MRI Reports (3472)
MRI Reports Database
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzokbandhu Slmn / M / 26 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyz
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
H/O fall 1 1/2 years ago with ? spinal surgery done. Details not available.
C/O neck pain radiating to the LUE with paresthesias, weak grip and slight wasting of the LUE.
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 water content of the cervical intervertebral discs.
Suspicious surgical intervention is noted at the C5-C6 and C6-C7 disc levels.
Small posterior disc bulges with peridiscal osteophytes are noted at the C3-C4, C4-C5 and C6-C7 levels.
Small posterior disc herniations with peridiscal osteophytes is noted at the C5-C6 level with slight left neural foraminal narrowing.
Slight facetal hypertrophy is noted at the C5-C6 and C6-C7 levels on the left.
Scan-00000
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 :
1. ? Post-operative changes at the C5-C6 and C6-C7 disc levels.
2. Small posterior disc bulges with peridiscal osteophytes at the C3-C4, C4-C5 and C6-C7 levels.
3. Small posterior disc herniations with peridiscal osteophytes at the C5-C6 level.
4. Slight facetal hypertrophy at the C5-C6 and C6-C7 levels on the left.
Date : 00.00.00
Name of the Patient : Abc Xyzokbandhu Slmn / M / 26 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyz
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
H/O fall 1 1/2 years ago with ? spinal surgery done. Details not available.
C/O neck pain radiating to the LUE with paresthesias, weak grip and slight wasting of the LUE.
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 water content of the cervical intervertebral discs.
Suspicious surgical intervention is noted at the C5-C6 and C6-C7 disc levels.
Small posterior disc bulges with peridiscal osteophytes are noted at the C3-C4, C4-C5 and C6-C7 levels.
Small posterior disc herniations with peridiscal osteophytes is noted at the C5-C6 level with slight left neural foraminal narrowing.
Slight facetal hypertrophy is noted at the C5-C6 and C6-C7 levels on the left.
Scan-00000
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 :
1. ? Post-operative changes at the C5-C6 and C6-C7 disc levels.
2. Small posterior disc bulges with peridiscal osteophytes at the C3-C4, C4-C5 and C6-C7 levels.
3. Small posterior disc herniations with peridiscal osteophytes at the C5-C6 level.
4. Slight facetal hypertrophy at the C5-C6 and C6-C7 levels on the left.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc Xyzni Sukhatalmn / F / 2 yrs.
Referred by : Dr. Abc Xyzathak.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever since 15 days with semiconsciousness since 2 days.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick FLAIR coronal images.
OBSERVATION :
There is evidence of a shunt tube coursing through the right parietal lobe with the tube tip lying within the body of the right lateral ventricle.
There is moderate dilatation of the third, fourth and both the lateral ventricles and of the aqueduct. Signal void within the fourth ventricle, aqueduct and the posterior third ventricle may reflect turbulent flow. Few periventricular hypointensities on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images may represent CSF ooze.
There is effacement of the cerebral cortical sulci which may represent increased intracranial tension.
There is hypoplasia of the inferior cerebellar vermis.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of a moderate communicating hydrocephalus in a known C/O tuberculous meningitis.
As compared to the previous MRI (study no:00004) dated 00.00.00, there is a slight increase in the degress of the dilatation of the ventricular system.
Name of the Patient : Abc Xyzni Sukhatalmn / F / 2 yrs.
Referred by : Dr. Abc Xyzathak.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever since 15 days with semiconsciousness since 2 days.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick FLAIR coronal images.
OBSERVATION :
There is evidence of a shunt tube coursing through the right parietal lobe with the tube tip lying within the body of the right lateral ventricle.
There is moderate dilatation of the third, fourth and both the lateral ventricles and of the aqueduct. Signal void within the fourth ventricle, aqueduct and the posterior third ventricle may reflect turbulent flow. Few periventricular hypointensities on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images may represent CSF ooze.
There is effacement of the cerebral cortical sulci which may represent increased intracranial tension.
There is hypoplasia of the inferior cerebellar vermis.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of a moderate communicating hydrocephalus in a known C/O tuberculous meningitis.
As compared to the previous MRI (study no:00004) dated 00.00.00, there is a slight increase in the degress of the dilatation of the ventricular system.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc Xylmn / F / 37 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right side hemiparesis with aphasia on 00.00.00.
Past H/O brain stem demyelinating disorder in November 0000.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the midbrain on the right side (scan 102/9), left cerebral peduncle, left subthalamus and both parathird ventricular regions. Another similar area is noted in the medulla on the right side (scan 102.4). These are hypointense to white matter on the T1 Weighted images. There is slight fullness of the fourth ventricle with mild prominence of the cerebellar folia bilaterally.
Both the lateral and third 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 bilateral maxillary sinusitis and inflammatory changes in the right mastoid air cells.
Hyperintense signal is identified on all the pulse sequences in the right transverse sinus extending into the right jugular vein replacing the normal flow void signal within the sinus. This is suggestive of thrombosis/slow flow (probably the sequelae of right mastoiditis). The other sinuses show normal flow void signal.
IMPRESSION :
1. Altered signal in the midbrain and medulla on the right side, left cerebral peduncle and parathird ventricular region bilaterally is not specific for a single diagnosis.
In view of the past H/O demyelinating disorder, these most likely represent demyelinating plaques.
However similar MRI appearances may be seen with ischemia/infarction.
2. Right transverse sinus thrombosis.
No previous investigations were available for comparison.
Name of the Patient : Abc Xylmn / F / 37 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right side hemiparesis with aphasia on 00.00.00.
Past H/O brain stem demyelinating disorder in November 0000.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the midbrain on the right side (scan 102/9), left cerebral peduncle, left subthalamus and both parathird ventricular regions. Another similar area is noted in the medulla on the right side (scan 102.4). These are hypointense to white matter on the T1 Weighted images. There is slight fullness of the fourth ventricle with mild prominence of the cerebellar folia bilaterally.
Both the lateral and third 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 bilateral maxillary sinusitis and inflammatory changes in the right mastoid air cells.
Hyperintense signal is identified on all the pulse sequences in the right transverse sinus extending into the right jugular vein replacing the normal flow void signal within the sinus. This is suggestive of thrombosis/slow flow (probably the sequelae of right mastoiditis). The other sinuses show normal flow void signal.
IMPRESSION :
1. Altered signal in the midbrain and medulla on the right side, left cerebral peduncle and parathird ventricular region bilaterally is not specific for a single diagnosis.
In view of the past H/O demyelinating disorder, these most likely represent demyelinating plaques.
However similar MRI appearances may be seen with ischemia/infarction.
2. Right transverse sinus thrombosis.
No previous investigations were available for comparison.
Published in
MRI Reports
hs/sb/nl.rg.
Date : 00.00.00
Name of the Patient : Abc XyzRlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzle.
Examination : M.R.I. of the Internal Auditory Meatus.
CLINICAL PROFILE :
C/O tinnitus with decreased hearing on the right side since 1 year.
EXAMINATION :
M.R.I of the internal auditory meatus was performed using the following parameters :
3 mm thick T1 Weighted coronal images.
MR cisternogram was obtained in the axial and coronal planes.
The brain was screened with 5 mm thick T2 Weighted axial images.
OBSERVATION :
There are small bright foci on the T2 Weighted images within the right lentiform nucleus and periatrial white matter and fronto-parietal white matter bilaterally and these are most likely ischemic in etiology.
There is mild prominence of the cerebral cortical sulci bilaterally. The ventricular system is unremarkable.
Prominent perivascular spaces are seen within the lentiform nuclei bilaterally.
The seventh and eighth cranial nerve complex on either side is unremarkable. Cochlea, semicircular canals and vestibule are also unremarkable. No obvious increased fluid is noted in the region of the inner ear structures.
IMPRESSION :
The MRI features are suggestive of :
1. Small foci of altered signal intensity in the right lentiform nuclei and periatrial white matter and fronto-parietal white matter bilaterally are most likely ischemic in etiology.
2. No abnormality is detected in the region of the internal auditory meatus on this study. If clinically indicated a contrast enhanced study may be worthwhile.
Date : 00.00.00
Name of the Patient : Abc XyzRlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzle.
Examination : M.R.I. of the Internal Auditory Meatus.
CLINICAL PROFILE :
C/O tinnitus with decreased hearing on the right side since 1 year.
EXAMINATION :
M.R.I of the internal auditory meatus was performed using the following parameters :
3 mm thick T1 Weighted coronal images.
MR cisternogram was obtained in the axial and coronal planes.
The brain was screened with 5 mm thick T2 Weighted axial images.
OBSERVATION :
There are small bright foci on the T2 Weighted images within the right lentiform nucleus and periatrial white matter and fronto-parietal white matter bilaterally and these are most likely ischemic in etiology.
There is mild prominence of the cerebral cortical sulci bilaterally. The ventricular system is unremarkable.
Prominent perivascular spaces are seen within the lentiform nuclei bilaterally.
The seventh and eighth cranial nerve complex on either side is unremarkable. Cochlea, semicircular canals and vestibule are also unremarkable. No obvious increased fluid is noted in the region of the inner ear structures.
IMPRESSION :
The MRI features are suggestive of :
1. Small foci of altered signal intensity in the right lentiform nuclei and periatrial white matter and fronto-parietal white matter bilaterally are most likely ischemic in etiology.
2. No abnormality is detected in the region of the internal auditory meatus on this study. If clinically indicated a contrast enhanced study may be worthwhile.
Published in
MRI Reports
hs/ke/nl/rg
Date : 00.00.00
Name of the Patient : Abc Xyz Padelmn / M / 49 yrs.
Referred by : Dr. Abc Xyzle.
Examination : M.R.I. of the Internal Auditory Meatus.
CLINICAL PROFILE :
C/O tinnitus with decreased hearing on the right side since 1 year.
EXAMINATION :
M.R.I of the internal auditory meatus was performed using the following parameters :
3 mm thick T1 Weighted coronal images.
MR cisternogram was obtained in the axial and coronal planes.
The brain was screened with 5 mm thick T2 Weighted axial images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma on the T2 Weighted images. The ventricular system is unremarkable. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The seventh and eighth cranial nerve complex on either side are unremarkable. Cochlea, semicircular canals and vestibule are also unremarkable. No obvious increased fluid is noted in the region of the inner ear structures.
IMPRESSION :
No significant abnormality is detected in the region of the internal auditory meatus on this study.
If clinically indicated a contrast enhanced study may be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyz Padelmn / M / 49 yrs.
Referred by : Dr. Abc Xyzle.
Examination : M.R.I. of the Internal Auditory Meatus.
CLINICAL PROFILE :
C/O tinnitus with decreased hearing on the right side since 1 year.
EXAMINATION :
M.R.I of the internal auditory meatus was performed using the following parameters :
3 mm thick T1 Weighted coronal images.
MR cisternogram was obtained in the axial and coronal planes.
The brain was screened with 5 mm thick T2 Weighted axial images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma on the T2 Weighted images. The ventricular system is unremarkable. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The seventh and eighth cranial nerve complex on either side are unremarkable. Cochlea, semicircular canals and vestibule are also unremarkable. No obvious increased fluid is noted in the region of the inner ear structures.
IMPRESSION :
No significant abnormality is detected in the region of the internal auditory meatus on this study.
If clinically indicated a contrast enhanced study may be worthwhile.
Published in
MRI Reports
hs/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzaghela.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is mild retroplacement of the L5 vertebra over the S1 vertebra.
There is evidence of a large left paracentral disc herniation indenting the traversing S1 nerve roots (left more than right) at the L5-S1 level. A disc portion is seen to lie within the left lateral recess of the L5 vertebra.
A mild posterior disc bulge is noted at the L4-L5 level.
The L5-S1 intervertebral disc shows loss of water content. Type II degenerative changes are seen within the S1 vertebral body adjacent to the L5-S1 intervertebral disc.
A Schmorls node with adjacent Type II degenerative changes is seen at the superior aspect of the D12 vertebral body.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The 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 :
15.0 mm at L1-L2
15.0 mm at L2-L3
16.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of a large left paracentral disc herniation indenting the traversing S1 nerve roots (left more than right) at the L5-S1 level. A disc portion is seen to lie within the left lateral recess of the L5 vertebra.
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzaghela.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is mild retroplacement of the L5 vertebra over the S1 vertebra.
There is evidence of a large left paracentral disc herniation indenting the traversing S1 nerve roots (left more than right) at the L5-S1 level. A disc portion is seen to lie within the left lateral recess of the L5 vertebra.
A mild posterior disc bulge is noted at the L4-L5 level.
The L5-S1 intervertebral disc shows loss of water content. Type II degenerative changes are seen within the S1 vertebral body adjacent to the L5-S1 intervertebral disc.
A Schmorls node with adjacent Type II degenerative changes is seen at the superior aspect of the D12 vertebral body.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The 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 :
15.0 mm at L1-L2
15.0 mm at L2-L3
16.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of a large left paracentral disc herniation indenting the traversing S1 nerve roots (left more than right) at the L5-S1 level. A disc portion is seen to lie within the left lateral recess of the L5 vertebra.
Published in
MRI Reports
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 70 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE and 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 :
The lumbar intervertebral discs show loss of water content.
There is slight retrolisthesis of the L1 over the L2 and L2 over L3 vertebral bodies.
A posterior and a right postero-lateral disc herniation is seen at the L5-S1 level with mild right neural foraminal narrowing. There is slight indentation of the foraminal and the extraforaminal portion of the right L5 nerve root and posterior displacement of the right S1 nerve root. The facet joint on the right side shows degenerative changes.
A postero-central disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac.
A small, posterior disc herniation is noted at the L3-L4 level. A small disc portion is seen to migrate inferiorly in the left lateral recess of the L4 vertebral body with impingement of the traversing left L4 nerve root (scans 104.11, 102.4, 106.7).
..2/.
Diffuse posterior disc herniations with bilateral far lateral disc bulges are seen at the L1-L2 and L2-L3 levels with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.
Anterior and posterior peridiscal osteophytes are seen at the L1-L2, L2-L3 and L3-L4 levels.
Schmorls nodes are noted in the inferior aspect of the D12, L1 and L2 vertebral bodies in the superior aspect of the L1 vertebral body.
The L3-L4 and L4-L5 facet joints also show degenerative changes.
The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
15.0 mm at L2-L3
12.0 mm at L3-L4
10.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Slight retrolisthesis of the L1 over the L2 and L2 over the L3 vertebral bodies.
2. A small, posterior disc herniation at the L3-L4 level with a small disc portion migrating inferiorly to the left lateral recess of the L4 vertebral body impinging the traversing left L4 nerve root.
..3/.
- 3 - Scan-00004
3. A posterior and a right postero-lateral disc herniation at the L5-S1 level with slight indentation of the foraminal and the extraforaminal portion of the right L5 nerve root and right S1 nerve root.
4. A postero-central disc herniation at the L4-L5 level.
5. Diffuse posterior disc herniations with bilateral far lateral disc bulges at the L1-L2 and L2-L3 levels
6. Facetal arthropathy at the L3-L4 and L4-L5 levels bilaterally and on the right side at the L5-S1 level.
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 70 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE and 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 :
The lumbar intervertebral discs show loss of water content.
There is slight retrolisthesis of the L1 over the L2 and L2 over L3 vertebral bodies.
A posterior and a right postero-lateral disc herniation is seen at the L5-S1 level with mild right neural foraminal narrowing. There is slight indentation of the foraminal and the extraforaminal portion of the right L5 nerve root and posterior displacement of the right S1 nerve root. The facet joint on the right side shows degenerative changes.
A postero-central disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac.
A small, posterior disc herniation is noted at the L3-L4 level. A small disc portion is seen to migrate inferiorly in the left lateral recess of the L4 vertebral body with impingement of the traversing left L4 nerve root (scans 104.11, 102.4, 106.7).
..2/.
Diffuse posterior disc herniations with bilateral far lateral disc bulges are seen at the L1-L2 and L2-L3 levels with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.
Anterior and posterior peridiscal osteophytes are seen at the L1-L2, L2-L3 and L3-L4 levels.
Schmorls nodes are noted in the inferior aspect of the D12, L1 and L2 vertebral bodies in the superior aspect of the L1 vertebral body.
The L3-L4 and L4-L5 facet joints also show degenerative changes.
The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
15.0 mm at L2-L3
12.0 mm at L3-L4
10.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Slight retrolisthesis of the L1 over the L2 and L2 over the L3 vertebral bodies.
2. A small, posterior disc herniation at the L3-L4 level with a small disc portion migrating inferiorly to the left lateral recess of the L4 vertebral body impinging the traversing left L4 nerve root.
..3/.
- 3 - Scan-00004
3. A posterior and a right postero-lateral disc herniation at the L5-S1 level with slight indentation of the foraminal and the extraforaminal portion of the right L5 nerve root and right S1 nerve root.
4. A postero-central disc herniation at the L4-L5 level.
5. Diffuse posterior disc herniations with bilateral far lateral disc bulges at the L1-L2 and L2-L3 levels
6. Facetal arthropathy at the L3-L4 and L4-L5 levels bilaterally and on the right side at the L5-S1 level.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc XyzDlmn / M / 79 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with heaviness, one episode of seizures and vertigo.
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.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and 4 mm thick T1 coronal images with magnetization transfer.
4 and 5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a large well-defined mass lesion in the left cerebellar hemisphere which measures approximately 3.0 x 4.0 x 2.5 cms. This lesion has a predominant cystic portion which is slightly hyperintense to the CSF on all the pulse sequences. An intermediate signal intensity lesion is seen along the floor and the anterior portion of the lesion on the T1 Weighted images which is slightly hypointense on the proton, T2 Weighted and FLAIR image. A fluid level is also seen within this lesion. There is compression upon the left postero-lateral aspect of the fourth ventricle and the aqueduct with slight shift of the midline structures to the right. There is slight effacement of the perimesencephalic cistern on the left side. On administration of contrast, there is faint enhancement of the lesion at the periphery which is slightly irregular in the anterior and posterior aspect. There is no other area of abnormal enhancement within the brain parenchyma.
..2/.
Small lacunar infarcts (isointense to CSF on all the pulse sequences) are noted in the left temporal region, bilateral thalami and corona radiata.
Small bright foci are noted on the proton, T2 Weighted and FLAIR images in the fronto-parietal region. These are isointense to white matter on the T1 Weighted images and are probably ischemic in etiology.
There is fullness of both the lateral ventricles. The third ventricle is normal. No obvious vascular anomaly is identified on this study.
After contrast administration there is no area of abnormal enhancement in the brain parenchyma or along the meninges.
IMPRESSION :
The MRI features are suggestive of :
1. A mass lesion in the left cerebellar hemisphere measuring approximately 3.0 x 4.0 x 2.5 cms. The differential diagnosis would include :
a. A cystic glioma.
b. Hemangioblastoma.
2. Altered signal in the fronto-parietal region is probably ischemic in etiology.
Name of the Patient : Abc XyzDlmn / M / 79 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with heaviness, one episode of seizures and vertigo.
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.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and 4 mm thick T1 coronal images with magnetization transfer.
4 and 5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a large well-defined mass lesion in the left cerebellar hemisphere which measures approximately 3.0 x 4.0 x 2.5 cms. This lesion has a predominant cystic portion which is slightly hyperintense to the CSF on all the pulse sequences. An intermediate signal intensity lesion is seen along the floor and the anterior portion of the lesion on the T1 Weighted images which is slightly hypointense on the proton, T2 Weighted and FLAIR image. A fluid level is also seen within this lesion. There is compression upon the left postero-lateral aspect of the fourth ventricle and the aqueduct with slight shift of the midline structures to the right. There is slight effacement of the perimesencephalic cistern on the left side. On administration of contrast, there is faint enhancement of the lesion at the periphery which is slightly irregular in the anterior and posterior aspect. There is no other area of abnormal enhancement within the brain parenchyma.
..2/.
Small lacunar infarcts (isointense to CSF on all the pulse sequences) are noted in the left temporal region, bilateral thalami and corona radiata.
Small bright foci are noted on the proton, T2 Weighted and FLAIR images in the fronto-parietal region. These are isointense to white matter on the T1 Weighted images and are probably ischemic in etiology.
There is fullness of both the lateral ventricles. The third ventricle is normal. No obvious vascular anomaly is identified on this study.
After contrast administration there is no area of abnormal enhancement in the brain parenchyma or along the meninges.
IMPRESSION :
The MRI features are suggestive of :
1. A mass lesion in the left cerebellar hemisphere measuring approximately 3.0 x 4.0 x 2.5 cms. The differential diagnosis would include :
a. A cystic glioma.
b. Hemangioblastoma.
2. Altered signal in the fronto-parietal region is probably ischemic in etiology.
Published in
MRI Reports
sb/ke/nl/rg
Date : 00.00.00
Name of the Patient : Abc Xyzra lmn / M / 60 yrs.
Referred by : Dr. Abc Xyzra.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain radiating to the LLE with paresthesias since 15 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of normal lumbar lordosis and loss of water content of the lower lumbar intervertebral discs.
There is evidence of laminectomy of the L3 and L4 vertebrae with post-operative changes in the soft tissues in the posterior lumbar region at these levels.
A posterior disc bulge with peridiscal osteophytes is noted at the L5-S1 level with bilateral neural foraminal narrowing and indentation on the S1 nerve roots bilaterally.
A posteriorly bulging disc with peridiscal osteophytes is noted at the L4-L5 level with bilateral neural foraminal narrowing. A disc fragment is noted in the left neural foramen at the L4-L5 level, impinging the left L4 and L5 nerve root.
Scan-00002
A small posterior disc bulge with peridiscal osteophytes is noted at the L3-L4 level.
A very small, fat signal intensity lesion on all the pulse sequences in the thecal sac at the L4 vertebral level, may represent intrathecal contrast globule.
Facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels bilaterally.
The intrathecal nerve roots in the lower lumbar region appear clumped suggesting arachnoiditis.
Fatty marrow changes are noted in the L4 and L5 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.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
15.0 mm at L2-L3
9.0 mm at L5-S1.
IMPRESSION :
1. Post-operative status.
..3/.
- 3 - Scan-00002
2. A posterior disc bulge with peridiscal osteophytes at the L5-S1 level with bilateral neural foraminal narrowing and indentation on the S1 nerve roots bilaterally.
3. A posteriorly bulging disc with peridiscal osteophytes at the L4-L5 level with a disc fragment in the left neural foramen at the L4-L5 level, impinging the left L4 and L5 nerve root.
4. A small posterior disc bulge with peridiscal osteophytes at the L3-L4 level.
5. Facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels, bilaterally.
6. Arachnoiditis in the lower lumbar region.
7. Canal stenosis at the L3-L4, L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzra lmn / M / 60 yrs.
Referred by : Dr. Abc Xyzra.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain radiating to the LLE with paresthesias since 15 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of normal lumbar lordosis and loss of water content of the lower lumbar intervertebral discs.
There is evidence of laminectomy of the L3 and L4 vertebrae with post-operative changes in the soft tissues in the posterior lumbar region at these levels.
A posterior disc bulge with peridiscal osteophytes is noted at the L5-S1 level with bilateral neural foraminal narrowing and indentation on the S1 nerve roots bilaterally.
A posteriorly bulging disc with peridiscal osteophytes is noted at the L4-L5 level with bilateral neural foraminal narrowing. A disc fragment is noted in the left neural foramen at the L4-L5 level, impinging the left L4 and L5 nerve root.
Scan-00002
A small posterior disc bulge with peridiscal osteophytes is noted at the L3-L4 level.
A very small, fat signal intensity lesion on all the pulse sequences in the thecal sac at the L4 vertebral level, may represent intrathecal contrast globule.
Facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels bilaterally.
The intrathecal nerve roots in the lower lumbar region appear clumped suggesting arachnoiditis.
Fatty marrow changes are noted in the L4 and L5 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.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
15.0 mm at L2-L3
9.0 mm at L5-S1.
IMPRESSION :
1. Post-operative status.
..3/.
- 3 - Scan-00002
2. A posterior disc bulge with peridiscal osteophytes at the L5-S1 level with bilateral neural foraminal narrowing and indentation on the S1 nerve roots bilaterally.
3. A posteriorly bulging disc with peridiscal osteophytes at the L4-L5 level with a disc fragment in the left neural foramen at the L4-L5 level, impinging the left L4 and L5 nerve root.
4. A small posterior disc bulge with peridiscal osteophytes at the L3-L4 level.
5. Facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels, bilaterally.
6. Arachnoiditis in the lower lumbar region.
7. Canal stenosis at the L3-L4, L4-L5 and L5-S1 levels.
Published in
MRI Reports
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyza Plmn / F / 35 yrs.
Referred by : Dr. Abc Xyzn.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain with pain radiating to RLE since 1 month 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 lower lumbar intervertebral discs.
A small, postero-central and right postero-lateral disc herniation is noted at the L5-S1 level, with right neural foraminal narrowing. A small right far lateral (extraforaminal) disc herniation is seen to indent the extraforaminal portion of the exiting right L5 nerve root.
A fairly large, right paracentral disc extrusion is noted at the L4-L5 level with thecal sac compression and inferior migration of the disc fragment indenting the traversing right L5 nerve root.
Small posterior peridiscal osteophytes are noted at the L3-L4 level.
A small postero-central protruded disc with peridiscal osteophytes is noted at the L2-L3 level.
The L5-S1 facet joints bilaterally and the left L4-L5 facet joint show degenerative changes.
Type II degenerative marrow changes are noted adjacent to the L4-L5 disc.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A fairly large, right paracentral disc extrusion at the L4-L5 level with inferior migration of the disc fragment indenting the traversing right L5 nerve root.
2. A small, postero-central, right postero-lateral and right far lateral disc herniations at the L5-S1 level.
3. Small posterior peridiscal osteophytes at the L3-L4 level.
4. A small postero-central protruded disc with peridiscal osteophytes at the L2-L3 level.
5. Facetal arthropathy, bilaterally at the L5-S1 level and on the left side at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyza Plmn / F / 35 yrs.
Referred by : Dr. Abc Xyzn.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain with pain radiating to RLE since 1 month 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 lower lumbar intervertebral discs.
A small, postero-central and right postero-lateral disc herniation is noted at the L5-S1 level, with right neural foraminal narrowing. A small right far lateral (extraforaminal) disc herniation is seen to indent the extraforaminal portion of the exiting right L5 nerve root.
A fairly large, right paracentral disc extrusion is noted at the L4-L5 level with thecal sac compression and inferior migration of the disc fragment indenting the traversing right L5 nerve root.
Small posterior peridiscal osteophytes are noted at the L3-L4 level.
A small postero-central protruded disc with peridiscal osteophytes is noted at the L2-L3 level.
The L5-S1 facet joints bilaterally and the left L4-L5 facet joint show degenerative changes.
Type II degenerative marrow changes are noted adjacent to the L4-L5 disc.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A fairly large, right paracentral disc extrusion at the L4-L5 level with inferior migration of the disc fragment indenting the traversing right L5 nerve root.
2. A small, postero-central, right postero-lateral and right far lateral disc herniations at the L5-S1 level.
3. Small posterior peridiscal osteophytes at the L3-L4 level.
4. A small postero-central protruded disc with peridiscal osteophytes at the L2-L3 level.
5. Facetal arthropathy, bilaterally at the L5-S1 level and on the left side at the L4-L5 level.
Published in
MRI Reports
More...
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzA. Al-halmn / M / 46 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O laminectomy at L4/L5 levels 8 months back.
C/O backache radiating to the BLE since 3 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is slight scoliosis of the lumbar spine with convexity to the right.
There is evidence of laminectomy at the L4 and L5 vertebral levels with post-operative changes in the soft tissues in the posterior lumbar region at these levels. Probable discectomy at the L4-L5 level is noted. The thecal sac is slightly retroplaced and appears slightly larger in diameter at the operative site. The margins of the thecal sac at L4-L5 and L5 levels cannot be differentiated from the scar tissue/granulation tissue around the thecal sac at these levels.
There is loss of water content of the L5-S1 and L1-L2 intervertebral discs.
The L4-L5 intervertebral disc appears hyperintense on the T2 Weighted images (when compared to the previous MRI dated 00.00.00), probably the result of post-operative changes.
A small apparent right paracentral disc herniation is noted at the L4-L5 level. The right L5 nerve root appears slightly larger in diameter as compared to the normal (scans 104.5-6, 102.6) and is ? inflamed.
There is a small, postero-central protruded disc with a peridiscal osteophyte at the L5-S1 level. A posterior peridiscal osteophyte with a disc bulge is seen at the L1-L2 level. The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.Fat is noted in the filum terminale at the L2 and L3 vertebral levels.The conus medullaris terminates at the D12-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 :21.0 mm at L1-L218.0 mm at L2-L321.0 mm at L3-L4IMPRESSION :1. Post-operative status.
2. A small apparent right paracentral disc herniation at the L4-L5 level.
..3/.
- 3 - Scan-00000
3. Presence of scar/granulation tissue around the thecal sac at the L4-L5 level.
4. Slight larger diameter of the right L5 nerve root as compared to the normal is ? due to nerve root inflammation.
4. Altered signal in the L4-L5 intervertebral disc is ? due to discoidectomy.
Date : 00.00.00
Name of the Patient : Abc XyzA. Al-halmn / M / 46 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O laminectomy at L4/L5 levels 8 months back.
C/O backache radiating to the BLE since 3 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is slight scoliosis of the lumbar spine with convexity to the right.
There is evidence of laminectomy at the L4 and L5 vertebral levels with post-operative changes in the soft tissues in the posterior lumbar region at these levels. Probable discectomy at the L4-L5 level is noted. The thecal sac is slightly retroplaced and appears slightly larger in diameter at the operative site. The margins of the thecal sac at L4-L5 and L5 levels cannot be differentiated from the scar tissue/granulation tissue around the thecal sac at these levels.
There is loss of water content of the L5-S1 and L1-L2 intervertebral discs.
The L4-L5 intervertebral disc appears hyperintense on the T2 Weighted images (when compared to the previous MRI dated 00.00.00), probably the result of post-operative changes.
A small apparent right paracentral disc herniation is noted at the L4-L5 level. The right L5 nerve root appears slightly larger in diameter as compared to the normal (scans 104.5-6, 102.6) and is ? inflamed.
There is a small, postero-central protruded disc with a peridiscal osteophyte at the L5-S1 level. A posterior peridiscal osteophyte with a disc bulge is seen at the L1-L2 level. The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.Fat is noted in the filum terminale at the L2 and L3 vertebral levels.The conus medullaris terminates at the D12-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 :21.0 mm at L1-L218.0 mm at L2-L321.0 mm at L3-L4IMPRESSION :1. Post-operative status.
2. A small apparent right paracentral disc herniation at the L4-L5 level.
..3/.
- 3 - Scan-00000
3. Presence of scar/granulation tissue around the thecal sac at the L4-L5 level.
4. Slight larger diameter of the right L5 nerve root as compared to the normal is ? due to nerve root inflammation.
4. Altered signal in the L4-L5 intervertebral disc is ? due to discoidectomy.
Published in
MRI Reports
hs/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzsir Khamlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE and 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 large right paracentral disc extrusion indenting the thecal sac and the traversing S1 nerve roots at the L5-S1 level. A small disc portion is seen to lie within the right lateral recess of the S1 vertebra with posterior displacement of the traversing right S1 nerve root. A small right postero-lateral disc herniation is seen to narrow the right neural foramen at the L5-S1 level.
Mild posterior disc bulge is noted at the L4-L5 level.
The L3-L4 facet joints show hypertrophic degenerative changes bilaterally.
Type II degenerative changes are noted within the L5 and S1 vertebral bodies adjacent to the L5-S1 disc.
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 L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
15.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A large right paracentral disc extrusion indenting the traversing S1 nerve roots at the L5-S1 level. A small disc portion is seen to lie within the right lateral recess of the S1 vertebra with posterior displacement of the traversing right S1 nerve root.
2. A small right postero-lateral disc herniation at the L5-S1 level.
3. Hypertrophic facetal arthropathy at the L3-L4 level.
Date : 00.00.00
Name of the Patient : Abc Xyzsir Khamlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE and 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 large right paracentral disc extrusion indenting the thecal sac and the traversing S1 nerve roots at the L5-S1 level. A small disc portion is seen to lie within the right lateral recess of the S1 vertebra with posterior displacement of the traversing right S1 nerve root. A small right postero-lateral disc herniation is seen to narrow the right neural foramen at the L5-S1 level.
Mild posterior disc bulge is noted at the L4-L5 level.
The L3-L4 facet joints show hypertrophic degenerative changes bilaterally.
Type II degenerative changes are noted within the L5 and S1 vertebral bodies adjacent to the L5-S1 disc.
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 L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
15.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A large right paracentral disc extrusion indenting the traversing S1 nerve roots at the L5-S1 level. A small disc portion is seen to lie within the right lateral recess of the S1 vertebra with posterior displacement of the traversing right S1 nerve root.
2. A small right postero-lateral disc herniation at the L5-S1 level.
3. Hypertrophic facetal arthropathy at the L3-L4 level.
Published in
MRI Reports
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzSubblmn / M / 60 yrs.
Referred by : Dr. Abc Xyznkaria / Dr. Abc Xyzhwar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE 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 normal lumbar lordosis and slight loss of water content of all the lumbar intervertebral discs.
There is a fairly large posterior and right paracentral extruded disc with peridiscal osteophytes at the L5-S1 level with inferior migration of the disc fragment, more to the right of the midline indenting the traversing right S1 nerve root with canal stenosis.
A small posterior disc herniation is noted at the L4-L5 level with bilateral neural foraminal narrowing and tight lumbar canal.
A left far lateral disc bulge is noted at the L3-L4 level with minimal indentation on the extraforaminal segment of the left L3 nerve root.
Slight facetal hypertrophy is noted at the L4-L5 and L5-S1 levels.
A probable right sided conjoint L4 and L5 nerve roots is noted.
..2/.
Fatty marrow changes are noted in the upper lumbar vertebrae.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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 :
17.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A fairly large posterior and right paracentral extruded disc with peridiscal osteophytes at the L5-S1 level with inferior migration of the disc fragment, more to the right of the midline indenting the traversing right S1 nerve root with canal stenosis.
2. A small posterior disc herniation at the L4-L5 level with tight lumbar canal.
Date : 00.00.00
Name of the Patient : Abc XyzSubblmn / M / 60 yrs.
Referred by : Dr. Abc Xyznkaria / Dr. Abc Xyzhwar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE 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 normal lumbar lordosis and slight loss of water content of all the lumbar intervertebral discs.
There is a fairly large posterior and right paracentral extruded disc with peridiscal osteophytes at the L5-S1 level with inferior migration of the disc fragment, more to the right of the midline indenting the traversing right S1 nerve root with canal stenosis.
A small posterior disc herniation is noted at the L4-L5 level with bilateral neural foraminal narrowing and tight lumbar canal.
A left far lateral disc bulge is noted at the L3-L4 level with minimal indentation on the extraforaminal segment of the left L3 nerve root.
Slight facetal hypertrophy is noted at the L4-L5 and L5-S1 levels.
A probable right sided conjoint L4 and L5 nerve roots is noted.
..2/.
Fatty marrow changes are noted in the upper lumbar vertebrae.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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 :
17.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A fairly large posterior and right paracentral extruded disc with peridiscal osteophytes at the L5-S1 level with inferior migration of the disc fragment, more to the right of the midline indenting the traversing right S1 nerve root with canal stenosis.
2. A small posterior disc herniation at the L4-L5 level with tight lumbar canal.
Published in
MRI Reports
hs/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzn Salmn / F / 11 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 1 month.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is left lateral wedging of the L4 vertebral body. Areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen to involve the L4 vertebral body and both pedicles.
There is extension of this pathologic process into the pre and paravertebral soft tissues over the L3 to L5 vertebral levels. Also seen is extension into the anterior epidural space over the L4 to L5 vertebral levels and encroachment into the L4-L5 neural foramina bilaterally.
There appears to be enlarged lymph nodes in the lumbar prevertebral region.
The L4-L5 intervertebral disc shows loss of water content.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
IMPRESSION :
The MRI features are suggestive of a pathologic process involving the L4 vertebral body with extensions as described is not specific for a single diagnosis. The differential diagnosis would include :
1. Infective processes like tuberculosis.
2. Neoplastic processes like small cell tumors.
Date : 00.00.00
Name of the Patient : Abc Xyzn Salmn / F / 11 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 1 month.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is left lateral wedging of the L4 vertebral body. Areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen to involve the L4 vertebral body and both pedicles.
There is extension of this pathologic process into the pre and paravertebral soft tissues over the L3 to L5 vertebral levels. Also seen is extension into the anterior epidural space over the L4 to L5 vertebral levels and encroachment into the L4-L5 neural foramina bilaterally.
There appears to be enlarged lymph nodes in the lumbar prevertebral region.
The L4-L5 intervertebral disc shows loss of water content.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
IMPRESSION :
The MRI features are suggestive of a pathologic process involving the L4 vertebral body with extensions as described is not specific for a single diagnosis. The differential diagnosis would include :
1. Infective processes like tuberculosis.
2. Neoplastic processes like small cell tumors.
Published in
MRI Reports