MRI Reports (3472)
MRI Reports Database
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Slmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
Known C/O TBM with TB arachnoiditis. On AKT.
C/O numbness in BLE since June 0000.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
7 mm thick T1 Weighted and T2 Weighted axial images.
After administration of contrast 5 mm thick T1 Weighted sagittal, 7 mm thick T1 Weighted axial and 4 mm thick T1 Weighted coronal images were obtained. The cervico-dorsal and lumbar spines were screened with 4 mm and 5 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T1 Weighted axial images.
OBSERVATION :
There is still seen an ill-defined, intermediate signal intensity mass lesion on the T1 Weighted images in the spinal canal at D4, D5 and D8 and D9 vertebral levels. This lesion is most likely intradural in location and appears hyperintense on the T2 Weighted images. The lesion is located posterior and more to the right of the dorsal spinal cord at these levels. The posterior margin of the dorsal spinal cord is not well-defined separately from the lesion on the T1 Weighted images. The surrounding CSF space appears effaced. The dorsal spinal cord over the D3 to D9 vertebral levels appears slightly hyperintense on the T2 Weighted images suggesting cord edema/ischemia. The CSF in the dorsal region appears slightly more hyperintense as compared to the normal.
..2/.
After administration of contrast, there is peripheral enhancement of the above described intradural lesions at D4, D5, D8 and D9 vertebral levels with enhancement of the posterior meninges over D2 to D11 vertebral levels.
A small, right paracentral protruded disc with peridiscal osteophyte is noted at the D2-D3 level.
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.
The conus medullaris terminates at D12 vertebral level.
Screening images of the cervical and lumbar spines are unremarkable except for slightly hyperintense signal of the CSF in the lumbar region.
Screening images of the brain reveal an approximately 4.0 mm diameter sized disc-enhancing lesion in the left parieto-occipital parafalcine cortex (scans 114.10). Suspicious patchy enhancement is noted in the region of the left cerebral peduncle.
The ventricular system is unremarkable. There is no midline shift. No basal enhancement is noted.
IMPRESSION :
Intradural-extramedullary, peripherally enhancing mass lesion in the dorsal region, posterior to the dorsal spinal cord at the D4, D5, D8 and D9 vertebral levels as described most likely represents granulation tissue/abscess, in the given clinical setting. Enhancement of the posterior meninges over D2 to D11 levels is noted. Altered cord signal over D3 to D9 vertebral levels may represent cord edema/ischemia.
Focal, disc enhancing lesion in the left parieto-occipital parafalcine cortex would represent a granuloma, in the given clinical setting.
..3/.
- 3 - Scan-00005
As compared to the previous MRI dated 00.00.00 (Study No.00006), there seems to be a decrease in the size of the intradural granulation tissue/abscess on the present study (the previous study was a non-contrast study).
Date : 00.00.00
Name of the Patient : Abc Xyz Slmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
Known C/O TBM with TB arachnoiditis. On AKT.
C/O numbness in BLE since June 0000.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
7 mm thick T1 Weighted and T2 Weighted axial images.
After administration of contrast 5 mm thick T1 Weighted sagittal, 7 mm thick T1 Weighted axial and 4 mm thick T1 Weighted coronal images were obtained. The cervico-dorsal and lumbar spines were screened with 4 mm and 5 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T1 Weighted axial images.
OBSERVATION :
There is still seen an ill-defined, intermediate signal intensity mass lesion on the T1 Weighted images in the spinal canal at D4, D5 and D8 and D9 vertebral levels. This lesion is most likely intradural in location and appears hyperintense on the T2 Weighted images. The lesion is located posterior and more to the right of the dorsal spinal cord at these levels. The posterior margin of the dorsal spinal cord is not well-defined separately from the lesion on the T1 Weighted images. The surrounding CSF space appears effaced. The dorsal spinal cord over the D3 to D9 vertebral levels appears slightly hyperintense on the T2 Weighted images suggesting cord edema/ischemia. The CSF in the dorsal region appears slightly more hyperintense as compared to the normal.
..2/.
After administration of contrast, there is peripheral enhancement of the above described intradural lesions at D4, D5, D8 and D9 vertebral levels with enhancement of the posterior meninges over D2 to D11 vertebral levels.
A small, right paracentral protruded disc with peridiscal osteophyte is noted at the D2-D3 level.
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.
The conus medullaris terminates at D12 vertebral level.
Screening images of the cervical and lumbar spines are unremarkable except for slightly hyperintense signal of the CSF in the lumbar region.
Screening images of the brain reveal an approximately 4.0 mm diameter sized disc-enhancing lesion in the left parieto-occipital parafalcine cortex (scans 114.10). Suspicious patchy enhancement is noted in the region of the left cerebral peduncle.
The ventricular system is unremarkable. There is no midline shift. No basal enhancement is noted.
IMPRESSION :
Intradural-extramedullary, peripherally enhancing mass lesion in the dorsal region, posterior to the dorsal spinal cord at the D4, D5, D8 and D9 vertebral levels as described most likely represents granulation tissue/abscess, in the given clinical setting. Enhancement of the posterior meninges over D2 to D11 levels is noted. Altered cord signal over D3 to D9 vertebral levels may represent cord edema/ischemia.
Focal, disc enhancing lesion in the left parieto-occipital parafalcine cortex would represent a granuloma, in the given clinical setting.
..3/.
- 3 - Scan-00005
As compared to the previous MRI dated 00.00.00 (Study No.00006), there seems to be a decrease in the size of the intradural granulation tissue/abscess on the present study (the previous study was a non-contrast study).
Published in
MRI Reports
ke/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza Gailmn / F / 50 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O cervical lymphadenopathy. Operated in 0000 for the same. Received AKT.
C/O neck pain and severe pain in the right shoulder with restricted movements of the RUE.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
4 mm thick T1 Weighted and T2 Weighted coronal (with fat saturation) images.
OBSERVATION :
There are small postero-central disc protrusions at the C3-C4 and C4-C5 levels with anterior indentation of the thecal sac.
A small posterior disc bulge is seen at the C5-C6 level. The cervical intervertebral discs show loss of water content.
No obvious lesion is seen along the brachial plexus.
A subtle mixed signal characteristics lesion is seen on the T1 Weighted images in the D3 vertebral body on the right side. This is seen to turn hyperintense on the T2 Weighted images. There is no bony erosion or destruction seen (scans 105.6, 104.6).
No abnormally enlarged cervical lymphnodes are noted on this study.
..2/.
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.
The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and the visualized dorsal spinal cord shows normal signal intensity.
IMPRESSION :
The MRI features are suggestive of :
1. Small postero-central disc protrusions at the C3-C4 and C4-C5 levels.
2. A small posterior disc bulge at the C5-C6 level.
3. Altered signal in the D3 vertebral body on the right side most probably represents a hemangioma.
Date : 00.00.00
Name of the Patient : Abc Xyza Gailmn / F / 50 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O cervical lymphadenopathy. Operated in 0000 for the same. Received AKT.
C/O neck pain and severe pain in the right shoulder with restricted movements of the RUE.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
4 mm thick T1 Weighted and T2 Weighted coronal (with fat saturation) images.
OBSERVATION :
There are small postero-central disc protrusions at the C3-C4 and C4-C5 levels with anterior indentation of the thecal sac.
A small posterior disc bulge is seen at the C5-C6 level. The cervical intervertebral discs show loss of water content.
No obvious lesion is seen along the brachial plexus.
A subtle mixed signal characteristics lesion is seen on the T1 Weighted images in the D3 vertebral body on the right side. This is seen to turn hyperintense on the T2 Weighted images. There is no bony erosion or destruction seen (scans 105.6, 104.6).
No abnormally enlarged cervical lymphnodes are noted on this study.
..2/.
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.
The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and the visualized dorsal spinal cord shows normal signal intensity.
IMPRESSION :
The MRI features are suggestive of :
1. Small postero-central disc protrusions at the C3-C4 and C4-C5 levels.
2. A small posterior disc bulge at the C5-C6 level.
3. Altered signal in the D3 vertebral body on the right side most probably represents a hemangioma.
Published in
MRI Reports
ke/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE with paresthesias since 1 year.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is partial sacralization of the L5 vertebral body on the left side.
There is a large posterior disc extrusion at the L4-L5 level with severe compression of the thecal sac and canal stenosis. There is slight inferior migration of the disc with impingement of the L5 nerve roots.
Small postero-central disc herniations are noted at the L1-L2, L2-L3 and L3-L4 levels. The L2-L3 and L4-L5 intervertebral discs show loss of water content.
The L4-L5 facet joints show degenerative changes.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the S2 level.
..2/.
R>
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Partial sacralization of the L5 vertebral body on the left side.
2. A large posterior disc extrusion at the L4-L5 level with slight inferior migration of the disc impinging the L5 nerve roots and canal stenosis at this level.
3. Small postero-central disc herniations at the L1-L2, L2-L3 and L3-L4 levels.
4. Facetal arthropathy at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE with paresthesias since 1 year.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is partial sacralization of the L5 vertebral body on the left side.
There is a large posterior disc extrusion at the L4-L5 level with severe compression of the thecal sac and canal stenosis. There is slight inferior migration of the disc with impingement of the L5 nerve roots.
Small postero-central disc herniations are noted at the L1-L2, L2-L3 and L3-L4 levels. The L2-L3 and L4-L5 intervertebral discs show loss of water content.
The L4-L5 facet joints show degenerative changes.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the S2 level.
..2/.
R>
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Partial sacralization of the L5 vertebral body on the left side.
2. A large posterior disc extrusion at the L4-L5 level with slight inferior migration of the disc impinging the L5 nerve roots and canal stenosis at this level.
3. Small postero-central disc herniations at the L1-L2, L2-L3 and L3-L4 levels.
4. Facetal arthropathy at the L4-L5 level.
Published in
MRI Reports
ke/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzh lmn / M / 32 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 2 years which has increased since 1 1/2 months.
H/O being operated for pelvis with sacro-iliac joints disruption on 00.00.00.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebra and the L1 vertebra is as marked on the film.
There is retrolisthesis of the L4 over the L5 vertebral body. A pseudo-posterior disc herniation with peridiscal osteophytes is noted at the L4-L5 level with inferior migration of the disc posterior to the L5 vertebral body. The L4-L5 intervertebral disc shows slight loss of water content. A probable, small, sequestered disc fragment is noted at the L5 vertebral level, more to the right of the midline.
A Schmorls node is seen in the superior aspect of the D12 vertebral body with apparent wedging of the D12 vertebra.
Type II degenerative changes are noted in the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc.
The facet joints in the lower lumbar region appear slightly hypertrophied.
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 D12 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 :
16.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra.
2. Retrolisthesis of the L4 over the L5 vertebral body.
3. A pseudo-posterior disc herniation with peridiscal osteophytes at the L4-L5 level with inferior migration of the disc posterior to the L5 vertebral body. A probable, small, sequestered disc fragment is noted, at L5 vertebral level, to the right.
4. Slight anterior wedging of D12 body.
Date : 00.00.00
Name of the Patient : Abc Xyzh lmn / M / 32 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 2 years which has increased since 1 1/2 months.
H/O being operated for pelvis with sacro-iliac joints disruption on 00.00.00.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebra and the L1 vertebra is as marked on the film.
There is retrolisthesis of the L4 over the L5 vertebral body. A pseudo-posterior disc herniation with peridiscal osteophytes is noted at the L4-L5 level with inferior migration of the disc posterior to the L5 vertebral body. The L4-L5 intervertebral disc shows slight loss of water content. A probable, small, sequestered disc fragment is noted at the L5 vertebral level, more to the right of the midline.
A Schmorls node is seen in the superior aspect of the D12 vertebral body with apparent wedging of the D12 vertebra.
Type II degenerative changes are noted in the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc.
The facet joints in the lower lumbar region appear slightly hypertrophied.
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 D12 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 :
16.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra.
2. Retrolisthesis of the L4 over the L5 vertebral body.
3. A pseudo-posterior disc herniation with peridiscal osteophytes at the L4-L5 level with inferior migration of the disc posterior to the L5 vertebral body. A probable, small, sequestered disc fragment is noted, at L5 vertebral level, to the right.
4. Slight anterior wedging of D12 body.
Published in
MRI Reports
ke/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyznt Kangulmn / M / 60 yrs.
Referred by : Dr. Abc Xyzmpat / Dr. Abc Xyzat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches with nausea and giddiness since 00.00.00.
Known hypertensive. 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 :
Small hyperintense areas on the T2 Weighted images are seen in the right cerebral peduncle (scan 105.8) and are probably ischemic in etiology.
There is mild dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. Slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally is noted. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of left maxillary sinusitis and inflammatory changes in the right mastoid air cells.
INTRACRANIAL MRA :
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
There are small filling defect in the proximal internal carotid artery on the left side just after the left common carotid bifurcation which may be due to atherosclerotic plaques.
The common carotid arteries and their extracranial branches appear normal bilaterally.
IMPRESSION :
1. Altered signal in the right cerebral peduncle is
probably ischemic in etiology.
2. Small filling defect in the proximal internal carotid artery on the left side just after the left common carotid
bifurcation may be due to atherosclerotic plaques.
Date : 00.00.00
Name of the Patient : Abc Xyznt Kangulmn / M / 60 yrs.
Referred by : Dr. Abc Xyzmpat / Dr. Abc Xyzat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches with nausea and giddiness since 00.00.00.
Known hypertensive. 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 :
Small hyperintense areas on the T2 Weighted images are seen in the right cerebral peduncle (scan 105.8) and are probably ischemic in etiology.
There is mild dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. Slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally is noted. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of left maxillary sinusitis and inflammatory changes in the right mastoid air cells.
INTRACRANIAL MRA :
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
There are small filling defect in the proximal internal carotid artery on the left side just after the left common carotid bifurcation which may be due to atherosclerotic plaques.
The common carotid arteries and their extracranial branches appear normal bilaterally.
IMPRESSION :
1. Altered signal in the right cerebral peduncle is
probably ischemic in etiology.
2. Small filling defect in the proximal internal carotid artery on the left side just after the left common carotid
bifurcation may be due to atherosclerotic plaques.
Published in
MRI Reports
hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzh Glmn / M / 18 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 3-4 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
6 mm thick T1 Weighted coronal images.
OBSERVATION :
There are areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images within the right inferior articular facet of the L3 vertebra and the right superior articular facet of the L4 vertebra with involvement of the right L3-L4 facet joint. Areas of hyperintensity on the T2 Weighted images are seen within the paraspinal muscles bilaterally (right more than left) over the L3 to the L5-S1 levels.
The L4-L5 facet joints show degenerative changes.
There is a mild posterior disc bulge at the L5-S1 level.
Hypointense areas on the T1 Weighted images are noted within the sacral ala and iliac wings adjacent to both the sacro-iliac joints.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of a pathologic process involving the L3-L4 facet joints and the adjacent articular facets as described and this most likely is inflammatory/infective (? tuberculosis) in etiology. There is probable involvement of the sacro-iliac joints bilaterally and a dedicated study of the same may be performed if clinically indicated.
The possibility of this being a neoplastic process is less likely.
Date : 00.00.00
Name of the Patient : Abc Xyzh Glmn / M / 18 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 3-4 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
6 mm thick T1 Weighted coronal images.
OBSERVATION :
There are areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images within the right inferior articular facet of the L3 vertebra and the right superior articular facet of the L4 vertebra with involvement of the right L3-L4 facet joint. Areas of hyperintensity on the T2 Weighted images are seen within the paraspinal muscles bilaterally (right more than left) over the L3 to the L5-S1 levels.
The L4-L5 facet joints show degenerative changes.
There is a mild posterior disc bulge at the L5-S1 level.
Hypointense areas on the T1 Weighted images are noted within the sacral ala and iliac wings adjacent to both the sacro-iliac joints.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of a pathologic process involving the L3-L4 facet joints and the adjacent articular facets as described and this most likely is inflammatory/infective (? tuberculosis) in etiology. There is probable involvement of the sacro-iliac joints bilaterally and a dedicated study of the same may be performed if clinically indicated.
The possibility of this being a neoplastic process is less likely.
Published in
MRI Reports
sb/hs/nl/rg/
Date : 00.00.00
Name of the Patient : Abc Xyzhan lmn / M / 55 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE with paresthesias since 10 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
6 mm thick T1 Weighted coronal images.
OBSERVATION :
There is loss of water content of the lumbar intervertebral discs.
There is scoliosis of the lumbar spine with convexity to the left. Resultant slight clockwise rotational anomaly of the lumbar vertebrae is noted. Fairly large, right lateral peridiscal osteophytes are noted on the right at the L2-L3 and L3-L4 levels.
A small posterior and left far lateral disc bulge is seen at the L5-S1 level.
A left paracentral and left postero-lateral disc herniation is noted at the L4-L5 level with left neural foraminal narrowing.
A right postero-lateral and right far lateral disc bulge is noted at the L3-L4 level with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L3 nerve root.
The facet joints at the L5-S1 level bilaterally, at the L4-L5 level on the left and at the L3-L4 level on the right
show hypertrophic degenerative changes with resultant lateral recess stenosis. Slight ligamentum flavum hypertrophy is also noted at the L5 vertebral level. Mild facetal hypertrophy is seen on the right at the L4-L5 level.
The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L2 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
14.0 mm at L2-L3
18.0 mm at L3-L4
15.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
1. Scoliosis of the lumbar spine with convexity to the left with resultant slight clockwise rotational anomaly of the lumbar vertebrae.
2. A small posterior and left far lateral disc bulge at the L5-S1 level.
..3/.
- 3 - Scan-00008
3. A left paracentral and left postero-lateral disc herniation at the L4-L5 level with left neural foraminal narrowing.
4. A right postero-lateral and right far lateral disc bulge at the L3-L4 level with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L3 nerve root.
5. Hypertrophic facetal arthropathy at the L5-S1 level bilaterally, on the left at the L4-L5 level and on the right at the L3-L4 level with resultant lateral recess stenosis.
Date : 00.00.00
Name of the Patient : Abc Xyzhan lmn / M / 55 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE with paresthesias since 10 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
6 mm thick T1 Weighted coronal images.
OBSERVATION :
There is loss of water content of the lumbar intervertebral discs.
There is scoliosis of the lumbar spine with convexity to the left. Resultant slight clockwise rotational anomaly of the lumbar vertebrae is noted. Fairly large, right lateral peridiscal osteophytes are noted on the right at the L2-L3 and L3-L4 levels.
A small posterior and left far lateral disc bulge is seen at the L5-S1 level.
A left paracentral and left postero-lateral disc herniation is noted at the L4-L5 level with left neural foraminal narrowing.
A right postero-lateral and right far lateral disc bulge is noted at the L3-L4 level with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L3 nerve root.
The facet joints at the L5-S1 level bilaterally, at the L4-L5 level on the left and at the L3-L4 level on the right
show hypertrophic degenerative changes with resultant lateral recess stenosis. Slight ligamentum flavum hypertrophy is also noted at the L5 vertebral level. Mild facetal hypertrophy is seen on the right at the L4-L5 level.
The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L2 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
14.0 mm at L2-L3
18.0 mm at L3-L4
15.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
1. Scoliosis of the lumbar spine with convexity to the left with resultant slight clockwise rotational anomaly of the lumbar vertebrae.
2. A small posterior and left far lateral disc bulge at the L5-S1 level.
..3/.
- 3 - Scan-00008
3. A left paracentral and left postero-lateral disc herniation at the L4-L5 level with left neural foraminal narrowing.
4. A right postero-lateral and right far lateral disc bulge at the L3-L4 level with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L3 nerve root.
5. Hypertrophic facetal arthropathy at the L5-S1 level bilaterally, on the left at the L4-L5 level and on the right at the L3-L4 level with resultant lateral recess stenosis.
Published in
MRI Reports
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzed Ylmn / M / 20 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O paraplegia since 10 days with fever.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
The cervical spine was screened with 4 mm thick T2 Weighted sagittal images and the lumbar spine was screened with 5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are patchy, ill-defined, hyperintense areas on the T2 Weighted images in the dorsal spinal cord centrally and peripherally at the D9, D10-D11, D11 and D11-D12 levels. These lesions appear relatively hypointense to normal cord on the T1 Weighted images.
Similar signal intensity changes are noted in the upper dorsal region and at the C5 vertebral level.
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.
Scan-00007
The conus medullaris terminates at the L1 level.
Screening images of the lumbar spine do not reveal any significant feature of note.
IMPRESSION :
Patchy altered signal in the dorsal spinal cord centrally and peripherally at the D9, D10-D11, D11 and D11-D12 levels, in the upper dorsal region and at the C5 vertebral level as described is not specific for a single etiology. These changes may represent myelitis/demyelination.
Date : 00.00.00
Name of the Patient : Abc Xyzed Ylmn / M / 20 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O paraplegia since 10 days with fever.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
The cervical spine was screened with 4 mm thick T2 Weighted sagittal images and the lumbar spine was screened with 5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are patchy, ill-defined, hyperintense areas on the T2 Weighted images in the dorsal spinal cord centrally and peripherally at the D9, D10-D11, D11 and D11-D12 levels. These lesions appear relatively hypointense to normal cord on the T1 Weighted images.
Similar signal intensity changes are noted in the upper dorsal region and at the C5 vertebral level.
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.
Scan-00007
The conus medullaris terminates at the L1 level.
Screening images of the lumbar spine do not reveal any significant feature of note.
IMPRESSION :
Patchy altered signal in the dorsal spinal cord centrally and peripherally at the D9, D10-D11, D11 and D11-D12 levels, in the upper dorsal region and at the C5 vertebral level as described is not specific for a single etiology. These changes may represent myelitis/demyelination.
Published in
MRI Reports
hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Tallmn / F / 21 yrs.
Referred by : Dr. Abc Xyz.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O irregular menses.
Serum Prolactin - 5.58 ng/ml.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images.
OBSERVATION :
The pituitary gland is normal in its size, contour and location and reveals normal signal intensity. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable. The cavernous sinuses and suprasellar cistern are unremarkable.
IMPRESSION :
Normal study of the Sella & Perisellar Region.
Date : 00.00.00
Name of the Patient : Abc Xyz Tallmn / F / 21 yrs.
Referred by : Dr. Abc Xyz.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O irregular menses.
Serum Prolactin - 5.58 ng/ml.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images.
OBSERVATION :
The pituitary gland is normal in its size, contour and location and reveals normal signal intensity. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable. The cavernous sinuses and suprasellar cistern are unremarkable.
IMPRESSION :
Normal study of the Sella & Perisellar Region.
Published in
MRI Reports
hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzm lmn / M / 8 yrs.
Referred by : Dr. Abc Xyzvadekar.
Examination : M.R.I. of the Brain.
(Post-contrast Study).
CLINICAL PROFILE :
H/O fall with 2 episodes of seizures and gait imbalance since then.
EXAMINATION :
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
4 mm thick T1 Weighted sagittal images.
4 mm thick T1 Weighted axial images through the region of interest.
OBSERVATION :
There is evidence of an area of hypointensity on the T1 Weighted images within the spinal cord at the C1/C2 level. This does not enhance after contrast administration and would most likely represent a contusion (Please see previous MRI (study no:00009) dated 00.00.00.
Also seen is an os odontoidium with the non-united portion showing slight posterior displacement.
There is no focal area of abnormal enhancement within the brain parenchyma or along the meninges.
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 scan.
Date : 00.00.00
Name of the Patient : Abc Xyzm lmn / M / 8 yrs.
Referred by : Dr. Abc Xyzvadekar.
Examination : M.R.I. of the Brain.
(Post-contrast Study).
CLINICAL PROFILE :
H/O fall with 2 episodes of seizures and gait imbalance since then.
EXAMINATION :
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
4 mm thick T1 Weighted sagittal images.
4 mm thick T1 Weighted axial images through the region of interest.
OBSERVATION :
There is evidence of an area of hypointensity on the T1 Weighted images within the spinal cord at the C1/C2 level. This does not enhance after contrast administration and would most likely represent a contusion (Please see previous MRI (study no:00009) dated 00.00.00.
Also seen is an os odontoidium with the non-united portion showing slight posterior displacement.
There is no focal area of abnormal enhancement within the brain parenchyma or along the meninges.
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 scan.
Published in
MRI Reports
More...
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzevi Glmn / F / 32 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE with paresthesias since 6-7 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is a fairly large, right paracentral extruded disc with a peridiscal osteophyte at the L5-S1 level with slight inferior migration of the disc fragment with impingement of the traversing right S1 nerve root.
A postero-central and left postero-lateral disc herniation with a peridiscal osteophyte is noted at the L4-L5 level with left neural foraminal narrowing and impingement of the traversing left L5 nerve root.
The facet joints at the L4-L5 and L5-S1 levels bilaterally show slight hypertrophic degenerative changes.
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.
- 2 - Scan-00004
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
14.0 mm at L2-L3
16.0 mm at L3-L4
11.0 mm at L4-L5
7.0 mm at L5-S1.
IMPRESSION :
1. A fairly large, right paracentral extruded disc with a peridiscal osteophyte at the L5-S1 level with slight inferior migration of the disc fragment with impingement of the traversing right S1 nerve root.
2. A postero-central and left postero-lateral disc herniation with a peridiscal osteophyte at the L4-L5 level with left neural foraminal narrowing and impingement of the traversing left L5 nerve root.
3. Slight hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels, bilaterally.
Date : 00.00.00
Name of the Patient : Abc Xyzevi Glmn / F / 32 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE with paresthesias since 6-7 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is a fairly large, right paracentral extruded disc with a peridiscal osteophyte at the L5-S1 level with slight inferior migration of the disc fragment with impingement of the traversing right S1 nerve root.
A postero-central and left postero-lateral disc herniation with a peridiscal osteophyte is noted at the L4-L5 level with left neural foraminal narrowing and impingement of the traversing left L5 nerve root.
The facet joints at the L4-L5 and L5-S1 levels bilaterally show slight hypertrophic degenerative changes.
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.
- 2 - Scan-00004
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
14.0 mm at L2-L3
16.0 mm at L3-L4
11.0 mm at L4-L5
7.0 mm at L5-S1.
IMPRESSION :
1. A fairly large, right paracentral extruded disc with a peridiscal osteophyte at the L5-S1 level with slight inferior migration of the disc fragment with impingement of the traversing right S1 nerve root.
2. A postero-central and left postero-lateral disc herniation with a peridiscal osteophyte at the L4-L5 level with left neural foraminal narrowing and impingement of the traversing left L5 nerve root.
3. Slight hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels, bilaterally.
Published in
MRI Reports
hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzuzd J. Darulmn / M / 11 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O single eipsode of seizure on 00.00.00.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable.There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyzuzd J. Darulmn / M / 11 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O single eipsode of seizure on 00.00.00.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable.There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
hs/sb/nl.
/13 Date : 00.00.00
Name of the Patient : Abc Xyzhchand Chhlmn / M / 64 yrs.
Referred by : Dr. Abc Xyzandel / Dr. Abc Xyzra.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O right sided hemiparesis with loss of consciousness for 36 hours, 10 days back.
H/O right sided hemiparesis in April 0000 from which patient recovered.
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 evidence of an area which is near isointense to CSF on the T1 Weighted and T2 Weighted images within the head of the left caudate nucleus. An area of hypointensity on the T2 Weighted images is seen adjacent to this lesion and would most likely represent hemosiderin. There is ex-vacuo dilatation of the left frontal horn.
Hyperintense areas on the T2 Weighted images are seen in the periatrial white matter bilaterally and are most likely ischemic in etiology.
There is fullness of the third and both the lateral ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Scan-00001/13
INTRACRANIAL & NECK MRA :
The right vertebral artery is not visualized from its origin (distal portion prior to bifurcation seen, ? retrograde flow).
There is slight vessel wall irregularity and concentric narrowing of the cavernous segment of the right internal carotid artery.
There is vessel wall irregularity and attenuation of the flow signal within the proximal segment of the left middle cerebral artery, the left posterior cerebral artery and the basilar artery.
The A1 segment of the right anterior cerebral artery appears to be hypoplastic.
The petrous, cavernous and supraclinoid segments of the left internal carotid artery and the petrous and supraclinoid segments of the right internal carotid artery show normal signal and calibre. The visualized left anterior cerebral, right middle cerebral, left vertebral and right posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
Concentric narrowing with flow signal attenuation is noted in the proximal 1.5 cms segment of the right internal carotid artery, just distal to the right common carotid bifurcation. The left common carotid artery and its bifurcation and the left vertebral artery are unremarkable.
IMPRESSION :
The MRA features are suggestive of :
1. An area of encephalomalacia within the head of the left caudate nucleus.
..3/.
- 3 - Scan-00001/13
2. Non-visualization of the right vertebral artery from its origin (distal portion prior to bifurcation seen, ? retrograde flow).
3. Slight vessel wall irregularity and concentric narrowing of the cavernous segment of the right internal carotid artery.
4. Vessel wall irregularity and attenuation of the flow signal within the proximal segment of the middle cerebral artery and the left posterior cerebral artery.
5. Stenosis of the proximal segment of the right internal carotid artery just distal to the right common carotid bifurcation.
/13 Date : 00.00.00
Name of the Patient : Abc Xyzhchand Chhlmn / M / 64 yrs.
Referred by : Dr. Abc Xyzandel / Dr. Abc Xyzra.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O right sided hemiparesis with loss of consciousness for 36 hours, 10 days back.
H/O right sided hemiparesis in April 0000 from which patient recovered.
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 evidence of an area which is near isointense to CSF on the T1 Weighted and T2 Weighted images within the head of the left caudate nucleus. An area of hypointensity on the T2 Weighted images is seen adjacent to this lesion and would most likely represent hemosiderin. There is ex-vacuo dilatation of the left frontal horn.
Hyperintense areas on the T2 Weighted images are seen in the periatrial white matter bilaterally and are most likely ischemic in etiology.
There is fullness of the third and both the lateral ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Scan-00001/13
INTRACRANIAL & NECK MRA :
The right vertebral artery is not visualized from its origin (distal portion prior to bifurcation seen, ? retrograde flow).
There is slight vessel wall irregularity and concentric narrowing of the cavernous segment of the right internal carotid artery.
There is vessel wall irregularity and attenuation of the flow signal within the proximal segment of the left middle cerebral artery, the left posterior cerebral artery and the basilar artery.
The A1 segment of the right anterior cerebral artery appears to be hypoplastic.
The petrous, cavernous and supraclinoid segments of the left internal carotid artery and the petrous and supraclinoid segments of the right internal carotid artery show normal signal and calibre. The visualized left anterior cerebral, right middle cerebral, left vertebral and right posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
Concentric narrowing with flow signal attenuation is noted in the proximal 1.5 cms segment of the right internal carotid artery, just distal to the right common carotid bifurcation. The left common carotid artery and its bifurcation and the left vertebral artery are unremarkable.
IMPRESSION :
The MRA features are suggestive of :
1. An area of encephalomalacia within the head of the left caudate nucleus.
..3/.
- 3 - Scan-00001/13
2. Non-visualization of the right vertebral artery from its origin (distal portion prior to bifurcation seen, ? retrograde flow).
3. Slight vessel wall irregularity and concentric narrowing of the cavernous segment of the right internal carotid artery.
4. Vessel wall irregularity and attenuation of the flow signal within the proximal segment of the middle cerebral artery and the left posterior cerebral artery.
5. Stenosis of the proximal segment of the right internal carotid artery just distal to the right common carotid bifurcation.
Published in
MRI Reports
ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzl H. Jailmn / M / 42 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O difficulty in writing since 5-6 months.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyzl H. Jailmn / M / 42 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O difficulty in writing since 5-6 months.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports