MRI Reports (3472)
MRI Reports Database
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzali Khilalmn / M / 75 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE 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 :
There is loss of water content of the lumbar intervertebral discs.
There is a small, postero-central protruded disc with peridiscal osteophytes at the L5-S1 level. Slight facetal hypertrophy is also noted at this level.
A fairly large posteriorly herniated disc with peridiscal osteophyte is noted at the L4-L5 level with thecal sac compression. A sequestered disc fragment is noted in the right antero-lateral epidural space at the L4 vertebral level, compressing the thecal sac and the traversing right L4 nerve root. There is also facetal and ligamentum flavum hypertrophy at the L4-L5 level with canal stenosis.
There is a posterior and left postero-lateral peridiscal osteophyte at the L3-L4 level with slight left neural foraminal narrowing.
Type II degenerative marrow changes are noted adjacent to the L2-L3, L4-L5 and L5-S1 intervertebral discs. Slight irregularity of the cortical endplates adjacent to the L3-L4 and L4-L5 intervertebral discs is noted which may be due to degenerative changes.
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 :
18.0 mm at L1-L2
18.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
13.0 mm at L5-S1.
Screening, T2 Weighted sagittal images of the lower cervical and dorsal spines do not reveal any significant feature of note.
IMPRESSION :
1. A small, postero-central protruded disc with peridiscal osteophytes at the L5-S1 level with slight facetal hypertrophy at this level.
2. A fairly large posteriorly herniated disc with peridiscal osteophyte at the L4-L5 level with a sequestered disc fragment in the right antero-lateral epidural space at the L4 vertebral level, compressing the traversing right L4 nerve root. There is also facetal and ligamentum flavum hypertrophy at the L4-L5 level with canal stenosis.
3. A posterior and left postero-lateral peridiscal osteophyte at the L3-L4 level.
Date : 00.00.00
Name of the Patient : Abc Xyzali Khilalmn / M / 75 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE 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 :
There is loss of water content of the lumbar intervertebral discs.
There is a small, postero-central protruded disc with peridiscal osteophytes at the L5-S1 level. Slight facetal hypertrophy is also noted at this level.
A fairly large posteriorly herniated disc with peridiscal osteophyte is noted at the L4-L5 level with thecal sac compression. A sequestered disc fragment is noted in the right antero-lateral epidural space at the L4 vertebral level, compressing the thecal sac and the traversing right L4 nerve root. There is also facetal and ligamentum flavum hypertrophy at the L4-L5 level with canal stenosis.
There is a posterior and left postero-lateral peridiscal osteophyte at the L3-L4 level with slight left neural foraminal narrowing.
Type II degenerative marrow changes are noted adjacent to the L2-L3, L4-L5 and L5-S1 intervertebral discs. Slight irregularity of the cortical endplates adjacent to the L3-L4 and L4-L5 intervertebral discs is noted which may be due to degenerative changes.
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 :
18.0 mm at L1-L2
18.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
13.0 mm at L5-S1.
Screening, T2 Weighted sagittal images of the lower cervical and dorsal spines do not reveal any significant feature of note.
IMPRESSION :
1. A small, postero-central protruded disc with peridiscal osteophytes at the L5-S1 level with slight facetal hypertrophy at this level.
2. A fairly large posteriorly herniated disc with peridiscal osteophyte at the L4-L5 level with a sequestered disc fragment in the right antero-lateral epidural space at the L4 vertebral level, compressing the traversing right L4 nerve root. There is also facetal and ligamentum flavum hypertrophy at the L4-L5 level with canal stenosis.
3. A posterior and left postero-lateral peridiscal osteophyte at the L3-L4 level.
Published in
MRI Reports
Tagged under
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyze Khamblmn / M / 44 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right with numbness since May 0000.
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.
There is loss of water content of the L1-L2, L2-L3 and L4-L5 intervertebral discs.
There is a fairly large, postero-central and left postero-lateral disc herniation at the L4-L5 level with left neural foraminal narrowing. Inferior migration of the disc fragment is noted along the posterior margin of the L5 vertebra, slightly more to the right of the midline. A sequestered disc fragment is noted in the left lateral recess of L4 and in the left neural foramen at the L4-L5 level with resultant indentation on the traversing left L4 nerve root.
A small posterior disc bulge is noted at the L3-L4 level.
A small postero-central disc herniation is seen at the L2-L3 level.
A postero-central protruded disc is noted at the L1-L2 level.
Slight hypertrophy of the L4-L5 facet joints is seen, bilaterally.
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 :
18.0 mm at L1-L2
17.0 mm at L2-L3
18.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. A fairly large, postero-central and left postero-lateral disc herniation at the L4-L5 level with inferior migration of the disc fragment along the posterior margin of the L5 vertebra, slightly more to the right of the midline. A sequestered disc fragment is noted in the left lateral recess of L4 and in the left neural foramen at the L4-L5 level with resultant indentation on the traversing left L4 nerve root.
..3/.
- 3 - Scan-00001
3. A small postero-central disc herniation at the L2-L3 level.
4. A postero-central protruded disc at the L1-L2 level.
5. Slight facetal hypertrophy at the L4-L5 level, bilaterally.
Date : 00.00.00
Name of the Patient : Abc Xyze Khamblmn / M / 44 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right with numbness since May 0000.
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.
There is loss of water content of the L1-L2, L2-L3 and L4-L5 intervertebral discs.
There is a fairly large, postero-central and left postero-lateral disc herniation at the L4-L5 level with left neural foraminal narrowing. Inferior migration of the disc fragment is noted along the posterior margin of the L5 vertebra, slightly more to the right of the midline. A sequestered disc fragment is noted in the left lateral recess of L4 and in the left neural foramen at the L4-L5 level with resultant indentation on the traversing left L4 nerve root.
A small posterior disc bulge is noted at the L3-L4 level.
A small postero-central disc herniation is seen at the L2-L3 level.
A postero-central protruded disc is noted at the L1-L2 level.
Slight hypertrophy of the L4-L5 facet joints is seen, bilaterally.
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 :
18.0 mm at L1-L2
17.0 mm at L2-L3
18.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. A fairly large, postero-central and left postero-lateral disc herniation at the L4-L5 level with inferior migration of the disc fragment along the posterior margin of the L5 vertebra, slightly more to the right of the midline. A sequestered disc fragment is noted in the left lateral recess of L4 and in the left neural foramen at the L4-L5 level with resultant indentation on the traversing left L4 nerve root.
..3/.
- 3 - Scan-00001
3. A small postero-central disc herniation at the L2-L3 level.
4. A postero-central protruded disc at the L1-L2 level.
5. Slight facetal hypertrophy at the L4-L5 level, bilaterally.
Published in
MRI Reports
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Glmn / F / 60 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O deviation of mouth to the left, left sided weakness and loss of consciousness for 1 hour on 00.00.00.
Similar complaints since 25-30 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 is no focal area of altered signal intensity in the brain parenchyma.
Prominent perivascular spaces are noted in the periventricular white matter in the left posterior parietal region.
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 Xyz Glmn / F / 60 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O deviation of mouth to the left, left sided weakness and loss of consciousness for 1 hour on 00.00.00.
Similar complaints since 25-30 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 is no focal area of altered signal intensity in the brain parenchyma.
Prominent perivascular spaces are noted in the periventricular white matter in the left posterior parietal region.
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
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyztala Ylmn / F / 40 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervical Spine.
(Post-contrast study).
CLINICAL PROFILE :
C/O weakness of BUE and BLE since 4-5 months with paresthesias.
EXAMINATION :
After contrast administration, the following parameters were used :
4 mm thick T1 Weighted sagittal images.
6 mm thick T1 Weighted axial images.
The dorsal spine was scanned with 4 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is still seen expansion of the cervico-dorsal spine from the cervico-medullary junction upto about the D7 vertebral level with a variegated appearance of the cord over these levels.
After contrast administration, there is enhancement of a solid nodule at the C7 and D1 vertebral levels. No meningeal enhancement is noted.
There is no area of abnormal enhancement in the lower dorsal region.
Date : 00.00.00
Name of the Patient : Abc Xyztala Ylmn / F / 40 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervical Spine.
(Post-contrast study).
CLINICAL PROFILE :
C/O weakness of BUE and BLE since 4-5 months with paresthesias.
EXAMINATION :
After contrast administration, the following parameters were used :
4 mm thick T1 Weighted sagittal images.
6 mm thick T1 Weighted axial images.
The dorsal spine was scanned with 4 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is still seen expansion of the cervico-dorsal spine from the cervico-medullary junction upto about the D7 vertebral level with a variegated appearance of the cord over these levels.
After contrast administration, there is enhancement of a solid nodule at the C7 and D1 vertebral levels. No meningeal enhancement is noted.
There is no area of abnormal enhancement in the lower dorsal region.
Published in
MRI Reports
hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzKshirslmn / M / 37 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided hemifacial spasm 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.
5 mm thick FLAIR coronal images.
3 mm thick T1 Weighted coronal images.
A limited MRA (source image) and MR cisternogram (coronal plane) were obtained through the region of interest.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
A vascular loop is seen to indent the root exit zone of the left facial nerve.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Note is made of pansinusitis.
IMPRESSION :
The MRI features are suggestive of a vascular loop indenting the root exit zone of the left facial nerve.
Date : 00.00.00
Name of the Patient : Abc XyzKshirslmn / M / 37 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided hemifacial spasm 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.
5 mm thick FLAIR coronal images.
3 mm thick T1 Weighted coronal images.
A limited MRA (source image) and MR cisternogram (coronal plane) were obtained through the region of interest.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
A vascular loop is seen to indent the root exit zone of the left facial nerve.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Note is made of pansinusitis.
IMPRESSION :
The MRI features are suggestive of a vascular loop indenting the root exit zone of the left facial nerve.
Published in
MRI Reports
hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Anlmn / M / 1 1/2 yrs.
Referred by : Dr. Abc Xyzhiri.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O delayed milestones with microcephaly.
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 myelination pattern is normal for the patients age.
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.
Date : 00.00.00
Name of the Patient : Abc Xyz Anlmn / M / 1 1/2 yrs.
Referred by : Dr. Abc Xyzhiri.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O delayed milestones with microcephaly.
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 myelination pattern is normal for the patients age.
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
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 57 yrs.
Referred by : Dr. Abc Xyzndhi.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
H/O sudden onset of pain in the right knee joint while climbing stairs 2 months back with subsequent swelling and locking since then.
EXAMINATION :
M.R.I of the right knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and STIR coronal images.
4 mm thick T1 Weighted axial images.
OBSERVATION :
Menisci :
There is seen an intrasubstance, hyperintense signal on all the pulse sequences in the posterior horn of the medial meniscus of the right knee joint, extending upto the superior articular surface. This represents Grade III meniscal signal (meniscal tear).
A linear hypointense signal is seen in the posterior horn of the lateral meniscus on all the pulse sequences not reaching upto the articular surface would represent Grade II meniscal signal (meniscal degeneration).
The anterior horn of the medial and lateral menisci reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
The articular cartilage overlying the patella and tibia appears normal.
There is a small right knee joint effusion.
There is an ill-defined, hyperintense signal on the T2 Weighted and STIR images in the medial femoral condyle and in medial tibial plateau, adjacent to the medial tibio-femoral joint. This signal appears iso to hypointense to normal marrow on the T1 Weighted images. A well-marginated, focal, hypointense signal on the T1 Weighted images is noted in the subchondral region along the inferior margin of the medial femoral condyle. This lesion appears slightly hyperintense on the T2 Weighted and STIR images. Slight irregularity of the underlying articular cartilage is noted (scans 102.12, 13).
IMPRESSION :
1. Altered signal in the posterior horn of the medial meniscus of the right knee joint, extending upto the superior articular surface represents Grade III meniscal signal (meniscal tear).
..3/.
- 3 - Scan-00006
2. Small right knee joint effusion.
3. Focal altered signal in the subchondral region along the inferior margin of the medial femoral condyle with slight irregularity of the overlying articular cartilage may represent a subchondral fracture/osteochondritis dessicans.
4. Diffuse altered signal in the marrow of the medial femoral condyle and in medial tibial plateau, adjacent to the medial tibio-femoral joint most likely represents bone bruise.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 57 yrs.
Referred by : Dr. Abc Xyzndhi.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
H/O sudden onset of pain in the right knee joint while climbing stairs 2 months back with subsequent swelling and locking since then.
EXAMINATION :
M.R.I of the right knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and STIR coronal images.
4 mm thick T1 Weighted axial images.
OBSERVATION :
Menisci :
There is seen an intrasubstance, hyperintense signal on all the pulse sequences in the posterior horn of the medial meniscus of the right knee joint, extending upto the superior articular surface. This represents Grade III meniscal signal (meniscal tear).
A linear hypointense signal is seen in the posterior horn of the lateral meniscus on all the pulse sequences not reaching upto the articular surface would represent Grade II meniscal signal (meniscal degeneration).
The anterior horn of the medial and lateral menisci reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
The articular cartilage overlying the patella and tibia appears normal.
There is a small right knee joint effusion.
There is an ill-defined, hyperintense signal on the T2 Weighted and STIR images in the medial femoral condyle and in medial tibial plateau, adjacent to the medial tibio-femoral joint. This signal appears iso to hypointense to normal marrow on the T1 Weighted images. A well-marginated, focal, hypointense signal on the T1 Weighted images is noted in the subchondral region along the inferior margin of the medial femoral condyle. This lesion appears slightly hyperintense on the T2 Weighted and STIR images. Slight irregularity of the underlying articular cartilage is noted (scans 102.12, 13).
IMPRESSION :
1. Altered signal in the posterior horn of the medial meniscus of the right knee joint, extending upto the superior articular surface represents Grade III meniscal signal (meniscal tear).
..3/.
- 3 - Scan-00006
2. Small right knee joint effusion.
3. Focal altered signal in the subchondral region along the inferior margin of the medial femoral condyle with slight irregularity of the overlying articular cartilage may represent a subchondral fracture/osteochondritis dessicans.
4. Diffuse altered signal in the marrow of the medial femoral condyle and in medial tibial plateau, adjacent to the medial tibio-femoral joint most likely represents bone bruise.
Published in
MRI Reports
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
Alleged H/O vehicular accident 3 months back with neckpain since then.
C/O weakness of BUE and BLE since 1 month.
EXAMINATION :
M.R.I of the cervical spine 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.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.
There is collapse of the C4 vertebral body which is retropulsed. The C4 vertebral body and its appendages appear hypointense to normal marrow on the T1 Weighted images and appear iso to hyperintense to the rest of the vertebrae on the T2 Weighted and Fast Scan (T2 *) images. The appendages of the C4 vertebra appear expansile. There is resultant cord compression at C4. The cervical spinal cord at this level appears hyperintense on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia. The C3-C4 and C4-C5 intervertebral discs do not seem to be involved by the lesion. A right paravertebral and right posterior paraspinal soft tissue component of the lesion is noted over the C4 and C5 vertebral levels, with encasement of the right vertebral artery over these levels.
The rest of the cervical vertebral bodies show normal signal intensity. The joints of Luschka are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
Collapse of the C4 vertebral body with altered signal of the C4 body and its appendages as described is not specific for a single etiology. A metastasis/round cell tumor may be considered as a differential diagnosis. The possibility of an infective etiology seems less likely. There is resultant cord compression and cord signal alteration at the C4 vertebral level suggesting cord edema/ischemia.
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
Alleged H/O vehicular accident 3 months back with neckpain since then.
C/O weakness of BUE and BLE since 1 month.
EXAMINATION :
M.R.I of the cervical spine 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.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.
There is collapse of the C4 vertebral body which is retropulsed. The C4 vertebral body and its appendages appear hypointense to normal marrow on the T1 Weighted images and appear iso to hyperintense to the rest of the vertebrae on the T2 Weighted and Fast Scan (T2 *) images. The appendages of the C4 vertebra appear expansile. There is resultant cord compression at C4. The cervical spinal cord at this level appears hyperintense on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia. The C3-C4 and C4-C5 intervertebral discs do not seem to be involved by the lesion. A right paravertebral and right posterior paraspinal soft tissue component of the lesion is noted over the C4 and C5 vertebral levels, with encasement of the right vertebral artery over these levels.
The rest of the cervical vertebral bodies show normal signal intensity. The joints of Luschka are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
Collapse of the C4 vertebral body with altered signal of the C4 body and its appendages as described is not specific for a single etiology. A metastasis/round cell tumor may be considered as a differential diagnosis. The possibility of an infective etiology seems less likely. There is resultant cord compression and cord signal alteration at the C4 vertebral level suggesting cord edema/ischemia.
Published in
MRI Reports
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzi Chikhalmn / M / 70 yrs.
Referred by : Dr. Abc Xyzgaonkar.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O right sided hemiparesis since 4-5 days with giddiness.
H/O fever prior to this.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial 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 T2 Weighted images in the midbrain to the left of the midline. This most likely represent an ischemic lesion.
There is mild dilatation 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.
Inflammatory changes are noted in the right maxillary antrum.
INTRACRANIAL MRA :
The right vertebral artery is hypoplastic.
Slight irregularity and narrowing of the P2 segment of the left posterior cerebral artery is noted.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and right posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
Motion artifacts are noted.
The right vertebral artery in the neck also appears 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 midbrain to the left of the midline most likely represent an ischemic lesion.
2. Slight irregularity and narrowing of the P2 segment of the left posterior cerebral artery.
3. Hypoplastic right vertebral artery.
Date : 00.00.00
Name of the Patient : Abc Xyzi Chikhalmn / M / 70 yrs.
Referred by : Dr. Abc Xyzgaonkar.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O right sided hemiparesis since 4-5 days with giddiness.
H/O fever prior to this.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial 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 T2 Weighted images in the midbrain to the left of the midline. This most likely represent an ischemic lesion.
There is mild dilatation 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.
Inflammatory changes are noted in the right maxillary antrum.
INTRACRANIAL MRA :
The right vertebral artery is hypoplastic.
Slight irregularity and narrowing of the P2 segment of the left posterior cerebral artery is noted.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and right posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
Motion artifacts are noted.
The right vertebral artery in the neck also appears 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 midbrain to the left of the midline most likely represent an ischemic lesion.
2. Slight irregularity and narrowing of the P2 segment of the left posterior cerebral artery.
3. Hypoplastic right vertebral artery.
Published in
MRI Reports
hs/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Paranlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to BLE (left more than right).
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 L5 vertebra appears to be as marked on the film. Please correlate with plain radiographs.
A small left paracentral disc herniation with peridiscal osteophytes is seen at the L5-S1 level. Bilateral far lateral (extraforaminal) disc herniations are also seen at this level.
A posterior disc bulge is seen to indent the thecal sac at the L4-L5 level.
Facetal hypertrophy is noted at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
The 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 :
18.0 mm at L1-L2
20.0 mm at L2-L3
20.0 mm at L3-L4
18.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A small left paracentral disc herniation with peridiscal osteophytes and bilateral far lateral (extraforaminal) disc herniatons at the L5-S1 level.
2. A posterior disc bulge at the L4-L5 level.
3. Facetal hypertrophy at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz Paranlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to BLE (left more than right).
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 L5 vertebra appears to be as marked on the film. Please correlate with plain radiographs.
A small left paracentral disc herniation with peridiscal osteophytes is seen at the L5-S1 level. Bilateral far lateral (extraforaminal) disc herniations are also seen at this level.
A posterior disc bulge is seen to indent the thecal sac at the L4-L5 level.
Facetal hypertrophy is noted at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
The 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 :
18.0 mm at L1-L2
20.0 mm at L2-L3
20.0 mm at L3-L4
18.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A small left paracentral disc herniation with peridiscal osteophytes and bilateral far lateral (extraforaminal) disc herniatons at the L5-S1 level.
2. A posterior disc bulge at the L4-L5 level.
3. Facetal hypertrophy at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
Published in
MRI Reports
More...
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzumar Jlmn / M / 20 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures 1 month back.
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.
3 mm thick FLAIR coronal images.
OBSERVATION :
There is seen an approximately 7.0 mms diameter sized well marginated hyperintense lesion with a hypointense rim on the proton, T2 Weighted and FLAIR images in the left posterior parietal, parafalcine region. This lesion appears relatively hypointense to normal white matter on the T1 Weighted images (the lesion is probably a conglomeration of multiple lesions). There is perilesional edema with effacement of the sulcal spaces and mild indentation on the splenium of the corpus callosum and the body of the left lateral ventricle, posteriorly.
The right 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 left maxillary antrum, left anterior ethmoidal air cells and left frontal sinus.
IMPRESSION :
An approximately 7.0 mms diameter sized lesion (? conglomerate of multiple lesions) in the left posterior parietal, parafalcine region follows the signal characteristics of a neurocysticercus in the colloid-vesicular stage.
Date : 00.00.00
Name of the Patient : Abc Xyzumar Jlmn / M / 20 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures 1 month back.
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.
3 mm thick FLAIR coronal images.
OBSERVATION :
There is seen an approximately 7.0 mms diameter sized well marginated hyperintense lesion with a hypointense rim on the proton, T2 Weighted and FLAIR images in the left posterior parietal, parafalcine region. This lesion appears relatively hypointense to normal white matter on the T1 Weighted images (the lesion is probably a conglomeration of multiple lesions). There is perilesional edema with effacement of the sulcal spaces and mild indentation on the splenium of the corpus callosum and the body of the left lateral ventricle, posteriorly.
The right 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 left maxillary antrum, left anterior ethmoidal air cells and left frontal sinus.
IMPRESSION :
An approximately 7.0 mms diameter sized lesion (? conglomerate of multiple lesions) in the left posterior parietal, parafalcine region follows the signal characteristics of a neurocysticercus in the colloid-vesicular stage.
Published in
MRI Reports
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzPurlmn / M / 52 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache (off and on) since 10 years.
C/O radicular pain to BLE since 2 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 loss of water content of the L2-L3, L3-L4 and L4-L5 intervertebral discs.
Minimal posterior disc bulges are noted at the L4-L5 and L5-S1 levels.
The facet joints at the L3-L4 and L4-L5 levels bilaterally and at the D11-D12 level on the right 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 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
17.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
Degenerated L2-L3, L3-L4 and L4-L5 intervertebral discs with slight facetal hypertrophy at the L3-L4 and L4-L5 levels bilaterally and at the D11-D12 level on the right.
Date : 00.00.00
Name of the Patient : Abc XyzPurlmn / M / 52 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache (off and on) since 10 years.
C/O radicular pain to BLE since 2 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 loss of water content of the L2-L3, L3-L4 and L4-L5 intervertebral discs.
Minimal posterior disc bulges are noted at the L4-L5 and L5-S1 levels.
The facet joints at the L3-L4 and L4-L5 levels bilaterally and at the D11-D12 level on the right 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 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
17.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
Degenerated L2-L3, L3-L4 and L4-L5 intervertebral discs with slight facetal hypertrophy at the L3-L4 and L4-L5 levels bilaterally and at the D11-D12 level on the right.
Published in
MRI Reports
hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzm Ralmn / M / 10 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
(Post-contrast study).
CLINICAL PROFILE :
C/O neck pain on the left side and electric current like sensation passing through his body on extension of neck since 6 months.
H/O blow on the left side of the neck.
EXAMINATION :
A post-contrast study of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted sagittal and coronal images.
5 mm thick T1 Weighted axial images.
There is no focal area of abnormal enhancement within the cervical cord or along the meninges. The lesion within the cord at the C1-C2 level does not enhance.
Date : 00.00.00
Name of the Patient : Abc Xyzm Ralmn / M / 10 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
(Post-contrast study).
CLINICAL PROFILE :
C/O neck pain on the left side and electric current like sensation passing through his body on extension of neck since 6 months.
H/O blow on the left side of the neck.
EXAMINATION :
A post-contrast study of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted sagittal and coronal images.
5 mm thick T1 Weighted axial images.
There is no focal area of abnormal enhancement within the cervical cord or along the meninges. The lesion within the cord at the C1-C2 level does not enhance.
Published in
MRI Reports
hs/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzmar Milmn / M / 38 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
H/O benign teratoma of mediastinum, excised 14 years ago.
C/O paresthesias with weakness of the RLE since 1 month with complete weakness of the RUE and RLE since 10 days.
EXAMINATION :
M.R.I of the cervical spine 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.
OBSERVATION :
Postero-central disc herniations with peridiscal osteophytes are seen to indent the thecal sac at the C3-C4 and C5-C6 levels.
There is a small postero-central disc herniation at the C4-C5 level. The left facet joint shows degenerative changes at this level.
A posterior disc bulge is noted at the C6-C7 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.
IMPRESSION :
The MRI features are suggestive of :
1. Postero-central disc herniations with peridiscal osteophytes at the C3-C4 and C5-C6 levels.
2. A small postero-central disc herniation at the C4-C5 level.
3. Facetal arthropathy at the C4-C5 level on the left side.
Date : 00.00.00
Name of the Patient : Abc Xyzmar Milmn / M / 38 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
H/O benign teratoma of mediastinum, excised 14 years ago.
C/O paresthesias with weakness of the RLE since 1 month with complete weakness of the RUE and RLE since 10 days.
EXAMINATION :
M.R.I of the cervical spine 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.
OBSERVATION :
Postero-central disc herniations with peridiscal osteophytes are seen to indent the thecal sac at the C3-C4 and C5-C6 levels.
There is a small postero-central disc herniation at the C4-C5 level. The left facet joint shows degenerative changes at this level.
A posterior disc bulge is noted at the C6-C7 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.
IMPRESSION :
The MRI features are suggestive of :
1. Postero-central disc herniations with peridiscal osteophytes at the C3-C4 and C5-C6 levels.
2. A small postero-central disc herniation at the C4-C5 level.
3. Facetal arthropathy at the C4-C5 level on the left side.
Published in
MRI Reports