.
The left vertebral artery is hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid artery on the left and the petrous and cavernous segments of the right internal carotid artery show normal signal and calibre. The visualized anterior cerebral, left middle cerebral, basilar, right vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The left vertebral artery is hypoplastic. The lower segment of the left vertebral artery is not well visualized.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Altered signal in the right paraatrial region, right frontal periventricular and deep white matter, right corona radiata, right high parietal parafalcine cortex, in the splenium of the corpus callosum on the right are most likely ischemic lesions.
2. Areas of cystic encephalomalacia in the left cerebellar hemisphere, inferiorly, is most likely the sequelae of a previous vascular insult.
3. Narrowing of the supraclinoid portion of the right internal carotid artery and the proximal M1 segment of the right middle cerebral artery.
4. Hypoplastic left vertebral artery. The lower segment of the left vertebral artery is not well visualized.
Published in
MRI Reports
More...
hs/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyza Anlmn / F / 43 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache and pain radiating to the RLE 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 forward listhesis of the L3 over the L4 vertebra.
A postero-central disc herniation is seen to indent the thecal sac at the L3-L4 level. There is a posterior disc bulge at the L4-L5 level.
The L3-L4 and L4-L5 facet joints show hypertrophic degenerative changes. The L1-L2, L2-L3 and L5-S1 facet joints show degenerative changes. Effusion is noted within the facet joints bilaterally at the L3-L4 level and on the right side at the L2-L3 and L4-L5 levels.
Ligamentum flavum hypertrophy is seen at the L3-L4 and L4-L5 levels. A small well circumscribed lesion which is hypointense on the T1 Weighted images and turns heterogeneously hyperintense on the T2 Weighted images is seen within the right posterior epidural space at the L3-L4 level and this may represent a synovial cyst.
The lumbar intervertebral discs show loss of water content.
The lumbar vertebral bodies reveal 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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Mild forward listhesis of the L3 over the L4 vertebra.
2. A postero-central disc herniation at the L3-L4 level.
3. Hypertrophic facetal arthropathy at the L3-L4 and L4-L5 levels.
4. Facetal arthropathy at the L1-L2, L2-L3 and L5-S1 levels.
5. Ligamentum flavum hypertrophy at the L3-L4 and L4-L5 levels
6. A probable synovial cyst within the right posterior epidural space at the L3-L4 level.
Date : 00.00.00
Name of the Patient : Abc Xyza Anlmn / F / 43 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache and pain radiating to the RLE 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 forward listhesis of the L3 over the L4 vertebra.
A postero-central disc herniation is seen to indent the thecal sac at the L3-L4 level. There is a posterior disc bulge at the L4-L5 level.
The L3-L4 and L4-L5 facet joints show hypertrophic degenerative changes. The L1-L2, L2-L3 and L5-S1 facet joints show degenerative changes. Effusion is noted within the facet joints bilaterally at the L3-L4 level and on the right side at the L2-L3 and L4-L5 levels.
Ligamentum flavum hypertrophy is seen at the L3-L4 and L4-L5 levels. A small well circumscribed lesion which is hypointense on the T1 Weighted images and turns heterogeneously hyperintense on the T2 Weighted images is seen within the right posterior epidural space at the L3-L4 level and this may represent a synovial cyst.
The lumbar intervertebral discs show loss of water content.
The lumbar vertebral bodies reveal 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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Mild forward listhesis of the L3 over the L4 vertebra.
2. A postero-central disc herniation at the L3-L4 level.
3. Hypertrophic facetal arthropathy at the L3-L4 and L4-L5 levels.
4. Facetal arthropathy at the L1-L2, L2-L3 and L5-S1 levels.
5. Ligamentum flavum hypertrophy at the L3-L4 and L4-L5 levels
6. A probable synovial cyst within the right posterior epidural space at the L3-L4 level.
Published in
MRI Reports
ke/bv/nl/rg.
d Date : 00.00.00
Name of the Patient : Abc Xyza lmn / F / 20 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness and tremors in the RUE and RLE since 6-8 months.
H/O fall 1 year back.
H/O menstrual irregularity.
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 and Fast Scan (T2 *) coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma. (Hyperintense signal seen on the proton images in the medulla on the left side se/im 103/3 is artifactual).
Both the lateral, third and the fourth ventricles are normal. There is prominence of the 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. Slow flow is identified in the left transverse and sigmoid sinuses.
Incidental note is made of a Thornwaldts cyst.
IMPRESSION :
Cerebellar atrophy.
d Date : 00.00.00
Name of the Patient : Abc Xyza lmn / F / 20 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness and tremors in the RUE and RLE since 6-8 months.
H/O fall 1 year back.
H/O menstrual irregularity.
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 and Fast Scan (T2 *) coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma. (Hyperintense signal seen on the proton images in the medulla on the left side se/im 103/3 is artifactual).
Both the lateral, third and the fourth ventricles are normal. There is prominence of the 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. Slow flow is identified in the left transverse and sigmoid sinuses.
Incidental note is made of a Thornwaldts cyst.
IMPRESSION :
Cerebellar atrophy.
Published in
MRI Reports
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzn Suklmn / M / 43 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O cervical polyradiculopathy with proximal weakness of BUE and BLE and wasting of the right shoulder. Also C/O radicular pain in BLE.
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 curvature and loss of water content of the cervical intervertebral discs.
There is a large posterior disc herniation at the C4-C5 level with posterior peridiscal osteophytes and anterior compression of the cord. The spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. This is isointense to the cord on the T1 Weighted images suggestive of cord edema/ischemia.
A posterior disc herniation with a peridiscal osteophytes is seen at the C5-C6 level with right neural foraminal narrowing.
Left postero-lateral disc herniation with peridiscal osteophytes are noted at the C6-C7 and C7-D1 levels.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
The vertebro-basilar system is dolichoectatic.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and which show a posterior disc herniation with peridiscal osteophytes at the L5-S1 level and indentation upon the foraminal portion of the right L5 nerve root. A small posterior disc bulge is also noted at the L4-L5 level.
IMPRESSION :
The MRI features are suggestive of :
1. A large posterior disc herniation with posterior peridiscal osteophytes at the C4-C5 level with cord signal alteration at this level suggestive of cord edema/ischemia.
2. A posterior disc herniation with a peridiscal osteophytes at the C5-C6 level with right neural foraminal narrowing.
3. Left postero-lateral disc herniations with peridiscal osteophytes at the C6-C7 and C7-D1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzn Suklmn / M / 43 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O cervical polyradiculopathy with proximal weakness of BUE and BLE and wasting of the right shoulder. Also C/O radicular pain in BLE.
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 curvature and loss of water content of the cervical intervertebral discs.
There is a large posterior disc herniation at the C4-C5 level with posterior peridiscal osteophytes and anterior compression of the cord. The spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. This is isointense to the cord on the T1 Weighted images suggestive of cord edema/ischemia.
A posterior disc herniation with a peridiscal osteophytes is seen at the C5-C6 level with right neural foraminal narrowing.
Left postero-lateral disc herniation with peridiscal osteophytes are noted at the C6-C7 and C7-D1 levels.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
The vertebro-basilar system is dolichoectatic.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and which show a posterior disc herniation with peridiscal osteophytes at the L5-S1 level and indentation upon the foraminal portion of the right L5 nerve root. A small posterior disc bulge is also noted at the L4-L5 level.
IMPRESSION :
The MRI features are suggestive of :
1. A large posterior disc herniation with posterior peridiscal osteophytes at the C4-C5 level with cord signal alteration at this level suggestive of cord edema/ischemia.
2. A posterior disc herniation with a peridiscal osteophytes at the C5-C6 level with right neural foraminal narrowing.
3. Left postero-lateral disc herniations with peridiscal osteophytes at the C6-C7 and C7-D1 levels.
Published in
MRI Reports
ke/bv/rg.
Date : 00.00.00
Name of the Patient : Abc XyzMalmn / F / 60 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
Known C/O multiple myeloma.
C/O weakness of BLE (left more than right), backache, herpes and retention of urine since 3-4 days.
EXAMINATION :
M.R.I of the dorsal 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 replacement of the normal marrow of the right lamina and spinous process as well as the right transverse process of the D4 and D5 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hypointense on the T2 Weighted images. A large posterior epidural lesion is seen extending over the D4 and the D5 levels which is seen to displace and compress the spinal cord anteriorly. The spinal cord at these levels shows a hyperintense signal on the T2 Weighted images and is isointense to the cord on the T1 Weighted images suggestive of cord edema/ischemia/myelitis.
There is slight wedging of the D8 vertebral body. Hypointense areas are also noted within the D2, D3, D7 and D8 vertebrae on the T1 Weighted images.
The rest of the visualized dorsal vertebral bodies reveal spotty changes. The intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
The conus medullaris terminates at the L1 level.
The lumbo-sacral spine was screened with 5 mm thick T1 Weighted sagittal images and which show anterior wedging of the L3 vertebral body. Few hypointense areas also noted in the lower dorsal and lumbar vertebrae.
IMPRESSION :
In a known C/O multiple myeloma, the MRI features are suggestive of the pathologic process involving the D4 and D5 vertebral bodies with extensions and cord compression and cord edema/ischemia/myelitis as described. Also seen is involvement of the D2, D3, D7 and D8 vertebral bodies.
Date : 00.00.00
Name of the Patient : Abc XyzMalmn / F / 60 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
Known C/O multiple myeloma.
C/O weakness of BLE (left more than right), backache, herpes and retention of urine since 3-4 days.
EXAMINATION :
M.R.I of the dorsal 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 replacement of the normal marrow of the right lamina and spinous process as well as the right transverse process of the D4 and D5 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hypointense on the T2 Weighted images. A large posterior epidural lesion is seen extending over the D4 and the D5 levels which is seen to displace and compress the spinal cord anteriorly. The spinal cord at these levels shows a hyperintense signal on the T2 Weighted images and is isointense to the cord on the T1 Weighted images suggestive of cord edema/ischemia/myelitis.
There is slight wedging of the D8 vertebral body. Hypointense areas are also noted within the D2, D3, D7 and D8 vertebrae on the T1 Weighted images.
The rest of the visualized dorsal vertebral bodies reveal spotty changes. The intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
The conus medullaris terminates at the L1 level.
The lumbo-sacral spine was screened with 5 mm thick T1 Weighted sagittal images and which show anterior wedging of the L3 vertebral body. Few hypointense areas also noted in the lower dorsal and lumbar vertebrae.
IMPRESSION :
In a known C/O multiple myeloma, the MRI features are suggestive of the pathologic process involving the D4 and D5 vertebral bodies with extensions and cord compression and cord edema/ischemia/myelitis as described. Also seen is involvement of the D2, D3, D7 and D8 vertebral bodies.
Published in
MRI Reports