MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13477

Written by
ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzAyub Anlmn / M / 50 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 4-5 years.

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 sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film.

There is slight forward translation of the L4 over the L5 vertebra without obvious spondylolysis.

A pseudo-posterior disc herniation is noted at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. There is resultant indentation upon the foraminal portion of the left L4 nerve root. Right far lateral disc herniations is also noted at this level. The L4-L5 facet joints show hypertrophic degenerative changes with lateral recess stenosis.

There is a postero-central and bilateral far lateral disc herniations at the L3-L4 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. There is indentation upon the extraforaminal portion of the L3 nerve roots. The L3-L4 facet joints show hypertrophic degenerative changes with resultant lateral recess stenosis.
..2/.





- 2 - scan-00007

A right postero-lateral disc herniation is seen at the L2-L3 level with right neural foraminal narrowing.

The lower lumbar intervertebral discs show loss of water content.

Type II degenerative changes are noted in the antero-superior portion of the L5 vertebral body.

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
14.0 mm at L2-L3
12.0 mm at L3-L4
8.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film.

2. Slight forward translation of the L4 over the L5 vertebra without obvious spondylolysis.

3. A pseudo-posterior disc herniation at the L4-L5 level with resultant indentation upon the foraminal portion of the left L4 nerve root. Right far lateral disc herniations is also noted at this level with facetal arthropathy and lateral recess stenosis.
..3/.





- 3 - scan-00007


4. A postero-central and bilateral far lateral disc herniations at the L3-L4 level with indentation upon the extraforaminal portion of the L3 nerve roots. There is also facetal arthropathy and with resultant lateral recess stenosis.

5. A right postero-lateral disc herniation at the L2-L3 level.

6. Canal stenosis at the L4-L5 and L3-L4 levels.
Sunday, 27 December 2015 16:48

13476

Written by
ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzN. Halmn / F / 40 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Cranio-Vertebral Junction.

CLINICAL PROFILE :

C/O weakness of the LLE since 3-4 months with tingling in BUE, swaying while walking and slurred speech since 15 days.

EXAMINATION :

M.R.I of the cranio-vertebral junction was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

4 mm thick T1 Weighted coronal images.

OBSERVATION :

There is a right paracentral disc herniation with large peridiscal osteophytes at the C6-C7 level with antero-lateral indentation of the cord.

Small postero-central disc herniations are seen at the C3-C4, C4-C5 and C5-C6 levels. A posterior disc bulge is seen at the C2-C3 level. The cervical intervertebral discs show loss of water content.

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.
..2/.







IMPRESSION :

1. A right paracentral disc herniation with large peridiscal osteophytes at the C6-C7 level.

2. Small postero-central disc herniations at the C3-C4, C4-C5 and C5-C6 levels.


Sunday, 27 December 2015 16:48

13474

Written by
ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza lmn / F / 66 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain in the RLE since 6-8 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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is a posterior disc bulge with posterior peridiscal osteophytes at the L4-L5 level with anterior indentation of the thecal sac. Bilateral far lateral disc bulges are also noted at this level with indentation upon the extraforaminal portion of the L4 nerve roots.

Small posterior disc bulges are noted at the L1-L2 level, L2-L3, L3-L4 and L5-S1 levels with posterior peridiscal osteophytes. The right L5 nerve root is impinged in the right neural foramen at the L5-S1 level. The lumbar intervertebral discs show loss of water content. Calcium/vacuum phenomena is noted in the L2-L3, L3-L4 and L4-L5 discs.

The lumbar facet joints show degenerative changes.

Type III degenerative changes are noted in the L4 and L5 vertebrae adjacent to the L4-L5 intervertebral disc.
- 2 - scan-00004


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-L1 level and the thecal sac terminates at the L5-S1 level.

There is slight increase in the epidural fat at the L5 and S1 vertebral levels with a trifoliate thecal sac at the L5-S1 level, suggesting epidural lipomatosis (scans 105.3-5).

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
11.0 mm at L4-L5
14.0 mm at L5-S1.

IMPRESSION :

1. A posterior disc bulge with posterior peridiscal osteophytes at the L4-L5 level. Bilateral far lateral disc bulges are also seen at this level with indentation upon the extraforaminal portion of the L4 nerve roots.

2. Small posterior disc bulges with posterior peridiscal osteophytes at the L1-L2 level, L2-L3, L3-L4 and L5-S1 levels with impingement of the right L5 nerve root in the right neural faramen at the L5-S1 level.

3. Facetal arthropathy in the lumbar region.

4. Tight canal at the L2-L3, L3-L4 and L4-L5 levels.

5. Epidural lipomatosis at the L5 and S1 vertebral levels.
Sunday, 27 December 2015 16:48

13473

Written by
hs/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzIlmn / M / 11 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of Both Hips & Sacro-iliac joint.

CLINICAL PROFILE :

C/O pain in the left hip joint since 3 months with fever.
Alleged H/O fall from a height 5-6 years back.

EXAMINATION :

M.R.I of both hips and sacro-iliac joints 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 a small effusion within the left hip joint.

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

Both the sacro-iliac joints appear normal. The visualized iliac wings and the sacral ala show normal signal intensity. There is no bony destruction or erosion.

IMPRESSION :

A small effusion within the left hip joint (? synovitis).

Sunday, 27 December 2015 16:48

13472

Written by
hs/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzai Tlmn / M / 70 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left hemiparesis with slurred speech since 00.00.00.

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.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the putamen and head of the caudate nucleus on the right side.

Hyperintense signal is seen on the FLAIR images in the left frontal (scan 105.9) and right high parietal region (scan 105.4). This may be due to past ischemic insult.

There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. Also seen is prominence of the basal cisternal spaces, cerebral cortical sulci and cerebellar folia bilaterally.

Prominent perivascular spaces are noted within both the cerebral hemispheres.

There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of altered signal within the putamen and head of the caudate nucleus on the right side and these would represent areas of ischemia/infarction.


Sunday, 27 December 2015 16:48

13471

Written by
ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Belvalmn / M / 62 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with inability to walk since 15 days.
H/O lifting heavy weight.

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 partial sacralization of the L5 vertebra on the left side. Scoliosis of the lumbar spine with convexity to the left is noted.

A posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac. Bilateral far lateral disc bulges are also noted at these levels with bilateral neural foraminal narrowing and indentation upon the extraforaminal portion of the L4 nerve roots. The L4-L5 facet joints bilaterally, right more than left show degenerative changes.

A postero-central and a right postero-lateral disc herniation is seen at the L3-L4 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing, right more than left. The L3-L4 facet joint on the right side shows hypertrophic facetal arthropathy with resultant lateral recess stenosis. There is inferior migration of the disc which is seen to lie posterior to the L4 vertebral body with mild indentation upon the L4 nerve roots.
..2/.



- 2 - scan-00001


Small, posterior disc bulges are seen at the L1-L2 and L2-L3 levels with anterior indentation of the thecal sac. Small right postero-lateral disc herniation is noted at the L2-L3 level, with slight inferior migration of the disc fragment. The facet joints at these levels also show slight degenerative changes.

Posterior peridiscal osteophytes are noted in the lumbar region. Small anterior disc herniations are seen in the lower lumbar region with anterior peridiscal osteophytes. The L4-L5 intervertebral disc is reduced in height.

Type II degenerative changes are seen in the L4 and L5 vertebrae adjacent to the L4-L5 intervertebral disc.

The lower dorsal region show small posterior disc bulges.

The visualized lower dorsal spinal cord shows normal signal intensity.

The rest of the lumbar vertebral bodies and the 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 :

15.0 mm at L1-L2
15.0 mm at L2-L3
15.0 mm at L3-L4
15.0 mm at L4-L5
10.0 mm at L5-S1.
..3/.









- 3 - scan-00001


IMPRESSION :

The MRI features are suggestive of :

1. Partial sacralization of the L5 vertebra on the left side with scoliosis of the lumbar spine and convexity to the left.

2. A posterior disc herniation at the L4-L5 level with bilateral far lateral disc bulges at these levels indenting the extraforaminal portion of the L4 nerve roots. There is facetal arthropathy at this level, right more than left.

3. A postero-central and a right postero-lateral disc herniation at the L3-L4 level with hypertrophic facetal arthropathy on the right and resultant lateral recess stenosis. There is inferior migration of the disc, posterior to the L4 vertebral body with mild indentation upon the L4 nerve roots.

4. Small posterior disc bulges at the L1-L2 and L2-l3 levels with right postero-lateral disc herniation at the L2-L3 level.
Sunday, 27 December 2015 16:48

13470

Written by
hs/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyznalmn / M / 53 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 00.00.00.
H/O lifting heavy weight.

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 :

Posterior disc herniations with small peridiscal osteophytes are seen to indent the thecal sac and narrow both neural foramina at the L4-L5 and L5-S1 levels. The facet joints at these levels show severe hypertrophic degenerative changes. Ligamentum flavum hypertrophy is seen over the L4-L5 to the L5-S1 level.

A mild posterior disc bulge is seen at the L3-L4 level. The L3-L4 facet joints show hypertrophic degenerative changes.

Far lateral (extraforaminal) disc herniations are seen bilaterally at the L5-S1 level and on the left side at the L4-L5 level. Right far lateral (extraforaminal) disc bulges are seen at the L3-L4 and L4-L5 levels.

The L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content. Type II degenerative changes are seen within the L4, L5 and S1 vertebral bodies adjacent to the L4-L5 and L5-S1 intervertebral discs. There is irregularity of the cortical endplates at the L5-S1 level.
..2/.







There is facetal hypertrophy at the D11-D12 level.

Note is made of a renal cortical cyst on the right side.

The rest of 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 :

15.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Posterior disc herniations with small peridiscal osteophytes and severe hypertrophic facetal arthropathy
at the L4-L5 and L5-S1 levels.

2. A mild posterior disc bulge with hypertrophic facetal arthropathy at the L3-L4 level.

3. Far lateral (extraforaminal) disc herniations are seen bilaterally at the L5-S1 level and on the left side at the L4-L5 level.

4. Right far lateral (extraforaminal) disc bulges at the L3-L4 and L4-L5 levels.

5. Canal stenosis at the L4-L5 and L5-S1 levels.


Sunday, 27 December 2015 16:48

13469

Written by
hs/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzumar Clmn / M / 21 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 3 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 :

Mild posterior disc bulges are seen at the L4-L5 and L5-S1 levels. The facet joints at these levels show degenerative changes.

The L1-L2 intervertebral disc is decreased in height and shows 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.

A probable left sided conjoint nerve root is noted at the L5/S1 level.

The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1 level.



- 2 -


The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

19.0 mm at L1-L2
17.0 mm at L2-L3
18.0 mm at L3-L4
16.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :

The MRI features are suggestive of :

1. Mild posterior disc bulges at the L4-L5 and L5-S1 levels.

2. Facetal arthropathy at the L4-L5 and L5-S1 levels.
Sunday, 27 December 2015 16:48

13468

Written by
ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzFiroz Anlmn / M / 22 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures.
Operated for squint in both eyes at the age of 10 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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There is reduction in the volume of the hippocampus on the left side as compared to the right. Hyperintense signal is seen in the left hippocampus on the T2 Weighted images.

The right hippocampus is unremarkable.

There is slight fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is mild prominence of the cerebral cortical sulci in high parietal regions. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of mesial temporal sclerosis on the left side.


Sunday, 27 December 2015 16:48

13467

Written by
hs/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzuma Mohd.Al-Shlmn / M / 16 yrs.
Referred by : Dr. Abc Xyznwal Pannu.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 3 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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There is no focal area of altered signal intensity in the brain parenchyma.

The hippocampal complex on either side is unremarkable.

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.