MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

11548

Written by
ke/bv
Date : 00.00.00

Name of the Patient : Abc Xyz Mohammedlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzaubal / Dr. Abc Xyzeshmukh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 15 days.

EXAMINATION :

M.R.I of the lumbo-sacral spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is a posterior disc herniation at the L2-L3 level with anterior indentation of the thecal sac. This disc shows loss of water content and is reduced in height. A large posterior peridiscal osteophyte is also noted at this level. An anterior disc herniation is also seen at this level. An anterior disc herniation is also seen at this level.

Schmorls nodes are seen in the L2 vertebra inferiorly and L3 vertebra superiorly.

Small posterior disc bulges are noted at the L4-L5 and L5-S1 levels. A left far lateral (extraforaminal) disc herniation is seen at the L1-L2 level.

Type II degenerative changes are noted in the L2 vertebral body adjacent to the L2-L3 intervertebral disc. Areas of focal fatty deposition are identified in the L1 and L3 vertebral bodies.

The rest of the lumbar vertebral bodies and the remaining intervertebral discs show 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 S2 level.
...2/..








- 2 -


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

15.0 mm at L3-L4

13.0 mm at L4-L5

11.0 mm at L5-S1.

IMPRESSION :

A posterior disc herniation with large posterior peridiscal osteophyte at the L2-L3 level.

Sunday, 27 December 2015 16:48

11547

Written by
Date : 00.00.00

Name of the Patient : Abc Xyzxmi Mlmn / F / 75 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzehta.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 6 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 slight forward translation of the L5 over the S1 vertebra.

A postero-central and a left far lateral disc protrusion is seen at the L5-S1 level with anterior indentation of the thecal sac. The L5-S1 facet joints bilaterally show degenerative changes with hypertrophic changes on the left side. There is resultant indentation upon the foraminal portion of the left L5 nerve root. Mild ligamentum flavum hypertrophy is also noted at this level.

There is slight retroplacement of the L1 over the L2 vertebra. A pseudoposterior disc herniation is seen at the L1-L2 level with anterior indentation of the thecal sac. Posterior peridiscal osteophytes are also noted at this level.

Small posterior disc bulges are seen at the L2-L3, L3-L4 and L4-L5 levels. The facet joints at these levels show mild degenerative changes. Ligamentum flavum hypertrophy is noted at the L4-L5 level.

The lumbar intervertebral discs show loss of water content.

Diffuse fatty changes are seen in the dorso-lumbar vertebrae, suggestive of osteoporosis. Slight wedging of the D9, D10, D11 and D12 vertebral bodies is noted.
...2/..







- 2 -


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 :

13.0 mm at L1-L2

15.0 mm at L2-L3

15.0 mm at L3-L4

15.0 mm at L4-L5

13.0 mm at L5-S1.

IMPRESSION :

1. Slight forward translation of the L5 over the S1 vertebra.

2. A postero-central and a left far lateral disc protrusion at the L5-S1 level with degenerative changes of the L5-S1 facet joints bilaterally and hypertrophic changes on the left side with resultant indentation upon the foraminal portion of the left L5 nerve root.

3. Slight retroplacement of the L1 over the L2 vertebra with a pseudoposterior disc herniation and posterior peridiscal osteophytes at the L1-L2 level.

4. Small posterior disc bulges at the L2-L3, L3-L4 and L4-L5 levels with mild degenerative changes of the facet joints at these levels.

5. Osteoporotic changes in the dorso-lumbar spine with slight wedging of the D9 and D12 vertebrae.
Sunday, 27 December 2015 16:48

11546

Written by


Date : 00.00.00

Name of the Patient : Abc XyzAlmn / F / 53 yrs.
Referred by : Dr. Abc Xyz Gandhi.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 6 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 slight retroplacement of the L3 over the L4 vertebra.

A pseudoposterior disc herniation is seen at the L3-L4 level with anterior indentation of the thecal sac. A left far lateral (extraforaminal) disc herniation is also seen at this level.

Small posterior disc bulge is seen at the L5-S1 level. The lumbar intervertebral discs show loss of water content.

The facet joints show mild degenerative changes at the L4-L5 level.

The lumbar vertebral bodies show normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12 level and the thecal sac terminates at the S2 level.
...2/..












- 2 -


The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

19.0 mm at L1-L2

18.0 mm at L2-L3

17.0 mm at L3-L4

16.0 mm at L4-L5

12.0 mm at L5-S1.

The S. I. joints were screened with 5 mm thick T1 Weighted and STIR coronal images which shows hypointense areas in the sacral and iliac bones bilaterally adjacent to the sacro-iliac joints bilaterally with narrowing of the joint space bilaterally. Subtle hyperintense signal on the STIR images may represent edema.

IMPRESSION :

1. Slight retroplacement of the L3 over the L4 vertebra.

2. A pseudoposterior and a left far lateral disc herniation at the L3-L4 level.

3. Bilateral sacro-ilitis ? etiology.

Sunday, 27 December 2015 16:48

11545

Written by
Date : 00.00.00

Name of the Patient : Abc Xyza Gulmn / F / 28 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Hippocampal Region.

CLINICAL PROFILE :

C/O seizures since 2-3 months with MR +. On anti-epileptics.

EXAMINATION :

M.R.I of the hippocampal region was performed, as requested, using the following parameters :

3 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick T2 Weighted axial images through the brain.

OBSERVATION :

There is no area of focal altered signal intensity on the T2 Weighted axial images of the brain.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of right maxillary sinusitis and inflammatory changes in the ethmoidal air cells.

IMPRESSION :

Normal study of the Brain.
Sunday, 27 December 2015 16:48

11544

Written by
Date : 00.00.00

Name of the Patient : Abc Xyza Halmn / F / 62 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias and burning sensation since 4-5 months.
H/O fall 7-8 months 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 slight forward translation of the L4 over the L5 and L5 over the S1 vertebra.

There is a posterior and left postero-lateral disc herniation with peridiscal osteophytes
at the L5-S1 level with anterior indentation of the thecal sac and left neural foraminal narrowing. There is resultant indentation upon the foraminal and the extraforaminal portion of the left L5 nerve root. The L5-S1 facet joints on the left side show degenerative changes.

A diffuse posterior disc herniation with peridiscal osteophyte is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The L4-L5 facet joints show mild degenerative changes.

A small postero-central disc herniation is noted at the L3-L4 level and posterior disc bulge at the L2-L3 level.

The lumbar intervertebral discs show loss of water content.

The lower lumbar vertebrae show Type II degenerative changes.

Hemangiomas with fatty content is seen in the D12 and L2 vertebral bodies.

The rest of the lumbar vertebral bodies show normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
...2/..








- 2 -

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 :

16.0 mm at L1-L2

16.0 mm at L2-L3

15.0 mm at L3-L4

13.0 mm at L4-L5

12.0 mm at L5-S1.

Slight atrophy of the paraspinal muscles is noted in the lower lumbar region.

IMPRESSION :

1. Slight forward translation of the L4 over the L5 and L5 over the S1 vertebra.

2. A posterior and left postero-lateral disc herniation with peridiscal
osteophytes at the L5-S1 level with resultant indentation upon the foraminal and the extraforaminal portion of the left L5 nerve root and facetal arthropathy on the left side at this level.

3. A diffuse posterior disc herniation with peridiscal osteophyte at the L4-L5 level with mild facetal arthropathy at this level.

4. A small postero-central disc herniation at the L3-L4 level.



Sunday, 27 December 2015 16:48

11543

Written by
Date : 00.00.00

Name of the Patient : Abc Xyzn D. Masulmn / M / 19 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O head injury with loss of consciousness for 15 minutes 1 year back.
C/O seizures since 1 year with occasional headaches and blackouts since 2 months. On anti-epileptics.

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 area of focal altered signal intensity in the brain parenchyma.

The hippocampal complex is unremarkable on either side.

Both the lateral, third and the fourth ventricles are normal. The CSF space along the right cerebellar hemisphere appears prominent ? due to slight hypoplasia of the right cerebellar hemisphere. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

Slight hypoplasia of the right cerebellar hemisphere with slightly prominent right
cerebellar cistern.

No other significant abnormality is detected on this study.
Sunday, 27 December 2015 16:48

11542

Written by
Date : 00.00.00

Name of the Patient : Abc Xyzai Chlmn / F / 65 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches, giddiness and twitching of face since 2 days.
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.

OBSERVATION :

There are hyperintense areas on the proton, T2 Weighted and FLAIR images in bilateral corona radiata and centrum semiovale, periventricular deep white matter, pons on the right side and right frontal deep white matter. These are iso to hypointense to white matter on the T1 Weighted images and would represent ischemic areas.

Lacunar infarcts are seen in the right cerebellar hemisphere, bilateral lentiform nuclei and right corona radiata.

There is mild dilatation of both the lateral ventricles with fullness of the fourth and third ventricles.

There is slight prominence of the cortical sulcal spaces in the fronto-parietal regions and cerebellar folia. The basal cisternal spaces are prominent. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of left maxillary sinusitis and an empty sella.
...2/..











- 2 -

IMPRESSION :

1. Ischemic areas in bilateral corona radiata and centrum semiovale, periventricular deep white matter, pons on the right and right frontal deep white matter.

2. Lacunar infarcts in the right cerebellar hemisphere, bilateral lentiform nuclei and right corona radiata.




Sunday, 27 December 2015 16:48

11541

Written by
ke/bv
Date : 00.00.00

Name of the Patient : Abc Xyz. lmn / M / 30 yrs.
Referred by : Dr. Abc Xyzpe.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

Alleged H/O trauma (fall of heavy weight) on 00.00.00.
C/O progressive weakness of BLE (L>R) since then.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is anterior wedging of the D12 vertebral body and is retroplaced as compared to the L1 vertebra. There is suggestion of a fracture of the lamina and the spinous process of the D12 vertebral body. There is disruption of the D11-D12 facets.

There are hypointense areas in the superior portion of the D12 vertebral body which are seen to turn heterogeneously hyperintense on the T2 Weighted images and would represent bone edema/contusion in the given clinical setting. The superior cortical endplate of the D12 vertebra appears broken (fractured). The postero-superior portion of the D12 vertebral body is seen to compress upon spinal cord. The spinal cord at the D11 and D12 levels shows a hyperintense signal on the T2 Weighted images and is isointense to the cord on the T1 Weighted images
suggestive of cord edema/contusion.

There is an intermediate signal intensity lesion in the anterior epidural region at the D11 level on the T1 Weighted images which is seen to turn hyperintense on the T2 Weighted images and may represent haemorrhage (scans 106.7, 106.8, 107.7, 107.8, 104.3, 104.4, 105.3, 105.4).

The anterior longitudinal ligament appears stripped away from the D12 vertebra.

The paraspinal soft tissues at the D12 level shows altered signal intensity suggestive of edema/contusion. The paraspinous soft tissues at this level also shows altered signal intensity suggestive of edema/contusion.
...2/..





- 2 -



A small pseudo-posterior disc bulge is noted at the D12-L1 level.

The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity.

The conus medullaris terminates at the L1-L2 level.

The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images which shows a small posterior disc herniation at the L5-S1 level.

IMPRESSION :

In a known C/O trauma the MRI features are suggestive of anterior wedging of the D12 vertebra with fracture of the lamina and spinous process with bone edema/contusion at this level as described. Altered signal of the cord at the D11 and D12 levels suggests cord edema/contusion with probable haemorrhage in the anterior epidural region at the D11 level.
Sunday, 27 December 2015 16:48

11540

Written by
ke/bv
Date : 00.00.00

Name of the Patient : Abc Xyzr R. Kalmn / F / 40 yrs.
Referred by : Dr. Abc Xyzaj.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE since October 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 slight loss of water content of the L5-S1 intervertebral disc.

There are Tarlovs cysts on both sides at the S1 level and in the midline at the S2 level.

Small posterior disc bulges are noted at the L4-L5 and L5-S1 levels.

The lumbar vertebral bodies and the remaining intervertebral discs show normal signal intensity. The facet joints and 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 :

22.0 mm at L1-L2

18.0 mm at L2-L3
...2/..









- 2 -


20.0 mm at L3-L4

13.0 mm at L4-L5

14.0 mm at L5-S1.

IMPRESSION :

1. Tarlovs cysts on both sides at the S1 level and in the midline at the S2 level.

2. Small posterior disc bulges at the L4-L5 and L5-S1 levels.


Sunday, 27 December 2015 16:48

11539

Written by
ke/bv
Date : 00.00.00

Name of the Patient : Abc Xyzrilmn / F / 34 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 1 year.

EXAMINATION :

M.R.I of both hips was performed using the following parameters :

5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted axial images.
5 mm thick Proton density sagittal images.

OBSERVATION :

There is a well-marginated, hyperintense lesion on the T1 Weighted images in the antero- superior quadrant of the left femoral head. This lesion is supressed on the T2 Weighted and STIR images. A peripheral rim on all the pulse sequences is noted around this lesion. There is a small left hip joint effusion. The left femoral head shows normal contour. The left acetabulum is
unremarkable.

A similar, but smaller lesion is noted in the right femoral head, antero-superiorly. The right femoral head shows normal contour.

The double line sign is well identified in both the hip joints.

A focal hypointense signal on all the pulse sequences in the right iliac bone adjacent to the right S.I. Joint is a bone island. The S.I. Joint on either side are otherwise unremarkable.

Scar of the previous surgery is noted in the anterior abdominal wall. The muscles around the left hip joint are atrophic.

IMPRESSION :

The MRI features suggest Class A avascular necrosis of the femoral heads bilaterally. A small left hip joint effusion is noted.

As compared to the previous MRI (study no:0000) dated 00.00.00, there is no significant change noted.