Regular User
Sunday, 27 December 2015 16:48
13985
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzAhmed G. Mlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O vehicular accident 10 days ago with injury to the RLE and back.
C/O weakness of BLE with bladder involvement since then.
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.
6 mm thick T1 Weighted coronal images.
OBSERVATION :
There is lateral subluxation of the L2 vertebra to the right, in relation to the L3 vertebral body. The L3 vertebral body shows an ill-defined, hyperintense signal on the T2 Weighted images (hypointense on the T1 Weighted images) which suggests bone bruise, in the given clinical setting. Break in the superior cortical endplate of L3 is noted. The L2-L3 intervertebral disc shows a hyperintense signal on the T2 Weighted images which suggests a traumatic rupture of the disc, in the given clinical setting. There is also fracture of the posterior elements of the L3 vertebra with entrapment of the exiting L2 nerve root on the left in the left neural foramen at the L2-L3 level and of the L3 nerve root on the right in the right neural foramen at the L3-L4 level.
There is seen a well-marginated, hyperintense lesion on the T1 Weighted images in the right paravertebral region (medial to the right psoas muscle) extending over L3 to L5 vertebral levels. This lesion remains hyperintense on the T2 Weighted images. Similar signal intensity lesion is noted in the posterior paraspinal muscles and in the left posterior paraspinal region at the L3 vertebral level. Extension of the lesion into the left postero-lateral epidural space at L3 and anterior and right lateral epidural space at L2 vertebral level is noted with thecal sac compression. The roots are not very well-identified at this level. There is also a suspicion of haemorrhage/paramagnetic substance deposition in the conus cauda region (scan 106.10).
There is disruption of the facet joints at the L2-L3 level bilaterally.
Soft tissue injury/edema is noted in the subcutaneous tissues of the back.
The rest of the lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity.
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 :
17.0 mm at L1-L2
15.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Lateral subluxation of the L2 vertebra to the right, in relation to the L3 vertebral body.
..3/.
- 3 - Scan-00005
2. Altered signal in the L3 vertebral body represents bone bruise/edema. Fracture of the posterior elements of the L3 is noted with traumatic rupture of the L2-L3 intervertebral disc.
3. Entrapment of the exiting L2 nerve root on the left and of the L3 nerve root on the right in their respective neural foramina.
4. Altered signal intensity lesion in the right paravertebral region, posterior paraspinal muscles and in the epidural space at the L2 and L3 vertebral levels as described most likely represents a hematoma in the given clinical setting.
5. Traumatic disruption of the facet joints at the L2-L3 level bilaterally.
Date : 00.00.00
Name of the Patient : Abc XyzAhmed G. Mlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O vehicular accident 10 days ago with injury to the RLE and back.
C/O weakness of BLE with bladder involvement since then.
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.
6 mm thick T1 Weighted coronal images.
OBSERVATION :
There is lateral subluxation of the L2 vertebra to the right, in relation to the L3 vertebral body. The L3 vertebral body shows an ill-defined, hyperintense signal on the T2 Weighted images (hypointense on the T1 Weighted images) which suggests bone bruise, in the given clinical setting. Break in the superior cortical endplate of L3 is noted. The L2-L3 intervertebral disc shows a hyperintense signal on the T2 Weighted images which suggests a traumatic rupture of the disc, in the given clinical setting. There is also fracture of the posterior elements of the L3 vertebra with entrapment of the exiting L2 nerve root on the left in the left neural foramen at the L2-L3 level and of the L3 nerve root on the right in the right neural foramen at the L3-L4 level.
There is seen a well-marginated, hyperintense lesion on the T1 Weighted images in the right paravertebral region (medial to the right psoas muscle) extending over L3 to L5 vertebral levels. This lesion remains hyperintense on the T2 Weighted images. Similar signal intensity lesion is noted in the posterior paraspinal muscles and in the left posterior paraspinal region at the L3 vertebral level. Extension of the lesion into the left postero-lateral epidural space at L3 and anterior and right lateral epidural space at L2 vertebral level is noted with thecal sac compression. The roots are not very well-identified at this level. There is also a suspicion of haemorrhage/paramagnetic substance deposition in the conus cauda region (scan 106.10).
There is disruption of the facet joints at the L2-L3 level bilaterally.
Soft tissue injury/edema is noted in the subcutaneous tissues of the back.
The rest of the lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity.
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 :
17.0 mm at L1-L2
15.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Lateral subluxation of the L2 vertebra to the right, in relation to the L3 vertebral body.
..3/.
- 3 - Scan-00005
2. Altered signal in the L3 vertebral body represents bone bruise/edema. Fracture of the posterior elements of the L3 is noted with traumatic rupture of the L2-L3 intervertebral disc.
3. Entrapment of the exiting L2 nerve root on the left and of the L3 nerve root on the right in their respective neural foramina.
4. Altered signal intensity lesion in the right paravertebral region, posterior paraspinal muscles and in the epidural space at the L2 and L3 vertebral levels as described most likely represents a hematoma in the given clinical setting.
5. Traumatic disruption of the facet joints at the L2-L3 level bilaterally.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13984
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzSullmn / M / 50 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache 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 :
There is loss of water content of the lumbar intervertebral discs.
There is probable spondylolysis of the S1 vertebra, without obvious listhesis.
A small posterior disc bulge with peridiscal osteophytes is noted at the L5-S1 level, with bilateral neural foraminal narrowing. The facet joints at this level show hypertrophic degenerative changes. There is also ligamentum flavum hypertrophy with canal stenosis at the L5-S1 level.
A small posterior disc bulge with peridiscal osteophytes is noted at the L4-L5 level with bilateral neural foraminal narrowing.
A posterior disc bulge is noted at the L3-L4 level. A left far lateral (extraforaminal) disc herniation is also seen at this level, with probable indentation upon the left L3 nerve root.
>
There is a right paracentral disc herniation at the L2-L3 level indenting the traversing right L3 nerve root. Left and right postero-lateral disc herniations are also noted at this level with bilateral neural foraminal narrowing with canal stenosis. Slight superior migration of the disc is noted posterior to the L2 vertebral body.
Facetal hypertrophy is noted in the lumbar region, more so at the L2-L3 level.
The lumbar vertebral bodies reveal normal signal intensity. 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 :
15.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
12.0 mm at L5-S1.
Cortical renal cysts are seen in the right kidney.
IMPRESSION :
1. Probable spondylolysis of the S1 vertebra, without obvious listhesis.
2. A small posterior disc bulge with peridiscal osteophytes at the L5-S1 level, with bilateral neural foraminal narrowing.
3. A small posterior disc bulge with peridiscal osteophytes at the L4-L5 level with bilateral neural foraminal narrowing.
..3/.
- 3 - Scan-00009
4. A posterior disc bulge and a left far lateral disc herniation at the L3-L4 level.
5. A right paracentral disc herniation at the L2-L3 level with left and right postero-lateral disc herniations at this level with bilateral neural foraminal narrowing.
6. Facetal hypertrophy in the lumbar region, more so at the L5-S1 and L2-L3 levels with canal stenosis at these levels.
Date : 00.00.00
Name of the Patient : Abc XyzSullmn / M / 50 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache 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 :
There is loss of water content of the lumbar intervertebral discs.
There is probable spondylolysis of the S1 vertebra, without obvious listhesis.
A small posterior disc bulge with peridiscal osteophytes is noted at the L5-S1 level, with bilateral neural foraminal narrowing. The facet joints at this level show hypertrophic degenerative changes. There is also ligamentum flavum hypertrophy with canal stenosis at the L5-S1 level.
A small posterior disc bulge with peridiscal osteophytes is noted at the L4-L5 level with bilateral neural foraminal narrowing.
A posterior disc bulge is noted at the L3-L4 level. A left far lateral (extraforaminal) disc herniation is also seen at this level, with probable indentation upon the left L3 nerve root.
>
There is a right paracentral disc herniation at the L2-L3 level indenting the traversing right L3 nerve root. Left and right postero-lateral disc herniations are also noted at this level with bilateral neural foraminal narrowing with canal stenosis. Slight superior migration of the disc is noted posterior to the L2 vertebral body.
Facetal hypertrophy is noted in the lumbar region, more so at the L2-L3 level.
The lumbar vertebral bodies reveal normal signal intensity. 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 :
15.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
12.0 mm at L5-S1.
Cortical renal cysts are seen in the right kidney.
IMPRESSION :
1. Probable spondylolysis of the S1 vertebra, without obvious listhesis.
2. A small posterior disc bulge with peridiscal osteophytes at the L5-S1 level, with bilateral neural foraminal narrowing.
3. A small posterior disc bulge with peridiscal osteophytes at the L4-L5 level with bilateral neural foraminal narrowing.
..3/.
- 3 - Scan-00009
4. A posterior disc bulge and a left far lateral disc herniation at the L3-L4 level.
5. A right paracentral disc herniation at the L2-L3 level with left and right postero-lateral disc herniations at this level with bilateral neural foraminal narrowing.
6. Facetal hypertrophy in the lumbar region, more so at the L5-S1 and L2-L3 levels with canal stenosis at these levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13983
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Almn / F / 35 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O fall with injury to cervical spine 10 years back. Operated (details not available).
C/O loss of control over bladder since then. Now C/O backache since 2 months.
H/O kochs 10 years back. Received AKT.
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 scoliosis of the lumbar spine with convexity to the left.
There is loss of water content of the L2-L3, L3-L4 and L4-L5 intervertebral discs.
Very small postero-central protruded discs are noted at the L2-L3 and L5-S1 levels.
Small posterior peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels.
Slight facetal hypertrophy is noted in the lumbar region.
Type II degenerative marrow changes are noted in the L4 vertebral body adjacent to the L3-L4 intervertebral disc.
..2/.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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
18.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
14.0 mm at L5-S1.
There is evidence of fatty replacement of the posterior paraspinal muscles in the lower lumbar and sacral regions and probably also of the left psoas muscle.
IMPRESSION :
1. Slight scoliosis of the lumbar spine with convexity to the left.
2. Very small postero-central protruded discs at the L2-L3 and L5-S1 levels.
3. Small posterior peridiscal osteophytes at the L3-L4 and L4-L5 levels.
4. Slight facetal hypertrophy in the lumbar region.
Date : 00.00.00
Name of the Patient : Abc Xyz Almn / F / 35 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O fall with injury to cervical spine 10 years back. Operated (details not available).
C/O loss of control over bladder since then. Now C/O backache since 2 months.
H/O kochs 10 years back. Received AKT.
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 scoliosis of the lumbar spine with convexity to the left.
There is loss of water content of the L2-L3, L3-L4 and L4-L5 intervertebral discs.
Very small postero-central protruded discs are noted at the L2-L3 and L5-S1 levels.
Small posterior peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels.
Slight facetal hypertrophy is noted in the lumbar region.
Type II degenerative marrow changes are noted in the L4 vertebral body adjacent to the L3-L4 intervertebral disc.
..2/.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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
18.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
14.0 mm at L5-S1.
There is evidence of fatty replacement of the posterior paraspinal muscles in the lower lumbar and sacral regions and probably also of the left psoas muscle.
IMPRESSION :
1. Slight scoliosis of the lumbar spine with convexity to the left.
2. Very small postero-central protruded discs at the L2-L3 and L5-S1 levels.
3. Small posterior peridiscal osteophytes at the L3-L4 and L4-L5 levels.
4. Slight facetal hypertrophy in the lumbar region.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13982
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza lmn / F / 39 yrs.
Referred by : Dr. Abc Xyzrman.
Examination : M.R.I. of the Left Shoulder.
CLINICAL PROFILE :
C/O pain in the left shoulder and in the LUE with swelling and difficulty in lifting the LUE since 7-8 months.
EXAMINATION :
M.R.I of the left shoulder was performed using the following parameters :
4 mm thick T1 Weighted and GRASS axial images.
4 mm thick T1 Weighted sagittal images.
4 mm thick T1 Weighted, Proton and T2 Weighted coronal images.
OBSERVATION :
There is an intermediate signal on the T1 Weighted images in the tendinous segment of the supraspinatous muscle. This signal remains isointense on all the pulse sequences (scans 104.9, 103.9, 102.9). Minimal fluid is noted in the subaracromial bursa and in the left gleno-humeral joint. There is no retraction of the supraspinatous muscle.
The head of the left humerus shows normal contour and the head and upper shaft of the left humerus show normal signal intensity. The visualized scapula appears normal. The glenoid labrum is unremarkable. The biceps tendon in the biciptical groove shows normal signal intensity. Fluid is also seen to track along the bicipital tendinous groove.
The articular cartilage of the head of the left humerus appears normal.
There is no evidence of fluid in the subdeltoid bursa. There is no evidence of a tear of the supraspinatus muscle.
..2/.
There is no obvious bone erosion or destruction seen.
The acromio-clavicular joint is normal. The acromion process is of Type I.
The visualized axilla is unremarkable.
IMPRESSION :
Altered signal in the tendinous segment of the supraspinatous muscle suggests degeneration. Minimal fluid is noted in the subaracromial bursa and in the left gleno-humeral joint.
Date : 00.00.00
Name of the Patient : Abc Xyza lmn / F / 39 yrs.
Referred by : Dr. Abc Xyzrman.
Examination : M.R.I. of the Left Shoulder.
CLINICAL PROFILE :
C/O pain in the left shoulder and in the LUE with swelling and difficulty in lifting the LUE since 7-8 months.
EXAMINATION :
M.R.I of the left shoulder was performed using the following parameters :
4 mm thick T1 Weighted and GRASS axial images.
4 mm thick T1 Weighted sagittal images.
4 mm thick T1 Weighted, Proton and T2 Weighted coronal images.
OBSERVATION :
There is an intermediate signal on the T1 Weighted images in the tendinous segment of the supraspinatous muscle. This signal remains isointense on all the pulse sequences (scans 104.9, 103.9, 102.9). Minimal fluid is noted in the subaracromial bursa and in the left gleno-humeral joint. There is no retraction of the supraspinatous muscle.
The head of the left humerus shows normal contour and the head and upper shaft of the left humerus show normal signal intensity. The visualized scapula appears normal. The glenoid labrum is unremarkable. The biceps tendon in the biciptical groove shows normal signal intensity. Fluid is also seen to track along the bicipital tendinous groove.
The articular cartilage of the head of the left humerus appears normal.
There is no evidence of fluid in the subdeltoid bursa. There is no evidence of a tear of the supraspinatus muscle.
..2/.
There is no obvious bone erosion or destruction seen.
The acromio-clavicular joint is normal. The acromion process is of Type I.
The visualized axilla is unremarkable.
IMPRESSION :
Altered signal in the tendinous segment of the supraspinatous muscle suggests degeneration. Minimal fluid is noted in the subaracromial bursa and in the left gleno-humeral joint.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13981
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzen lmn / F / 72 yrs.
Referred by : Dr. Abc Xyzain.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache with weakness of BLE since 2-3 months.
H/O Pulmonary kochs. On AKT since 4 months.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the dorso-lumbar intervertebral discs.
There is an ill-defined, hypointense signal on the T1 Weighted images in the left pedicle, transverse process and superior articular process on the left of the L5 vertebra and in the left half of the sacrum adjcent to the left sacro-iliac joint. This lesion appears hyperintense on the T2 Weighted images.
Effusion is noted in the sacro-iliac joint on either side with suspicious irregularity of the margins of the sacro-iliac joints.
A small postero-central protruded disc is noted at the L5-S1 level. Slight ligamentum flavum hypertrophy is noted at the L4-L5 and L5-S1 levels.
A posteriorly herniated disc with peridiscal osteophyte is seen at the L4-L5 level with bilateral neural foraminal narrowing.
A small poster-central protruded disc with peridiscal osteophytes is noted at the D12-L1 level.
Focal fatty marrow changes are noted in the lumbar vertebrae.
The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The lower dorsal spinal cord reveals normal signal intensity. There is no cord compression.
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
12.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Altered signal in the left pedicle, transverse process and and superior articular process of L5 vertebra is not specific for a single etiology. Osteitis is a likely possibility in view of the H/O Pulmonary tuberculosis. The possibility of a neoplasm or a degenerative etiology seems less likely. Similar signal change is noted in the sacrum on the left.
2. Effusion in the sacro-iliac joint on either side is of ? etiology ?? degenerative.
3. A small postero-central protruded disc at the L5-S1 level
..3/.
- 3 - Scan-00001
4. A posteriorly herniated disc with peridiscal osteophyte at the L4-L5 level with bilateral neural foraminal narrowing.
5. A small poster-central protruded disc with peridiscal osteophytes at the D12-L1 level.
6. Slight ligamentum flavum hypertrophy at L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzen lmn / F / 72 yrs.
Referred by : Dr. Abc Xyzain.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache with weakness of BLE since 2-3 months.
H/O Pulmonary kochs. On AKT since 4 months.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the dorso-lumbar intervertebral discs.
There is an ill-defined, hypointense signal on the T1 Weighted images in the left pedicle, transverse process and superior articular process on the left of the L5 vertebra and in the left half of the sacrum adjcent to the left sacro-iliac joint. This lesion appears hyperintense on the T2 Weighted images.
Effusion is noted in the sacro-iliac joint on either side with suspicious irregularity of the margins of the sacro-iliac joints.
A small postero-central protruded disc is noted at the L5-S1 level. Slight ligamentum flavum hypertrophy is noted at the L4-L5 and L5-S1 levels.
A posteriorly herniated disc with peridiscal osteophyte is seen at the L4-L5 level with bilateral neural foraminal narrowing.
A small poster-central protruded disc with peridiscal osteophytes is noted at the D12-L1 level.
Focal fatty marrow changes are noted in the lumbar vertebrae.
The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The lower dorsal spinal cord reveals normal signal intensity. There is no cord compression.
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
12.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Altered signal in the left pedicle, transverse process and and superior articular process of L5 vertebra is not specific for a single etiology. Osteitis is a likely possibility in view of the H/O Pulmonary tuberculosis. The possibility of a neoplasm or a degenerative etiology seems less likely. Similar signal change is noted in the sacrum on the left.
2. Effusion in the sacro-iliac joint on either side is of ? etiology ?? degenerative.
3. A small postero-central protruded disc at the L5-S1 level
..3/.
- 3 - Scan-00001
4. A posteriorly herniated disc with peridiscal osteophyte at the L4-L5 level with bilateral neural foraminal narrowing.
5. A small poster-central protruded disc with peridiscal osteophytes at the D12-L1 level.
6. Slight ligamentum flavum hypertrophy at L4-L5 and L5-S1 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13980
sb/bv/rg.
Date : 00.00.00
Name of the Patient : Abc XyzG. Jolmn / F / 36 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RUE and RLE 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.
OBSERVATION :
There is loss of water content of the L5-S1 intervertebral disc.
There is a minimal, right paracentral protruded disc at the L5-S1 level.
The lumbar vertebral bodies and the remaining 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 L2 level and the thecal sac terminates at the S2 level.
R>
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
17.0 mm at L4-L5
16.0 mm at L5-S1.
IMPRESSION :
A small right paracentral protruded disc at the L5-S1 level.
Date : 00.00.00
Name of the Patient : Abc XyzG. Jolmn / F / 36 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RUE and RLE 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.
OBSERVATION :
There is loss of water content of the L5-S1 intervertebral disc.
There is a minimal, right paracentral protruded disc at the L5-S1 level.
The lumbar vertebral bodies and the remaining 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 L2 level and the thecal sac terminates at the S2 level.
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The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
17.0 mm at L4-L5
16.0 mm at L5-S1.
IMPRESSION :
A small right paracentral protruded disc at the L5-S1 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13979
ke/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzshar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to BUE with giddiness, nausea and stiffness of the neck since 3-4 months.
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 :
Small posterior peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.
The cervical intervertebral discs show mild loss of water content.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
No significant abnormality detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzshar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to BUE with giddiness, nausea and stiffness of the neck since 3-4 months.
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 :
Small posterior peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.
The cervical intervertebral discs show mild loss of water content.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
No significant abnormality detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13977
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzSalmn / M / 27 yrs.
Referred by : Dr. Abc Xyztcheswala.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O occasional left sided headaches since 3-4 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 mild inflammatory changes in the ethmoidal air cells.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc XyzSalmn / M / 27 yrs.
Referred by : Dr. Abc Xyztcheswala.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O occasional left sided headaches since 3-4 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 mild inflammatory changes in the ethmoidal air cells.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13975
hs/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyze lmn / F / 17 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to BLE (right more than left).
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There appears to be sacralization of the L5 vertebra and it is as marked on the film. Please correlate with plain radiographs.
Mild posterior disc bulges are seen at the L4-L5 and L5-S1 levels.
The left inferior articular facet of the L5 vertebra shows a hypointense signal on all the pulse sequences and this most likely represents sclerosis (as also seen on the plain radiographs).
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1-S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
22.0 mm at L2-L3
22.0 mm at L3-L4
20.0 mm at L4-L5
17.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Probable sacralization of the L5 vertebra. Please correlate with plain radiographs.
2. Sclerosis of the left inferior articular facet of the L5 vertebra.
3. Mild posterior disc bulges at the L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyze lmn / F / 17 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to BLE (right more than left).
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There appears to be sacralization of the L5 vertebra and it is as marked on the film. Please correlate with plain radiographs.
Mild posterior disc bulges are seen at the L4-L5 and L5-S1 levels.
The left inferior articular facet of the L5 vertebra shows a hypointense signal on all the pulse sequences and this most likely represents sclerosis (as also seen on the plain radiographs).
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1-S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
22.0 mm at L2-L3
22.0 mm at L3-L4
20.0 mm at L4-L5
17.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Probable sacralization of the L5 vertebra. Please correlate with plain radiographs.
2. Sclerosis of the left inferior articular facet of the L5 vertebra.
3. Mild posterior disc bulges at the L4-L5 and L5-S1 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13974
hs/ke/nl/nl
/76/78 Date : 00.00.00
Name of the Patient : Abc Xyzhandra lmn / M / 81 yrs.
Referred by : Dr. Abc Xyzhacker.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O left sided hemiparesis since 4-5 days.
H/O similar complaints in October 0000, from which patient recovered.
EXAMINATION :
M.R.I. of the brain was performed using the following parameters:
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
BRAIN :
Areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the periatrial white matter and white matter in the fronto-parietal lobes bilaterally and in the pons on the right side. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.
There is mild fullness of the third and both the lateral ventricles. There is mild prominence of the basal cisternal spaces and cerebral cortical sulci and cerebellar folia bilaterally.
..2/.
- 2 - Scan-00004/76/78
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Note is made of mild pansinusitis.
INTRACRANIAL MRA :
There is ectasia of the vertebro-basilar system.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The left common carotid artery and brachiocephalic artery are seen to arise from a common trunk which is seen to arise from the aortic arch.
The right common carotid artery and its extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
The MRI features are suggestive of :
1. Areas of altered signal intensity within the periatrial white matter and white matter in the fronto-parietal lobes bilaterally and in the pons on the right side and these are most likely ischemic in etiology.
2. Ectasia of the vertebro-basilar system.
3. The left common carotid artery and brachiocephalic artery are seen to arise from a common trunk which is seen to arise from the aortic arch.
/76/78 Date : 00.00.00
Name of the Patient : Abc Xyzhandra lmn / M / 81 yrs.
Referred by : Dr. Abc Xyzhacker.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O left sided hemiparesis since 4-5 days.
H/O similar complaints in October 0000, from which patient recovered.
EXAMINATION :
M.R.I. of the brain was performed using the following parameters:
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
BRAIN :
Areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the periatrial white matter and white matter in the fronto-parietal lobes bilaterally and in the pons on the right side. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.
There is mild fullness of the third and both the lateral ventricles. There is mild prominence of the basal cisternal spaces and cerebral cortical sulci and cerebellar folia bilaterally.
..2/.
- 2 - Scan-00004/76/78
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Note is made of mild pansinusitis.
INTRACRANIAL MRA :
There is ectasia of the vertebro-basilar system.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The left common carotid artery and brachiocephalic artery are seen to arise from a common trunk which is seen to arise from the aortic arch.
The right common carotid artery and its extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
The MRI features are suggestive of :
1. Areas of altered signal intensity within the periatrial white matter and white matter in the fronto-parietal lobes bilaterally and in the pons on the right side and these are most likely ischemic in etiology.
2. Ectasia of the vertebro-basilar system.
3. The left common carotid artery and brachiocephalic artery are seen to arise from a common trunk which is seen to arise from the aortic arch.
Published in
MRI Reports