MRI Reports (3472)
MRI Reports Database
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzta Ganglmn / F / 35 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches since 1 month.
H/O seizures since 13-14 years. On Eptoin since 0000.
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 T2 Weighted coronal images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
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.
The sphenoid sinus appears partially pneumatized.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyzta Ganglmn / F / 35 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches since 1 month.
H/O seizures since 13-14 years. On Eptoin since 0000.
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 T2 Weighted coronal images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
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.
The sphenoid sinus appears partially pneumatized.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc XyzGhelmn / F / 20 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Cervical Spine.
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 :
The cervical vertebral bodies and the intervertebral discs 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.
A left paratracheal lymph node measuring approximately 1.0 cm in size is identified. Smaller subcentimeter lymph nodes are identified deep to the sternomastoid muscles.
IMPRESSION :
Normal study of the Cervical spine.
Name of the Patient : Abc XyzGhelmn / F / 20 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Cervical Spine.
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 :
The cervical vertebral bodies and the intervertebral discs 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.
A left paratracheal lymph node measuring approximately 1.0 cm in size is identified. Smaller subcentimeter lymph nodes are identified deep to the sternomastoid muscles.
IMPRESSION :
Normal study of the Cervical spine.
Published in
MRI Reports
hs/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzLimboowlmn / F / 80 yrs.
Referred by : Dr. Abc Xyzwalla.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with numbness in both soles.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a posterior disc bulge with small peridiscal osteophytes indenting the thecal sac and narrowing both neural foramina at the L4-L5 level.
Bilateral far lateral (extraforaminal) disc herniations are seen at the L4-L5 and L5-S1 levels with indentation upon the extraforaminal portion of the exiting L5 nerve roots at the L5-S1 level.
Bilateral postero-lateral (foraminal) disc herniations with peridiscal osteophytes are seen to narrow both neural foramina at the L5-S1 level.
Small postero-lateral (foraminal) and far lateral (extraforaminal) disc bulges are noted at the L3-L4 level. Small far lateral (extraforaminal) disc bulges are also seen at the L2-L3 level.
The L4-L5 and L5-S1 facet joints show hypertrophic degenerative changes. Ligamentum flavum hypertrophy is noted at these levels. The L1-L2, L2-L3 and L3-L4 facet joints show degenerative changes.
..2/.
The lumbar intervertebral discs reveal loss of water content. Type II degenerative changes are seen within the lumbar vertebral bodies. There is slight atrophy of the paraspinal muscles.
The visualized pre and paravertebral soft tissues are unremarkable.
The dorsal spine was screened with 5 mm thick T2 Weighted sagittal images and shows a slight exaggeration of the normal kyphotic curve. The visualized dorsal spine shows mild degenerative changes.
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 :
17.0 mm at L1-L2
18.0 mm at L2-L3
12.0 mm at L3-L4
15.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A posterior disc bulge with small peridiscal
osteophytes at the L4-L5 level.
2. Bilateral far lateral (extraforaminal) disc
herniations at the L4-L5 and L5-S1 levels.
..3/.
- 3 - Scan-00004
3. Bilateral postero-lateral disc herniations with
peridiscal osteophytes at the L5-S1 level.
4. Hypertrophic facetal arthropathy and ligamentum flavum
hypertrophy with a tight canal at the L4-L5 and L5-S1
levels.
5. Facetal arthropathy at the L1-L2, L2-L3 and L3-L4
levels.
Date : 00.00.00
Name of the Patient : Abc XyzLimboowlmn / F / 80 yrs.
Referred by : Dr. Abc Xyzwalla.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with numbness in both soles.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a posterior disc bulge with small peridiscal osteophytes indenting the thecal sac and narrowing both neural foramina at the L4-L5 level.
Bilateral far lateral (extraforaminal) disc herniations are seen at the L4-L5 and L5-S1 levels with indentation upon the extraforaminal portion of the exiting L5 nerve roots at the L5-S1 level.
Bilateral postero-lateral (foraminal) disc herniations with peridiscal osteophytes are seen to narrow both neural foramina at the L5-S1 level.
Small postero-lateral (foraminal) and far lateral (extraforaminal) disc bulges are noted at the L3-L4 level. Small far lateral (extraforaminal) disc bulges are also seen at the L2-L3 level.
The L4-L5 and L5-S1 facet joints show hypertrophic degenerative changes. Ligamentum flavum hypertrophy is noted at these levels. The L1-L2, L2-L3 and L3-L4 facet joints show degenerative changes.
..2/.
The lumbar intervertebral discs reveal loss of water content. Type II degenerative changes are seen within the lumbar vertebral bodies. There is slight atrophy of the paraspinal muscles.
The visualized pre and paravertebral soft tissues are unremarkable.
The dorsal spine was screened with 5 mm thick T2 Weighted sagittal images and shows a slight exaggeration of the normal kyphotic curve. The visualized dorsal spine shows mild degenerative changes.
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 :
17.0 mm at L1-L2
18.0 mm at L2-L3
12.0 mm at L3-L4
15.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A posterior disc bulge with small peridiscal
osteophytes at the L4-L5 level.
2. Bilateral far lateral (extraforaminal) disc
herniations at the L4-L5 and L5-S1 levels.
..3/.
- 3 - Scan-00004
3. Bilateral postero-lateral disc herniations with
peridiscal osteophytes at the L5-S1 level.
4. Hypertrophic facetal arthropathy and ligamentum flavum
hypertrophy with a tight canal at the L4-L5 and L5-S1
levels.
5. Facetal arthropathy at the L1-L2, L2-L3 and L3-L4
levels.
Published in
MRI Reports
bv/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzti Mlmn / F / 58 yrs.
Referred by : Dr. Abc Xyzman.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered behaviour with slurred speech on 00.00.00 from which patient recovered within 2 days.
H/O fever 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.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is prominence of the cerebral cortical sulcal spaces, the cerebellar folia and the basal cisternal spaces bilaterally. There is mild fullness of the third and both the lateral ventricles.
The fourth ventricle is normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of ethmoidal, sphenoidal and frontal sinusitis.
Susceptibility artifacts as a result of fixed metallic dentures is seen on all the images close to the base of the skull but is most marked on the T1 Weighted axial images.
IMPRESSION :
Age related cerebral and cerebellar atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyzti Mlmn / F / 58 yrs.
Referred by : Dr. Abc Xyzman.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered behaviour with slurred speech on 00.00.00 from which patient recovered within 2 days.
H/O fever 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.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is prominence of the cerebral cortical sulcal spaces, the cerebellar folia and the basal cisternal spaces bilaterally. There is mild fullness of the third and both the lateral ventricles.
The fourth ventricle is normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of ethmoidal, sphenoidal and frontal sinusitis.
Susceptibility artifacts as a result of fixed metallic dentures is seen on all the images close to the base of the skull but is most marked on the T1 Weighted axial images.
IMPRESSION :
Age related cerebral and cerebellar atrophy.
Published in
MRI Reports
hs/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyznath Shlmn / M / 75 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O occasional tinnitus in both ears with hearing loss.
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.
MR cisternogram was obtained in the coronal plane.
OBSERVATION :
There is evidence of an area of hyperintensity on the proton, T2 Weighted and FLAIR images within the left occipital lobe. There is prominence of the adjacent cortical sulci and this lesion would represent gliotic changes (scans 105.1, 102.9, 104.9).
A focus which is near isointense to CSF on all the pulse sequences is seen within the head of the right caudate nucleus and would represent a lacune.
The tip of the odontoid process is oriented more posteriorly.
There is mild fullness of the ventricular system. Also seen is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The seventh and eighth cranial nerve complex on either side are unremarkable.
Scan-00002
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 seen in a few mastoid air cells bilaterally.
IMPRESSION :
1. Areas of signal alteration within the left occipital lobe which most likely represent gliotic changes.
2. A lacune within the head of the right caudate nucleus.
Date : 00.00.00
Name of the Patient : Abc Xyznath Shlmn / M / 75 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O occasional tinnitus in both ears with hearing loss.
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.
MR cisternogram was obtained in the coronal plane.
OBSERVATION :
There is evidence of an area of hyperintensity on the proton, T2 Weighted and FLAIR images within the left occipital lobe. There is prominence of the adjacent cortical sulci and this lesion would represent gliotic changes (scans 105.1, 102.9, 104.9).
A focus which is near isointense to CSF on all the pulse sequences is seen within the head of the right caudate nucleus and would represent a lacune.
The tip of the odontoid process is oriented more posteriorly.
There is mild fullness of the ventricular system. Also seen is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The seventh and eighth cranial nerve complex on either side are unremarkable.
Scan-00002
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 seen in a few mastoid air cells bilaterally.
IMPRESSION :
1. Areas of signal alteration within the left occipital lobe which most likely represent gliotic changes.
2. A lacune within the head of the right caudate nucleus.
Published in
MRI Reports
sb/hs/rg.
s Date : 00.00.00
Name of the Patient : Abc Xyzndas Milmn / M / 58 yrs.
Referred by : Dr. Abc Xyzla.
Examination : M.R.I. of the Spine.
CLINICAL PROFILE :
H/O being operated for multicentric intracranial malignant ependymoma on 00.00.00.
No complaints at present.
To see leptomeningeal spread.
EXAMINATION :
The spinal axis was screened, for leptomeningeal metastasis as requested, using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images through the cervical spine.
5 mm thick T1 Weighted and T2 Weighted sagittal images though the dorsal and lumbar spines.
5 mm thick Fast Scan (T2 *) axial images through the cervico-dorsal region.
OBSERVATION :
There is slight loss of water content of the intervertebral discs in the spinal axis.
There is a postero-central protruded disc with peridiscal osteophytes at the L4-L5 level. Slight facetal and ligamentum flavum hypertrophy is noted at this level with a tight canal at that level.
Postero-central disc herniations with peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels. A small postero-central disc herniation with peridiscal osteophytes is seen at the C4-C5 level.
The visualized cervico-dorso-lumbar vertebral bodies reveal normal signal intensity.
The visualized cervico-dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the D12-L1 level and thecal sac terminates at the S1 level.
IMPRESSION :
1. A small postero-central protruded disc with peridiscal osteophytes at the L4-L5 level with slight facetal and ligamentum flavum hypertrophy and a tight canal at that level.
2. Postero-central disc herniations with peridiscal osteophytes at the C5-C6 and C6-C7 levels.
3. A small postero-central disc herniation with peridiscal osteophytes at the C4-C5 level.
If leptomeningeal metastasis is to be definitely excluded, a contrast enhanced scan is indicated.
s Date : 00.00.00
Name of the Patient : Abc Xyzndas Milmn / M / 58 yrs.
Referred by : Dr. Abc Xyzla.
Examination : M.R.I. of the Spine.
CLINICAL PROFILE :
H/O being operated for multicentric intracranial malignant ependymoma on 00.00.00.
No complaints at present.
To see leptomeningeal spread.
EXAMINATION :
The spinal axis was screened, for leptomeningeal metastasis as requested, using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images through the cervical spine.
5 mm thick T1 Weighted and T2 Weighted sagittal images though the dorsal and lumbar spines.
5 mm thick Fast Scan (T2 *) axial images through the cervico-dorsal region.
OBSERVATION :
There is slight loss of water content of the intervertebral discs in the spinal axis.
There is a postero-central protruded disc with peridiscal osteophytes at the L4-L5 level. Slight facetal and ligamentum flavum hypertrophy is noted at this level with a tight canal at that level.
Postero-central disc herniations with peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels. A small postero-central disc herniation with peridiscal osteophytes is seen at the C4-C5 level.
The visualized cervico-dorso-lumbar vertebral bodies reveal normal signal intensity.
The visualized cervico-dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the D12-L1 level and thecal sac terminates at the S1 level.
IMPRESSION :
1. A small postero-central protruded disc with peridiscal osteophytes at the L4-L5 level with slight facetal and ligamentum flavum hypertrophy and a tight canal at that level.
2. Postero-central disc herniations with peridiscal osteophytes at the C5-C6 and C6-C7 levels.
3. A small postero-central disc herniation with peridiscal osteophytes at the C4-C5 level.
If leptomeningeal metastasis is to be definitely excluded, a contrast enhanced scan is indicated.
Published in
MRI Reports
sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzaslmn / F / 53 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzsrani.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache and chest pain (on the left side) since 15 days.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
8 & 6 mm thick T1 Weighted and T2 Weighted axial images, respectively.
The cervical and lumbar spines were screened with 4 mm thick T1 Weighted sagittal images.
OBSERVATION :
The visualized vertebrae of the spinal axis show spotty fatty marrow changes suggesting osteoporosis. The dorsal intervertebral discs show slight loss of water content.
Slight ligamentum flavum prominence is noted at the D10-D11 level on the left (scans 105.4 & 104.3).
The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1 level.
IMPRESSION :
Altered signal of the visualized vertebrae of the spinal axis suggests osteoporosis.
No other significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzaslmn / F / 53 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzsrani.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache and chest pain (on the left side) since 15 days.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
8 & 6 mm thick T1 Weighted and T2 Weighted axial images, respectively.
The cervical and lumbar spines were screened with 4 mm thick T1 Weighted sagittal images.
OBSERVATION :
The visualized vertebrae of the spinal axis show spotty fatty marrow changes suggesting osteoporosis. The dorsal intervertebral discs show slight loss of water content.
Slight ligamentum flavum prominence is noted at the D10-D11 level on the left (scans 105.4 & 104.3).
The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1 level.
IMPRESSION :
Altered signal of the visualized vertebrae of the spinal axis suggests osteoporosis.
No other significant abnormality is detected on this study.
Published in
MRI Reports
hs/sb/rg.
S Date : 00.00.00
Name of the Patient : Abc Xyzka B. Gajlmn / F / 42 yrs.
Referred by : Dr. Abc Xyz Gupta.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE with slight paresthesias 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 slight anti-clockwise rotation of the lumbar vertebrae.
A large postero-central disc extrusion is seen to indent the thecal sac at the L5-S1 level. A disc portion is seen to lie within the anterior epidural space and the left lateral recess of the S1 vertebra with resultant impingement of the traversing left S1 nerve root.
A left paracentral disc herniation is seen to indent the thecal sac at the L2-L3 level whereas one on the right side is seen to do the same at the L3-L4 level.
A mild posterior disc bulge is evident at the L4-L5 level.
The right L5-S1 facet joint shows degenerative changes.
The lumbar intervertebral discs except at the L4-L5 level show loss of water content.
..2/.
R>
A lesion which is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images is seen within the sacral prevertebral region. This most likely represents a cystic lesion (? ovarian, ? fluid fluid level) and requires further evaluation.
The lumbar vertebral bodies reveal normal signal intensity.
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 :
16.0 mm at L1-L2
15.0 mm at L2-L3
12.0 mm at L3-L4
12.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc extrusion with canal stenosis at the L5-S1 level with a disc portion
seen to lie within the anterior epidural space and the left lateral recess of the S1 vertebra.
2 A left paracentral disc herniation at the L2-L3 level.
3. A right paracentral disc herniation at the L3-L4 level.
4. Facetal arthropathy at the L5-S1 level on the right side.
5. A cystic lesion within the sacral prevertebral region,
which requires further evaluation.
S Date : 00.00.00
Name of the Patient : Abc Xyzka B. Gajlmn / F / 42 yrs.
Referred by : Dr. Abc Xyz Gupta.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE with slight paresthesias 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 slight anti-clockwise rotation of the lumbar vertebrae.
A large postero-central disc extrusion is seen to indent the thecal sac at the L5-S1 level. A disc portion is seen to lie within the anterior epidural space and the left lateral recess of the S1 vertebra with resultant impingement of the traversing left S1 nerve root.
A left paracentral disc herniation is seen to indent the thecal sac at the L2-L3 level whereas one on the right side is seen to do the same at the L3-L4 level.
A mild posterior disc bulge is evident at the L4-L5 level.
The right L5-S1 facet joint shows degenerative changes.
The lumbar intervertebral discs except at the L4-L5 level show loss of water content.
..2/.
R>
A lesion which is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images is seen within the sacral prevertebral region. This most likely represents a cystic lesion (? ovarian, ? fluid fluid level) and requires further evaluation.
The lumbar vertebral bodies reveal normal signal intensity.
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 :
16.0 mm at L1-L2
15.0 mm at L2-L3
12.0 mm at L3-L4
12.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc extrusion with canal stenosis at the L5-S1 level with a disc portion
seen to lie within the anterior epidural space and the left lateral recess of the S1 vertebra.
2 A left paracentral disc herniation at the L2-L3 level.
3. A right paracentral disc herniation at the L3-L4 level.
4. Facetal arthropathy at the L5-S1 level on the right side.
5. A cystic lesion within the sacral prevertebral region,
which requires further evaluation.
Published in
MRI Reports
sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzjadevi Slmn / F / 70 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE with progressive weakness of BLE (left more than right) since 1 year.
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 T2 Weighted axial images.
3 mm thick T1 Weighted coronal images.
OBSERVATION :
There is seen a well-marginated, approximately 1.2 x 0.7 x 2.7 cms sized intradural extramedullary mass lesion in the spinal canal at the D10 and D11 vertebral levels. This lesion is of intermediate signal on the T1 Weighted images and appears hypointense (with few hyperintense areas within it) on the T2 Weighted images. The lesion is anterior to the dorsal spinal cord at that level with resultant cord compression. The dorsal spinal cord at these levels shows a hyperintense signal on the T2 Weighted images, suggesting cord edema/ischemia.
Slight ligamentum flavum hypertrophy is noted at the D9, D10 and D11-D12 levels.
The visualized dorso-lumbar intervertebral discs show loss of water content.
R>
The visualized dorso-lumbar vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level.
T1 Weighted sagittal images of the lumbar spine reveal Grade I spondylolisthesis of the L5 over the S1 vertebra and small postero-central protruded discs in the lumbar region.
IMPRESSION :
A well-marginated, approximately 1.2 x 0.7 x 2.7 cms sized intradural extramedullary mass lesion in the spinal canal, anterior to the spinal cord at the D10 and D11 vertebral levels as described is not specific for a single etiology. This most likely represents a meningioma. A nerve sheath tumor may be considered as a differential diagnosis though less likely. The possibility of an infective etiology is also less likely.
There is resultant cord compression and cord signal alteration
suggesting cord edema/ischemia at these levels.
Date : 00.00.00
Name of the Patient : Abc Xyzjadevi Slmn / F / 70 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE with progressive weakness of BLE (left more than right) since 1 year.
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 T2 Weighted axial images.
3 mm thick T1 Weighted coronal images.
OBSERVATION :
There is seen a well-marginated, approximately 1.2 x 0.7 x 2.7 cms sized intradural extramedullary mass lesion in the spinal canal at the D10 and D11 vertebral levels. This lesion is of intermediate signal on the T1 Weighted images and appears hypointense (with few hyperintense areas within it) on the T2 Weighted images. The lesion is anterior to the dorsal spinal cord at that level with resultant cord compression. The dorsal spinal cord at these levels shows a hyperintense signal on the T2 Weighted images, suggesting cord edema/ischemia.
Slight ligamentum flavum hypertrophy is noted at the D9, D10 and D11-D12 levels.
The visualized dorso-lumbar intervertebral discs show loss of water content.
R>
The visualized dorso-lumbar vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level.
T1 Weighted sagittal images of the lumbar spine reveal Grade I spondylolisthesis of the L5 over the S1 vertebra and small postero-central protruded discs in the lumbar region.
IMPRESSION :
A well-marginated, approximately 1.2 x 0.7 x 2.7 cms sized intradural extramedullary mass lesion in the spinal canal, anterior to the spinal cord at the D10 and D11 vertebral levels as described is not specific for a single etiology. This most likely represents a meningioma. A nerve sheath tumor may be considered as a differential diagnosis though less likely. The possibility of an infective etiology is also less likely.
There is resultant cord compression and cord signal alteration
suggesting cord edema/ischemia at these levels.
Published in
MRI Reports
sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzr Plmn / M / 70 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE with paresthesias and weakness.
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 an ill-defined, hypointense signal on the T1 Weighted images in the L2 and L3 vertebral bodies and pedicles. This signal appears hyperintense on the T2 Weighted images. The cortical endplates adjacent to the L2-L3 intervertebral disc appear irregular with involvement of the L2-L3 intervertebral disc. Similar altered signal is also noted in the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc, more to the right of the midline. The L4-L5 and L5-S1 intervertebral discs appear more hyperintense (when compared to normal) on the T2 Weighted images.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the prevertebral and paravertebral regions at the L2 and L3 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. Similar signal intensity soft tissue lesion is noted in the psoas muscles on either side at the L2 to L5 vertebral levels, in the anterior and left lateral epidural space at L2 level and in the anterior and right lateral epidural space at the L5 and S1 vertebral levels. A probable ..2/.
intradural component is noted at the L5 and S1 levels. Encasement of the left L2 nerve root in the left neural foramen at the L2-L3 level and the L5 nerve roots, bilaterally, at the L5 vertebral level is noted. Altered signal is also noted in the posterior paraspinal soft tissues at the L4 and L5 levels.
Posterior disc herniations are seen at the L4-L5 and D12-L1 levels.
Posterior disc bulges with posterior peridiscal osteophytes are noted at the L2-L3 and L3-L4 levels.
A postero-central protruded disc is noted at the L1-L2 level.
Bilateral far lateral (extraforaminal) disc bulges are seen at the L3-L4 and L4-L5 levels.
Facetal hypertrophy is noted at the L4-L5 and L5-S1 levels.
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 :
15.0 mm at L1-L2
8.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
12.0 mm at L5-S1.
Screening, T1 Weighted sagittal images of the dorsal spine, reveal an ill-defined hypointense signal in the D10 vertebral body.
Incidentally noted is a parenchymal cyst in the right kidney.
..3/.
- 3 - Scan-00007
IMPRESSION :
Altered signal in the L2, L3, L4 and L5 vertebrae and the L2-L3, L4-L5 and L5-S1 intervertebral discs, most likely represents osteitis with discitis, probably tuberculous in etiology. Prevertebral, paravertebral and epidural soft tissue lesion at these levels as described may represent granulation tissue/abscess. Encasement of the traversing and exiting nerve roots is as described above. The possibility of these changes representing a neoplasm seems less likely.
Date : 00.00.00
Name of the Patient : Abc Xyzr Plmn / M / 70 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE with paresthesias and weakness.
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 an ill-defined, hypointense signal on the T1 Weighted images in the L2 and L3 vertebral bodies and pedicles. This signal appears hyperintense on the T2 Weighted images. The cortical endplates adjacent to the L2-L3 intervertebral disc appear irregular with involvement of the L2-L3 intervertebral disc. Similar altered signal is also noted in the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc, more to the right of the midline. The L4-L5 and L5-S1 intervertebral discs appear more hyperintense (when compared to normal) on the T2 Weighted images.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the prevertebral and paravertebral regions at the L2 and L3 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. Similar signal intensity soft tissue lesion is noted in the psoas muscles on either side at the L2 to L5 vertebral levels, in the anterior and left lateral epidural space at L2 level and in the anterior and right lateral epidural space at the L5 and S1 vertebral levels. A probable ..2/.
intradural component is noted at the L5 and S1 levels. Encasement of the left L2 nerve root in the left neural foramen at the L2-L3 level and the L5 nerve roots, bilaterally, at the L5 vertebral level is noted. Altered signal is also noted in the posterior paraspinal soft tissues at the L4 and L5 levels.
Posterior disc herniations are seen at the L4-L5 and D12-L1 levels.
Posterior disc bulges with posterior peridiscal osteophytes are noted at the L2-L3 and L3-L4 levels.
A postero-central protruded disc is noted at the L1-L2 level.
Bilateral far lateral (extraforaminal) disc bulges are seen at the L3-L4 and L4-L5 levels.
Facetal hypertrophy is noted at the L4-L5 and L5-S1 levels.
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 :
15.0 mm at L1-L2
8.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
12.0 mm at L5-S1.
Screening, T1 Weighted sagittal images of the dorsal spine, reveal an ill-defined hypointense signal in the D10 vertebral body.
Incidentally noted is a parenchymal cyst in the right kidney.
..3/.
- 3 - Scan-00007
IMPRESSION :
Altered signal in the L2, L3, L4 and L5 vertebrae and the L2-L3, L4-L5 and L5-S1 intervertebral discs, most likely represents osteitis with discitis, probably tuberculous in etiology. Prevertebral, paravertebral and epidural soft tissue lesion at these levels as described may represent granulation tissue/abscess. Encasement of the traversing and exiting nerve roots is as described above. The possibility of these changes representing a neoplasm seems less likely.
Published in
MRI Reports
More...
sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc XyzPalmn / M / 36 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE with paresthesias since 1 month.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L5-S1 intervertebral disc.
There is a fairly large postero-central and right paracentral disc herniation at the L5-S1 level with right neural foraminal narrowing. A sequestered disc fragment is noted in the right lateral recess of S1 with impingement of the traversing right S1 nerve root. The L5-S1 facet joints show degenerative changes.
A small posterior disc bulge is noted at the L4-L5 level.
A probable conjoint neve root is seen on the left side at the L5-S1 and S1 levels.
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.
..2/.
R>
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
A fairly large postero-central and right paracentral disc herniation at the L5-S1 level with a sequestered disc fragment in the right lateral recess of S1 impinging the
traversing right S1 nerve root.
Date : 00.00.00
Name of the Patient : Abc XyzPalmn / M / 36 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE with paresthesias since 1 month.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L5-S1 intervertebral disc.
There is a fairly large postero-central and right paracentral disc herniation at the L5-S1 level with right neural foraminal narrowing. A sequestered disc fragment is noted in the right lateral recess of S1 with impingement of the traversing right S1 nerve root. The L5-S1 facet joints show degenerative changes.
A small posterior disc bulge is noted at the L4-L5 level.
A probable conjoint neve root is seen on the left side at the L5-S1 and S1 levels.
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.
..2/.
R>
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
A fairly large postero-central and right paracentral disc herniation at the L5-S1 level with a sequestered disc fragment in the right lateral recess of S1 impinging the
traversing right S1 nerve root.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc XyzM. Hlmn / F / 70 yrs.
Referred by : Dr. Abc Xyzmani.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is suggestion of sacralization of L5 vertebra and is as marked on the film.
There is posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac. The L4-L5 facet joints show gross hypertrophic degenerative changes with resultant effusion. There is indentation upon the left L5 nerve root.
Small posterior disc bulges are seen at the L3-L4 and the L5-S1 levels.
The lumbar intervertebral discs except for the L5-S1 show loss of water content.
A hemangioma with fatty content is seen in the L1 vertebral body on the right side and in the D12 vertebral body on the left side.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
9.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Sacralization of L5 vertebra and which is as marked on the film.
2. A posterior disc herniation at the L4-L5 level with gross hypertrophic facetal arthropathy and resultant effusion at this level.
Name of the Patient : Abc XyzM. Hlmn / F / 70 yrs.
Referred by : Dr. Abc Xyzmani.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is suggestion of sacralization of L5 vertebra and is as marked on the film.
There is posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac. The L4-L5 facet joints show gross hypertrophic degenerative changes with resultant effusion. There is indentation upon the left L5 nerve root.
Small posterior disc bulges are seen at the L3-L4 and the L5-S1 levels.
The lumbar intervertebral discs except for the L5-S1 show loss of water content.
A hemangioma with fatty content is seen in the L1 vertebral body on the right side and in the D12 vertebral body on the left side.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
9.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Sacralization of L5 vertebra and which is as marked on the film.
2. A posterior disc herniation at the L4-L5 level with gross hypertrophic facetal arthropathy and resultant effusion at this level.
Published in
MRI Reports
ke/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzesh Shlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 1 1/2 years.
H/O bus accident and injury to head 5 years back.
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 a very small, approximately 4.0 mm diameter sized hypointense lesion, more pronounced on the proton and T2 Weighted images in the left frontal, subcortical white matter (scans 103.17, 102.17, 105.17). This lesion also appears hypointense on the T1 Weighted images. Perilesional white matter hyperintense signal on the T2 Weighted images may represent gliotic changes.
The hippocampal complex on either side is unremarkable.
Slight fullness of the temporal horn of the right lateral ventricle is a normal variant.
The left lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of a Thorn waldts cyst.
IMPRESSION :
A 4.0 mm diameter sized hypointense lesion on all the pulse sequences in the left frontal, subcortical white matter, most likely represents a calcified granuloma with perilesional gliotic changes.
Date : 00.00.00
Name of the Patient : Abc Xyzesh Shlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 1 1/2 years.
H/O bus accident and injury to head 5 years back.
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 a very small, approximately 4.0 mm diameter sized hypointense lesion, more pronounced on the proton and T2 Weighted images in the left frontal, subcortical white matter (scans 103.17, 102.17, 105.17). This lesion also appears hypointense on the T1 Weighted images. Perilesional white matter hyperintense signal on the T2 Weighted images may represent gliotic changes.
The hippocampal complex on either side is unremarkable.
Slight fullness of the temporal horn of the right lateral ventricle is a normal variant.
The left lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of a Thorn waldts cyst.
IMPRESSION :
A 4.0 mm diameter sized hypointense lesion on all the pulse sequences in the left frontal, subcortical white matter, most likely represents a calcified granuloma with perilesional gliotic changes.
Published in
MRI Reports
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzBalilmn / M / 70 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with numbness in BLE since 1 year.
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 except L1-L2 disc show loss of water content.
There is a postero-central disc herniation with peridiscal osteophytes at the L5-S1 level and anterior indentation of the thecal sac. Bilateral far lateral (extraforaminal) disc bulges are also noted at this level, right more than left with indentation upon the extraforaminal portion of the L5 nerve roots. There is ligamentum flavum hypertrophy with mild facetal hypertrophy at this level.
A posterior and left postero-lateral (foraminal) disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and left neural foraminal narrowing. The L4-L5 facet joints bilaterally show degenerative changes. Mild ligamentum flavum hypertrophy is seen at the L5 level.
A left paracentral disc herniation is seen at the L3-L4 level with antero-lateral indentation of the thecal sac and mild left neural foraminal narrowing.
..2/.
Small posterior peridiscal osteophytes are noted at the L2-L3 level. The L2-L3 intervertebral disc appears reduced in height.
The L2-L3 and L3-L4 facet joints show hypertrophic degenerative changes.
Anterior disc herniations are seen at the L2-L3, L3-L4 and L5-S1 levels.
Type II degenerative changes are seen in L2 and L3 vertebral bodies adjacent to the L2-L3 intervertebral disc anteriorly.
The rest of the lumbar vertebral bodies and the L1-L2 intervertebral disc reveals normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
14.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A postero-central disc herniation with peridiscal osteophytes at the L5-S1 level with ligamentum flavum hypertrophy and mild facetal hypertrophy at this level.
..3/.
- 3 - Scan-00001
2. A posterior and left postero-lateral disc herniation at the L4-L5 level with facetal arthropathy bilaterally.
3. A left paracentral disc herniation at the L3-L4 level with small posterior peridiscal osteophytes.
4. Hypertrophic facetal arthropathy at the L2-L3 and L3-L4 levels.
5. Tight lumbar canal at the L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc XyzBalilmn / M / 70 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with numbness in BLE since 1 year.
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 except L1-L2 disc show loss of water content.
There is a postero-central disc herniation with peridiscal osteophytes at the L5-S1 level and anterior indentation of the thecal sac. Bilateral far lateral (extraforaminal) disc bulges are also noted at this level, right more than left with indentation upon the extraforaminal portion of the L5 nerve roots. There is ligamentum flavum hypertrophy with mild facetal hypertrophy at this level.
A posterior and left postero-lateral (foraminal) disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and left neural foraminal narrowing. The L4-L5 facet joints bilaterally show degenerative changes. Mild ligamentum flavum hypertrophy is seen at the L5 level.
A left paracentral disc herniation is seen at the L3-L4 level with antero-lateral indentation of the thecal sac and mild left neural foraminal narrowing.
..2/.
Small posterior peridiscal osteophytes are noted at the L2-L3 level. The L2-L3 intervertebral disc appears reduced in height.
The L2-L3 and L3-L4 facet joints show hypertrophic degenerative changes.
Anterior disc herniations are seen at the L2-L3, L3-L4 and L5-S1 levels.
Type II degenerative changes are seen in L2 and L3 vertebral bodies adjacent to the L2-L3 intervertebral disc anteriorly.
The rest of the lumbar vertebral bodies and the L1-L2 intervertebral disc reveals normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
14.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A postero-central disc herniation with peridiscal osteophytes at the L5-S1 level with ligamentum flavum hypertrophy and mild facetal hypertrophy at this level.
..3/.
- 3 - Scan-00001
2. A posterior and left postero-lateral disc herniation at the L4-L5 level with facetal arthropathy bilaterally.
3. A left paracentral disc herniation at the L3-L4 level with small posterior peridiscal osteophytes.
4. Hypertrophic facetal arthropathy at the L2-L3 and L3-L4 levels.
5. Tight lumbar canal at the L4-L5 and L5-S1 levels.
Published in
MRI Reports