MRI Reports (3472)
MRI Reports Database
sb/ke/nl/rg
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 5 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 is unremarkable on either side.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Mild cerebral cortical atrophy.
No other abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 5 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 is unremarkable on either side.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Mild cerebral cortical atrophy.
No other abnormality is detected on this study.
Published in
MRI Reports
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Triplmn / M / 17 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O periodic loss of consciousness with decreased hearing on the left side.
H/O purulent discharge from the left ear with headaches and vomiting 6-7 years back. Recovered.
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.
Incidental note is made of enlarged adenoids.
IMPRESSION :
Normal study of the brain.
Date : 00.00.00
Name of the Patient : Abc Xyz Triplmn / M / 17 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O periodic loss of consciousness with decreased hearing on the left side.
H/O purulent discharge from the left ear with headaches and vomiting 6-7 years back. Recovered.
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.
Incidental note is made of enlarged adenoids.
IMPRESSION :
Normal study of the brain.
Published in
MRI Reports
sb/ke/nl/rg.l
Date : 00.00.00
Name of the Patient : Abc lmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to BLE since 15 days.
H/O slipping off of chappals.
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 slight loss of water content of the C4-C5 and C5-C6 intervertebral discs.
The cervical vertebral bodies and the remaining intervertebral discs 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 :
No significant abnormality is detected within the cervical spine on this study.
Date : 00.00.00
Name of the Patient : Abc lmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to BLE since 15 days.
H/O slipping off of chappals.
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 slight loss of water content of the C4-C5 and C5-C6 intervertebral discs.
The cervical vertebral bodies and the remaining intervertebral discs 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 :
No significant abnormality is detected within the cervical spine on this study.
Published in
MRI Reports
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Sonalmn / M / 20 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O paraplegia with bladder involvement since 2 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.
9 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is seen a small, approximately 8.0 mms diameter sized well-defined, hypointense lesion on the T1 Weighted images in the dorsal spinal cord, posteriorly, at the D9 vertebral level. This lesion appears hyperintense on the T2 Weighted images with a peripheral hypointense rim. There is a hyperintense signal on the T2 Weighted images (isointense to normal cord on the T1 Weighted images) in the dorsal spinal cord, centrally extending over the D2 vertebral level upto the tip of the conus medullaris. This most likely represents perilesional edema.
Schmorls nodes are noted in the dorso-lumbar region.
The visualized dorsal vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
Scan-00005
There is no cord compression.
The conus medullaris terminates at the L1 level.
IMPRESSION :
An approximately 8.0 mms diameter sized lesion in the dorsal spinal cord, posteriorly, at the D9 vertebral level, is not specific for a single etiology. The image morphology suggest a granuloma, most likely a cysticercus cyst. Altered signal in the dorsal centrally, may represent cord edema.
A follow up scan with contrast is essential.
Date : 00.00.00
Name of the Patient : Abc Xyz Sonalmn / M / 20 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O paraplegia with bladder involvement since 2 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.
9 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is seen a small, approximately 8.0 mms diameter sized well-defined, hypointense lesion on the T1 Weighted images in the dorsal spinal cord, posteriorly, at the D9 vertebral level. This lesion appears hyperintense on the T2 Weighted images with a peripheral hypointense rim. There is a hyperintense signal on the T2 Weighted images (isointense to normal cord on the T1 Weighted images) in the dorsal spinal cord, centrally extending over the D2 vertebral level upto the tip of the conus medullaris. This most likely represents perilesional edema.
Schmorls nodes are noted in the dorso-lumbar region.
The visualized dorsal vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
Scan-00005
There is no cord compression.
The conus medullaris terminates at the L1 level.
IMPRESSION :
An approximately 8.0 mms diameter sized lesion in the dorsal spinal cord, posteriorly, at the D9 vertebral level, is not specific for a single etiology. The image morphology suggest a granuloma, most likely a cysticercus cyst. Altered signal in the dorsal centrally, may represent cord edema.
A follow up scan with contrast is essential.
Published in
MRI Reports
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / M / 15 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, numbness on the right side of face, giddiness, gait ataxia and diplopia since 3 weeks.
Known C/O RHD with mental retardation and AAD with T.P. Shunt.
Posterior fixation with excision of odontoid process with T. P. shunt done in 0000.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
Susceptibility artifacts are noted in the region of the posterior fossa and upper cervical spine. It is hence, difficult to evaluate the status of the posterior fossa and the atlanto-axial region including the upper cervical spinal cord.
There is a small bright foci on the proton and T2 Weighted images in the left posterior parietal deep white matter. This lesion appears hypointense to normal white matter on the T1 Weighted images. Prominent perivascular space is noted in the right frontal deep white matter.
There is mild fullness of both the lateral ventricles. The third ventricle is unremarkable.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The optic nerves on either side show normal signal.
IMPRESSION :
1. Susceptibility artifacts in the region of the posterior fossa and upper cervical spine. It is hence, difficult to evaluate the status of the posterior fossa and the atlanto-axial region including the upper cervical spinal cord.
2. Small bright foci on the proton and T2 Weighted images in the left posterior parietal deep white matter is not specific for a single etiology ? vascular insult.
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / M / 15 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, numbness on the right side of face, giddiness, gait ataxia and diplopia since 3 weeks.
Known C/O RHD with mental retardation and AAD with T.P. Shunt.
Posterior fixation with excision of odontoid process with T. P. shunt done in 0000.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
Susceptibility artifacts are noted in the region of the posterior fossa and upper cervical spine. It is hence, difficult to evaluate the status of the posterior fossa and the atlanto-axial region including the upper cervical spinal cord.
There is a small bright foci on the proton and T2 Weighted images in the left posterior parietal deep white matter. This lesion appears hypointense to normal white matter on the T1 Weighted images. Prominent perivascular space is noted in the right frontal deep white matter.
There is mild fullness of both the lateral ventricles. The third ventricle is unremarkable.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The optic nerves on either side show normal signal.
IMPRESSION :
1. Susceptibility artifacts in the region of the posterior fossa and upper cervical spine. It is hence, difficult to evaluate the status of the posterior fossa and the atlanto-axial region including the upper cervical spinal cord.
2. Small bright foci on the proton and T2 Weighted images in the left posterior parietal deep white matter is not specific for a single etiology ? vascular insult.
Published in
MRI Reports
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza Mirlmn / F / 53 yrs.Referred by : Dr. Abc Xyzngsarkar.Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :C/O backache radiating to the RLE with paresthesias since 1 year.L4 laminar excision with bilateral intertransverse fusion of L3 and L4 was done for lysis at L4, on 00.00.00.
Good relief for 3 months after surgery. Recurrence of symptoms for the last 3 months with persistent right sided radiculitis.
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 slight reduction in height and loss of water content of the L4-L5 intervertebral disc. There is mild forward translation of the L4 vertebra over the L5 vertebra.
There is evidence of laminectomy at the L4 vertebral level with post-operative changes in the soft tissues in the posterior lumbar region at these levels.
There is seen a posterior and right far lateral disc herniation at the L4-L5 level with bilateral neural foraminal narrowing. Indentation on the extraforaminal segment of the right L4 nerve root is seen.
Break in the pars interarticularis is noted at L4, on the left. Probable partial excision of the inferior articular facet of L4 is noted.
A mild posterior disc bulge is seen at the L5-S1 level.The lumbar articular facets at the L3-L4 and L5-S1 levels are mildly hypertrophic.Areas of hypointensity on all the pulse sequences within the L2 vertebral body may represent marrow inhomogenity. The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the 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-L219.0 mm at L2-L320.0 mm at L3-L414.0 mm at L5-S1.
The intrathecal nerve roots appear clumped at the L4-L5 level suggesting arachnoiditis.
..3/.
- 3 - Scan-00003
IMPRESSION :
1. Post-operative status.
2. Slight forward translation of the L4 over the L5 vertebra with spondylolysis at L4.
3. A posterior and right far lateral disc herniation at the L4-L5 level indenting the extraforaminal portion of the right L4 nerve root. 4. Facetal hypertrophy at the L3-L4 and L5-S1 levels.
As compared to the previous MRI (study no:0000) dated 00.00.00, the patient is now status post-operative. The degree of disc herniation at the L4-L5 level is also unchanged.
Date : 00.00.00
Name of the Patient : Abc Xyza Mirlmn / F / 53 yrs.Referred by : Dr. Abc Xyzngsarkar.Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :C/O backache radiating to the RLE with paresthesias since 1 year.L4 laminar excision with bilateral intertransverse fusion of L3 and L4 was done for lysis at L4, on 00.00.00.
Good relief for 3 months after surgery. Recurrence of symptoms for the last 3 months with persistent right sided radiculitis.
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 slight reduction in height and loss of water content of the L4-L5 intervertebral disc. There is mild forward translation of the L4 vertebra over the L5 vertebra.
There is evidence of laminectomy at the L4 vertebral level with post-operative changes in the soft tissues in the posterior lumbar region at these levels.
There is seen a posterior and right far lateral disc herniation at the L4-L5 level with bilateral neural foraminal narrowing. Indentation on the extraforaminal segment of the right L4 nerve root is seen.
Break in the pars interarticularis is noted at L4, on the left. Probable partial excision of the inferior articular facet of L4 is noted.
A mild posterior disc bulge is seen at the L5-S1 level.The lumbar articular facets at the L3-L4 and L5-S1 levels are mildly hypertrophic.Areas of hypointensity on all the pulse sequences within the L2 vertebral body may represent marrow inhomogenity. The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the 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-L219.0 mm at L2-L320.0 mm at L3-L414.0 mm at L5-S1.
The intrathecal nerve roots appear clumped at the L4-L5 level suggesting arachnoiditis.
..3/.
- 3 - Scan-00003
IMPRESSION :
1. Post-operative status.
2. Slight forward translation of the L4 over the L5 vertebra with spondylolysis at L4.
3. A posterior and right far lateral disc herniation at the L4-L5 level indenting the extraforaminal portion of the right L4 nerve root. 4. Facetal hypertrophy at the L3-L4 and L5-S1 levels.
As compared to the previous MRI (study no:0000) dated 00.00.00, the patient is now status post-operative. The degree of disc herniation at the L4-L5 level is also unchanged.
Published in
MRI Reports
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzi Slmn / F / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O Parkinsonism on the right side since 1 year.
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.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. There is slight 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.
After administration of contrast, there is no focal area of abnormal enhancement in the brain parenchyma or the meninges.
IMPRESSION :
Slight prominence of the cerebellar folia bilaterally.
Date : 00.00.00
Name of the Patient : Abc Xyzi Slmn / F / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O Parkinsonism on the right side since 1 year.
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.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. There is slight 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.
After administration of contrast, there is no focal area of abnormal enhancement in the brain parenchyma or the meninges.
IMPRESSION :
Slight prominence of the cerebellar folia bilaterally.
Published in
MRI Reports
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzMalmn / M / 91 yrs.
Referred by : Dr. Abc Xyz Parekh.
Examination : M.R.I. of Both Hips & S. I. Joints.
CLINICAL PROFILE :
C/O pain in the left hip.
EXAMINATION :
M.R.I of both hips and S. I. joints was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and 6 mm thick T2 Weighted axial images.
5 mm thick Proton density sagittal images.
OBSERVATION :
The femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within both the hip joints.
The musculature surrounding both the hip joints is normal.
No significant abnormality is detected in the sacro-iliac joints on the right side.
Incidentally noted is a fairly large prostate gland with elevation of the bladder base. Operative intervention for the prostate gland is noted.
A right sided inguinal hernia is noted. Slight herniation of the urinary bladder into the left inguinal canal is noted.
IMPRESSION :
No significant abnormality is detected in the hip joints or the sacro-iliac joints.
Date : 00.00.00
Name of the Patient : Abc XyzMalmn / M / 91 yrs.
Referred by : Dr. Abc Xyz Parekh.
Examination : M.R.I. of Both Hips & S. I. Joints.
CLINICAL PROFILE :
C/O pain in the left hip.
EXAMINATION :
M.R.I of both hips and S. I. joints was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and 6 mm thick T2 Weighted axial images.
5 mm thick Proton density sagittal images.
OBSERVATION :
The femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within both the hip joints.
The musculature surrounding both the hip joints is normal.
No significant abnormality is detected in the sacro-iliac joints on the right side.
Incidentally noted is a fairly large prostate gland with elevation of the bladder base. Operative intervention for the prostate gland is noted.
A right sided inguinal hernia is noted. Slight herniation of the urinary bladder into the left inguinal canal is noted.
IMPRESSION :
No significant abnormality is detected in the hip joints or the sacro-iliac joints.
Published in
MRI Reports
ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzMalmn / M / 91 yrs.
Referred by : Dr. Abc Xyz Parekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 5 months.
H/O fall 30 years back with ? fracture of L1.
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 anterior wedging of the L1 vertebral body which shows fatty marrow changes.
There is a left paracentral disc herniation at the D12-L1 level.
Small posterior disc herniations are noted at the L1-L2, L2-L3 and L5-S1 levels. Small posterior disc bulges are noted at the L3-L4 and L4-L5 levels. The lumbar intervertebral discs show loss of water content.
Posterior peridiscal osteophytes are noted at the D12-L1, L1-L2 and L2-L3 levels.
Facetal arthropathy is seen at the L4-L5 and L5-S1 levels.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining 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 :
12.0 mm at L1-L2
15.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. A left paracentral disc herniation at the D12-L1 level.
2. Small posterior disc herniations at the L1-L2, L2-L3 and L5-S1 levels.
3. Small posterior disc bulges at the L3-L4 and L4-L5 levels.
4. Facetal arthropathy at the L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc XyzMalmn / M / 91 yrs.
Referred by : Dr. Abc Xyz Parekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 5 months.
H/O fall 30 years back with ? fracture of L1.
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 anterior wedging of the L1 vertebral body which shows fatty marrow changes.
There is a left paracentral disc herniation at the D12-L1 level.
Small posterior disc herniations are noted at the L1-L2, L2-L3 and L5-S1 levels. Small posterior disc bulges are noted at the L3-L4 and L4-L5 levels. The lumbar intervertebral discs show loss of water content.
Posterior peridiscal osteophytes are noted at the D12-L1, L1-L2 and L2-L3 levels.
Facetal arthropathy is seen at the L4-L5 and L5-S1 levels.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining 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 :
12.0 mm at L1-L2
15.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. A left paracentral disc herniation at the D12-L1 level.
2. Small posterior disc herniations at the L1-L2, L2-L3 and L5-S1 levels.
3. Small posterior disc bulges at the L3-L4 and L4-L5 levels.
4. Facetal arthropathy at the L4-L5 and L5-S1 levels.
Published in
MRI Reports
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Anlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O paresthesias in BLE since 2 days.
C/O retention of urine since 3 days.
H/O fever +.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
9 mm thick T1 Weighted axial images and 8 and 9 mm thick T2 Weighted axial images.
OBSERVATION :
There are ill-defined, hyperintense areas on the T2 Weighted images, in the cervical spinal cord, centrally, extending over the D1 to D11-D12 levels. This lesion appears iso to hypointense to normal cord on the T1 Weighted images. Focal areas of patchy altered signal are also noted at the L1, C6 and C2 to C4 vertebral levels.
The visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
There is no cord compression.
The conus medullaris terminates at the L1 level.
IMPRESSION :
Altered signal in the dorsal spinal cord over the D1 to D11-D12 levels with patchy altered signal at the L1, C6, C2 to C4 levels as described, is not specific for a single etiology. Myelitis/demyelination are likely possibilities. Ischemic lesions seems less likely.
Date : 00.00.00
Name of the Patient : Abc Xyz Anlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O paresthesias in BLE since 2 days.
C/O retention of urine since 3 days.
H/O fever +.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
9 mm thick T1 Weighted axial images and 8 and 9 mm thick T2 Weighted axial images.
OBSERVATION :
There are ill-defined, hyperintense areas on the T2 Weighted images, in the cervical spinal cord, centrally, extending over the D1 to D11-D12 levels. This lesion appears iso to hypointense to normal cord on the T1 Weighted images. Focal areas of patchy altered signal are also noted at the L1, C6 and C2 to C4 vertebral levels.
The visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
There is no cord compression.
The conus medullaris terminates at the L1 level.
IMPRESSION :
Altered signal in the dorsal spinal cord over the D1 to D11-D12 levels with patchy altered signal at the L1, C6, C2 to C4 levels as described, is not specific for a single etiology. Myelitis/demyelination are likely possibilities. Ischemic lesions seems less likely.
Published in
MRI Reports
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ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzMehta lmn / F / 33 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
Known C/O Potts spine with psoas abscess since 00.00.00. On AKT.
C/O backache radiating to the LLE with paresthesias and limp.
H/O fever since 2 weeks.
EXAMINATION :
M.R.I of the dorso-lumbar 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.
6 mm thick T1 Weighted coronal images.
OBSERVATION :
There is anterior wedging of the L1 vertebral body with mild angular kyphus at that level.
There is replacement of the normal marrow of the D12, L1 and the left antero-lateral margin of the L2 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The superior and inferior cortical endplate of the L1 and D12 vertebral bodies are breached with involvement of the D12-L1 intervertebral disc. There is minimal prevertebral soft tissue extension at the D12 and L1 levels. There is bilateral paravertebral soft tissue extension, more on the left side, with involvement of the psoas muscle. The psoas muscle on the left side appears bulky and the lesion is seen to extend into the
Scan-00007
pelvis. These lesions are slightly hyperintense to muscle on the T1 Weighted images and turn hyperintense on the T2 Weighted images with presence of septae and would represent abscess formation. Minimal anterior epidural extension is seen at the D12-L1 level.
The rest of the visualized dorso-lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The visualized dorso-lumbar spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1-L2 level.
Focal fatty marrow change is noted in the L5 body and right pedicle, ?? due to previous infective focus and subsequent healing.
IMPRESSION :
In a known C/O Potts spine, the MRI features are suggestive of altered signal of the D12, L1 and L2 vertebral bodies with involvement of the D12-L1 intervertebral disc with extensions as described. A large left psoas abscess is noted extending from about the D12 vertebral level, into the pelvis.
As compared to the previous MRI dated 00.00.00, there is no significant change noted.
Date : 00.00.00
Name of the Patient : Abc XyzMehta lmn / F / 33 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
Known C/O Potts spine with psoas abscess since 00.00.00. On AKT.
C/O backache radiating to the LLE with paresthesias and limp.
H/O fever since 2 weeks.
EXAMINATION :
M.R.I of the dorso-lumbar 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.
6 mm thick T1 Weighted coronal images.
OBSERVATION :
There is anterior wedging of the L1 vertebral body with mild angular kyphus at that level.
There is replacement of the normal marrow of the D12, L1 and the left antero-lateral margin of the L2 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The superior and inferior cortical endplate of the L1 and D12 vertebral bodies are breached with involvement of the D12-L1 intervertebral disc. There is minimal prevertebral soft tissue extension at the D12 and L1 levels. There is bilateral paravertebral soft tissue extension, more on the left side, with involvement of the psoas muscle. The psoas muscle on the left side appears bulky and the lesion is seen to extend into the
Scan-00007
pelvis. These lesions are slightly hyperintense to muscle on the T1 Weighted images and turn hyperintense on the T2 Weighted images with presence of septae and would represent abscess formation. Minimal anterior epidural extension is seen at the D12-L1 level.
The rest of the visualized dorso-lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The visualized dorso-lumbar spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1-L2 level.
Focal fatty marrow change is noted in the L5 body and right pedicle, ?? due to previous infective focus and subsequent healing.
IMPRESSION :
In a known C/O Potts spine, the MRI features are suggestive of altered signal of the D12, L1 and L2 vertebral bodies with involvement of the D12-L1 intervertebral disc with extensions as described. A large left psoas abscess is noted extending from about the D12 vertebral level, into the pelvis.
As compared to the previous MRI dated 00.00.00, there is no significant change noted.
Published in
MRI Reports
ke/sb/rg.
Date : 00.00.00
Name of the Patient : Abc XyzP. Dlmn / M / 74 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O right hemiparesis in December 0000 which has recovered.
C/O weakness on the left side with speech disturbances and memory impairment since 15 days.
Known diabetic. On Rx.
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 a hypointense area in the right lentiform nucleus extending into the right corona radiata on the T1 Weighted images which is seen to turn hyperintense on the T2 Weighted images and would represent an old infarct.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are prominent. There is no shift of the midline structures.
INTRACRANIAL MRA :
The right 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, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
..2/.
- 2 - scan-00006
NECK MRA :
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 :
An old infarct in the right lentiform nucleus extending into the right corona radiata.
No significant abnormality is detected on the intracranial and neck MRA on this study.
Date : 00.00.00
Name of the Patient : Abc XyzP. Dlmn / M / 74 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O right hemiparesis in December 0000 which has recovered.
C/O weakness on the left side with speech disturbances and memory impairment since 15 days.
Known diabetic. On Rx.
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 a hypointense area in the right lentiform nucleus extending into the right corona radiata on the T1 Weighted images which is seen to turn hyperintense on the T2 Weighted images and would represent an old infarct.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are prominent. There is no shift of the midline structures.
INTRACRANIAL MRA :
The right 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, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
..2/.
- 2 - scan-00006
NECK MRA :
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 :
An old infarct in the right lentiform nucleus extending into the right corona radiata.
No significant abnormality is detected on the intracranial and neck MRA on this study.
Published in
MRI Reports
ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzar Klmn / M / 12 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures (2 episodes in 3 months) and headaches since 4 years.
H/O trauma 2 1/2 months 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.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
A well-defined, extra-axial lesion is seen in the superior cerebellar cistern following CSF signal characteristics on all the pulse sequences and most likely represents an arachnoid cyst.
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.
Incidental note is made of enlarged adenoids.
IMPRESSION :
An extra-axial, CSF intensity lesion in the superior cerebellar cistern most likely represents an arachnoid cyst.
No other significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzar Klmn / M / 12 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures (2 episodes in 3 months) and headaches since 4 years.
H/O trauma 2 1/2 months 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.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
A well-defined, extra-axial lesion is seen in the superior cerebellar cistern following CSF signal characteristics on all the pulse sequences and most likely represents an arachnoid cyst.
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.
Incidental note is made of enlarged adenoids.
IMPRESSION :
An extra-axial, CSF intensity lesion in the superior cerebellar cistern most likely represents an arachnoid cyst.
No other significant abnormality is detected on this study.
Published in
MRI Reports
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzBalmn / F / 44 yrs.
Referred by : Dr. Abc Xyzralay.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 15 days.
H/O backache radiating to the LLE with paresthesias in March 0000. Spinal surgery done on 00.00.00. Details not available.
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 (with fat saturation) axial images.
OBSERVATION :
There is slight retrolisthesis of the L5 vertebra over the S1 vertebra.
There is evidence of operative intervention in the soft tissues in the posterior lumbar region at L5 and S1 vertebral levels. There is effacement of the fat planes around the paraspinal muscles on the left at the S1 vertebral level. There is seen an approximately 3.0 x 3.8 x 4.0 cms sized well-marginated, intermediate signal intensity mass lesion on T1 Weighted images in the soft tissues in the posterior lumbar region within the subcutaneous fat in the midline, extending over the L5 and S1 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. A focal, hyperintense signal on T1 Weighted images is noted within this lesion, which appears hypointense on the T2 Weighted images. This lesion probably tracks upto the spinal canal at the L5-S1 level.
There is still seen a posterior disc extrusion with peridiscal osteophyte at the L5-S1 level with anterior indentation of the thecal sac. There is inferior migration of the disc fragment with indentation upon the traversing S1 nerve roots (left more than right). Intermediate signal in the left lateral and posterior epidural space at the L5-S1 level may represent scar tissue. The L5-S1 facet joints show mild degenerative changes with slight effusion on the right side. There is bilateral neural foraminal narrowing at this level.
A postero-central disc herniation is noted at the L4-L5 level with anterior indentation of the thecal sac. The L4-L5 facet joints also show mild degenerative change.
Anterior disc herniations are noted at the L1-L2, L2-L3, L3-L4 and L5-S1 levels. The L4-L5 and L5-S1 intervertebral discs show loss of water content.
Type II degenerative changes are seen in the L5 and S1 vertebrae adjacent to the L5-S1 intervertebral disc and at the antero-superior aspect of the L3 and L4 vertebral bodies.
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.
A cortical renal cyst is noted on the left side.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
..3/.
- 3 - Scan-00004
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
14.0 mm at L3-L4
9.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Post-operative status.
2. An approximately 3.0 x 3.8 x 4.0 cms sized mass lesion in the posterior subcutaneous fat at the L5 and S1 levels as described most likely represents a posterior collection/abscess, in the given clinical setting. Altered signal intensity lesion within this collection may represent fat globules.
3. A posterior disc extrusion with peridiscal osteophytes at the L5-S1 level with inferior migration of the disc fragment and indentation on the traversing S1 nerve roots (left more than right) with mild facetal arthropathy at this level.
3. A postero-central disc herniation at the L4-L5 level with mild facetal arthropathy at this level.
4. Probable scar tissue in the thecal sac at the L5-S1 level.
As compared to the previous MRI (scan no.00009) dated 00.00.00, the patient is now status post-operative. There is however no significant change in the degree of disc herniation at the L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc XyzBalmn / F / 44 yrs.
Referred by : Dr. Abc Xyzralay.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 15 days.
H/O backache radiating to the LLE with paresthesias in March 0000. Spinal surgery done on 00.00.00. Details not available.
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 (with fat saturation) axial images.
OBSERVATION :
There is slight retrolisthesis of the L5 vertebra over the S1 vertebra.
There is evidence of operative intervention in the soft tissues in the posterior lumbar region at L5 and S1 vertebral levels. There is effacement of the fat planes around the paraspinal muscles on the left at the S1 vertebral level. There is seen an approximately 3.0 x 3.8 x 4.0 cms sized well-marginated, intermediate signal intensity mass lesion on T1 Weighted images in the soft tissues in the posterior lumbar region within the subcutaneous fat in the midline, extending over the L5 and S1 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. A focal, hyperintense signal on T1 Weighted images is noted within this lesion, which appears hypointense on the T2 Weighted images. This lesion probably tracks upto the spinal canal at the L5-S1 level.
There is still seen a posterior disc extrusion with peridiscal osteophyte at the L5-S1 level with anterior indentation of the thecal sac. There is inferior migration of the disc fragment with indentation upon the traversing S1 nerve roots (left more than right). Intermediate signal in the left lateral and posterior epidural space at the L5-S1 level may represent scar tissue. The L5-S1 facet joints show mild degenerative changes with slight effusion on the right side. There is bilateral neural foraminal narrowing at this level.
A postero-central disc herniation is noted at the L4-L5 level with anterior indentation of the thecal sac. The L4-L5 facet joints also show mild degenerative change.
Anterior disc herniations are noted at the L1-L2, L2-L3, L3-L4 and L5-S1 levels. The L4-L5 and L5-S1 intervertebral discs show loss of water content.
Type II degenerative changes are seen in the L5 and S1 vertebrae adjacent to the L5-S1 intervertebral disc and at the antero-superior aspect of the L3 and L4 vertebral bodies.
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.
A cortical renal cyst is noted on the left side.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
..3/.
- 3 - Scan-00004
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
14.0 mm at L3-L4
9.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Post-operative status.
2. An approximately 3.0 x 3.8 x 4.0 cms sized mass lesion in the posterior subcutaneous fat at the L5 and S1 levels as described most likely represents a posterior collection/abscess, in the given clinical setting. Altered signal intensity lesion within this collection may represent fat globules.
3. A posterior disc extrusion with peridiscal osteophytes at the L5-S1 level with inferior migration of the disc fragment and indentation on the traversing S1 nerve roots (left more than right) with mild facetal arthropathy at this level.
3. A postero-central disc herniation at the L4-L5 level with mild facetal arthropathy at this level.
4. Probable scar tissue in the thecal sac at the L5-S1 level.
As compared to the previous MRI (scan no.00009) dated 00.00.00, the patient is now status post-operative. There is however no significant change in the degree of disc herniation at the L4-L5 and L5-S1 levels.
Published in
MRI Reports