MRI Reports (3472)
MRI Reports Database
Date : 00.00.00
Name of the Patient : Abc Xyz Selmn / M / 49 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 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 a postero-central disc herniation compressing upon the thecal sac at the L3-L4 level. There is facetal arthropathy at this level.
There is a small posterior disc bulge at the L4-L5 level.
There is a small left paracentral disc protrusion indenting the traversing left S1 nerve root at the L5-S1 level.
A small postero-central disc herniation is seen at the L2-L3 level.
The L4-L5 facet joints bilaterally and on the right side at the L2-L3 level show degenerative changes.
Bilateral far lateral (extraforaminal) disc bulges are noted at the L3-L4, L2-L3, and L4-L5 levels.
The L2-L3, L3-L4 and L5-S1 intervertebral discs show loss of water content.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
11.0 mm at L2-L3
7.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A postero-central disc herniation with facetal arthropathy and canal stenosis at the L3-L4 level.
2. A small left paracentral disc protrusion indenting the traversing left S1 nerve root at the L5-S1 level.
3. A small postero-central disc herniation at the L2-l3 level.
4. Facetal arthropathy on the right side at the L2-L3 level and bilaterally at the L4-L5 level.
Name of the Patient : Abc Xyz Selmn / M / 49 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 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 a postero-central disc herniation compressing upon the thecal sac at the L3-L4 level. There is facetal arthropathy at this level.
There is a small posterior disc bulge at the L4-L5 level.
There is a small left paracentral disc protrusion indenting the traversing left S1 nerve root at the L5-S1 level.
A small postero-central disc herniation is seen at the L2-L3 level.
The L4-L5 facet joints bilaterally and on the right side at the L2-L3 level show degenerative changes.
Bilateral far lateral (extraforaminal) disc bulges are noted at the L3-L4, L2-L3, and L4-L5 levels.
The L2-L3, L3-L4 and L5-S1 intervertebral discs show loss of water content.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
11.0 mm at L2-L3
7.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A postero-central disc herniation with facetal arthropathy and canal stenosis at the L3-L4 level.
2. A small left paracentral disc protrusion indenting the traversing left S1 nerve root at the L5-S1 level.
3. A small postero-central disc herniation at the L2-l3 level.
4. Facetal arthropathy on the right side at the L2-L3 level and bilaterally at the L4-L5 level.
Published in
MRI Reports
sb/ke
Date : 00.00.00
Name of the Patient : Abc XyzAli lmn / F / 40 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Operated for a suprasellar and planumsphenoidal meningioma on 00.00.00. Patient developed right hemiparesis. 1 episode of seizure and diminished vision in the right eye since 1 day and drowsiness since 1 to 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 T1 Weighted, STIR and Fast Scan (T2 *) coronal images.
4 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is evidence of a right frontal craniotomy with post-operative changes in the soft tissues in the right frontal region. A small, epidural collection is also noted in the right frontal region, deep to the craniotomy flap.
There is seen an ill-defined, hyperintense signal on the proton and T2 Weighted images in the inferior frontal cortex, bilaterally, right frontal cortex, left parathird ventricular region, left cerebral peduncle and in the posterior limb of the left internal capsule. This lesion appears hypointense to normal grey matter on the T1 Weighted images. A focal hyperintense signal on the T1 Weighted images in the left inferior frontal region may represent hemoglobin breakdown products.
There is an ill-defined, hyperintense signal on the T1 Weighted images in the suprasellar cistern, which remains hyperintense on the proton, T2 Weighted and STIR images. The pituitary stalk is not well-identified from the lesion which is seen to indent the optic chiasma to the left of the midline. The left optic nerve appears slightly atrophied and shows a hyperintense signal on the STIR images in its proximal segment. The pituitary gland is well identified on the present study. The cavernous sinuses on either side are unremarkable. The visualized right optic nerve shows normal signal.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the mastoid air cells bilaterally. Subgaleal edema is seen in the high parietal region.
IMPRESSION :
1. Post-operative status.
2. Altered signal in the inferior frontal cortex, bilaterally, right frontal cortex, left parathird ventricular region, left cerebral peduncle and in the posterior limb of the left internal capsule as described, most likely represent ischemic changes. (It is difficult to distinguish the frontal lesions from post-operative changes).
3. Altered signal in the suprasellar cistern, more to the left of the midline, may represent haemorrhage/hemostatic material like gel foam, in the given clinical setting.
4. Left optic nerve atrophy. Visualized right optic nerve is unremarkable.
..3/.
- 3 - scan-00007
As compared to the previous MRI (study no:00009) dated 00.00.00, the patient is now status post-operative with near complete excision of the previously identified tumor. There is no significant change in the size of the ventricles on the present study.
Date : 00.00.00
Name of the Patient : Abc XyzAli lmn / F / 40 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Operated for a suprasellar and planumsphenoidal meningioma on 00.00.00. Patient developed right hemiparesis. 1 episode of seizure and diminished vision in the right eye since 1 day and drowsiness since 1 to 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 T1 Weighted, STIR and Fast Scan (T2 *) coronal images.
4 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is evidence of a right frontal craniotomy with post-operative changes in the soft tissues in the right frontal region. A small, epidural collection is also noted in the right frontal region, deep to the craniotomy flap.
There is seen an ill-defined, hyperintense signal on the proton and T2 Weighted images in the inferior frontal cortex, bilaterally, right frontal cortex, left parathird ventricular region, left cerebral peduncle and in the posterior limb of the left internal capsule. This lesion appears hypointense to normal grey matter on the T1 Weighted images. A focal hyperintense signal on the T1 Weighted images in the left inferior frontal region may represent hemoglobin breakdown products.
There is an ill-defined, hyperintense signal on the T1 Weighted images in the suprasellar cistern, which remains hyperintense on the proton, T2 Weighted and STIR images. The pituitary stalk is not well-identified from the lesion which is seen to indent the optic chiasma to the left of the midline. The left optic nerve appears slightly atrophied and shows a hyperintense signal on the STIR images in its proximal segment. The pituitary gland is well identified on the present study. The cavernous sinuses on either side are unremarkable. The visualized right optic nerve shows normal signal.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the mastoid air cells bilaterally. Subgaleal edema is seen in the high parietal region.
IMPRESSION :
1. Post-operative status.
2. Altered signal in the inferior frontal cortex, bilaterally, right frontal cortex, left parathird ventricular region, left cerebral peduncle and in the posterior limb of the left internal capsule as described, most likely represent ischemic changes. (It is difficult to distinguish the frontal lesions from post-operative changes).
3. Altered signal in the suprasellar cistern, more to the left of the midline, may represent haemorrhage/hemostatic material like gel foam, in the given clinical setting.
4. Left optic nerve atrophy. Visualized right optic nerve is unremarkable.
..3/.
- 3 - scan-00007
As compared to the previous MRI (study no:00009) dated 00.00.00, the patient is now status post-operative with near complete excision of the previously identified tumor. There is no significant change in the size of the ventricles on the present study.
Published in
MRI Reports
ke/sb
Date : 00.00.00
Name of the Patient : Abc Xyz S. Chidaklmn / F / 63 yrs.
Referred by : Dr. Abc Xyznna / Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since December 0000.
H/O fall 2 years back.
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 vertebral body is as marked on the film.
There is slight forward subluxation of the L4 over the L5 vertebra.
Posterior and bilateral far lateral disc bulge is seen at the L4-L5 level with anterior indentation of the thecal sac and on the extraforaminal portion of the L4 nerve roots bilaterally.
There is a posterior and a right far lateral disc bulge at the L3-L4 level with slight anterior indentation of the thecal sac.
Hypertrophic facetal arthropathy is noted at the L3-L4 and L4-L5 levels.
Small anterior disc herniations are noted at the L2-L3, L3-L4 and L4-L5 levels. These intervertebral discs show loss of water content.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
Fat is noted within the filumm terminale at the L1 and L2 levels and this may be a normal variant.
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 :
18.0 mm at L1-L2
18.0 mm at L2-L3
14.0 mm at L3-L4
14.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. Slight forward subluxation of the L4 over the L5 vertebra.
3. Posterior and bilateral far lateral disc bulge at the L4-L5 level with indentation upon the extraforaminal portion of the L4 nerve roots bilaterally.
4. A posterior and a right far lateral disc bulge at the L3-L4 level.
5. Hypertrophic facetal arthropathy at the L3-L4 and L4-L5 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz S. Chidaklmn / F / 63 yrs.
Referred by : Dr. Abc Xyznna / Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since December 0000.
H/O fall 2 years back.
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 vertebral body is as marked on the film.
There is slight forward subluxation of the L4 over the L5 vertebra.
Posterior and bilateral far lateral disc bulge is seen at the L4-L5 level with anterior indentation of the thecal sac and on the extraforaminal portion of the L4 nerve roots bilaterally.
There is a posterior and a right far lateral disc bulge at the L3-L4 level with slight anterior indentation of the thecal sac.
Hypertrophic facetal arthropathy is noted at the L3-L4 and L4-L5 levels.
Small anterior disc herniations are noted at the L2-L3, L3-L4 and L4-L5 levels. These intervertebral discs show loss of water content.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
Fat is noted within the filumm terminale at the L1 and L2 levels and this may be a normal variant.
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 :
18.0 mm at L1-L2
18.0 mm at L2-L3
14.0 mm at L3-L4
14.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. Slight forward subluxation of the L4 over the L5 vertebra.
3. Posterior and bilateral far lateral disc bulge at the L4-L5 level with indentation upon the extraforaminal portion of the L4 nerve roots bilaterally.
4. A posterior and a right far lateral disc bulge at the L3-L4 level.
5. Hypertrophic facetal arthropathy at the L3-L4 and L4-L5 levels.
Published in
MRI Reports
sb/ke
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O paresthesias in BUE since 1 1/2 months (right more than left) with gait imbalance.
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 and loss of normal cervical lordosis.
Minimal forward translation of the C3 over the C4 vertebra is noted and minimal retroplacement of the C4 over the C5 and C5 over the C6 is seen.
Small, posterior disc herniations with posterior peridiscal osteophytes are noted at the C3-C4 and C4-C5 levels.
The cervical spinal cord at the C3-C4 level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia.
Small, posterior disc bulges with posterior peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.
Degenerative changes of the joints of the Luschka are noted at the C3-C4 on the right and at the C5-C6 and C6-C7 levels, bilaterally, with corresponding neural foraminal narrowing.
Facetal hypertrophy is noted at the C3-C4 level on the right and at the C5-C6 level bilaterally.
The cervical vertebral bodies show normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. Small posterior disc herniations with posterior peridiscal osteophytes at the C3-C4 and C4-C5 levels.
2. Altered signal in the cord at the C3-C4 level suggest cord edema/ischemia.
3. Small posterior disc bulges with peridiscal osteophytes at the C5-C6 and C6-C7 levels.
4. Degenerative changes of the joints of Luschka on the right at the C3-C4 level and bilaterally at the C5-C6 and C6-C7 levels.
5. Facetal hypertrophy at the C3-C4 level on the right and at the C5-C6 level bilaterally.
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O paresthesias in BUE since 1 1/2 months (right more than left) with gait imbalance.
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 and loss of normal cervical lordosis.
Minimal forward translation of the C3 over the C4 vertebra is noted and minimal retroplacement of the C4 over the C5 and C5 over the C6 is seen.
Small, posterior disc herniations with posterior peridiscal osteophytes are noted at the C3-C4 and C4-C5 levels.
The cervical spinal cord at the C3-C4 level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia.
Small, posterior disc bulges with posterior peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.
Degenerative changes of the joints of the Luschka are noted at the C3-C4 on the right and at the C5-C6 and C6-C7 levels, bilaterally, with corresponding neural foraminal narrowing.
Facetal hypertrophy is noted at the C3-C4 level on the right and at the C5-C6 level bilaterally.
The cervical vertebral bodies show normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. Small posterior disc herniations with posterior peridiscal osteophytes at the C3-C4 and C4-C5 levels.
2. Altered signal in the cord at the C3-C4 level suggest cord edema/ischemia.
3. Small posterior disc bulges with peridiscal osteophytes at the C5-C6 and C6-C7 levels.
4. Degenerative changes of the joints of Luschka on the right at the C3-C4 level and bilaterally at the C5-C6 and C6-C7 levels.
5. Facetal hypertrophy at the C3-C4 level on the right and at the C5-C6 level bilaterally.
Published in
MRI Reports
hs/sb
Date : 00.00.00
Name of the Patient : Abc XyzS. Merclmn / M / 35 yrs.
Referred by : Dr. Abc Xyz. Kapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to the RLE since 4-5 days 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.
4 mm thick T1 Weighted axial images through L5-S1 level.
The gluteal region was screened with 5 mm thick T1 Weighted and STIR axial images.
OBSERVATION :
There is slight retroplacement of the L5 vertebra over the S1 vertebra.
A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac and minimally indent both the traversing S1 nerve roots at the L5-S1 level. A small left postero-lateral (foraminal) disc herniation is seen to narrow the left neural foramina at this level. There appears to be slight inflammation of the traversing left S1 nerve root. A disc fragment is also seen to lie in the right antero-lateral epidural space at the S1 indenting the right S1 nerve root.
The L5-S1 intervertebral disc shows loss of water content.
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.
On screening the gluteal region, the hyperintense signal on the STIR images on the left side is most likely the result of an intramuscular injection. The visualized hip joints and sacro-iliac joints are otherwise 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 :
13.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
18.0 mm at L4-L5
17.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A postero-central disc herniation with peridiscal osteophytes, minimally indenting the traversing S1 nerve roots bilaterally at the L5-S1 level.
2. A small left postero-lateral (foraminal) disc herniation at the L5-S1 level.
3. A small sequestered disc fragment in the right antero-lateral epidural space at the S1 level, indenting the right S1 nerve root.
Date : 00.00.00
Name of the Patient : Abc XyzS. Merclmn / M / 35 yrs.
Referred by : Dr. Abc Xyz. Kapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to the RLE since 4-5 days 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.
4 mm thick T1 Weighted axial images through L5-S1 level.
The gluteal region was screened with 5 mm thick T1 Weighted and STIR axial images.
OBSERVATION :
There is slight retroplacement of the L5 vertebra over the S1 vertebra.
A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac and minimally indent both the traversing S1 nerve roots at the L5-S1 level. A small left postero-lateral (foraminal) disc herniation is seen to narrow the left neural foramina at this level. There appears to be slight inflammation of the traversing left S1 nerve root. A disc fragment is also seen to lie in the right antero-lateral epidural space at the S1 indenting the right S1 nerve root.
The L5-S1 intervertebral disc shows loss of water content.
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.
On screening the gluteal region, the hyperintense signal on the STIR images on the left side is most likely the result of an intramuscular injection. The visualized hip joints and sacro-iliac joints are otherwise 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 :
13.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
18.0 mm at L4-L5
17.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A postero-central disc herniation with peridiscal osteophytes, minimally indenting the traversing S1 nerve roots bilaterally at the L5-S1 level.
2. A small left postero-lateral (foraminal) disc herniation at the L5-S1 level.
3. A small sequestered disc fragment in the right antero-lateral epidural space at the S1 level, indenting the right S1 nerve root.
Published in
MRI Reports
sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyza Kalmn / F / 70 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to the RLE since 2 months 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 reduction in height of the L3-L4, L4-L5 and L5-S1 intervertebral discs and loss of water content of these lumbar intervertebral discs.
There is scoliosis of the lumbar spine with convexity to the right with lateral subluxation of the L4 over the L5 vertebra with peridiscal osteophytes.
There is retroplacement of the L5 vertebra over the S1 vertebra and slight forward translation of the L4 over the L5 and L3 over L4 vertebrae.
There is a posteriorly herniated disc with posterior peridiscal osteophyte at the L5-S1 level with indentaion on the S1 nerve roots bilaterally. Right far lateral disc herniation with peridiscal osteophyte is also noted with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L5 nerve root.
A left postero-lateral and left far lateral disc herniation with peridiscal osteophytes is noted at the L4-L5 level with indentation on the left L5 nerve root, left neural foraminal narrowing and impingement of the the foraminal segment of the left L4 nerve root.
A left postero-lateral disc herniation with peridiscal osteophyte is ntoed at the L3-L4 level with left neural foraminal narrowing.
Hypertrophic facetal arthropathy and ligamentum flavum hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels bilaterally with canal stenosis.
Anterior disc herniations with anterior peridiscal osteophytes is noted in the lower lumbar region.
Type II degenerative marrow changes are noted adjacent to the L4-L5 disc.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S1-S2 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
20.0 mm at L2-L3
12.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.
..3/.
- 3 - scan-00003
IMPRESSION :
The MRI features suggest gross degenerative changes in the lumbar spine with :
1. Scoliosis of the lumbar spine with convexity to the right side and lateral subluxation of the L4 over L5 vertebra with peridiscal osteophytes.
2. Retroplacement of the L5 vertebra over the S1 vertebra and slight forward translation of the L4 over the L5 and L3 over L4 vertebrae.
2. A posteriorly herniated disc with posterior peridiscal osteophyte at the L5-S1 level with indentaion on the S1 nerve roots bilaterally with right far lateral disc herniation with peridiscal osteophyte with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L5 nerve root at this level.
3. A left postero-lateral and left far lateral disc herniation with peridiscal osteophytes at the L4-L5 level with indentation on the left L5 nerve root.
4. A left postero-lateral disc herniation with peridiscal osteophyte at the L3-L4 level with left neural foraminal narrowing.
6. Hypertrophic facetal arthropathy and ligamentum flavum hypertrophy at the L3-L4, L4-L5 and L5-S1 levels bilaterally with canal stenosis.
Date : 00.00.00
Name of the Patient : Abc Xyza Kalmn / F / 70 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to the RLE since 2 months 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 reduction in height of the L3-L4, L4-L5 and L5-S1 intervertebral discs and loss of water content of these lumbar intervertebral discs.
There is scoliosis of the lumbar spine with convexity to the right with lateral subluxation of the L4 over the L5 vertebra with peridiscal osteophytes.
There is retroplacement of the L5 vertebra over the S1 vertebra and slight forward translation of the L4 over the L5 and L3 over L4 vertebrae.
There is a posteriorly herniated disc with posterior peridiscal osteophyte at the L5-S1 level with indentaion on the S1 nerve roots bilaterally. Right far lateral disc herniation with peridiscal osteophyte is also noted with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L5 nerve root.
A left postero-lateral and left far lateral disc herniation with peridiscal osteophytes is noted at the L4-L5 level with indentation on the left L5 nerve root, left neural foraminal narrowing and impingement of the the foraminal segment of the left L4 nerve root.
A left postero-lateral disc herniation with peridiscal osteophyte is ntoed at the L3-L4 level with left neural foraminal narrowing.
Hypertrophic facetal arthropathy and ligamentum flavum hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels bilaterally with canal stenosis.
Anterior disc herniations with anterior peridiscal osteophytes is noted in the lower lumbar region.
Type II degenerative marrow changes are noted adjacent to the L4-L5 disc.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S1-S2 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
20.0 mm at L2-L3
12.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.
..3/.
- 3 - scan-00003
IMPRESSION :
The MRI features suggest gross degenerative changes in the lumbar spine with :
1. Scoliosis of the lumbar spine with convexity to the right side and lateral subluxation of the L4 over L5 vertebra with peridiscal osteophytes.
2. Retroplacement of the L5 vertebra over the S1 vertebra and slight forward translation of the L4 over the L5 and L3 over L4 vertebrae.
2. A posteriorly herniated disc with posterior peridiscal osteophyte at the L5-S1 level with indentaion on the S1 nerve roots bilaterally with right far lateral disc herniation with peridiscal osteophyte with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L5 nerve root at this level.
3. A left postero-lateral and left far lateral disc herniation with peridiscal osteophytes at the L4-L5 level with indentation on the left L5 nerve root.
4. A left postero-lateral disc herniation with peridiscal osteophyte at the L3-L4 level with left neural foraminal narrowing.
6. Hypertrophic facetal arthropathy and ligamentum flavum hypertrophy at the L3-L4, L4-L5 and L5-S1 levels bilaterally with canal stenosis.
Published in
MRI Reports
sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyz Blmn / F / 74 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O subarachnoid haemorrhage with a left sided PCOA aneurysm.
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 evidence of a left fronto-temporal craniectomy with post-operative changes in the soft tissues in the left fronto-temporal region.
There is still seen, a hyperintense signal on the FLAIR images in the sulcal spaces in the fronto-temporo-parietal regions bilaterally. This signal appears predominantly isointense to CSF but appears hyperintense to normal CSF in the left Sylvian cistern, left MCA cistern and in the right high parietal region.
Fluid levels are noted in the occipital horns bilaterally.
There is mild dilatation of both the lateral, third and the fourth ventricles. A hypointense signal more pronounced on the proton density images is noted in the posterior third ventricle, aqueduct and the proximal fourth ventricle suggestive of turbulent flow. Periventricular white matter hyperintense signal on proton, T2 Weighted and FLAIR images is noted bilaterally. There is no shift of the midline structures.
..2/.
Both eyes are aphakic.
Inflammatory changes are noted in the left maxillary antrum.
IMPRESSION :
1. Post-operative status.
2. Altered signal in the sulcal spaces in the fronto-temporo-parietal regions bilaterally would represent subarachnoid haemorrhage.
3. Mild communicating hydrocephalus.
4. Fluid levels in the occipital horns bilaterally may represent intraventricular haemorrhage.
As compared to the previous MRI (scan no.00006) dated 00.00.00, there is slight increase in the size of the ventricles on the present study. Increase in the periventricular white matter hyperintense signal may suggest periventricular CSF ooze. Intraventricular fluid levels on the present scan suggests intraventricular haemorrhage. A rebleed is a likely possibility.
Date : 00.00.00
Name of the Patient : Abc Xyz Blmn / F / 74 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O subarachnoid haemorrhage with a left sided PCOA aneurysm.
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 evidence of a left fronto-temporal craniectomy with post-operative changes in the soft tissues in the left fronto-temporal region.
There is still seen, a hyperintense signal on the FLAIR images in the sulcal spaces in the fronto-temporo-parietal regions bilaterally. This signal appears predominantly isointense to CSF but appears hyperintense to normal CSF in the left Sylvian cistern, left MCA cistern and in the right high parietal region.
Fluid levels are noted in the occipital horns bilaterally.
There is mild dilatation of both the lateral, third and the fourth ventricles. A hypointense signal more pronounced on the proton density images is noted in the posterior third ventricle, aqueduct and the proximal fourth ventricle suggestive of turbulent flow. Periventricular white matter hyperintense signal on proton, T2 Weighted and FLAIR images is noted bilaterally. There is no shift of the midline structures.
..2/.
Both eyes are aphakic.
Inflammatory changes are noted in the left maxillary antrum.
IMPRESSION :
1. Post-operative status.
2. Altered signal in the sulcal spaces in the fronto-temporo-parietal regions bilaterally would represent subarachnoid haemorrhage.
3. Mild communicating hydrocephalus.
4. Fluid levels in the occipital horns bilaterally may represent intraventricular haemorrhage.
As compared to the previous MRI (scan no.00006) dated 00.00.00, there is slight increase in the size of the ventricles on the present study. Increase in the periventricular white matter hyperintense signal may suggest periventricular CSF ooze. Intraventricular fluid levels on the present scan suggests intraventricular haemorrhage. A rebleed is a likely possibility.
Published in
MRI Reports
ke/sb
Date : 00.00.00
Name of the Patient : Abc Xyza P. Shirslmn / M / 14 yrs.
Referred by : Dr. Abc Xyzel.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O pain in both knees, hoarseness of voice and diminished vision.
O/E coarse skin, macroglossia and spade-like fingers.
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 and 5 mm thick T1 Weighted sagittal images.
OBSERVATION :
Ther is seen an approximately 9.0 mms diameter sized, well-marginated, hypointense lesion on the T1 Weighted images in the right half of the anterior pituitary gland. This lesion appears hyperintense on the T2 Weighted images. Slight depression of the floor of the sella on the right is noted. The pituitary stalk is in the midline. The posterior pituitary gland shows normal hyperintense signal on the T1 Weighted images. The optic chiasma, suprasellar cistern and cavernous sinuses are unremarkable.
The sphenoid sinus shows evidence of a midline septum. An inflammatory, polypoid lesion is noted in the sphenoid sinus on the left.
T2 Weighted axial images of the brain do not reveal any significant feature of note.
..2/.
IMPRESSION :
An approximately 9.0 mms diameter sized lesion in the right half of the anterior pituitary gland on the right, as described, most likely represents a pituitary microadenoma.
A contrast enhanced scan would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyza P. Shirslmn / M / 14 yrs.
Referred by : Dr. Abc Xyzel.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O pain in both knees, hoarseness of voice and diminished vision.
O/E coarse skin, macroglossia and spade-like fingers.
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 and 5 mm thick T1 Weighted sagittal images.
OBSERVATION :
Ther is seen an approximately 9.0 mms diameter sized, well-marginated, hypointense lesion on the T1 Weighted images in the right half of the anterior pituitary gland. This lesion appears hyperintense on the T2 Weighted images. Slight depression of the floor of the sella on the right is noted. The pituitary stalk is in the midline. The posterior pituitary gland shows normal hyperintense signal on the T1 Weighted images. The optic chiasma, suprasellar cistern and cavernous sinuses are unremarkable.
The sphenoid sinus shows evidence of a midline septum. An inflammatory, polypoid lesion is noted in the sphenoid sinus on the left.
T2 Weighted axial images of the brain do not reveal any significant feature of note.
..2/.
IMPRESSION :
An approximately 9.0 mms diameter sized lesion in the right half of the anterior pituitary gland on the right, as described, most likely represents a pituitary microadenoma.
A contrast enhanced scan would be worthwhile.
Published in
MRI Reports
sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyzh Palmn / M / 32 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait imbalance since 3-4 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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is prominence of the cerebellar folia bilaterally, with prominent superior cerebellar cistern. The ventral pontine bulge and the olivary bulges are maintained.
Both the lateral and the third ventricles are normal. The rest of the basal cisternal spaces are unremarkable.There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The body of the corpus callosum appears slightly thin.
IMPRESSION :
1. Cerebellar atrophy.
2. Slight thinning of the body of the corpus callosum.
Date : 00.00.00
Name of the Patient : Abc Xyzh Palmn / M / 32 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait imbalance since 3-4 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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is prominence of the cerebellar folia bilaterally, with prominent superior cerebellar cistern. The ventral pontine bulge and the olivary bulges are maintained.
Both the lateral and the third ventricles are normal. The rest of the basal cisternal spaces are unremarkable.There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The body of the corpus callosum appears slightly thin.
IMPRESSION :
1. Cerebellar atrophy.
2. Slight thinning of the body of the corpus callosum.
Published in
MRI Reports
Tagged under
sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyzati Klmn / F / 37 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 2-3 years radiating to BLE (left more than right) with paresthesias in the RLE since 1 month.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of water content of nearly all the lumbar intervertebral discs except the L2-L3 disc.
Posteriorly herniated discs are noted at the L4-L5 and L5-S1 levels with thecal sac compression and slight bilateral neural foraminal narrowing.
Facetal hypertrophy is noted at the L4-L5 and L5-S1 levels. Ligamentum flavum hypertrophy is noted at the L5-S1 level with resultant canal stenosis over the L4-L5 and L5-S1 levels.
A small, postero-central disc herniation is noted at the L3-L4 level.
Scan-00009
The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
Anterior disc herniation is seen at the L1-L2 level.
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-L2 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. Posteriorly herniated discs at the L4-L5 and L5-S1 levels with slight bilateral neural foraminal narrowing.
2. Facetal hypertrophy at the L4-L5 and L5-S1 levels and ligamentum flavum hypertrophy at the L5-S1 level with canal stenosis at the L4-L5 and L5-S1 levels.
3. A small, postero-central disc herniation at the L3-L4 level.
4. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.
Date : 00.00.00
Name of the Patient : Abc Xyzati Klmn / F / 37 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 2-3 years radiating to BLE (left more than right) with paresthesias in the RLE since 1 month.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of water content of nearly all the lumbar intervertebral discs except the L2-L3 disc.
Posteriorly herniated discs are noted at the L4-L5 and L5-S1 levels with thecal sac compression and slight bilateral neural foraminal narrowing.
Facetal hypertrophy is noted at the L4-L5 and L5-S1 levels. Ligamentum flavum hypertrophy is noted at the L5-S1 level with resultant canal stenosis over the L4-L5 and L5-S1 levels.
A small, postero-central disc herniation is noted at the L3-L4 level.
Scan-00009
The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
Anterior disc herniation is seen at the L1-L2 level.
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-L2 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. Posteriorly herniated discs at the L4-L5 and L5-S1 levels with slight bilateral neural foraminal narrowing.
2. Facetal hypertrophy at the L4-L5 and L5-S1 levels and ligamentum flavum hypertrophy at the L5-S1 level with canal stenosis at the L4-L5 and L5-S1 levels.
3. A small, postero-central disc herniation at the L3-L4 level.
4. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.
Published in
MRI Reports
More...
sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyzee B. Mlmn / F / 70 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with ptosis of the right eye since 8 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.
3 mm thick T1 Weighted and STIR coronal images.
A limited MRA sequence was obtained through the region of interest.
OBSERVATION :
There is seen an approximately, 2.0 cms diameter sized well-marginated mass lesion in the region of the right cavernous sinus. This lesion is of low signal intensity centrally on the T1 Weighted images and on the T2 Weighted images. The periphery of the lesion appears hyperintense on all the pulse sequences. The cavernous segment of the right internal carotid artery appears slightly smaller in diameter when compared to the left.
The pituitary gland, left cavernous sinus and the optic nerves on either side are unremarkable.
There are ill-defined hyperintense areas on the proton and T2 Weighted images in the right frontal periventricular white matter, posterior parietal white matter bilaterally and in the bilateral centrum semiovale. These lesions appear isointense to normal white matter on the T1 Weighted images.
Both the lateral, third and the fourth ventricles are normal.
There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces. There is no shift of the midline structures.
Inflammatory changes are seen in the posterior ethmoidal air cells.
The vertebro-basilar system is ectatic.
The limited MRA sequence reveals a small calibre cavernous segment of the right internal carotid artery. The previously described mass lesion is in close relation to this vessel. Flow signal is also noted within the centre of this lesion.
IMPRESSION :
1. An approximately, 2.0 cms diameter sized well-marginated mass lesion in the region of the right cavernous sinus with signal characteristics and relations as described most likely represents a partially thrombosed aneurysm arising from the cavernous segment of the right internal carotid artery.
2. Altered signal in the right frontal periventricular white matter, posterior parietal white matter bilaterally and in the bilateral centrum semiovale most likely represent ischemic changes.
Date : 00.00.00
Name of the Patient : Abc Xyzee B. Mlmn / F / 70 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with ptosis of the right eye since 8 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.
3 mm thick T1 Weighted and STIR coronal images.
A limited MRA sequence was obtained through the region of interest.
OBSERVATION :
There is seen an approximately, 2.0 cms diameter sized well-marginated mass lesion in the region of the right cavernous sinus. This lesion is of low signal intensity centrally on the T1 Weighted images and on the T2 Weighted images. The periphery of the lesion appears hyperintense on all the pulse sequences. The cavernous segment of the right internal carotid artery appears slightly smaller in diameter when compared to the left.
The pituitary gland, left cavernous sinus and the optic nerves on either side are unremarkable.
There are ill-defined hyperintense areas on the proton and T2 Weighted images in the right frontal periventricular white matter, posterior parietal white matter bilaterally and in the bilateral centrum semiovale. These lesions appear isointense to normal white matter on the T1 Weighted images.
Both the lateral, third and the fourth ventricles are normal.
There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces. There is no shift of the midline structures.
Inflammatory changes are seen in the posterior ethmoidal air cells.
The vertebro-basilar system is ectatic.
The limited MRA sequence reveals a small calibre cavernous segment of the right internal carotid artery. The previously described mass lesion is in close relation to this vessel. Flow signal is also noted within the centre of this lesion.
IMPRESSION :
1. An approximately, 2.0 cms diameter sized well-marginated mass lesion in the region of the right cavernous sinus with signal characteristics and relations as described most likely represents a partially thrombosed aneurysm arising from the cavernous segment of the right internal carotid artery.
2. Altered signal in the right frontal periventricular white matter, posterior parietal white matter bilaterally and in the bilateral centrum semiovale most likely represent ischemic changes.
Published in
MRI Reports
sb/hs
Date : 00.00.00
Name of the Patient : Abc Xyzid Almn / F / 71 yrs.
Referred by : Dr. Abc XyzShah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with blurred vision with momentary blackouts on the left side since 2-3 months.
H/O being operated for left Ca breast 18 years back.
Known hypertensive. On Rx.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick STIR coronal images.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the subcortical/deep white matter in the fronto-parietal regions bilaterally, periventricular white matter bilaterally, in the pons and in the head of left caudate nucleus. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
There is mild fullness of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
There is an expansile, hypointense signal intensity lesion on the T1 Weighted images in the frontal bone bilaterally in the midline, left parietal bone (probably) and along the greater wing of the left sphenoid bone with slight indentation of the left optic nerve. This lesion appears relatively hyperintense on the proton, T2 Weighted and STIR images. Resultant cortical thinning and probable erosion of the cortex is noted.
IMPRESSION :
1. Altered signal in the subcortical/deep white matter in the fronto-parietal regions bilaterally, periventricular white matter bilaterally, in the pons and in the head of the left caudate nucleus most likely represent ischemic changes.
2. Altered signal in the frontal bones bilaterally in the midline, left parietal bone (probably) and along the greater wing of the left sphenoid bone as described is not specific for a single etiology. In the given clinical setting of past h/o Ca breast, metastasis is a likely possibility (?? fibrous dysplasia).
Date : 00.00.00
Name of the Patient : Abc Xyzid Almn / F / 71 yrs.
Referred by : Dr. Abc XyzShah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with blurred vision with momentary blackouts on the left side since 2-3 months.
H/O being operated for left Ca breast 18 years back.
Known hypertensive. On Rx.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick STIR coronal images.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the subcortical/deep white matter in the fronto-parietal regions bilaterally, periventricular white matter bilaterally, in the pons and in the head of left caudate nucleus. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
There is mild fullness of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
There is an expansile, hypointense signal intensity lesion on the T1 Weighted images in the frontal bone bilaterally in the midline, left parietal bone (probably) and along the greater wing of the left sphenoid bone with slight indentation of the left optic nerve. This lesion appears relatively hyperintense on the proton, T2 Weighted and STIR images. Resultant cortical thinning and probable erosion of the cortex is noted.
IMPRESSION :
1. Altered signal in the subcortical/deep white matter in the fronto-parietal regions bilaterally, periventricular white matter bilaterally, in the pons and in the head of the left caudate nucleus most likely represent ischemic changes.
2. Altered signal in the frontal bones bilaterally in the midline, left parietal bone (probably) and along the greater wing of the left sphenoid bone as described is not specific for a single etiology. In the given clinical setting of past h/o Ca breast, metastasis is a likely possibility (?? fibrous dysplasia).
Published in
MRI Reports
/00002 Date : 19/00.00.00
Name of the Patient : Abc Xyz lmn / M / 68 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R. Cholangiogram.
CLINICAL PROFILE :
C/O pain in the abdomen and vomiting since 8 days.
EXAMINATION :
The upper abdomen was scanned with 7 mm thick T1 Weighted and T2 Weighted axial images and 8 mm thick T2 Weighted coronal images.
MR cholangiogram was also obtained.
OBSERVATION :
The evidence of the eventration of the dome of the diaphragm on the right. The liver is placed at a much higher level than a normal. The bowel loops and fat are placed between the right dome of the diaphragm and the liver and this is suggestive of Chileaditi syndrome. There is no focal area of altered signal in the liver parenchyma. There is no dilatation of the intrahepatic radicles.
The gall bladder is small and contracted.
The tail of the pancreas is slightly ill-defined and bulky. Streaking of the peripancreatic fat plane is noted in the region of the pancreatic tail. A pocket of fluid is noted at the inferior pole of the spleen in the region of the tail of the pancreas. The head and body of the pancreas appear unremarkable. The pancreatic duct is not dilated.
Multiple renal cortical and parenchymal cysts are noted.
The spleen is normal in size and signal characteristics.
There are no abnormally enlarged abdominal lymph nodes noted.
The visualized adrenal glands are unremarkable.
A small left basal pleural effusion is noted with left basal atelectasis.
The MRCP reveals mild fullness of the common bile duct which measures approximately 1.0 cm in its maximum transverse dimensions. Mild concentric narrowing of the terminal CBD is noted without intrinsic lesion in the terminal CBD.
A focal hypointensity along the posterior wall of the common bile duct in its mid-segment is suspicious for a calculus (scan 102.10). There is no dilatation of the hepatic ducts or the intrahepatic biliary radicles. The cystic duct is not well-identified.
IMPRESSION :
1. Eventration of the dome of the diaphragm on the right.
2. Ill-defined and bulky tail of the pancreas with streaking of the peripancreatic fat in that region and a fluid collection at the inferior margin of the spleen as described may suggest focal pancreatitis. Small left basal pleural effusion and left basal atelectasis.
..3/.
- 3 - Scan-00005
3. Small and contracted gall bladder.
4. CBD measures 1.0 cm in its maximum transverse dimension. Concentratic narrowing of the terminal CBD is noted, without obvious intrinsic lesion in terminal CBD.
5. Suspicious calculus in the mid-segment of the CBD along its posterior wall. Terminal CBD and pancreatic ducts are unremarkable.
6. Multiple renal cortical and parenchymal cysts.
7. Chileaditi syndrome.
Name of the Patient : Abc Xyz lmn / M / 68 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R. Cholangiogram.
CLINICAL PROFILE :
C/O pain in the abdomen and vomiting since 8 days.
EXAMINATION :
The upper abdomen was scanned with 7 mm thick T1 Weighted and T2 Weighted axial images and 8 mm thick T2 Weighted coronal images.
MR cholangiogram was also obtained.
OBSERVATION :
The evidence of the eventration of the dome of the diaphragm on the right. The liver is placed at a much higher level than a normal. The bowel loops and fat are placed between the right dome of the diaphragm and the liver and this is suggestive of Chileaditi syndrome. There is no focal area of altered signal in the liver parenchyma. There is no dilatation of the intrahepatic radicles.
The gall bladder is small and contracted.
The tail of the pancreas is slightly ill-defined and bulky. Streaking of the peripancreatic fat plane is noted in the region of the pancreatic tail. A pocket of fluid is noted at the inferior pole of the spleen in the region of the tail of the pancreas. The head and body of the pancreas appear unremarkable. The pancreatic duct is not dilated.
Multiple renal cortical and parenchymal cysts are noted.
The spleen is normal in size and signal characteristics.
There are no abnormally enlarged abdominal lymph nodes noted.
The visualized adrenal glands are unremarkable.
A small left basal pleural effusion is noted with left basal atelectasis.
The MRCP reveals mild fullness of the common bile duct which measures approximately 1.0 cm in its maximum transverse dimensions. Mild concentric narrowing of the terminal CBD is noted without intrinsic lesion in the terminal CBD.
A focal hypointensity along the posterior wall of the common bile duct in its mid-segment is suspicious for a calculus (scan 102.10). There is no dilatation of the hepatic ducts or the intrahepatic biliary radicles. The cystic duct is not well-identified.
IMPRESSION :
1. Eventration of the dome of the diaphragm on the right.
2. Ill-defined and bulky tail of the pancreas with streaking of the peripancreatic fat in that region and a fluid collection at the inferior margin of the spleen as described may suggest focal pancreatitis. Small left basal pleural effusion and left basal atelectasis.
..3/.
- 3 - Scan-00005
3. Small and contracted gall bladder.
4. CBD measures 1.0 cm in its maximum transverse dimension. Concentratic narrowing of the terminal CBD is noted, without obvious intrinsic lesion in terminal CBD.
5. Suspicious calculus in the mid-segment of the CBD along its posterior wall. Terminal CBD and pancreatic ducts are unremarkable.
6. Multiple renal cortical and parenchymal cysts.
7. Chileaditi syndrome.
Published in
MRI Reports
sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyze lmn / M / 25 yrs.
Referred by : Dr. Abc Xyzni / Dr. Abc Xyzhijwala.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 1 month.
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 L3-L4 and L5-S1 intervertebral discs.
There is a postero-central disc herniation with peridiscal osteophyte at the L5-S1 level, slightly more to the left of the midline. Slight inferior migration of the disc fragment is noted with indentation on the dural theca anteriorly.
Posteriorly bulging discs are noted at the L4-L5 and L3-L4 levels.
The pedicles of the lower lumbar vertebrae are congenitally short in their antero-posterior dimensions.
Schmorls nodes are noted in the lumbar region.
A limbus vertebra is seen at the L4 vertebral level.
There is loss of normal posterior epidural fat of the D12 and upper half of the L1 vertebral levels. The thecal sac is widened at that level. The CSF posterior to the intrathecal nerve roots at these levels is slightly more hyperintense on the T2 Weighted images. The D12 nerve root sleeves appear baggy bilaterally, more on the left side. The intrathecal nerve roots at the D12 and L1 vertebral levels seem to be placed slightly more anteriorly than normal.
The lumbar vertebral bodies and the rest of the 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 D12 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 :
14.0 mm at L1-L2
13.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. A postero-central disc herniation with peridiscal osteophyte at the L5-S1 level, slightly more to the left of the midline with slight inferior migration of the disc fragment.
2. Posteriorly bulging discs at the L4-L5 and L3-L4 levels.
3. Changes in the dural sac identified at the D12 and L1 vertebral levels may suggest dural ectasia. An intradural arachnoid cyst cannot be, however, excluded.
Date : 00.00.00
Name of the Patient : Abc Xyze lmn / M / 25 yrs.
Referred by : Dr. Abc Xyzni / Dr. Abc Xyzhijwala.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 1 month.
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 L3-L4 and L5-S1 intervertebral discs.
There is a postero-central disc herniation with peridiscal osteophyte at the L5-S1 level, slightly more to the left of the midline. Slight inferior migration of the disc fragment is noted with indentation on the dural theca anteriorly.
Posteriorly bulging discs are noted at the L4-L5 and L3-L4 levels.
The pedicles of the lower lumbar vertebrae are congenitally short in their antero-posterior dimensions.
Schmorls nodes are noted in the lumbar region.
A limbus vertebra is seen at the L4 vertebral level.
There is loss of normal posterior epidural fat of the D12 and upper half of the L1 vertebral levels. The thecal sac is widened at that level. The CSF posterior to the intrathecal nerve roots at these levels is slightly more hyperintense on the T2 Weighted images. The D12 nerve root sleeves appear baggy bilaterally, more on the left side. The intrathecal nerve roots at the D12 and L1 vertebral levels seem to be placed slightly more anteriorly than normal.
The lumbar vertebral bodies and the rest of the 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 D12 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 :
14.0 mm at L1-L2
13.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. A postero-central disc herniation with peridiscal osteophyte at the L5-S1 level, slightly more to the left of the midline with slight inferior migration of the disc fragment.
2. Posteriorly bulging discs at the L4-L5 and L3-L4 levels.
3. Changes in the dural sac identified at the D12 and L1 vertebral levels may suggest dural ectasia. An intradural arachnoid cyst cannot be, however, excluded.
Published in
MRI Reports