MRI Reports (3472)
MRI Reports Database
sb/ke
Date : 00.00.00
Name of the Patient : Abc XyzI. Shlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since the age of 1 year.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is atrophy of the left hippocampus which shows a hyperintense signal on the T2 Weighted images, suggesting left mesial temporal sclerosis. Resultant mild focal dilatation of the left temporal horn is noted.
There is volume loss in the left parieto-occipital region, with prominent sulcal spaces, ? the sequelae of a previous vascular insult.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the ethmoidal air cells and bilateral maxillary sinuses.
IMPRESSION :
1. Left mesial temporal sclerosis.
2. Volume loss in the left parieto-occipital region with prominent sulcal spaces is most likely the sequelae of a previous vascular insult.
Date : 00.00.00
Name of the Patient : Abc XyzI. Shlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since the age of 1 year.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is atrophy of the left hippocampus which shows a hyperintense signal on the T2 Weighted images, suggesting left mesial temporal sclerosis. Resultant mild focal dilatation of the left temporal horn is noted.
There is volume loss in the left parieto-occipital region, with prominent sulcal spaces, ? the sequelae of a previous vascular insult.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the ethmoidal air cells and bilateral maxillary sinuses.
IMPRESSION :
1. Left mesial temporal sclerosis.
2. Volume loss in the left parieto-occipital region with prominent sulcal spaces is most likely the sequelae of a previous vascular insult.
Published in
MRI Reports
sb/hs
/93 Date : 00.00.00
Name of the Patient : Abc XyzChlmn / M / 54 yrs.
Referred by : Dr. Abc Xyzrikh.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O imbalance of gait with giddiness and vomiting and increased BP since the morning of 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 FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the paranasal sinuses.
IMPRESSION :
No significant abnormality is detected within the brain on this study.
/93 Date : 00.00.00
Name of the Patient : Abc XyzChlmn / M / 54 yrs.
Referred by : Dr. Abc Xyzrikh.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O imbalance of gait with giddiness and vomiting and increased BP since the morning of 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 FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the paranasal sinuses.
IMPRESSION :
No significant abnormality is detected within the brain on this study.
Published in
MRI Reports
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzngh M. Blmn / M / 30 yrs.
Referred by : Dr. Abc Xyzilotri.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
H/O fall of a wall while working at the construction site on the back with paraparesis and bladder involvement since 15 days.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
7 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a compression fracture of the D12 vertebral body which is retropulsed and subluxated, laterally, to the right. The D12 vertebral body appears hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. The laminae and spinous process of D12 are also fractured. Break in the superior and inferior cortical endplate is also noted with a hyperintense signal in the D12-L1 and L1-L2 discs, suggesting traumatic rupture of the discs.
There is an intermediate signal intensity lesion on the T1 Weighted images in the epidural and intradural space extending over the D10 to L2 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. There is resultant cord compression over these levels. The lower dorsal spinal cord over the D9 to the tip of the conus shows a hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia/contusion. It is difficult to differentiate the lower dorsal spinal cord from the intradural hematoma.
There is disruption of the costo-vertebral joints at the D11 and D12 vertebral levels, bilaterally.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the prevertebral and paravertebral lesions over the D9 to L1 vertebral levels. This lesion appears heterogeneously hyperintense on the T2 Weighted images and most likely represents pre and paravertebral hematoma. Probable right sided pleural collection is noted.
The rest of the visualized dorso-lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The conus medullaris probably terminates at the L1-L2 level.
The T1 Weighted sagittal images of the lumbar spine reveal a slightly hyperintense signal of the CSF on the T1 Weighted images.
IMPRESSION :
In the given clinical setting of trauma the MRI features suggest compression fracture of the D12 vertebra and traumatic rupture of the D11-D12 and D12-L1 discs. Probable intradural and epidural hematoma is also noted, with cord compression. Cord signal alteration is noted over the D9 to the tip of the conus. It is however, difficult to differentiate the cord from the intra/epidural hematoma in some places. Soft tissue in the pre and paravertebral regions may represent hematoma in the given clinical setting.
Date : 00.00.00
Name of the Patient : Abc Xyzngh M. Blmn / M / 30 yrs.
Referred by : Dr. Abc Xyzilotri.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
H/O fall of a wall while working at the construction site on the back with paraparesis and bladder involvement since 15 days.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
7 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a compression fracture of the D12 vertebral body which is retropulsed and subluxated, laterally, to the right. The D12 vertebral body appears hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. The laminae and spinous process of D12 are also fractured. Break in the superior and inferior cortical endplate is also noted with a hyperintense signal in the D12-L1 and L1-L2 discs, suggesting traumatic rupture of the discs.
There is an intermediate signal intensity lesion on the T1 Weighted images in the epidural and intradural space extending over the D10 to L2 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. There is resultant cord compression over these levels. The lower dorsal spinal cord over the D9 to the tip of the conus shows a hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia/contusion. It is difficult to differentiate the lower dorsal spinal cord from the intradural hematoma.
There is disruption of the costo-vertebral joints at the D11 and D12 vertebral levels, bilaterally.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the prevertebral and paravertebral lesions over the D9 to L1 vertebral levels. This lesion appears heterogeneously hyperintense on the T2 Weighted images and most likely represents pre and paravertebral hematoma. Probable right sided pleural collection is noted.
The rest of the visualized dorso-lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The conus medullaris probably terminates at the L1-L2 level.
The T1 Weighted sagittal images of the lumbar spine reveal a slightly hyperintense signal of the CSF on the T1 Weighted images.
IMPRESSION :
In the given clinical setting of trauma the MRI features suggest compression fracture of the D12 vertebra and traumatic rupture of the D11-D12 and D12-L1 discs. Probable intradural and epidural hematoma is also noted, with cord compression. Cord signal alteration is noted over the D9 to the tip of the conus. It is however, difficult to differentiate the cord from the intra/epidural hematoma in some places. Soft tissue in the pre and paravertebral regions may represent hematoma in the given clinical setting.
Published in
MRI Reports
hs/sb
Date : 00.00.00
Name of the Patient : Abc XyzVarlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzshar / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness of the right half of body with slight slurred speech since morning of 00.00.00.
Past H/O weakness on the left side of body, from which patient recovered.
Known diabetic/hypertensive. No 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 Fast Scan (T2 *) and FLAIR coronal images.
OBSERVATION :
Diffuse areas of hyperintensity on the proton, T2 Weighted and FLAIR images (iso to hypointense to white matter on the T1 Weighted images) are seen within the periventricular white matter bilaterally and left corona radiata and centrum semiovale bilaterally and these are most likely ischemic in etiology.
Small areas with similar signal characteristics are seen within the pons, thalamus and white matter in the fronto-parietal lobes bilaterally.
Lacunar infarcts (iso to hyperintense to CSF) are noted within the lentiform nuclei bilaterally, left parietal lobe and right frontal lobe. A few of these show peripheral gliotic changes. There is ex-vacuo dilatation of the left lateral ventricle.
There is fullness of the ventricular system. There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces. Prominent Virchow-Robin spaces are noted in both the lentiform nuclei.
No obvious vascular anomaly is identified on this study.
No obvious intraparenchymal hemorrhage is seen on this scan. Inflammatory changes are seen in the left maxillary sinus and ethmoidal air cells.
IMPRESSION :
The MRI features are suggestive of :
1. Areas of altered signal intensity within the periventricular white matter, basal ganglia and white matter in the fronto-parietal lobes bilaterally, pons and the left corona radiata and centrum semiovale are most likely, ischemic in etiology.
2. Lacunar infarcts in the lentiform nuclei bilaterally, left parietal lobe and the right frontal lobe.
As compared to the previous MRI dated 00.00.00, there is no significant change noted.
Date : 00.00.00
Name of the Patient : Abc XyzVarlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzshar / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness of the right half of body with slight slurred speech since morning of 00.00.00.
Past H/O weakness on the left side of body, from which patient recovered.
Known diabetic/hypertensive. No 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 Fast Scan (T2 *) and FLAIR coronal images.
OBSERVATION :
Diffuse areas of hyperintensity on the proton, T2 Weighted and FLAIR images (iso to hypointense to white matter on the T1 Weighted images) are seen within the periventricular white matter bilaterally and left corona radiata and centrum semiovale bilaterally and these are most likely ischemic in etiology.
Small areas with similar signal characteristics are seen within the pons, thalamus and white matter in the fronto-parietal lobes bilaterally.
Lacunar infarcts (iso to hyperintense to CSF) are noted within the lentiform nuclei bilaterally, left parietal lobe and right frontal lobe. A few of these show peripheral gliotic changes. There is ex-vacuo dilatation of the left lateral ventricle.
There is fullness of the ventricular system. There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces. Prominent Virchow-Robin spaces are noted in both the lentiform nuclei.
No obvious vascular anomaly is identified on this study.
No obvious intraparenchymal hemorrhage is seen on this scan. Inflammatory changes are seen in the left maxillary sinus and ethmoidal air cells.
IMPRESSION :
The MRI features are suggestive of :
1. Areas of altered signal intensity within the periventricular white matter, basal ganglia and white matter in the fronto-parietal lobes bilaterally, pons and the left corona radiata and centrum semiovale are most likely, ischemic in etiology.
2. Lacunar infarcts in the lentiform nuclei bilaterally, left parietal lobe and the right frontal lobe.
As compared to the previous MRI dated 00.00.00, there is no significant change noted.
Published in
MRI Reports
sb/hs
Date : 00.00.00
Name of the Patient : Abc Xyznben Galmn / F / 70 yrs.
Referred by : Dr. Abc Xyzolakia / Dr. Abc Xyzndhi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low backache radiating to BLE (left more than right), off and on since 0000.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is reduction in height of the L5-S1 disc and loss of water content of the lumbar intervertebral discs.
There is Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with spondylolysis at L5 bilaterally and compromise of the neural foramina bilaterally at the L5-S1 level.
A pseudoposterior disc bulge with a peridiscal osteophyte is noted at the L5-S1 level.
Posterior and right postero-lateral disc bulges are noted at the L3-L4 and L4-L5 levels with slight right neural foraminal narrowing.
Right far lateral (extraforaminal) disc herniations are seen to indent the exiting right L3 and L4 nerve roots at the L3-L4 and L4-L5 levels, respectively.
The facet joints at the L4-L5 and L5-S1 levels show hypertrophic degenerative changes. There is also ligamentum flavum hypertrophy at the L5 and S1 levels with a resultant tight canal at these levels. Facetal hypertrophy is seen at the L3-L4 level.
Type II degenerative marrow changes are noted adjacent to the L5-S1 disc.
The visualized dorso-lumbo-sacral vertebral bodies show spotty fatty marrow changes suggesting osteoporosis. Mild facetal hypertrophy is noted at the D10-D11 and D11-D12 levels.
Slight anterior wedging of the D11 and D12 vertebral bodies is noted.
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 :
17.0 mm at L1-L2
19.0 mm at L2-L3
19.0 mm at L3-L4
12.0 mm at L4-L5
9.0 mm at L5-S1.
..3/.
- 3 - Scan-00009
IMPRESSION :
1. Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with spondylolysis at L5 bilaterally and compromise of the neural foramina bilaterally at the L5-S1 level.
2. A pseudoposterior disc bulge with a peridiscal osteophyte at the L5-S1 level.
3. Posterior and right postero-lateral disc bulges at the L3-L4 and L4-L5 levels with slight right neural foraminal narrowing.
4. Hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels with ligamentum flavum hypertrophy at the L5 and S1 levels with a resultant tight canal at these levels.
5. Fatty marrow changes in the visualized dorso-lumbo-sacral vertebrae suggests osteoporosis.
6. Right far lateral (extraforaminal) disc herniations at the L3-L4 and L4-L5 levels.
Date : 00.00.00
Name of the Patient : Abc Xyznben Galmn / F / 70 yrs.
Referred by : Dr. Abc Xyzolakia / Dr. Abc Xyzndhi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low backache radiating to BLE (left more than right), off and on since 0000.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is reduction in height of the L5-S1 disc and loss of water content of the lumbar intervertebral discs.
There is Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with spondylolysis at L5 bilaterally and compromise of the neural foramina bilaterally at the L5-S1 level.
A pseudoposterior disc bulge with a peridiscal osteophyte is noted at the L5-S1 level.
Posterior and right postero-lateral disc bulges are noted at the L3-L4 and L4-L5 levels with slight right neural foraminal narrowing.
Right far lateral (extraforaminal) disc herniations are seen to indent the exiting right L3 and L4 nerve roots at the L3-L4 and L4-L5 levels, respectively.
The facet joints at the L4-L5 and L5-S1 levels show hypertrophic degenerative changes. There is also ligamentum flavum hypertrophy at the L5 and S1 levels with a resultant tight canal at these levels. Facetal hypertrophy is seen at the L3-L4 level.
Type II degenerative marrow changes are noted adjacent to the L5-S1 disc.
The visualized dorso-lumbo-sacral vertebral bodies show spotty fatty marrow changes suggesting osteoporosis. Mild facetal hypertrophy is noted at the D10-D11 and D11-D12 levels.
Slight anterior wedging of the D11 and D12 vertebral bodies is noted.
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 :
17.0 mm at L1-L2
19.0 mm at L2-L3
19.0 mm at L3-L4
12.0 mm at L4-L5
9.0 mm at L5-S1.
..3/.
- 3 - Scan-00009
IMPRESSION :
1. Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with spondylolysis at L5 bilaterally and compromise of the neural foramina bilaterally at the L5-S1 level.
2. A pseudoposterior disc bulge with a peridiscal osteophyte at the L5-S1 level.
3. Posterior and right postero-lateral disc bulges at the L3-L4 and L4-L5 levels with slight right neural foraminal narrowing.
4. Hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels with ligamentum flavum hypertrophy at the L5 and S1 levels with a resultant tight canal at these levels.
5. Fatty marrow changes in the visualized dorso-lumbo-sacral vertebrae suggests osteoporosis.
6. Right far lateral (extraforaminal) disc herniations at the L3-L4 and L4-L5 levels.
Published in
MRI Reports
sb/hs
Date : 00.00.00
Name of the Patient : Abc Xyz Slmn / M / 37 yrs.
Referred by : Dr. Abc Xyzrchant.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Developed a squint in the right eye on 00.00.00 with diminished vision and diplopia.
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, FLAIR and STIR coronal images.
OBSERVATION :
There is evidence of an intermediate signal intensity lesion on the T1 Weighted images in the prepontine cistern, slightly more to the right of the midline. This lesion appears relatively more hypointense on the proton and T2 Weighted images and appears close to the basilar artery.
There is no focal area of altered signal intensity within the brain parenchyma per se (hyperintense signal on the T2 Weighted images in the cerebral peduncles bilaterally most likely represents prominent perivascular spaces).
Both the lateral, third and the fourth ventricles are normal. There is no shift of the midline structures.
The visualized optic nerves on either side and the cavernous sinuses are unremarkable.
IMPRESSION :
Altered signal in the prepontine cistern, slightly more to the right of the midline as described is not specific for a single etiology. Basal exudates/meningeal pathology or subarachnoid haemorrhage may be considered in the differential diagnosis.
A contrast enhanced scan may be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyz Slmn / M / 37 yrs.
Referred by : Dr. Abc Xyzrchant.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Developed a squint in the right eye on 00.00.00 with diminished vision and diplopia.
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, FLAIR and STIR coronal images.
OBSERVATION :
There is evidence of an intermediate signal intensity lesion on the T1 Weighted images in the prepontine cistern, slightly more to the right of the midline. This lesion appears relatively more hypointense on the proton and T2 Weighted images and appears close to the basilar artery.
There is no focal area of altered signal intensity within the brain parenchyma per se (hyperintense signal on the T2 Weighted images in the cerebral peduncles bilaterally most likely represents prominent perivascular spaces).
Both the lateral, third and the fourth ventricles are normal. There is no shift of the midline structures.
The visualized optic nerves on either side and the cavernous sinuses are unremarkable.
IMPRESSION :
Altered signal in the prepontine cistern, slightly more to the right of the midline as described is not specific for a single etiology. Basal exudates/meningeal pathology or subarachnoid haemorrhage may be considered in the differential diagnosis.
A contrast enhanced scan may be worthwhile.
Published in
MRI Reports
sb/hs
Date : 00.00.00
Name of the Patient : Abc Xyzchal Palmn / M / 5 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O GTC seizures since the age of 1 year.
Now since 15th February 0000 C/O left focal seizures (mainly involving the LLE).
H/O fever 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.
OBSERVATION :
There is seen an approximately 1.0 cm diameter sized well marginated, hyperintense lesion with a hypointense rim on the proton and T2 Weighted images in the right fronto-parietal, parafalcine region. This lesion appears nearly isointense to grey matter on the T1 Weighted images. There is perilesional edema with effacement of the adjacent cortical sulcal spaces. Minimal indentation on the body of the right lateral ventricle is noted.
The left 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 :
An approximately 1.0 cm diameter sized lesion in the right fronto-parietal, parafalcine region as described, follows the signal characteristics of a neurocysticercus in the colloid-vesicular stage (?? tuberculous abscess).
Date : 00.00.00
Name of the Patient : Abc Xyzchal Palmn / M / 5 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O GTC seizures since the age of 1 year.
Now since 15th February 0000 C/O left focal seizures (mainly involving the LLE).
H/O fever 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.
OBSERVATION :
There is seen an approximately 1.0 cm diameter sized well marginated, hyperintense lesion with a hypointense rim on the proton and T2 Weighted images in the right fronto-parietal, parafalcine region. This lesion appears nearly isointense to grey matter on the T1 Weighted images. There is perilesional edema with effacement of the adjacent cortical sulcal spaces. Minimal indentation on the body of the right lateral ventricle is noted.
The left 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 :
An approximately 1.0 cm diameter sized lesion in the right fronto-parietal, parafalcine region as described, follows the signal characteristics of a neurocysticercus in the colloid-vesicular stage (?? tuberculous abscess).
Published in
MRI Reports
hs/sb
Date : 00.00.00
Name of the Patient : Abc Xyzg S. Manlmn / M / 8 yrs.
Referred by : Dr. Abc Xyzai.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O ALL since 00.00.00. Received chemotherapy and radiotherapy (last dose in December 0000).
Now C/O difficulty in learning and understanding.
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 are diffuse areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the periventricular white matter and the subcortical white matter in the fronto-temporo- parietal lobes bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and show a fairly symmetric distribution.
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 :
The MRI features are suggestive of fairly symmetric areas of signal alteration in the periventricular white matter and the subcortical white matter in the fronto-temporo-parietal lobes bilaterally. These changes may represent radiation/chemotherapy induced leukoencephalopathy (more likely due to chemotherapy in view of symmetric distribution of the lesions).
Date : 00.00.00
Name of the Patient : Abc Xyzg S. Manlmn / M / 8 yrs.
Referred by : Dr. Abc Xyzai.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O ALL since 00.00.00. Received chemotherapy and radiotherapy (last dose in December 0000).
Now C/O difficulty in learning and understanding.
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 are diffuse areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the periventricular white matter and the subcortical white matter in the fronto-temporo- parietal lobes bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and show a fairly symmetric distribution.
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 :
The MRI features are suggestive of fairly symmetric areas of signal alteration in the periventricular white matter and the subcortical white matter in the fronto-temporo-parietal lobes bilaterally. These changes may represent radiation/chemotherapy induced leukoencephalopathy (more likely due to chemotherapy in view of symmetric distribution of the lesions).
Published in
MRI Reports
hs/sb
Date : 00.00.00
Name of the Patient : Abc Xyzi N. Shlmn / F / 66 yrs.
Referred by : Dr. Abc Xyzlwalkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 1 1/2 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 :
A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. Bilateral far lateral (extraforaminal) disc herniations are seen to indent the extraforaminal portion of the exiting L4 nerve roots bilaterally at this level. The L4-L5 facet joints show hypertrophic degenerative changes.
A postero-central disc herniation is seen to indent the thecal sac at the L3-L4 level. A left postero-lateral (foraminal) disc herniation is seen to narrow the left neural foramen and indent the exiting left L3 nerve root at the L3-L4 level. Bilateral far lateral (extraforaminal) disc bulges are noted at this level.
There is a posterior disc bulge at the L2-L3 level. A left postero-lateral (foraminal) disc protrusion is seen to indent the exiting left L2 nerve root at this level.
Scan-00005
There is a small postero-central disc herniation indenting the thecal sac at the L1-L2 level.
The lumbar intervertebral discs show loss of water content.
Anterior disc herniations are seen over the L1-L2 to L4-L5 levels.
Note is made of a left renal cyst.
The lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
12.0 mm at L1-L2
15.0 mm at L2-L3
12.0 mm at L3-L4
11.0 mm at L4-L5
12.0 mm at L5-S1.
..3/.
- 3 - Scan-00005
IMPRESSION :
1. A posterior disc herniation and hypertrophic facetal arthropathy with a tight canal at the L4-L5 level.
2. A postero-central disc herniation and a left postero-lateral (foraminal) disc herniation indenting the exiting left L3 nerve root at the L3-L4 level.
3. A posterior disc bulge at the L2-L3 level.
4. A small postero-central disc herniation at the L1-L2 level.
5. A left postero-lateral (foraminal) disc protrusion indenting the exiting left L2 nerve root at the L2-L3 level.
Date : 00.00.00
Name of the Patient : Abc Xyzi N. Shlmn / F / 66 yrs.
Referred by : Dr. Abc Xyzlwalkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 1 1/2 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 :
A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. Bilateral far lateral (extraforaminal) disc herniations are seen to indent the extraforaminal portion of the exiting L4 nerve roots bilaterally at this level. The L4-L5 facet joints show hypertrophic degenerative changes.
A postero-central disc herniation is seen to indent the thecal sac at the L3-L4 level. A left postero-lateral (foraminal) disc herniation is seen to narrow the left neural foramen and indent the exiting left L3 nerve root at the L3-L4 level. Bilateral far lateral (extraforaminal) disc bulges are noted at this level.
There is a posterior disc bulge at the L2-L3 level. A left postero-lateral (foraminal) disc protrusion is seen to indent the exiting left L2 nerve root at this level.
Scan-00005
There is a small postero-central disc herniation indenting the thecal sac at the L1-L2 level.
The lumbar intervertebral discs show loss of water content.
Anterior disc herniations are seen over the L1-L2 to L4-L5 levels.
Note is made of a left renal cyst.
The lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
12.0 mm at L1-L2
15.0 mm at L2-L3
12.0 mm at L3-L4
11.0 mm at L4-L5
12.0 mm at L5-S1.
..3/.
- 3 - Scan-00005
IMPRESSION :
1. A posterior disc herniation and hypertrophic facetal arthropathy with a tight canal at the L4-L5 level.
2. A postero-central disc herniation and a left postero-lateral (foraminal) disc herniation indenting the exiting left L3 nerve root at the L3-L4 level.
3. A posterior disc bulge at the L2-L3 level.
4. A small postero-central disc herniation at the L1-L2 level.
5. A left postero-lateral (foraminal) disc protrusion indenting the exiting left L2 nerve root at the L2-L3 level.
Published in
MRI Reports
hs/sb
Date : 00.00.00
Name of the Patient : Abc Xyz Chlmn / M / 55 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) with paresthesias since 15 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of normal lumbar lordosis. The L1-L2 to L4-L5 intervertebral discs show loss of water content.
A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. There is indentation upon the traversing L5 nerve roots bilaterally. Bilateral far lateral (extraforminal) disc herniations are seen at this level.
The L3-L4 and L4-L5 facet joints show hypertrophic degenerative changes.
Left paracentral and left postero-lateral disc herniations are seen to indent the thecal sac and narrow the left neural foramen, respectively at the L2-L3 level.
A posterior disc bulge is seen at the L3-L4 level. Bilateral far lateral (extraforaminal) disc bulges are seen at the L3-L4 level and on the left side at the L5-S1 level.
The pedicles of the lumbar vertebrae are congenitally short in their antero-posterior dimensions.
The L1-L2 and L2-L3 facet joints show mild 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 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
13.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.
..3/.
- 3 - Scan-00003
IMPRESSION :
The MRI features are suggestive of :
1. A posterior disc herniation with hypertrophic facetal arthropathy and canal stenosis at the L4-L5 level.
2. Left paracentral and left postero-lateral disc herniations at the L2-L3 level.
3. A posterior disc bulge with hypertrophic facetal arthropathy at the L3-L4 level.
4. Bilateral far lateral (extraforaminal) disc herniations at the L4-L5 level.
5. A tight canal at the L2-L3 and L3-L4 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz Chlmn / M / 55 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) with paresthesias since 15 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of normal lumbar lordosis. The L1-L2 to L4-L5 intervertebral discs show loss of water content.
A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. There is indentation upon the traversing L5 nerve roots bilaterally. Bilateral far lateral (extraforminal) disc herniations are seen at this level.
The L3-L4 and L4-L5 facet joints show hypertrophic degenerative changes.
Left paracentral and left postero-lateral disc herniations are seen to indent the thecal sac and narrow the left neural foramen, respectively at the L2-L3 level.
A posterior disc bulge is seen at the L3-L4 level. Bilateral far lateral (extraforaminal) disc bulges are seen at the L3-L4 level and on the left side at the L5-S1 level.
The pedicles of the lumbar vertebrae are congenitally short in their antero-posterior dimensions.
The L1-L2 and L2-L3 facet joints show mild 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 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
13.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.
..3/.
- 3 - Scan-00003
IMPRESSION :
The MRI features are suggestive of :
1. A posterior disc herniation with hypertrophic facetal arthropathy and canal stenosis at the L4-L5 level.
2. Left paracentral and left postero-lateral disc herniations at the L2-L3 level.
3. A posterior disc bulge with hypertrophic facetal arthropathy at the L3-L4 level.
4. Bilateral far lateral (extraforaminal) disc herniations at the L4-L5 level.
5. A tight canal at the L2-L3 and L3-L4 levels.
Published in
MRI Reports
More...
hs/sb
Date : 00.00.00
Name of the Patient : Abc Xyzdra Rlmn / M / 43 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the S. I. Joints.
CLINICAL PROFILE :
C/O backache with inability to sit since 00.00.00.
EXAMINATION :
M.R.I of the S. I. joints was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
4 mm thick T1 Weighted and STIR coronal images.
OBSERVATION :
Both the sacro-iliac joints appear normal. The iliac bones and the sacral ala show normal signal intensity. There is no bony destruction or erosion. The visualized soft tissues are unremarkable.
The visualized musculature of the pelvis appears normal.
IMPRESSION :
Normal study of the Sacro-iliac joints.
Date : 00.00.00
Name of the Patient : Abc Xyzdra Rlmn / M / 43 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the S. I. Joints.
CLINICAL PROFILE :
C/O backache with inability to sit since 00.00.00.
EXAMINATION :
M.R.I of the S. I. joints was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
4 mm thick T1 Weighted and STIR coronal images.
OBSERVATION :
Both the sacro-iliac joints appear normal. The iliac bones and the sacral ala show normal signal intensity. There is no bony destruction or erosion. The visualized soft tissues are unremarkable.
The visualized musculature of the pelvis appears normal.
IMPRESSION :
Normal study of the Sacro-iliac joints.
Published in
MRI Reports
hs/sb
Date : 00.00.00
Name of the Patient : Abc Xyzm M. Malmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right focal seizures since 25-26 years.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
The hippocampal complex on either side is unremarkable.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is 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 :
The MRI features are suggestive of mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
Date : 00.00.00
Name of the Patient : Abc Xyzm M. Malmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right focal seizures since 25-26 years.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
The hippocampal complex on either side is unremarkable.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is 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 :
The MRI features are suggestive of mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
Published in
MRI Reports
hs/sb
Date : 00.00.00
Name of the Patient : Abc Xyzdra Rlmn / M / 43 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with inability to sit since 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 :
The L2-L3, L3-L4 and L5-S1 intervertebral discs show loss of water content. Multiple Schmorls nodes are noted in the lumbar region.
A small left paracentral disc herniation is seen to indent the traversing left S1 nerve root at the L5-S1 level.
A small postero-central disc herniation is seen to indent the thecal sac at the L4-L5 level.
A left paracentral disc extrusion is seen to indent the thecal sac at the L3-L4 level with a small disc portion lying within the left lateral epidural space at this level.
A small posterior disc bulge is noted at the L2-L3 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
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 :
17.0 mm at L1-L2
15.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A small left paracentral disc herniation indenting the traversing left S1 nerve root at the L5-S1 level.
2. A small postero-central disc herniation at the L4-L5 level.
3. A left paracentral disc extrusion at the L3-L4 level with a small disc portion lying within the left lateral epidural space at this level.
Date : 00.00.00
Name of the Patient : Abc Xyzdra Rlmn / M / 43 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with inability to sit since 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 :
The L2-L3, L3-L4 and L5-S1 intervertebral discs show loss of water content. Multiple Schmorls nodes are noted in the lumbar region.
A small left paracentral disc herniation is seen to indent the traversing left S1 nerve root at the L5-S1 level.
A small postero-central disc herniation is seen to indent the thecal sac at the L4-L5 level.
A left paracentral disc extrusion is seen to indent the thecal sac at the L3-L4 level with a small disc portion lying within the left lateral epidural space at this level.
A small posterior disc bulge is noted at the L2-L3 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
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 :
17.0 mm at L1-L2
15.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A small left paracentral disc herniation indenting the traversing left S1 nerve root at the L5-S1 level.
2. A small postero-central disc herniation at the L4-L5 level.
3. A left paracentral disc extrusion at the L3-L4 level with a small disc portion lying within the left lateral epidural space at this level.
Published in
MRI Reports
sb/hs
Date : 00.00.00
Name of the Patient : Abc Xyza M. Qurlmn / F / 56 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 0000.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L2-L3, L4-L5 and L5-S1 discs.
There is a left paracentral disc herniation at the L5-S1 level, indenting the traversing left S1 nerve root.
A fairly large, postero-central and right paracentral disc herniation is noted at the L4-L5 level, with thecal sac compression and indentation on the traversing right L5 nerve root. The right L5 nerve root is probably inflamed. Bilateral neural foraminal narrowing is noted at the L4-L5 level.
A left and right postero-lateral disc bulge is noted at the L3-L4 level, with bilateral neural foraminal narrowing.
The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 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
15.0 mm at L2-L3
14.0 mm at L3-L4
8.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. A left paracentral disc herniation at the L5-S1 level, indenting the traversing left S1 nerve root.
2. A fairly large, postero-central and right paracentral disc herniation at the L4-L5 level, indenting the right L5 nerve root, which is probably inflamed.
3. Left and right postero-lateral disc bulges at the L3-L4 level.
4. Congenitally short pedicles of the lower lumbar vertebrae with canal stenosis at the L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyza M. Qurlmn / F / 56 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 0000.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L2-L3, L4-L5 and L5-S1 discs.
There is a left paracentral disc herniation at the L5-S1 level, indenting the traversing left S1 nerve root.
A fairly large, postero-central and right paracentral disc herniation is noted at the L4-L5 level, with thecal sac compression and indentation on the traversing right L5 nerve root. The right L5 nerve root is probably inflamed. Bilateral neural foraminal narrowing is noted at the L4-L5 level.
A left and right postero-lateral disc bulge is noted at the L3-L4 level, with bilateral neural foraminal narrowing.
The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 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
15.0 mm at L2-L3
14.0 mm at L3-L4
8.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. A left paracentral disc herniation at the L5-S1 level, indenting the traversing left S1 nerve root.
2. A fairly large, postero-central and right paracentral disc herniation at the L4-L5 level, indenting the right L5 nerve root, which is probably inflamed.
3. Left and right postero-lateral disc bulges at the L3-L4 level.
4. Congenitally short pedicles of the lower lumbar vertebrae with canal stenosis at the L4-L5 and L5-S1 levels.
Published in
MRI Reports