MRI Reports (3472)
MRI Reports Database
hs/bv
Date : 00.00.00
Name of the Patient : Abc Xyzha Lokhlmn / F / 15 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O no control over bladder since childhood, nocturnal aneuresis with backache since few days.
To rule out spinal dysraphism.
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 :
Posterior disc bulges with small peridiscal osteophytes are seen to indent the thecal sac at the D12-L1, L3-L4 and L4-L5 levels. These intervertebral discs show loss of water content.
The D12-L1 intervertebral disc is decreased in height.
Facetal hypertrophy is noted at the L4-L5 level.
Fat is noted within the filum terminale at the L1 and L2 vertebral levels.
An extrarenal pelvis is noted on the left side.
The lumbar vertebral bodies and the remaining intervertebral discs 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 S1 level.
- 2 -
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
17.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of posterior disc bulges with small peridiscal osteophytes at the D12-L1, L3-L4 and L4-L5 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzha Lokhlmn / F / 15 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O no control over bladder since childhood, nocturnal aneuresis with backache since few days.
To rule out spinal dysraphism.
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 :
Posterior disc bulges with small peridiscal osteophytes are seen to indent the thecal sac at the D12-L1, L3-L4 and L4-L5 levels. These intervertebral discs show loss of water content.
The D12-L1 intervertebral disc is decreased in height.
Facetal hypertrophy is noted at the L4-L5 level.
Fat is noted within the filum terminale at the L1 and L2 vertebral levels.
An extrarenal pelvis is noted on the left side.
The lumbar vertebral bodies and the remaining intervertebral discs 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 S1 level.
- 2 -
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
17.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of posterior disc bulges with small peridiscal osteophytes at the D12-L1, L3-L4 and L4-L5 levels.
Published in
MRI Reports
hs/sb
Date : 00.00.00
Name of the Patient : Abc Xyz Bhlmn / M / 16 yrs.
Referred by : Dr. Abc Xyzichgar.
Examination : M.R.I. of the Abdomen.
CLINICAL PROFILE :
C/O weakness and pain in BLE (on and off) since 6 months.
C/O difficulty in concentrating and excessive thirst since 2-3 years.
H/O cardiomyopathy with CCF.
EXAMINATION :
M.R.I of the abdomen was performed using the following parameters :
6 mm thick T1 Weighted and T2 Weighted axial and coronal images.
4 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no obvious mass lesion in the region of the adrenal glands.
The liver is normal in size, shape and position. There is no focal or diffuse area of altered signal intensity. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architexture is normal.
The gall bladder is normal and reveals no intrinsic abnormality.
The pancreas is normal in size and shape.
The spleen is normal.
Both the kidneys are normal in size and shape.
No lymphadenopathy is detected. There is no evidence of free fluid within the abdomen.
IMPRESSION :
No abnormality is detected within the abdomen on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz Bhlmn / M / 16 yrs.
Referred by : Dr. Abc Xyzichgar.
Examination : M.R.I. of the Abdomen.
CLINICAL PROFILE :
C/O weakness and pain in BLE (on and off) since 6 months.
C/O difficulty in concentrating and excessive thirst since 2-3 years.
H/O cardiomyopathy with CCF.
EXAMINATION :
M.R.I of the abdomen was performed using the following parameters :
6 mm thick T1 Weighted and T2 Weighted axial and coronal images.
4 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no obvious mass lesion in the region of the adrenal glands.
The liver is normal in size, shape and position. There is no focal or diffuse area of altered signal intensity. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architexture is normal.
The gall bladder is normal and reveals no intrinsic abnormality.
The pancreas is normal in size and shape.
The spleen is normal.
Both the kidneys are normal in size and shape.
No lymphadenopathy is detected. There is no evidence of free fluid within the abdomen.
IMPRESSION :
No abnormality is detected within the abdomen on this study.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc XyzA. Kolmn / F / 14 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since childhood.
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 :
Multiple small areas of hyperintensity on the proton and T2 Weighted images are seen within the subcortical white matter in the fronto-parietal lobes bilaterally and also within the peri/para-atrial white matter bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images.
A well-defined area which is iso to hyperintense to CSF on all the pulse sequences is seen within the right lentiform nucleus and may represent a lacune.
There is mild fullness of the temporal horns of both the lateral ventricles.
The rest of 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.
Inflammatory changes are noted in the right maxillary sinus.
IMPRESSION :
The MRI features are suggestive of :
1. A lacune within the right lentiform nucleus.
2. Areas of altered signal within the subcortical white matter in the fronto-parietal lobes bilaterally and also within the peri/para-atrial white matter bilaterally as described are not specific for a single etiology (?demyelination, ?? ischemic. If clinically indicated a contrast enhanced scan may be worthwhile).
Name of the Patient : Abc XyzA. Kolmn / F / 14 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since childhood.
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 :
Multiple small areas of hyperintensity on the proton and T2 Weighted images are seen within the subcortical white matter in the fronto-parietal lobes bilaterally and also within the peri/para-atrial white matter bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images.
A well-defined area which is iso to hyperintense to CSF on all the pulse sequences is seen within the right lentiform nucleus and may represent a lacune.
There is mild fullness of the temporal horns of both the lateral ventricles.
The rest of 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.
Inflammatory changes are noted in the right maxillary sinus.
IMPRESSION :
The MRI features are suggestive of :
1. A lacune within the right lentiform nucleus.
2. Areas of altered signal within the subcortical white matter in the fronto-parietal lobes bilaterally and also within the peri/para-atrial white matter bilaterally as described are not specific for a single etiology (?demyelination, ?? ischemic. If clinically indicated a contrast enhanced scan may be worthwhile).
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc XyzAmbardlmn / M / 77 yrs.
Referred by : Dr. Abc Xyzlke.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 10 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 :
The lumbar intervertebral discs show loss of water content.
There is sacralization of the L5 vertebra and it is as marked on the film.
There is mild retroplacement of the L3 over the L4 and L4 over the L5 vertebrae.
Posterior disc herniations with peridiscal osteophytes are seen to indent the thecal sac and narrow both neural foramina at the L3-L4 and L4-L5 levels. Bilateral far lateral (extraforaminal) disc herniations are also noted at these levels.The facet joints at the L4-L5 level show hypertrophic degenerative changes. Ligamentum flavum hypertrophy is also noted at this level with canal stenosis.
A large right postero-lateral (foraminal) disc herniation is noted at the L3-L4 level. Also seen is facetal hypertrophy at this level.
A right far lateral disc herniation with peridiscal osteophytes is noted at the L5-S1 level.
Anterior disc herniations are seen at the L2-L3, L3-L4 and L4-L5 levels.
The lumbar vertebral bodies show fatty areas of replacement of normal marrow. Schmorls nodes are seen in the L3, L4 and L5 vertebrae adjacent to the L3-L4 and L4-L5 discs.
...2/..
- 2 - 00004
The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
16.0 mm at L2-L3
10.0 mm at L3-L4
8.0 mm at L4-L5
7.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra .
2. A posterior disc herniation with peridiscal osteophytes and facetal hypertrophy at L3-L4 level with canal stenosis at this level.
3. Hypertrophic facetal arthropathy with ligamentum flavum hypertrophy
and severe canal stenosis at the L4-L5 level.
4. Bilateral far lateral (extraforaminal) disc herniations at the L3-L4 and L4-L5 levels.
5. A posterior disc herniation with peridiscal osteophytes at the L4-L5 level.
6. A large right postero-lateral disc herniation at the L3-L4 level.
Name of the Patient : Abc XyzAmbardlmn / M / 77 yrs.
Referred by : Dr. Abc Xyzlke.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 10 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 :
The lumbar intervertebral discs show loss of water content.
There is sacralization of the L5 vertebra and it is as marked on the film.
There is mild retroplacement of the L3 over the L4 and L4 over the L5 vertebrae.
Posterior disc herniations with peridiscal osteophytes are seen to indent the thecal sac and narrow both neural foramina at the L3-L4 and L4-L5 levels. Bilateral far lateral (extraforaminal) disc herniations are also noted at these levels.The facet joints at the L4-L5 level show hypertrophic degenerative changes. Ligamentum flavum hypertrophy is also noted at this level with canal stenosis.
A large right postero-lateral (foraminal) disc herniation is noted at the L3-L4 level. Also seen is facetal hypertrophy at this level.
A right far lateral disc herniation with peridiscal osteophytes is noted at the L5-S1 level.
Anterior disc herniations are seen at the L2-L3, L3-L4 and L4-L5 levels.
The lumbar vertebral bodies show fatty areas of replacement of normal marrow. Schmorls nodes are seen in the L3, L4 and L5 vertebrae adjacent to the L3-L4 and L4-L5 discs.
...2/..
- 2 - 00004
The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
16.0 mm at L2-L3
10.0 mm at L3-L4
8.0 mm at L4-L5
7.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra .
2. A posterior disc herniation with peridiscal osteophytes and facetal hypertrophy at L3-L4 level with canal stenosis at this level.
3. Hypertrophic facetal arthropathy with ligamentum flavum hypertrophy
and severe canal stenosis at the L4-L5 level.
4. Bilateral far lateral (extraforaminal) disc herniations at the L3-L4 and L4-L5 levels.
5. A posterior disc herniation with peridiscal osteophytes at the L4-L5 level.
6. A large right postero-lateral disc herniation at the L3-L4 level.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc Xyz. Mlmn / F / 20 yrs.
Referred by : Dr. Abc Xyzh / Dr. Abc Xyzhah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to both shoulders with neck stiffness since 00.00.00. Also C/O numbness around the neck and both shoulders.
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 normal cervical lordotic curve.
The cervical intervertebral discs show mild loss of water content.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of loss of normal cervical lordotic curve.
No other significant abnormality is detected within the cervical spine on this study.
Name of the Patient : Abc Xyz. Mlmn / F / 20 yrs.
Referred by : Dr. Abc Xyzh / Dr. Abc Xyzhah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to both shoulders with neck stiffness since 00.00.00. Also C/O numbness around the neck and both shoulders.
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 normal cervical lordotic curve.
The cervical intervertebral discs show mild loss of water content.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of loss of normal cervical lordotic curve.
No other significant abnormality is detected within the cervical spine on this study.
Published in
MRI Reports
hs/bv
Date : 00.00.00
Name of the Patient : Abc XyzBolmn / M / 36 yrs.
Referred by : Dr. Abc Xyz> Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the upper spine and BLE (on & off) with tingling in BLE since 4 years.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There appears to be sacralization of the L5 vertebra and the L1 vertebra is as marked on the film.
A postero-central disc extrusion, more to the right of the midline is seen to indent the thecal sac at the L4-L5 level. There is mild facetal and ligamentum flavum hypertrophy at this level. Also seen is a left postero-lateral (foraminal) disc protrusion at this level.
A posterior disc bulge is noted at the L2-L3 level.
The L2-L3, L3-L4 and L4-L5 intervertebral discs show loss of water content. Anterior disc herniations are noted at these levels.
The lumbar vertebral bodies and the remaining intervertebral discs show normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
- 2 -
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 :
19.0 mm at L1-L2
18.0 mm at L2-L3
15.0 mm at L3-L4
8.0 mm at L4-L5
9.0 mm at L5-S1.
The cervico-dorsal spine was screened with 4 mm T2 Weighted sagittal images and does not reveal any significant feature of note.
IMPRESSION :
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra.
2. A postero-central disc extrusion, more to the right of the midline with mild facetal and ligamentum flavum hypertrophy at L4-L5 level with canal stenosis at this level.
Date : 00.00.00
Name of the Patient : Abc XyzBolmn / M / 36 yrs.
Referred by : Dr. Abc Xyz> Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the upper spine and BLE (on & off) with tingling in BLE since 4 years.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There appears to be sacralization of the L5 vertebra and the L1 vertebra is as marked on the film.
A postero-central disc extrusion, more to the right of the midline is seen to indent the thecal sac at the L4-L5 level. There is mild facetal and ligamentum flavum hypertrophy at this level. Also seen is a left postero-lateral (foraminal) disc protrusion at this level.
A posterior disc bulge is noted at the L2-L3 level.
The L2-L3, L3-L4 and L4-L5 intervertebral discs show loss of water content. Anterior disc herniations are noted at these levels.
The lumbar vertebral bodies and the remaining intervertebral discs show normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
- 2 -
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 :
19.0 mm at L1-L2
18.0 mm at L2-L3
15.0 mm at L3-L4
8.0 mm at L4-L5
9.0 mm at L5-S1.
The cervico-dorsal spine was screened with 4 mm T2 Weighted sagittal images and does not reveal any significant feature of note.
IMPRESSION :
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra.
2. A postero-central disc extrusion, more to the right of the midline with mild facetal and ligamentum flavum hypertrophy at L4-L5 level with canal stenosis at this level.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 69 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE since 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 :
There is scoliosis of the lumbar spine with convexity to the left with clockwise rotation of the mid-lumbar vertebrae.
There is a decrease in the height of the D12 vertebral body. This vertebra appears hypointense on the T1 Weighted images and turns heterogeneously hyperintense on the T2 Weighted images. Linear hypointensities on all the pulse sequences within it would suggest compressed trabeculae. The D12 vertebral body is wedged anteriorly and is seen to bulge posteriorly with indentation upon the cord. There appears to be a break of the superior and inferior cortical endplates of the D12 vertebra.
A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the L5-S1 level. A left postero-lateral (foraminal) disc herniation is seen to narrow the left neural foramen and impinge the exiting left L5 nerve root at this level. The left L5-S1 facet joint shows hypertrophic degenerative changes. Also seen is a left far lateral (extraforaminal) disc herniation indenting the extraforaminal portion of the exiting left L5 nerve root at this level.
A posterior disc herniation with peridiscal osteophytes, more to the right of the midline is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. A right far lateral (extraforaminal) disc herniation is seen to indent the extraforaminal portion of the exiting right L4 nerve root at the L4-L5 level. The L4-L5 facet joints, bilaterally, show hypertrophic degenerative changes. Also seen is ligamentum flavum hypertrophy at this level.
...2/..
- 2 -
A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the L3-L4 level. A right postero-lateral (foraminal) disc herniation is seen to narrow the right neural foramen at the L3-L4 level. The right facet joint at this level shows hypertrophic degenerative changes.
The lumbar intervertebral discs show loss of water content. Anterior disc herniations are seen at the L3-L4, L4-L5 and L5-S1 levels.
Schmorls node is seen in the L2 vertebra superiorly.
The lumbar vertebral bodies show areas of fatty replacement of normal marrow suggestive of osteoporotic changes. The cervico-dorsal spine was screened with 5 mm thick T1 Weighted sagittal images and the visualized cervico-dorsal vertebral bodies show similar signal changes.
Posteriorly bulging discs are noted at the D9-D10 and D10-D11 levels.
The visualized pre and paravertebral soft tissues are unremarkable. Incidental note is made of a large extrarenal pelvis on the left side.
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 :
15.0 mm at L1-L2
13.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
12.0 mm at L5-S1.
...3/..
- 3 -
IMPRESSION :
The MRI features are suggestive of :
1. Compression fracture of the D12 vertebral body superimposed upon an osteoporotic spine. The possibility of a pathologic fracture seems less likely.
2. Postero-central disc herniations with peridiscal osteophytes at the L3-L4 and L5-S1 levels.
3. A left postero-lateral (foraminal) and left far lateral (extraforaminal) disc herniation at the L5-S1 level.
4. A right postero-lateral (foraminal) disc herniation at the L3-L4 level.
5. A posterior disc herniation with peridiscal osteophytes, more to the right of the midline with bilateral hypertrophic facetal arthropathy and ligamentum flavum hypertrophy with canal stenosis at the L4-L5 level.
6. A right far lateral (extraforaminal) disc herniation at the L4-L5 level.
7. Hypertrophic facetal arthropathy on the left side at the L5-S1 level and on the right side at the L3-L4 level.
Name of the Patient : Abc Xyzlmn / M / 69 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE since 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 :
There is scoliosis of the lumbar spine with convexity to the left with clockwise rotation of the mid-lumbar vertebrae.
There is a decrease in the height of the D12 vertebral body. This vertebra appears hypointense on the T1 Weighted images and turns heterogeneously hyperintense on the T2 Weighted images. Linear hypointensities on all the pulse sequences within it would suggest compressed trabeculae. The D12 vertebral body is wedged anteriorly and is seen to bulge posteriorly with indentation upon the cord. There appears to be a break of the superior and inferior cortical endplates of the D12 vertebra.
A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the L5-S1 level. A left postero-lateral (foraminal) disc herniation is seen to narrow the left neural foramen and impinge the exiting left L5 nerve root at this level. The left L5-S1 facet joint shows hypertrophic degenerative changes. Also seen is a left far lateral (extraforaminal) disc herniation indenting the extraforaminal portion of the exiting left L5 nerve root at this level.
A posterior disc herniation with peridiscal osteophytes, more to the right of the midline is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. A right far lateral (extraforaminal) disc herniation is seen to indent the extraforaminal portion of the exiting right L4 nerve root at the L4-L5 level. The L4-L5 facet joints, bilaterally, show hypertrophic degenerative changes. Also seen is ligamentum flavum hypertrophy at this level.
...2/..
- 2 -
A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the L3-L4 level. A right postero-lateral (foraminal) disc herniation is seen to narrow the right neural foramen at the L3-L4 level. The right facet joint at this level shows hypertrophic degenerative changes.
The lumbar intervertebral discs show loss of water content. Anterior disc herniations are seen at the L3-L4, L4-L5 and L5-S1 levels.
Schmorls node is seen in the L2 vertebra superiorly.
The lumbar vertebral bodies show areas of fatty replacement of normal marrow suggestive of osteoporotic changes. The cervico-dorsal spine was screened with 5 mm thick T1 Weighted sagittal images and the visualized cervico-dorsal vertebral bodies show similar signal changes.
Posteriorly bulging discs are noted at the D9-D10 and D10-D11 levels.
The visualized pre and paravertebral soft tissues are unremarkable. Incidental note is made of a large extrarenal pelvis on the left side.
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 :
15.0 mm at L1-L2
13.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
12.0 mm at L5-S1.
...3/..
- 3 -
IMPRESSION :
The MRI features are suggestive of :
1. Compression fracture of the D12 vertebral body superimposed upon an osteoporotic spine. The possibility of a pathologic fracture seems less likely.
2. Postero-central disc herniations with peridiscal osteophytes at the L3-L4 and L5-S1 levels.
3. A left postero-lateral (foraminal) and left far lateral (extraforaminal) disc herniation at the L5-S1 level.
4. A right postero-lateral (foraminal) disc herniation at the L3-L4 level.
5. A posterior disc herniation with peridiscal osteophytes, more to the right of the midline with bilateral hypertrophic facetal arthropathy and ligamentum flavum hypertrophy with canal stenosis at the L4-L5 level.
6. A right far lateral (extraforaminal) disc herniation at the L4-L5 level.
7. Hypertrophic facetal arthropathy on the left side at the L5-S1 level and on the right side at the L3-L4 level.
Published in
MRI Reports
ke/sb
Date : 00.00.00
Name of the Patient : Abc Xyz Bholmn / F / 36 yrs.
Referred by : Dr. Abc Xyz Sampat.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weakness and wasting of the left arm since 3 years and numbness of the LUE.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
Focal fatty changes are noted in the upper cervical vertebrae with probable hemangioma in the D1 vertebra.
Few cervical intervertebral discs show slight loss of water content.
The remaining cervical vertebral bodies and the rest of the intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical and the visualized upper dorsal spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz Bholmn / F / 36 yrs.
Referred by : Dr. Abc Xyz Sampat.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weakness and wasting of the left arm since 3 years and numbness of the LUE.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
Focal fatty changes are noted in the upper cervical vertebrae with probable hemangioma in the D1 vertebra.
Few cervical intervertebral discs show slight loss of water content.
The remaining cervical vertebral bodies and the rest of the intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical and the visualized upper dorsal spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc XyzB. Slmn / F / 50 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden loss of consciousness.
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 *) coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is seen a fairly large, approximately 5.0 x 6.5 x 4.2 cms sized intermediate signal intensity mass lesion on the T1Weighted images in the right deep temporo-parietal region. This lesion appears heterogeneously hyperintense on the proton, T2 Weighted and Fast Scan (T2 *) images. Focal small, hypointense areas are noted within this lesion on the Fast Scan (T2 *) images. This lesion represents a hyperacute to acute intracerebral hematoma. Fluid level in the occipital horn of the lateral ventricles bilaterally with non-visualization of the fourth ventricle suggests intraventricular extension of the lesion. Peripheral hyperintense signal on the T2 Weighted images represents serum due to clot retraction. There is effacement of the sulcal spaces in the cerebral hemispheres bilaterally with compression of the right lateral and the third ventricle and shift of the midline structures to the left. The cerebellar folia are also effaced with cerebellar tonsilar ectopia. The basal cisternal spaces are also effaced. The lesion is seen to extend into the corona radiata superiorly and into the midbrain on the right inferiorly.
Inflammatory changes are noted in the paranasal sinuses.
IMPRESSION :
An approximately 5.0 x 6.5 x 4.2 cms sized mass lesion in the right deep temporo-parietal region represents a hyperacute to acute intracerebral hematoma. There is resultant significant mass effect with intraventricular extension of the hematoma as described.
Name of the Patient : Abc XyzB. Slmn / F / 50 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden loss of consciousness.
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 *) coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is seen a fairly large, approximately 5.0 x 6.5 x 4.2 cms sized intermediate signal intensity mass lesion on the T1Weighted images in the right deep temporo-parietal region. This lesion appears heterogeneously hyperintense on the proton, T2 Weighted and Fast Scan (T2 *) images. Focal small, hypointense areas are noted within this lesion on the Fast Scan (T2 *) images. This lesion represents a hyperacute to acute intracerebral hematoma. Fluid level in the occipital horn of the lateral ventricles bilaterally with non-visualization of the fourth ventricle suggests intraventricular extension of the lesion. Peripheral hyperintense signal on the T2 Weighted images represents serum due to clot retraction. There is effacement of the sulcal spaces in the cerebral hemispheres bilaterally with compression of the right lateral and the third ventricle and shift of the midline structures to the left. The cerebellar folia are also effaced with cerebellar tonsilar ectopia. The basal cisternal spaces are also effaced. The lesion is seen to extend into the corona radiata superiorly and into the midbrain on the right inferiorly.
Inflammatory changes are noted in the paranasal sinuses.
IMPRESSION :
An approximately 5.0 x 6.5 x 4.2 cms sized mass lesion in the right deep temporo-parietal region represents a hyperacute to acute intracerebral hematoma. There is resultant significant mass effect with intraventricular extension of the hematoma as described.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc Xyzootwlmn / M / 14 yrs.
Referred by : Dr. Abc Xyz. Kapadia.
Examination : M.R.I. of the Left Distal Femur.
CLINICAL PROFILE :
C/O pain above the left knee joint since 1 month.
H/O being hit by a season ball 1 year back.
EXAMINATION :
M.R.I of the left distal femur was performed using the following parameters :
5 mm thick T1 Weighted, proton and GRASS sagittal images.
5 mm thick T1 Weighted and STIR coronal images.
6 mm thick T1 Weighted axial images.
OBSERVATION :
There is a large well-defined mass lesion in the lower one third of the left femur which extends cranially for about 14.5 cms from the left knee joint. There is a clear zone of transition between the lesion and normal marrow. Mixed signal intensity areas are seen in this lesion on the T1 Weighted images which are seen to turn heterogeneously hyperintense on the proton, GRASS and STIR images. There is break in the anterior and posterior cortex with periosteal elevation and spread of the pathology in the adjacent soft tissue. The lesion is predominantly metaphyseal. The epiphysis shows a mottled appearance in the medial and lateral condyle and is hypointense on the T1 Weighted images and turns hyperintense on the proton, STIR and GRASS images suggestive of its involvement.
The left knee joint however appears to be spared.
Effusion is noted within the left knee joint.
The femoral attachment of the anterior and posterior cruciate ligament of the femur is also involved.
IMPRESSION :
The MRI features are suggestive of a mass lesion in the distal metaphysis of the left femur
with its cranio-caudate extension measuring 14.5 cms with involvement of the epiphysis and periosteal extensions as described. This most probably represents an osteogenic sarcoma.
Name of the Patient : Abc Xyzootwlmn / M / 14 yrs.
Referred by : Dr. Abc Xyz. Kapadia.
Examination : M.R.I. of the Left Distal Femur.
CLINICAL PROFILE :
C/O pain above the left knee joint since 1 month.
H/O being hit by a season ball 1 year back.
EXAMINATION :
M.R.I of the left distal femur was performed using the following parameters :
5 mm thick T1 Weighted, proton and GRASS sagittal images.
5 mm thick T1 Weighted and STIR coronal images.
6 mm thick T1 Weighted axial images.
OBSERVATION :
There is a large well-defined mass lesion in the lower one third of the left femur which extends cranially for about 14.5 cms from the left knee joint. There is a clear zone of transition between the lesion and normal marrow. Mixed signal intensity areas are seen in this lesion on the T1 Weighted images which are seen to turn heterogeneously hyperintense on the proton, GRASS and STIR images. There is break in the anterior and posterior cortex with periosteal elevation and spread of the pathology in the adjacent soft tissue. The lesion is predominantly metaphyseal. The epiphysis shows a mottled appearance in the medial and lateral condyle and is hypointense on the T1 Weighted images and turns hyperintense on the proton, STIR and GRASS images suggestive of its involvement.
The left knee joint however appears to be spared.
Effusion is noted within the left knee joint.
The femoral attachment of the anterior and posterior cruciate ligament of the femur is also involved.
IMPRESSION :
The MRI features are suggestive of a mass lesion in the distal metaphysis of the left femur
with its cranio-caudate extension measuring 14.5 cms with involvement of the epiphysis and periosteal extensions as described. This most probably represents an osteogenic sarcoma.
Published in
MRI Reports
More...
sb/ke
A Date : 00.00.00
Name of the Patient : Abc Xyzhand Dlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzampat / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O wasting of the RLE with loss of sensation over the left sole and foot.
Now C/O paresthesias in the left hand.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is slight loss of water content of the L3-L4 and L4-L5 intervertebral discs.
The visualized dorso-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 lower dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1 level.
IMPRESSION :
No significant abnormality is detected on this study.
A Date : 00.00.00
Name of the Patient : Abc Xyzhand Dlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzampat / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O wasting of the RLE with loss of sensation over the left sole and foot.
Now C/O paresthesias in the left hand.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is slight loss of water content of the L3-L4 and L4-L5 intervertebral discs.
The visualized dorso-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 lower dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1 level.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc Xyzhand Dlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzampat / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O wasting of the RLE with loss of sensation over the left sole and foot.
Now C/O paresthesias in the left hand.
EMG shows no evidence of a peripheral nerve or root lesion in the left upper and both lower limbs.
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.
There is a posteriorly herniated disc with peridiscal osteophyte at the C5-C6 level indenting the dural theca anteriorly.
Small posterior disc bulges with posterior peridiscal osteophytes are noted at the C2-C3, C3-C4 and C4-C5 levels.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. A posteriorly herniated disc with peridiscal osteophyte at the C5-C6 level.
2. Small posterior disc bulges with posterior peridiscal osteophytes at the C2-C3, C3-C4 and C4-C5 levels.
Name of the Patient : Abc Xyzhand Dlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzampat / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O wasting of the RLE with loss of sensation over the left sole and foot.
Now C/O paresthesias in the left hand.
EMG shows no evidence of a peripheral nerve or root lesion in the left upper and both lower limbs.
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.
There is a posteriorly herniated disc with peridiscal osteophyte at the C5-C6 level indenting the dural theca anteriorly.
Small posterior disc bulges with posterior peridiscal osteophytes are noted at the C2-C3, C3-C4 and C4-C5 levels.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. A posteriorly herniated disc with peridiscal osteophyte at the C5-C6 level.
2. Small posterior disc bulges with posterior peridiscal osteophytes at the C2-C3, C3-C4 and C4-C5 levels.
Published in
MRI Reports
ke/sb
Date : 00.00.00
Name of the Patient : Abc Xyzl D. Nalmn / F / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fever with chills, headaches, vomiting, dysarthria and gait imbalance since 15 days.
H/O LP done 8 days back followed by loss of vision bilaterally.
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.
After administration of contrast, the following parameters were used :
5 mm thick T1 Weighted axial (with magnetization transfer), sagittal and coronal images.
OBSERVATION :
There is a small hypointense area in the medial aspect of the left temporal lobe on the T1 Weighted images which is seen to remain hypointense on the proton, T2 Weighted and FLAIR images. There is surrounding edema with slight effacement of the adjacent sulci in that region. After administration of contrast, there is rim enhancement of the lesion in the medial aspect of the left medial temporal lobe which measures approximately 2.2 x 1.1 cms.
There is no other area of abnormal enhancement in the brain parenchyma or along the meninges.
There is mild fullness of both the lateral ventricles. The 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 a granulomatous infective lesion in the medial aspect of the left temporal lobe following the signal characteristics of a tuberculoma.
Date : 00.00.00
Name of the Patient : Abc Xyzl D. Nalmn / F / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fever with chills, headaches, vomiting, dysarthria and gait imbalance since 15 days.
H/O LP done 8 days back followed by loss of vision bilaterally.
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.
After administration of contrast, the following parameters were used :
5 mm thick T1 Weighted axial (with magnetization transfer), sagittal and coronal images.
OBSERVATION :
There is a small hypointense area in the medial aspect of the left temporal lobe on the T1 Weighted images which is seen to remain hypointense on the proton, T2 Weighted and FLAIR images. There is surrounding edema with slight effacement of the adjacent sulci in that region. After administration of contrast, there is rim enhancement of the lesion in the medial aspect of the left medial temporal lobe which measures approximately 2.2 x 1.1 cms.
There is no other area of abnormal enhancement in the brain parenchyma or along the meninges.
There is mild fullness of both the lateral ventricles. The 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 a granulomatous infective lesion in the medial aspect of the left temporal lobe following the signal characteristics of a tuberculoma.
Published in
MRI Reports
ke/sb
Date : 00.00.00
Name of the Patient : Abc Xyzrprasad Sultlmn / M / 52 yrs.
Referred by : Dr. Abc Xyzatanpal.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the RUE with paresthesias since October 0000.
Detected to have tuberculous spine in December in 0000. On AKT since then.
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 partial collapse of the C5 vertebral body with loss of normal curvature of the cervical spine.
There is replacement of the normal marrow of the C5 vertebral body by hypointense areas on the T1 Weighted images which are seen to turn heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images. There is pre and paravertebral soft tissue extension over the C4 and C5 levels. There is posterior bulging of the C5 vertebral body with an anterior epidural lesion which is of intermediate signal intensity on the T1 Weighted images and turns heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images. There is compression upon the spinal cord at the C4-C5 level which shows a subtle hyperintense signal on the Fast Scan (T2 *) images (isointense to normal cord on the T1 Weighted images). There is breach in the superior cortex of the C5 vertebra with involvement of the C4 vertebral body in its inferior aspect as well as the C4-C5 intervertebral disc.
The cervical intervertebral discs show loss of water content.
..2/..
- 2 -
The C2 and C3 vertebral bodies show diffuse fatty changes. The rest of the cervical vertebral bodies show normal signal intensity. The joints of Luschka are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Altered signal is also noted in the D1, D2 and D3 vertebral bodies.
The rest of the dorsal spine was screened with 5 mm thick T1 Weighted sagittal images and does not reveal any diagnostic feature of note.
IMPRESSION :
The MRI features are suggestive of partial collapse of the C5 vertebral body with altered signal in the C4, C5, D1, D2 and D3 vertebrae with involvement of the pre and paravertebral soft tissues and cord signal alteration at the C4-C5 level as described. This is most probably due to granulomatous infective process like tuberculosis.
The possibility of this being a neoplastic process or metastasis cannot be entirely ruled out.
Date : 00.00.00
Name of the Patient : Abc Xyzrprasad Sultlmn / M / 52 yrs.
Referred by : Dr. Abc Xyzatanpal.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the RUE with paresthesias since October 0000.
Detected to have tuberculous spine in December in 0000. On AKT since then.
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 partial collapse of the C5 vertebral body with loss of normal curvature of the cervical spine.
There is replacement of the normal marrow of the C5 vertebral body by hypointense areas on the T1 Weighted images which are seen to turn heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images. There is pre and paravertebral soft tissue extension over the C4 and C5 levels. There is posterior bulging of the C5 vertebral body with an anterior epidural lesion which is of intermediate signal intensity on the T1 Weighted images and turns heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images. There is compression upon the spinal cord at the C4-C5 level which shows a subtle hyperintense signal on the Fast Scan (T2 *) images (isointense to normal cord on the T1 Weighted images). There is breach in the superior cortex of the C5 vertebra with involvement of the C4 vertebral body in its inferior aspect as well as the C4-C5 intervertebral disc.
The cervical intervertebral discs show loss of water content.
..2/..
- 2 -
The C2 and C3 vertebral bodies show diffuse fatty changes. The rest of the cervical vertebral bodies show normal signal intensity. The joints of Luschka are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Altered signal is also noted in the D1, D2 and D3 vertebral bodies.
The rest of the dorsal spine was screened with 5 mm thick T1 Weighted sagittal images and does not reveal any diagnostic feature of note.
IMPRESSION :
The MRI features are suggestive of partial collapse of the C5 vertebral body with altered signal in the C4, C5, D1, D2 and D3 vertebrae with involvement of the pre and paravertebral soft tissues and cord signal alteration at the C4-C5 level as described. This is most probably due to granulomatous infective process like tuberculosis.
The possibility of this being a neoplastic process or metastasis cannot be entirely ruled out.
Published in
MRI Reports