MRI Reports (3472)
MRI Reports Database
sb/hs/nl/rg.
s Date : 00.00.00
Name of the Patient : Abc Xyzit lmn / F / 47 yrs.
Referred by : Dr. Abc Xyznghal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE since 6 months.
Alleged H/O fall.
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 normal lumbar lordosis and loss of water content of the L2-L3, L4-L5 and L5-S1 intervertebral discs.
The L4-L5 intervertebral disc is reduced in height.
Type II degenerative marrow changes are noted adjacent to the L4-L5 intervertebral disc.
There is a small, left paracentral disc herniation at the L5-S1 level with minimal indentation on the traversing left S1 nerve root.
There is a left paracentral and left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with left neural foraminal narrowing and indentation on the traversing left L5 nerve root. Slight facetal hypertrophy is noted at the L4-L5 level.
Far lateral (extraforaminal) disc bulges are seen bilaterally at the L4-L5 level and on the left side at the L2-L3 and L3-L4 levels.
..2/.
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 :
15.0 mm at L1-L2
15.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. A small, left paracentral disc herniation at the L5-S1 level with minimal indentation on the traversing left S1 nerve root.
2. A left paracentral and left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with indentation on the traversing left L5 nerve root.
s Date : 00.00.00
Name of the Patient : Abc Xyzit lmn / F / 47 yrs.
Referred by : Dr. Abc Xyznghal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE since 6 months.
Alleged H/O fall.
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 normal lumbar lordosis and loss of water content of the L2-L3, L4-L5 and L5-S1 intervertebral discs.
The L4-L5 intervertebral disc is reduced in height.
Type II degenerative marrow changes are noted adjacent to the L4-L5 intervertebral disc.
There is a small, left paracentral disc herniation at the L5-S1 level with minimal indentation on the traversing left S1 nerve root.
There is a left paracentral and left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with left neural foraminal narrowing and indentation on the traversing left L5 nerve root. Slight facetal hypertrophy is noted at the L4-L5 level.
Far lateral (extraforaminal) disc bulges are seen bilaterally at the L4-L5 level and on the left side at the L2-L3 and L3-L4 levels.
..2/.
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 :
15.0 mm at L1-L2
15.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. A small, left paracentral disc herniation at the L5-S1 level with minimal indentation on the traversing left S1 nerve root.
2. A left paracentral and left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with indentation on the traversing left L5 nerve root.
Published in
MRI Reports
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzi Kolmn / F / 72 yrs.
Referred by : Dr. Abc Xyz Mehta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O drowsiness since 4-5 days.
Known hypertensive.
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 and Fast Scan (T2 *) coronal images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the right lentiform nucleus, left thalamus and the frontal periventricular deep white matter. These are isointense to white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.
Lacunar infarct is noted in the right corona radiata (scan 102.14, 103.14, 104.14) .
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. Slight prominence of the cerebral cortical sulci is noted. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Metallic susceptibility artifacts are noted as a result of dentures.
IMPRESSION :
1. Altered signal in the right lentiform nucleus, left thalamus and the frontal periventricular deep white matter is suggestive of areas of ischemia/infarction.
2. Lacunar infarct in the right corona radiata.
3. Mild cerebral atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyzi Kolmn / F / 72 yrs.
Referred by : Dr. Abc Xyz Mehta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O drowsiness since 4-5 days.
Known hypertensive.
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 and Fast Scan (T2 *) coronal images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the right lentiform nucleus, left thalamus and the frontal periventricular deep white matter. These are isointense to white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.
Lacunar infarct is noted in the right corona radiata (scan 102.14, 103.14, 104.14) .
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. Slight prominence of the cerebral cortical sulci is noted. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Metallic susceptibility artifacts are noted as a result of dentures.
IMPRESSION :
1. Altered signal in the right lentiform nucleus, left thalamus and the frontal periventricular deep white matter is suggestive of areas of ischemia/infarction.
2. Lacunar infarct in the right corona radiata.
3. Mild cerebral atrophy.
Published in
MRI Reports
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzet S. Masulmn / M / 3 1/2 yrs.
Referred by : Dr. Abc Xyzadkat / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 0000.
H/O fever since 4 days with ataxia since 1 day.
? post-infective demyelination.
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.
Incidental note is made of enlarged adenoids.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyzet S. Masulmn / M / 3 1/2 yrs.
Referred by : Dr. Abc Xyzadkat / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 0000.
H/O fever since 4 days with ataxia since 1 day.
? post-infective demyelination.
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.
Incidental note is made of enlarged adenoids.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzal B. Lokhlmn / M / 5 yrs.
Referred by : Dr. Abc Xyzadhan / Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fall 2 years back with injury to forehead.
C/O loss of speech with withdrawn behaviour, decreased sleep and decreased appetite over the last 6 months.
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.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of enlarged adenoids.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyzal B. Lokhlmn / M / 5 yrs.
Referred by : Dr. Abc Xyzadhan / Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fall 2 years back with injury to forehead.
C/O loss of speech with withdrawn behaviour, decreased sleep and decreased appetite over the last 6 months.
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.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of enlarged adenoids.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
ke/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 45 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 3 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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is a posterior disc herniation at the L5-S1 level with indentation upon the S1 nerve roots bilaterally. Bilateral far lateral disc herniations are also noted at this level with indentation upon the extraforaminal portion of the L5 nerve roots and the foraminal portion of the left L5 nerve root. The L5-S1 facet joint on the left side shows mild degenerative change. This disc shows loss of water content.
Small posterior disc bulge with right and left postero-lateral disc bulges are seen at the L4-L5 level with bilateral neural foraminal narrowing. The L4-L5 facet joints show mild degenerative change
A small, left postero-lateral disc bulge is noted at the L3-L4 level.
Type II degenerative changes are noted in the antero-superior portion of the L5 and S1 vertebral bodies and the antero-inferior portion of the L2 vertebral body.
..2/.
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 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 :
18.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. A posterior disc herniation at the L5-S1 level with indentation upon the S1 nerve roots bilaterally.
2. Bilateral far lateral disc herniations at the L5-S1 level with indentation upon the extraforaminal portion of the L5 nerve roots and the foraminal portion of the left L5 nerve root.
3. Small posterior disc bulge with right and left postero-lateral disc bulges at the L4-L5 level.
4. Facetal degeneration at the L5-S1 level on the left.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 45 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 3 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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is a posterior disc herniation at the L5-S1 level with indentation upon the S1 nerve roots bilaterally. Bilateral far lateral disc herniations are also noted at this level with indentation upon the extraforaminal portion of the L5 nerve roots and the foraminal portion of the left L5 nerve root. The L5-S1 facet joint on the left side shows mild degenerative change. This disc shows loss of water content.
Small posterior disc bulge with right and left postero-lateral disc bulges are seen at the L4-L5 level with bilateral neural foraminal narrowing. The L4-L5 facet joints show mild degenerative change
A small, left postero-lateral disc bulge is noted at the L3-L4 level.
Type II degenerative changes are noted in the antero-superior portion of the L5 and S1 vertebral bodies and the antero-inferior portion of the L2 vertebral body.
..2/.
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 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 :
18.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. A posterior disc herniation at the L5-S1 level with indentation upon the S1 nerve roots bilaterally.
2. Bilateral far lateral disc herniations at the L5-S1 level with indentation upon the extraforaminal portion of the L5 nerve roots and the foraminal portion of the left L5 nerve root.
3. Small posterior disc bulge with right and left postero-lateral disc bulges at the L4-L5 level.
4. Facetal degeneration at the L5-S1 level on the left.
Published in
MRI Reports
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzA. Plmn / F / 45 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to all four extremities with weakness and paresthesias since 10 days.
C/O giddiness with fall 10 days back.
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 retroplacement of the C4 over the C5 vertebral body.
A large posterior disc herniation with peridiscal osteophytes is seen at the C4-C5 level with anterior compression of the spinal cord. The spinal cord over the C3 to C5 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. These are iso to hypointense to cord on the T1 Weighted images and would represent cord edema/ischemia/contusion. The facet joints at this level show hypertrophic changes.
A small postero-central disc protrusion with peridiscal osteophytes is noted at the C5-C6 level. The upper cervical intervertebral discs show loss of water content.
Scan-00006
The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. Retroplacement of the C4 over the C5 vertebral body.
2. A large posterior disc herniation with peridiscal osteophytes at the C4-C5 level with anterior cord compression and cord signal alteration over the C3 to C5 levels representing cord edema/ischemia/contusion.
3. A small postero-central disc protrusion with small peridiscal osteophytes at the C5-C6 level.
Date : 00.00.00
Name of the Patient : Abc XyzA. Plmn / F / 45 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to all four extremities with weakness and paresthesias since 10 days.
C/O giddiness with fall 10 days back.
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 retroplacement of the C4 over the C5 vertebral body.
A large posterior disc herniation with peridiscal osteophytes is seen at the C4-C5 level with anterior compression of the spinal cord. The spinal cord over the C3 to C5 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. These are iso to hypointense to cord on the T1 Weighted images and would represent cord edema/ischemia/contusion. The facet joints at this level show hypertrophic changes.
A small postero-central disc protrusion with peridiscal osteophytes is noted at the C5-C6 level. The upper cervical intervertebral discs show loss of water content.
Scan-00006
The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. Retroplacement of the C4 over the C5 vertebral body.
2. A large posterior disc herniation with peridiscal osteophytes at the C4-C5 level with anterior cord compression and cord signal alteration over the C3 to C5 levels representing cord edema/ischemia/contusion.
3. A small postero-central disc protrusion with small peridiscal osteophytes at the C5-C6 level.
Published in
MRI Reports
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzli Salodalmn / M / 63 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE for 3 days 3 months back.
C/O right foot drop since 3 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 sacralization of the L5 vertebral body and the L4 vertebra is as marked on the film.
There is a diffuse posterior disc herniation with bilateral postero-lateral disc herniations at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. Indentation on the foraminal portion of the L4 nerve roots is seen. There is ligamentum flavum hypertrophy with facetal hypertrophy at this level with resultant tight canal.
The right L5 nerve root is of larger calibre as compared to the left and there is a suggestion of the right L5 nerve root being inflamed.
A posterior and bilateral far lateral disc herniation is seen at the L3-L4 level with anterior indentation of the thecal sac and the extraforaminal portion of the L3 nerve roots. The L3-L4 facet joint on the right shows mild degenerative change.
A diffuse posterior disc herniation is seen at the L2-L3 level with anterior indentation of the thecal sac. Right and left postero-lateral disc herniations are noted at this level with bilateral neural foraminal narrowing. Slight facetal arthropathy and ligamentum flavum hypertrophy is seen with central and lateral canal stenosis.
A small posterior disc bulge with small peridiscal osteophyte to the right of the midline is seen at the D12-L1 level.
Large anterior disc herniations are noted at the L2-L3 and L4-L5 levels.
A left paracentral and left postero-lateral disc herniation is seen at the L1-L2 level and a right paracentral disc herniation is noted at the D12-L1 level.
Type I degenerative change is seen in the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc. Type II degenerative changes are noted in the antero-superior aspect of the L1, L3 and L4 vertebral bodies and the antero-inferior aspect of the L2 vertebral body.
The pedicles of the lumbar vertebrae are congenitally short in their antero-posterior dimensions.
Hypo and hyperintense areas are seen within the L4-L5 intervertebral disc on all the pulse sequences suggesting calcification/vacuum phenomena. The lumbar intervertebral discs except for the L2-L3 disc shows loss of water content.
The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
..3/.
- 3 - Scan-00005
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
13.0 mm at L1-L2
12.0 mm at L2-L3
12.0 mm at L3-L4
11.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebral body and the L4 vertebra is as marked on the film.
2. A diffuse posterior disc herniation with bilateral far lateral disc herniations at the L4-L5 level with indentation on the thecal sac and the foraminal portion of the L4 nerve roots.
3. A suggestion of the right L5 nerve root being inflamed.
4. A posterior and bilateral far lateral disc herniations at the L3-L4 level with indentation upon extraforaminal portion of the L3 nerve roots.
5. A diffuse posterior disc herniation with right and left postero-lateral disc herniations at the L2-L3 level with bilateral neural foraminal narrowing.
6. Facetal arthropathy, ligamentum flavum hypertrophy and canal stenosis at the L2-L3 and L4-L5 levels.
7. Congenitally short pedicles of the lumbar vertebrae in the antero-posterior dimensions.
Date : 00.00.00
Name of the Patient : Abc Xyzli Salodalmn / M / 63 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE for 3 days 3 months back.
C/O right foot drop since 3 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 sacralization of the L5 vertebral body and the L4 vertebra is as marked on the film.
There is a diffuse posterior disc herniation with bilateral postero-lateral disc herniations at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. Indentation on the foraminal portion of the L4 nerve roots is seen. There is ligamentum flavum hypertrophy with facetal hypertrophy at this level with resultant tight canal.
The right L5 nerve root is of larger calibre as compared to the left and there is a suggestion of the right L5 nerve root being inflamed.
A posterior and bilateral far lateral disc herniation is seen at the L3-L4 level with anterior indentation of the thecal sac and the extraforaminal portion of the L3 nerve roots. The L3-L4 facet joint on the right shows mild degenerative change.
A diffuse posterior disc herniation is seen at the L2-L3 level with anterior indentation of the thecal sac. Right and left postero-lateral disc herniations are noted at this level with bilateral neural foraminal narrowing. Slight facetal arthropathy and ligamentum flavum hypertrophy is seen with central and lateral canal stenosis.
A small posterior disc bulge with small peridiscal osteophyte to the right of the midline is seen at the D12-L1 level.
Large anterior disc herniations are noted at the L2-L3 and L4-L5 levels.
A left paracentral and left postero-lateral disc herniation is seen at the L1-L2 level and a right paracentral disc herniation is noted at the D12-L1 level.
Type I degenerative change is seen in the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc. Type II degenerative changes are noted in the antero-superior aspect of the L1, L3 and L4 vertebral bodies and the antero-inferior aspect of the L2 vertebral body.
The pedicles of the lumbar vertebrae are congenitally short in their antero-posterior dimensions.
Hypo and hyperintense areas are seen within the L4-L5 intervertebral disc on all the pulse sequences suggesting calcification/vacuum phenomena. The lumbar intervertebral discs except for the L2-L3 disc shows loss of water content.
The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
..3/.
- 3 - Scan-00005
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
13.0 mm at L1-L2
12.0 mm at L2-L3
12.0 mm at L3-L4
11.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebral body and the L4 vertebra is as marked on the film.
2. A diffuse posterior disc herniation with bilateral far lateral disc herniations at the L4-L5 level with indentation on the thecal sac and the foraminal portion of the L4 nerve roots.
3. A suggestion of the right L5 nerve root being inflamed.
4. A posterior and bilateral far lateral disc herniations at the L3-L4 level with indentation upon extraforaminal portion of the L3 nerve roots.
5. A diffuse posterior disc herniation with right and left postero-lateral disc herniations at the L2-L3 level with bilateral neural foraminal narrowing.
6. Facetal arthropathy, ligamentum flavum hypertrophy and canal stenosis at the L2-L3 and L4-L5 levels.
7. Congenitally short pedicles of the lumbar vertebrae in the antero-posterior dimensions.
Published in
MRI Reports
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzn Hulmn / F / 31 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the RUE and RLE with paresthesias since 1 year.
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 are small posterior disc bulges at the C4-C5 and C5-C6 levels with mild anterior indentation of the thecal sac. The C3-C4, C4-C5 and C5-C6 intervertebral discs show loss of water content.
The cervical vertebral bodies and the remaining 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.
Small subcentimeter lymph nodes are seen deep to the sternomastoid muscles bilaterally.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzn Hulmn / F / 31 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the RUE and RLE with paresthesias since 1 year.
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 are small posterior disc bulges at the C4-C5 and C5-C6 levels with mild anterior indentation of the thecal sac. The C3-C4, C4-C5 and C5-C6 intervertebral discs show loss of water content.
The cervical vertebral bodies and the remaining 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.
Small subcentimeter lymph nodes are seen deep to the sternomastoid muscles bilaterally.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz. Salmn / F / 20 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever since 2 months with altered sensorium since 5 days.
C/O left sided focal seizure on 00.00.00.
? TBM.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There are hyperintense areas in the periatrial deep white matter on the proton, T2 Weighted and FLAIR images. These are isointense to the white matter on the T1 Weighted images. Few similar lesions are seen in the subcortical frontal deep white matter bilaterally and in the right posterior parietal deep white matter.
There is mild dilatation of both the lateral ventricles.
The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of mild inflammatory changes in the mastoid air cells bilaterally and right maxillary sinusitis.
The visualized upper cervical region is unremarkable.
IMPRESSION :
1. Altered signal in the periatrial deep white matter, in the subcortical frontal deep white matter bilaterally and in the right posterior parietal deep white matter is not specific for a single etiology. These may due to :
a. Evolving granulomas.
b. Ischemic changes secondary to vasculitis.
2. Mild dilatation of both the lateral ventricles.
A contrast enhanced scan would be worthwhile. (Patient refused contrast study).
Date : 00.00.00
Name of the Patient : Abc Xyz. Salmn / F / 20 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever since 2 months with altered sensorium since 5 days.
C/O left sided focal seizure on 00.00.00.
? TBM.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There are hyperintense areas in the periatrial deep white matter on the proton, T2 Weighted and FLAIR images. These are isointense to the white matter on the T1 Weighted images. Few similar lesions are seen in the subcortical frontal deep white matter bilaterally and in the right posterior parietal deep white matter.
There is mild dilatation of both the lateral ventricles.
The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of mild inflammatory changes in the mastoid air cells bilaterally and right maxillary sinusitis.
The visualized upper cervical region is unremarkable.
IMPRESSION :
1. Altered signal in the periatrial deep white matter, in the subcortical frontal deep white matter bilaterally and in the right posterior parietal deep white matter is not specific for a single etiology. These may due to :
a. Evolving granulomas.
b. Ischemic changes secondary to vasculitis.
2. Mild dilatation of both the lateral ventricles.
A contrast enhanced scan would be worthwhile. (Patient refused contrast study).
Published in
MRI Reports
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abclmn / M / 30 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 1 1/2 years.
H/O lumbar laminectomy done in 0000 for similar complaints.
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.
After administration of contrast 5 mm thick T1 Weighted sagittal and axial images were obtained.
OBSERVATION :
There is loss of water content of the lumbar intervertebral discs.
There are post-operative changes in the posterior soft tissues over the L2 to the L5 levels with laminectomy of the L2 and L3 vertebral bodies.
A large, left paracentral disc extrusion is seen at the L4-L5 level with anterior compression of the thecal sac, canal stenosis and left neural foraminal narrowing. An extruded disc portion is seen to migrate inferiorly in the left lateral recess of the L5 vertebral body with resultant impingement of the traversing left L5 nerve root. The L4-L5 facet joints show mild degenerative change.
A postero-central disc herniation is seen at the L5-S1 level with posterior peridiscal osteophytes and anterior indentation of the thecal sac.
Small posterior disc bulges with posterior peridiscal osteophytes are noted at the L1-L2, L2-L3 and L3-L4 levels. There is hypertrophy of the facet joints in the lumbar region.
The intrathecal nerve roots show normal distribution. There is no evidence of arachnoiditis.
After administration of contrast, there is no abnormal area of enhancement within the visualized spinal canal and the meninges.
The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S2 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
14.0 mm at L2-L3
13.0 mm at L3-L4
8.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. Post-operative status.
..3/.
- 3 - Scan-00002
2. A large, left paracentral disc extrusion at the L4-L5 level with an extruded disc portion migrating inferiorly in the left lateral recess of the L5 vertebral body with resultant impingement of the traversing left L5 nerve root and canal stenosis.
3. A postero-central disc herniation at the L5-S1 level.
4. Small posterior disc bulges with posterior peridiscal osteophytes at the L1-L2, L2-L3 and L3-L4 levels.
Date : 00.00.00
Name of the Patient : Abclmn / M / 30 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 1 1/2 years.
H/O lumbar laminectomy done in 0000 for similar complaints.
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.
After administration of contrast 5 mm thick T1 Weighted sagittal and axial images were obtained.
OBSERVATION :
There is loss of water content of the lumbar intervertebral discs.
There are post-operative changes in the posterior soft tissues over the L2 to the L5 levels with laminectomy of the L2 and L3 vertebral bodies.
A large, left paracentral disc extrusion is seen at the L4-L5 level with anterior compression of the thecal sac, canal stenosis and left neural foraminal narrowing. An extruded disc portion is seen to migrate inferiorly in the left lateral recess of the L5 vertebral body with resultant impingement of the traversing left L5 nerve root. The L4-L5 facet joints show mild degenerative change.
A postero-central disc herniation is seen at the L5-S1 level with posterior peridiscal osteophytes and anterior indentation of the thecal sac.
Small posterior disc bulges with posterior peridiscal osteophytes are noted at the L1-L2, L2-L3 and L3-L4 levels. There is hypertrophy of the facet joints in the lumbar region.
The intrathecal nerve roots show normal distribution. There is no evidence of arachnoiditis.
After administration of contrast, there is no abnormal area of enhancement within the visualized spinal canal and the meninges.
The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S2 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
14.0 mm at L2-L3
13.0 mm at L3-L4
8.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. Post-operative status.
..3/.
- 3 - Scan-00002
2. A large, left paracentral disc extrusion at the L4-L5 level with an extruded disc portion migrating inferiorly in the left lateral recess of the L5 vertebral body with resultant impingement of the traversing left L5 nerve root and canal stenosis.
3. A postero-central disc herniation at the L5-S1 level.
4. Small posterior disc bulges with posterior peridiscal osteophytes at the L1-L2, L2-L3 and L3-L4 levels.
Published in
MRI Reports
More...
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Dlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzesai.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
C/O pain in the left knee with swelling since 3 months.
EXAMINATION :
M.R.I of the left knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
Menisci :
There is a curvilinear hyperintense signal on all the pulse sequences within the posterior horn of the medial meniscus reaching upto the inferior articular surface and would represent Grade III meniscal signal (meniscal tear) (scans 104.4, 102.4).
The anterior and posterior horns of the lateral meniscus and the anterior horn of the medial meniscus reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
Scan-00000
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
There appears to be slight thinning of the patellar cartilage along the medial facet.
The articular cartilage overlying the tibia and femur appears normal.
Fluid is noted in the left knee joint and in the suprapatellar bursa.
IMPRESSION :
1. Grade III meniscal signal (meniscal tear) within the posterior horn of the medial meniscus.
2. Fluid in the left knee joint and in the suprapatellar bursa.
Date : 00.00.00
Name of the Patient : Abc Xyz Dlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzesai.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
C/O pain in the left knee with swelling since 3 months.
EXAMINATION :
M.R.I of the left knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
Menisci :
There is a curvilinear hyperintense signal on all the pulse sequences within the posterior horn of the medial meniscus reaching upto the inferior articular surface and would represent Grade III meniscal signal (meniscal tear) (scans 104.4, 102.4).
The anterior and posterior horns of the lateral meniscus and the anterior horn of the medial meniscus reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
Scan-00000
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
There appears to be slight thinning of the patellar cartilage along the medial facet.
The articular cartilage overlying the tibia and femur appears normal.
Fluid is noted in the left knee joint and in the suprapatellar bursa.
IMPRESSION :
1. Grade III meniscal signal (meniscal tear) within the posterior horn of the medial meniscus.
2. Fluid in the left knee joint and in the suprapatellar bursa.
Published in
MRI Reports
ke/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzi Kalmn / M / 25 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with numbness.
EXAMINATION :
M.R.I of the dorsal 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.
OBSERVATION :
There is a hyperintense signal on the T2 Weighted images within the dorsal spinal cord, centrally over the D6 to the D11-D12 levels. This is hypointense to normal cord on the T1 Weighted images. The CSF space is unremarkable.
Intermediate signal intensity areas are noted in the posterior aspect of the lung parenchyma on the left side at the D4-D5 level which are seen to turn hyperintense on the T2 Weighted images and would represent consolidation.
The visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 level.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images which shows a posterior disc herniation at the L5-S1 level and anterior indentation of the thecal sac.
IMPRESSION :
The MRI features are suggestive of altered signal within the dorsal spinal cord, centrally over the D6 to the D11-D12 levels and is not specific for a single etiology. The possibilities to be considered are :
a. Myelitis.
b. Demyelination.
c. Ischemia/infarction - less likely.
Date : 00.00.00
Name of the Patient : Abc Xyzi Kalmn / M / 25 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with numbness.
EXAMINATION :
M.R.I of the dorsal 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.
OBSERVATION :
There is a hyperintense signal on the T2 Weighted images within the dorsal spinal cord, centrally over the D6 to the D11-D12 levels. This is hypointense to normal cord on the T1 Weighted images. The CSF space is unremarkable.
Intermediate signal intensity areas are noted in the posterior aspect of the lung parenchyma on the left side at the D4-D5 level which are seen to turn hyperintense on the T2 Weighted images and would represent consolidation.
The visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 level.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images which shows a posterior disc herniation at the L5-S1 level and anterior indentation of the thecal sac.
IMPRESSION :
The MRI features are suggestive of altered signal within the dorsal spinal cord, centrally over the D6 to the D11-D12 levels and is not specific for a single etiology. The possibilities to be considered are :
a. Myelitis.
b. Demyelination.
c. Ischemia/infarction - less likely.
Published in
MRI Reports
ke/bv/nl/rg.
/41 Date : 00.00.00
Name of the Patient : Abc Xyzeen A. Plmn / M / 6 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O abnormal behaviour since 2 years.
C/O ? partial seizures.
H/O delayed milestones.
H/O FTND (cried after 2 minutes).
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.
5 mm thick FLAIR coronal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial images with magnetization transfer.
5 mm thick T1 Weighted coronal and sagittal images.
OBSERVATION :
There is a small, fairly well-defined lesion in the region of the tuber cinerium which measures approximately 1.0 x 0.8 x 1.2 cms. This lesion is isointense to grey matter on all the pulse sequences. It is seen to indent upon the inferior aspect of the third ventricle to the right of the midline. The lesion is seen to occupy the interpeduncular cistern. Scan-00008/41
On administration of contrast, there is no appreciable enhancement of this lesion.
The hippocampal complex on either side is unremarkable.
Both the lateral and the fourth ventricles are normal. The rest of 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 enlarged adenoids.
IMPRESSION :
The MRI features are suggestive of a mass lesion measuring approximately 1.0 x 0.8 x 1.2 cms in the region of the tuber cinerium and most probably represents a hamartoma of the tuber cinerium.
/41 Date : 00.00.00
Name of the Patient : Abc Xyzeen A. Plmn / M / 6 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O abnormal behaviour since 2 years.
C/O ? partial seizures.
H/O delayed milestones.
H/O FTND (cried after 2 minutes).
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.
5 mm thick FLAIR coronal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial images with magnetization transfer.
5 mm thick T1 Weighted coronal and sagittal images.
OBSERVATION :
There is a small, fairly well-defined lesion in the region of the tuber cinerium which measures approximately 1.0 x 0.8 x 1.2 cms. This lesion is isointense to grey matter on all the pulse sequences. It is seen to indent upon the inferior aspect of the third ventricle to the right of the midline. The lesion is seen to occupy the interpeduncular cistern. Scan-00008/41
On administration of contrast, there is no appreciable enhancement of this lesion.
The hippocampal complex on either side is unremarkable.
Both the lateral and the fourth ventricles are normal. The rest of 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 enlarged adenoids.
IMPRESSION :
The MRI features are suggestive of a mass lesion measuring approximately 1.0 x 0.8 x 1.2 cms in the region of the tuber cinerium and most probably represents a hamartoma of the tuber cinerium.
Published in
MRI Reports
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 17 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) with paresthesias since 2 years
H/O fall from a height at the age of 5-6 years.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a defect in the sacral vertebra with scoliosis and convexity to the right with a pseudo joint formation (?? traumatic ? congenital). The L5 vertebral body is sacralized and the L4 vertebra is as marked on the film. The right ala appears smaller as compared to the left side with a pelvic tilt to the right side. The right lamina of L5 also appears smaller.
Right far lateral disc herniations are seen at the L3-L4 and L4-L5 levels with indentation upon the right L3 and L5 nerve roots, respectively.
There is narrowing of the neural foramen at the L3-L4 level with probable indentation upon the left L3 nerve root.
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.
..2/.
The facet joints on the left side at the L4-L5 and L3-L4 levels and bilaterally at the L2-L3 and L1-L2 levels show hypertrophic changes.
The conus medullaris terminates at the D11 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 :
19.0 mm at L1-L2
17.0 mm at L2-L3
12.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Defect in the sacral vertebra with scoliosis and convexity to the right (? congenital ?? traumatic).
2. Sacralized L5 vertebral body and the L4 vertebra is as marked on the film.
3. Right far lateral disc herniations at the L3-L4 and L4-L5 levels with indentation upon the right L3 and L5 nerve roots respectively with narrowing of the left neural foramen at the L3-L4 level.
4. Hypertrophy of the left facet joints at the L4-L5 and L3-L4 levels and bilaterally at the L1-L2 and L2-L3 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 17 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) with paresthesias since 2 years
H/O fall from a height at the age of 5-6 years.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a defect in the sacral vertebra with scoliosis and convexity to the right with a pseudo joint formation (?? traumatic ? congenital). The L5 vertebral body is sacralized and the L4 vertebra is as marked on the film. The right ala appears smaller as compared to the left side with a pelvic tilt to the right side. The right lamina of L5 also appears smaller.
Right far lateral disc herniations are seen at the L3-L4 and L4-L5 levels with indentation upon the right L3 and L5 nerve roots, respectively.
There is narrowing of the neural foramen at the L3-L4 level with probable indentation upon the left L3 nerve root.
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.
..2/.
The facet joints on the left side at the L4-L5 and L3-L4 levels and bilaterally at the L2-L3 and L1-L2 levels show hypertrophic changes.
The conus medullaris terminates at the D11 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 :
19.0 mm at L1-L2
17.0 mm at L2-L3
12.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Defect in the sacral vertebra with scoliosis and convexity to the right (? congenital ?? traumatic).
2. Sacralized L5 vertebral body and the L4 vertebra is as marked on the film.
3. Right far lateral disc herniations at the L3-L4 and L4-L5 levels with indentation upon the right L3 and L5 nerve roots respectively with narrowing of the left neural foramen at the L3-L4 level.
4. Hypertrophy of the left facet joints at the L4-L5 and L3-L4 levels and bilaterally at the L1-L2 and L2-L3 levels.
Published in
MRI Reports