MRI Reports (3472)
MRI Reports Database
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzla Slmn / F / 26 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LUE and LLE with paresthesias in the LLE since 35 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 :
The L3-L4, L4-L5 and L5-S1 facet joints show degenerative changes with hypertrophic changes at the L4-L5 level.
Posterior disc bulges are noted at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The remaining 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 :
18.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
Facetal arthropathy at the L3-L4, L4-L5 and L5-S1 and hypertrophic changes at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyzla Slmn / F / 26 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LUE and LLE with paresthesias in the LLE since 35 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 :
The L3-L4, L4-L5 and L5-S1 facet joints show degenerative changes with hypertrophic changes at the L4-L5 level.
Posterior disc bulges are noted at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The remaining 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 :
18.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
Facetal arthropathy at the L3-L4, L4-L5 and L5-S1 and hypertrophic changes at the L4-L5 level.
Published in
MRI Reports
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzav S. Ralmn / M / 4 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
Alleged H/O fall from a cycle on 00.00.00 with pain in the right hip and a limp since then.
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 and T2 Weighted axial images.
5 mm thick Proton density sagittal images.
OBSERVATION :
There is a subtle alteration (hypointensity) in the signal of the right epiphysis on the T1 Weighted images which appears isointense on the T2 Weighted and STIR images.
There are small hypointense areas within the epiphysis of the right femoral head superiorly and medially (se/im:104/6, 7) which are seen to remain hypointense on the T2 Weighted and STIR images. These are located peripherally within the epiphysis.
Minimal fluid is seen within the right hip joint.
The left femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within the left hip joint.
The musculature surrounding both the hip joints and the visualized pelvis is normal.
IMPRESSION :
Subtle alteration in the signal of the right epiphysis with foci of altered signal within the epiphysis is suggestive of early Legg - Calve - Perthes disease.
Date : 00.00.00
Name of the Patient : Abc Xyzav S. Ralmn / M / 4 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
Alleged H/O fall from a cycle on 00.00.00 with pain in the right hip and a limp since then.
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 and T2 Weighted axial images.
5 mm thick Proton density sagittal images.
OBSERVATION :
There is a subtle alteration (hypointensity) in the signal of the right epiphysis on the T1 Weighted images which appears isointense on the T2 Weighted and STIR images.
There are small hypointense areas within the epiphysis of the right femoral head superiorly and medially (se/im:104/6, 7) which are seen to remain hypointense on the T2 Weighted and STIR images. These are located peripherally within the epiphysis.
Minimal fluid is seen within the right hip joint.
The left femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within the left hip joint.
The musculature surrounding both the hip joints and the visualized pelvis is normal.
IMPRESSION :
Subtle alteration in the signal of the right epiphysis with foci of altered signal within the epiphysis is suggestive of early Legg - Calve - Perthes disease.
Published in
MRI Reports
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzKarguplmn / F / 70 yrs.
Referred by : Dr. Abc XyzSheth.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O left sided hemiparesis 4 years back from which patient has recovered.
Now C/O memory lapses especially for recent events.
Known diabetic.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
There is a hyperintense area on the T2 Weighted images in the right temporo-occipital region. This is hypointense to white matter on the T1 Weighted images. This represents an area of cystic encephalomalacia. There is ex-vacuo dilatation of the occipital horn of the right lateral ventricle.
Hyperintense areas on the T2 Weighted images in the fronto-parietal and periatrial white matter are prohably ischemic in etiology. Lacunes are seen in the thalamus and lentiform nucleus on the right side.
There is mild fullness of both the lateral and third ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The fourth ventricle is normal.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
The vertebro-basilar system is ectatic.
..2/.
There is narrowing of the supraclinoid segment of the left internal carotid artery.
There is flow signal attenuation within the right posterior cerebral artery.
The petrous and cavernous segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral and basilar, left vertebral and left posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
The right vertebral artery is smaller in calibre as compared to the opposite side and shows streaky flow.
NECK MRA :
The right vertebral artery is smaller in calibre as compared to the opposite side and shows streaky flow.
The common carotid arteries and their extracranial branches appear normal bilaterally.
IMPRESSION :
1. An area of cystic encephalomalacia in the right temporo-occipital region.
2. Altered signal in the fronto-parietal and parietal white matter is most probably ischemic in etiology.
3. Narrowing of the supraclinoid portion of the right internal carotid artery and flow signal attenuation within the right posterior cerebral artery.
4. The right vertebral artery is smaller in calibre as compared to the opposite side and shows streaky flow.
Date : 00.00.00
Name of the Patient : Abc XyzKarguplmn / F / 70 yrs.
Referred by : Dr. Abc XyzSheth.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O left sided hemiparesis 4 years back from which patient has recovered.
Now C/O memory lapses especially for recent events.
Known diabetic.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
There is a hyperintense area on the T2 Weighted images in the right temporo-occipital region. This is hypointense to white matter on the T1 Weighted images. This represents an area of cystic encephalomalacia. There is ex-vacuo dilatation of the occipital horn of the right lateral ventricle.
Hyperintense areas on the T2 Weighted images in the fronto-parietal and periatrial white matter are prohably ischemic in etiology. Lacunes are seen in the thalamus and lentiform nucleus on the right side.
There is mild fullness of both the lateral and third ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The fourth ventricle is normal.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
The vertebro-basilar system is ectatic.
..2/.
There is narrowing of the supraclinoid segment of the left internal carotid artery.
There is flow signal attenuation within the right posterior cerebral artery.
The petrous and cavernous segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral and basilar, left vertebral and left posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
The right vertebral artery is smaller in calibre as compared to the opposite side and shows streaky flow.
NECK MRA :
The right vertebral artery is smaller in calibre as compared to the opposite side and shows streaky flow.
The common carotid arteries and their extracranial branches appear normal bilaterally.
IMPRESSION :
1. An area of cystic encephalomalacia in the right temporo-occipital region.
2. Altered signal in the fronto-parietal and parietal white matter is most probably ischemic in etiology.
3. Narrowing of the supraclinoid portion of the right internal carotid artery and flow signal attenuation within the right posterior cerebral artery.
4. The right vertebral artery is smaller in calibre as compared to the opposite side and shows streaky flow.
Published in
MRI Reports
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzS. Slmn / F / 25 yrs.
Referred by : Dr. Abc Xyzzare.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided hemiparesis since 2 days with 1 episode of vomiting and dysarthria and drooping of the right eye since 1 day.
H/O similar complaints 4 years back from which patient recovered.
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 hypointense areas on the T1 Weighted images within the right cerebellar hemisphere involving the superior and inferior vermis, right middle cerebellar peduncle, the midbrain on the right side and the right thalamus. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images and represent recent infarcts.
An ill-defined hypointense area is seen on the T1 Weighted images in the right temporo-occipital region which is seen to follow CSF intensity characteristics. Hyperintense areas at the periphery of this lesion on the proton, T2 Weighted and FLAIR images which are isointense to the white matter on the T1 Weighted images and represent areas of gliosis. This lesion would represent an area of cystic encephalomalacia. Similar smaller lesion is noted in the left cerebellar hemisphere and left occipital lobe with volume loss and prominence of the cerebellar folia and sulcal spaces respectively.
A lacunar infarct is noted in the pons on the right side.
There is mild fullness of both the lateral and fourth ventricles. The third 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 :
1. Recent infarcts within the right cerebellar hemisphere involving the superior and inferior vermis, right middle cerebellar peduncle, the midbrain on the right side and the right thalamus in the distribution of the posterior circulation.
2. An area of cystic encephalomalacia in both temporo-occipital regions and in the left cerebellar hemisphere.
3. A lacunar infarct in the pons on the right side.
Date : 00.00.00
Name of the Patient : Abc XyzS. Slmn / F / 25 yrs.
Referred by : Dr. Abc Xyzzare.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided hemiparesis since 2 days with 1 episode of vomiting and dysarthria and drooping of the right eye since 1 day.
H/O similar complaints 4 years back from which patient recovered.
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 hypointense areas on the T1 Weighted images within the right cerebellar hemisphere involving the superior and inferior vermis, right middle cerebellar peduncle, the midbrain on the right side and the right thalamus. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images and represent recent infarcts.
An ill-defined hypointense area is seen on the T1 Weighted images in the right temporo-occipital region which is seen to follow CSF intensity characteristics. Hyperintense areas at the periphery of this lesion on the proton, T2 Weighted and FLAIR images which are isointense to the white matter on the T1 Weighted images and represent areas of gliosis. This lesion would represent an area of cystic encephalomalacia. Similar smaller lesion is noted in the left cerebellar hemisphere and left occipital lobe with volume loss and prominence of the cerebellar folia and sulcal spaces respectively.
A lacunar infarct is noted in the pons on the right side.
There is mild fullness of both the lateral and fourth ventricles. The third 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 :
1. Recent infarcts within the right cerebellar hemisphere involving the superior and inferior vermis, right middle cerebellar peduncle, the midbrain on the right side and the right thalamus in the distribution of the posterior circulation.
2. An area of cystic encephalomalacia in both temporo-occipital regions and in the left cerebellar hemisphere.
3. A lacunar infarct in the pons on the right side.
Published in
MRI Reports
ke/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzit Maheshlmn / M / 16 yrs.
Referred by : Dr. Abc Xyzi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O ALL. Diagnosed in July 0000. Received chemotherapy and radiotherapy. Completed treatment in 0000.
For follow-up.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is mild fullness of both the lateral (right more than left) and fourth ventricles.
The third 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.
Incidental note is made of left maxillary sinusitis.
IMPRESSION :
Mild fullness of both the lateral (right more than left) and fourth ventricles.
Date : 00.00.00
Name of the Patient : Abc Xyzit Maheshlmn / M / 16 yrs.
Referred by : Dr. Abc Xyzi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O ALL. Diagnosed in July 0000. Received chemotherapy and radiotherapy. Completed treatment in 0000.
For follow-up.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is mild fullness of both the lateral (right more than left) and fourth ventricles.
The third 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.
Incidental note is made of left maxillary sinusitis.
IMPRESSION :
Mild fullness of both the lateral (right more than left) and fourth ventricles.
Published in
MRI Reports
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 25 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE since 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 :
There appears to be sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film. Please correlate with plain radiographs.
There is replacement of the normal marrow of the L4 and L5 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The L5-S1 intervertebral disc is involved by the pathology. There is pre and paravertebral soft tissue extension over the L4 to the S1 vertebral levels. This is hypointense with a hyperintense periphery on the T1 Weighted images and turns hyperintense with a hypointense periphery on the T2 Weighted images and would represent an abscess. There is encroachment into the L4-L5 neural foramina bilaterally with encasement of the exiting L4 nerve roots. Minimal anterior epidural extension is noted at the L4 and L4-L5 levels with indentation upon the thecal sac.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
IMPRESSION :
The MRI features are suggestive of :
1. A pathologic process involving the L4 and L5 vertebral bodies with pre and paravertebral soft tissue extension over the L4 to the S1 vertebral levels as described. This most probably represents a granulomatous infective process like tuberculosis.
The possibility of this being a neoplastic process like a round cell tumor seems less likely.
2. Probable sacralization of the L5 vertebra. Please correlate with plain radiographs.
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 25 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE since 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 :
There appears to be sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film. Please correlate with plain radiographs.
There is replacement of the normal marrow of the L4 and L5 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The L5-S1 intervertebral disc is involved by the pathology. There is pre and paravertebral soft tissue extension over the L4 to the S1 vertebral levels. This is hypointense with a hyperintense periphery on the T1 Weighted images and turns hyperintense with a hypointense periphery on the T2 Weighted images and would represent an abscess. There is encroachment into the L4-L5 neural foramina bilaterally with encasement of the exiting L4 nerve roots. Minimal anterior epidural extension is noted at the L4 and L4-L5 levels with indentation upon the thecal sac.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
IMPRESSION :
The MRI features are suggestive of :
1. A pathologic process involving the L4 and L5 vertebral bodies with pre and paravertebral soft tissue extension over the L4 to the S1 vertebral levels as described. This most probably represents a granulomatous infective process like tuberculosis.
The possibility of this being a neoplastic process like a round cell tumor seems less likely.
2. Probable sacralization of the L5 vertebra. Please correlate with plain radiographs.
Published in
MRI Reports
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Mazgaolmn / F / 38 yrs.
Referred by : Dr. Abc Xyzhatt.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever, loose motions and vomiting since 1 month.
C/O sudden onset of disorientation since 1 day.
Patient is HIV +ve.
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 hypointense areas on the T1 Weighted images in the right frontal region, left lentiform nucleus, right paraventricular region, left temporal region, thalamus and both parietal regions. These are seen to remain hypointense on the proton, T2 Weighted and FLAIR images. There is surrounding edema with mass effect and effacement of the adjacent sulci. Edema is also seen to encroach into the anterior limb and the genu of the internal capsule bilaterally. There is compression upon the frontal horn and body of the left lateral ventricle with shift of the midline structures to the left.
There is slight prominence of the cerebellar folia bilaterally.
The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
Incidental note is made of inflammatory changes in the sphenoid sinus.
IMPRESSION :
The MRI features are suggestive of altered signal in the right frontal region, left lentiform nucleus, right paraventricular region, left temporal region, in the posterior high parietal region bilaterally and the left thalamus with mass effect and edema and these may represent a granulomatous infective process like tuberculosis/toxoplasmosis.
Date : 00.00.00
Name of the Patient : Abc Xyz Mazgaolmn / F / 38 yrs.
Referred by : Dr. Abc Xyzhatt.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever, loose motions and vomiting since 1 month.
C/O sudden onset of disorientation since 1 day.
Patient is HIV +ve.
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 hypointense areas on the T1 Weighted images in the right frontal region, left lentiform nucleus, right paraventricular region, left temporal region, thalamus and both parietal regions. These are seen to remain hypointense on the proton, T2 Weighted and FLAIR images. There is surrounding edema with mass effect and effacement of the adjacent sulci. Edema is also seen to encroach into the anterior limb and the genu of the internal capsule bilaterally. There is compression upon the frontal horn and body of the left lateral ventricle with shift of the midline structures to the left.
There is slight prominence of the cerebellar folia bilaterally.
The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
Incidental note is made of inflammatory changes in the sphenoid sinus.
IMPRESSION :
The MRI features are suggestive of altered signal in the right frontal region, left lentiform nucleus, right paraventricular region, left temporal region, in the posterior high parietal region bilaterally and the left thalamus with mass effect and edema and these may represent a granulomatous infective process like tuberculosis/toxoplasmosis.
Published in
MRI Reports
ke/hs/nl/nl
/593 Date : 00.00.00
Name of the Patient : Abc XyzBhlmn / M / 72 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O gait ataxia, giddiness and heaviness of head since 1 year.
H/O similar complaints 8-9 years ago.
Known hypertensive.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
A wedge shaped area which is isointense to CSF is seen in the right cerebellar hemisphere and would represent a lacunar infarct.
There are lacunar infarcts (isointense to CSF on all the pulse sequences) in the left cerebellar hemisphere, pons and bilateral cerberal peduncles and corona radiata.
There is slight fullness of both the lateral, third and fourth ventricles. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are slightly prominent. There is no shift of the midline structures.
Incidental note is made of bilateral maxillary polyps and inflammatory changes in the posterior ethmoidal air cells on the right side.
Scan-00001/593
INTRACRANIAL MRA :
There is narrowing of the proximal portion of the M1 segment of the left middle cerebral artery. Also seen is slight narrowing of the proximal portion of the A2 segment of the right anterior cerebral artery.
A short segment over which the normal flow is not seen is noted within the basilar artery just prior to its bifurcation. There is flow attenuation of the distal posterior cerebral arteries bilaterally.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, right middle cerebral and vertebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
The MRA features are suggestive of :
1. An old infarct within the right cerebellar hemisphere.
2. Lacunar infarcts in the left cerebellar hemisphere, pons and bilateral cerberal peduncles and corona radiata.
..3/.
- 3 - Scan-00001/593
3. Cerebral and cerebellar atrophy.
4. Narrowing of the proximal portion of the M1 segment of the left middle cerebral artery and slight narrowing of the proximal portion of the A2 segment of the right anterior cerebral artery.
5. Marked flow signal attenuation within the basilar artery just prior to its bifurcation.
6. Flow signal attenuation of the distal posterior cerebral arteries bilaterally.
/593 Date : 00.00.00
Name of the Patient : Abc XyzBhlmn / M / 72 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O gait ataxia, giddiness and heaviness of head since 1 year.
H/O similar complaints 8-9 years ago.
Known hypertensive.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
A wedge shaped area which is isointense to CSF is seen in the right cerebellar hemisphere and would represent a lacunar infarct.
There are lacunar infarcts (isointense to CSF on all the pulse sequences) in the left cerebellar hemisphere, pons and bilateral cerberal peduncles and corona radiata.
There is slight fullness of both the lateral, third and fourth ventricles. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are slightly prominent. There is no shift of the midline structures.
Incidental note is made of bilateral maxillary polyps and inflammatory changes in the posterior ethmoidal air cells on the right side.
Scan-00001/593
INTRACRANIAL MRA :
There is narrowing of the proximal portion of the M1 segment of the left middle cerebral artery. Also seen is slight narrowing of the proximal portion of the A2 segment of the right anterior cerebral artery.
A short segment over which the normal flow is not seen is noted within the basilar artery just prior to its bifurcation. There is flow attenuation of the distal posterior cerebral arteries bilaterally.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, right middle cerebral and vertebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
The MRA features are suggestive of :
1. An old infarct within the right cerebellar hemisphere.
2. Lacunar infarcts in the left cerebellar hemisphere, pons and bilateral cerberal peduncles and corona radiata.
..3/.
- 3 - Scan-00001/593
3. Cerebral and cerebellar atrophy.
4. Narrowing of the proximal portion of the M1 segment of the left middle cerebral artery and slight narrowing of the proximal portion of the A2 segment of the right anterior cerebral artery.
5. Marked flow signal attenuation within the basilar artery just prior to its bifurcation.
6. Flow signal attenuation of the distal posterior cerebral arteries bilaterally.
Published in
MRI Reports
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz. lmn / M / 43 yrs.
Referred by : Dr. Abc Xyzmtora.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with numbness since 4 months.
H/O laminectomy and discectomy at the L4-L5 and L3-L4 levels in 0000 and 0000. (Details not available).
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebral body and the L2 vertebra is as marked on the film.
The L3-L4 and L4-L5 intervertebral discs show loss of water content.
Post-operative changes are noted in the posterior soft tissues over the L3 to S1 levels with laminectomy of the L4 and L5 vertebral bodies and partial laminectomy of the L3 vertebra.
Small posterior disc herniations with peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.
An intermediate signal intensity is seen in the lateral recesses of the L5 vertebra on the T1 Weighted images and is heterogeneously hyperintense on the T2 Weighted images and may represent scar tissue. There is resultant indentation upon the traversing S1 nerve roots (scans 104.8, 106.5, 6).
The facet joints at the L4-L5 and L3-L4 levels show hypertrophic changes.
The intrathecal nerve roots at the L4-L5 and L5 levels appear slightly thick and would represent Group I arachnoiditis.
The nerve roots at the L2 and L2-L3 levels appear clumped centrally and is suggestive of Group III arachnoiditis.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the L5 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
12.0 mm at L2-L3
9.0 mm at L3-L4
11.0 mm at L4-L5
IMPRESSION :
1. Post-operative changes.
..3/.
- 3 - Scan-00000
2. Sacralization of the L5 vertebral body.
3. Small posterior disc herniations with peridiscal osteophytes at the L3-L4 and L4-L5 levels.
4. Scar tissue in the lateral recesses of the L5 vertebra bilaterally with resultant indentation upon the traversing S1 nerve roots.
5. Group I arachnoiditis at the L4-L5 and L5 levels and Group III arachnoiditis at the L2 and L2-L3 levels.
6. Hypertrophy of the facet joints atthe L3-L4 and L4-L5 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz. lmn / M / 43 yrs.
Referred by : Dr. Abc Xyzmtora.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with numbness since 4 months.
H/O laminectomy and discectomy at the L4-L5 and L3-L4 levels in 0000 and 0000. (Details not available).
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebral body and the L2 vertebra is as marked on the film.
The L3-L4 and L4-L5 intervertebral discs show loss of water content.
Post-operative changes are noted in the posterior soft tissues over the L3 to S1 levels with laminectomy of the L4 and L5 vertebral bodies and partial laminectomy of the L3 vertebra.
Small posterior disc herniations with peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.
An intermediate signal intensity is seen in the lateral recesses of the L5 vertebra on the T1 Weighted images and is heterogeneously hyperintense on the T2 Weighted images and may represent scar tissue. There is resultant indentation upon the traversing S1 nerve roots (scans 104.8, 106.5, 6).
The facet joints at the L4-L5 and L3-L4 levels show hypertrophic changes.
The intrathecal nerve roots at the L4-L5 and L5 levels appear slightly thick and would represent Group I arachnoiditis.
The nerve roots at the L2 and L2-L3 levels appear clumped centrally and is suggestive of Group III arachnoiditis.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the L5 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
12.0 mm at L2-L3
9.0 mm at L3-L4
11.0 mm at L4-L5
IMPRESSION :
1. Post-operative changes.
..3/.
- 3 - Scan-00000
2. Sacralization of the L5 vertebral body.
3. Small posterior disc herniations with peridiscal osteophytes at the L3-L4 and L4-L5 levels.
4. Scar tissue in the lateral recesses of the L5 vertebra bilaterally with resultant indentation upon the traversing S1 nerve roots.
5. Group I arachnoiditis at the L4-L5 and L5 levels and Group III arachnoiditis at the L2 and L2-L3 levels.
6. Hypertrophy of the facet joints atthe L3-L4 and L4-L5 levels.
Published in
MRI Reports
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Ahmed lmn / M / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O single episode of seizures 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 through the region of interest.
After administration of contrast the following parameters were used :
3 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted axial images with magnetization transfer.
4 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are small well circumscribed hypointense lesions (probably two) in the left frontal region on the T1 Weighted images. These are seen to turn hyperintense on the proton and T2 Weighted images. There is surrounding edema. After administration of contrast, there are two ring enhancing lesions in the left frontal region (se/im:108/17). There appears to be an eccentrically placed enhancing nodule in one of the lesions and this may represent a scolex (se/im:107/8 to 109/8).
There is no other area of abnormal enhancement within the brain parenchyma or along the meninges. There is suspicious well circumscribed rim enhancing lesion within the right temporalis muscle (se/im:107/14).
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.
Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells.
IMPRESSION :
The MRI features are suggestive of a granulomatous lesions in the left frontal region following the signal characteristics of cysticerci in the colloid vesicular stage. (These are less likely to represent tuberculomas).
Date : 00.00.00
Name of the Patient : Abc Xyz Ahmed lmn / M / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O single episode of seizures 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 through the region of interest.
After administration of contrast the following parameters were used :
3 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted axial images with magnetization transfer.
4 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are small well circumscribed hypointense lesions (probably two) in the left frontal region on the T1 Weighted images. These are seen to turn hyperintense on the proton and T2 Weighted images. There is surrounding edema. After administration of contrast, there are two ring enhancing lesions in the left frontal region (se/im:108/17). There appears to be an eccentrically placed enhancing nodule in one of the lesions and this may represent a scolex (se/im:107/8 to 109/8).
There is no other area of abnormal enhancement within the brain parenchyma or along the meninges. There is suspicious well circumscribed rim enhancing lesion within the right temporalis muscle (se/im:107/14).
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.
Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells.
IMPRESSION :
The MRI features are suggestive of a granulomatous lesions in the left frontal region following the signal characteristics of cysticerci in the colloid vesicular stage. (These are less likely to represent tuberculomas).
Published in
MRI Reports
More...
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzkar Salgaolmn / M / 68 yrs.
Referred by : Dr. Abc Xyzgankar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait ataxia since 1 day with forgetfulness.
Known hypertensive/diabetic.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons, periventricular and fronto-parietal deep white matter. These are isointense to the white matter on the T1 Weighted images and are ischemic in etiology.
There is mild dilatation of the ventricular system.
Minimal turbulence is seen in the superior portion of the fourth ventricle, aqueduct and third ventricle.
There is slight prominence of the cerebellar folia bilaterally.
The seventh and eighth cranial nerve complex is unremarkable bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic.
Incidental note is made of bilateral maxillary polyps and inflammatory changes are seen in the ethmoidal air cells.
IMPRESSION :
1. Altered signal in the pons, periventricular and fronto-parietal deep white matter are ischemic in etiology.
2. Cerebellar atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyzkar Salgaolmn / M / 68 yrs.
Referred by : Dr. Abc Xyzgankar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait ataxia since 1 day with forgetfulness.
Known hypertensive/diabetic.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons, periventricular and fronto-parietal deep white matter. These are isointense to the white matter on the T1 Weighted images and are ischemic in etiology.
There is mild dilatation of the ventricular system.
Minimal turbulence is seen in the superior portion of the fourth ventricle, aqueduct and third ventricle.
There is slight prominence of the cerebellar folia bilaterally.
The seventh and eighth cranial nerve complex is unremarkable bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic.
Incidental note is made of bilateral maxillary polyps and inflammatory changes are seen in the ethmoidal air cells.
IMPRESSION :
1. Altered signal in the pons, periventricular and fronto-parietal deep white matter are ischemic in etiology.
2. Cerebellar atrophy.
Published in
MRI Reports
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 24 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to LUE/LLE more than RUE/RLE with paresthesias in the LUE and LLE.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is replacement of the normal marrow of the left occipital condyle, both the lateral masses of the atlas, the C2 vertebra including the odontoid process by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images. There is pre and paravertebral (retropharyngeal) soft tissue extension from the level of the foramen magnum predominantly on the left side till the C4-C5 level. There is indentation upon the left postero-lateral aspect of the nasopharynx. This pathology is also seen to extend in between the odontoid process and the lateral mass of atlas bilaterally. Anterior epidural extension is seen from the level of the clivus upto the C2-C3 level. There is mild indentation upon the anterior aspect of the spinal cord upto the C1 and C2 levels. The
left vertebral artery appears to be partially encased by the pathology. However it shows normal flow void signal on all the pulse sequences. Slight indentation upon the right C1 and C2 nerve roots is noted. This lesion is slightly hyperintense to muscle on the T1 Weighted images and turns hyperintense on the Fast Scan (T2 *) images and would represent abscess formation.
The C2-C3 disc shows loss of water content.
The rest of the cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka are unremarkable.
Centimetre and subcentimetre lymph nodes are identified deep to the sternomastoid muscles bilaterally.
The cervical spinal cord reveals normal signal intensity.
IMPRESSION :
The MRI features are suggestive of altered signal in the left occipital condyle, both the lateral masses of the atlas, the C2 vertebra including the odontoid process with soft tissue involvement as described is mot probably due to a granulomatous infective process like tuberculosis.
The possibility of a neoplastic process like a round cell tumor seems less likely.
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 24 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to LUE/LLE more than RUE/RLE with paresthesias in the LUE and LLE.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is replacement of the normal marrow of the left occipital condyle, both the lateral masses of the atlas, the C2 vertebra including the odontoid process by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images. There is pre and paravertebral (retropharyngeal) soft tissue extension from the level of the foramen magnum predominantly on the left side till the C4-C5 level. There is indentation upon the left postero-lateral aspect of the nasopharynx. This pathology is also seen to extend in between the odontoid process and the lateral mass of atlas bilaterally. Anterior epidural extension is seen from the level of the clivus upto the C2-C3 level. There is mild indentation upon the anterior aspect of the spinal cord upto the C1 and C2 levels. The
left vertebral artery appears to be partially encased by the pathology. However it shows normal flow void signal on all the pulse sequences. Slight indentation upon the right C1 and C2 nerve roots is noted. This lesion is slightly hyperintense to muscle on the T1 Weighted images and turns hyperintense on the Fast Scan (T2 *) images and would represent abscess formation.
The C2-C3 disc shows loss of water content.
The rest of the cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka are unremarkable.
Centimetre and subcentimetre lymph nodes are identified deep to the sternomastoid muscles bilaterally.
The cervical spinal cord reveals normal signal intensity.
IMPRESSION :
The MRI features are suggestive of altered signal in the left occipital condyle, both the lateral masses of the atlas, the C2 vertebra including the odontoid process with soft tissue involvement as described is mot probably due to a granulomatous infective process like tuberculosis.
The possibility of a neoplastic process like a round cell tumor seems less likely.
Published in
MRI Reports
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 14 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O 2 episodes of left sided seizures on 00.00.00.
Alleged H/O being hit by a bench on the back of the head prior to this.
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 in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
There is asymmetric prominence of the right lateral ventricle in relation to the left, which may be a normal variant. Note is made of a mega cisterna magna.
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.
Incidental note is made of bilaterally maxillary sinusitis and inflammatory changes in the sphenoid sinus and enlarged adenoids.
IMPRESSION :
No significant abnormality is detected within the brain on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 14 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O 2 episodes of left sided seizures on 00.00.00.
Alleged H/O being hit by a bench on the back of the head prior to this.
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 in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
There is asymmetric prominence of the right lateral ventricle in relation to the left, which may be a normal variant. Note is made of a mega cisterna magna.
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.
Incidental note is made of bilaterally maxillary sinusitis and inflammatory changes in the sphenoid sinus and enlarged adenoids.
IMPRESSION :
No significant abnormality is detected within the brain on this study.
Published in
MRI Reports
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzanoo Shalmn / F / 40 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 5 years.
C/O radicular pain to the LLE with paresthesias 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 :
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
There is a small postero-central disc herniation at the L5-S1 level with anterior indentation of the thecal sac. A left far lateral disc bulge is also noted at this level.
A small posterior and a left far lateral disc bulge is seen at the L4-L5 level with anterior indentation of the thecal sac.
The L2-L3, L3-L4, L4-L5 and L5-S1 facet joints show mild degenerative changes.
Type II degenerative changes are noted in the antero-superior aspect of the L3, L4 and L5 vertebral bodies. Anterior peridiscal osteophytes are seen in the lower lumbar region.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
20.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. A small postero-central disc herniation at the L5-S1 level.
2. A small posterior and a left far lateral disc bulge at the L4-L5 level.
3. Mild facetal arthropathy at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzanoo Shalmn / F / 40 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 5 years.
C/O radicular pain to the LLE with paresthesias 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 :
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
There is a small postero-central disc herniation at the L5-S1 level with anterior indentation of the thecal sac. A left far lateral disc bulge is also noted at this level.
A small posterior and a left far lateral disc bulge is seen at the L4-L5 level with anterior indentation of the thecal sac.
The L2-L3, L3-L4, L4-L5 and L5-S1 facet joints show mild degenerative changes.
Type II degenerative changes are noted in the antero-superior aspect of the L3, L4 and L5 vertebral bodies. Anterior peridiscal osteophytes are seen in the lower lumbar region.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
20.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. A small postero-central disc herniation at the L5-S1 level.
2. A small posterior and a left far lateral disc bulge at the L4-L5 level.
3. Mild facetal arthropathy at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
Published in
MRI Reports