Regular User
Sunday, 27 December 2015 16:48
13951
sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Lokhlmn / F / 22 yrs.
Referred by : Dr. Abc XyzSandu.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O hearing loss on the left side since childhood and decreased hearing on the right side with pain since 3 months. Also C/O
headaches and pain on the right side of face since 15 days.
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.
MR Cisternogram was obtained in the coronal plane.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The seventh and eighth cranial nerve complex is unremarkable on either side.
The left posterior cerebral artery appears to be a continuation of the left posterior communicating artery and this may be a normal variant.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
IMPRESSION :
No significant abnormality detected within the brain on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz Lokhlmn / F / 22 yrs.
Referred by : Dr. Abc XyzSandu.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O hearing loss on the left side since childhood and decreased hearing on the right side with pain since 3 months. Also C/O
headaches and pain on the right side of face since 15 days.
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.
MR Cisternogram was obtained in the coronal plane.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The seventh and eighth cranial nerve complex is unremarkable on either side.
The left posterior cerebral artery appears to be a continuation of the left posterior communicating artery and this may be a normal variant.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
IMPRESSION :
No significant abnormality detected within the brain on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13950
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz. Glmn / M / 62 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 2 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is central wedging of the L4 vertebral body. The L2, L4 and S1 vertebral bodies show a hypointense signal on the T1 Weighted images which appears slightly hyperintense on the T2 Weighted images. Herniation of the L3-L4 and L4-L5 intervertebral discs into the body of L4 is noted. The posterior margins of the L2 and L4 vertebral bodies are seen to be bulging with resultant thecal sac compression and bilateral neural foraminal narrowing. The superior cortical endplate of L4 is seen to be breached.
Posteriorly bulging discs are noted at the L1-L2 and L2-L3 levels.
Slight facetal hypertrophy is noted in the lumbar region.
The lateral and anterior margins of the L2 and L4 vertebral bodies are also seen to be bulging with minimal soft tissue in the pre and paravertebral regions at these levels and impingement of the L4 nerve roots in the corresponding neural foramen at the L4-L5 level bilaterally.
The lumbar intervertebral discs show slight loss of water content.
The rest of the lumbar vertebral bodies show fatty marrow changes.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
10.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
14.0 mm at L5-S1.
Screening, T1 Weighted sagittal images of the cervico-dorsal region reveals altered signal of the D4 vertebral body with a fairly large left paravertebral soft tissue lesion at the D4 and D5 vertebral levels.
Incidentally noted is altered signal in the right iliac bone and a focal altered signal in the left iliac bone posteriorly.
Small renal parenchymal cysts are noted on the left side.
IMPRESSION :
1. Alterd signal of the L2, L4, S1 and also the D4 vertebral bodies and the iliac bones on either side as described is not specific for a single etiology. The differential diagnosis would include,
a. Metastasis.
..3/.
- 3 - Scan-00000
b. Round cell tumor.
c. An infective etiology is less likely.
2. Soft tissue mass lesion in the left paravertebral region at the D4 and D5 vertebral levels is of ? etiology, ? primary lung neoplasm, ?? soft tissue component of the D4 vertebral lesion, ?? lymphnodal enlargement.
Date : 00.00.00
Name of the Patient : Abc Xyz. Glmn / M / 62 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 2 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is central wedging of the L4 vertebral body. The L2, L4 and S1 vertebral bodies show a hypointense signal on the T1 Weighted images which appears slightly hyperintense on the T2 Weighted images. Herniation of the L3-L4 and L4-L5 intervertebral discs into the body of L4 is noted. The posterior margins of the L2 and L4 vertebral bodies are seen to be bulging with resultant thecal sac compression and bilateral neural foraminal narrowing. The superior cortical endplate of L4 is seen to be breached.
Posteriorly bulging discs are noted at the L1-L2 and L2-L3 levels.
Slight facetal hypertrophy is noted in the lumbar region.
The lateral and anterior margins of the L2 and L4 vertebral bodies are also seen to be bulging with minimal soft tissue in the pre and paravertebral regions at these levels and impingement of the L4 nerve roots in the corresponding neural foramen at the L4-L5 level bilaterally.
The lumbar intervertebral discs show slight loss of water content.
The rest of the lumbar vertebral bodies show fatty marrow changes.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
10.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
14.0 mm at L5-S1.
Screening, T1 Weighted sagittal images of the cervico-dorsal region reveals altered signal of the D4 vertebral body with a fairly large left paravertebral soft tissue lesion at the D4 and D5 vertebral levels.
Incidentally noted is altered signal in the right iliac bone and a focal altered signal in the left iliac bone posteriorly.
Small renal parenchymal cysts are noted on the left side.
IMPRESSION :
1. Alterd signal of the L2, L4, S1 and also the D4 vertebral bodies and the iliac bones on either side as described is not specific for a single etiology. The differential diagnosis would include,
a. Metastasis.
..3/.
- 3 - Scan-00000
b. Round cell tumor.
c. An infective etiology is less likely.
2. Soft tissue mass lesion in the left paravertebral region at the D4 and D5 vertebral levels is of ? etiology, ? primary lung neoplasm, ?? soft tissue component of the D4 vertebral lesion, ?? lymphnodal enlargement.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13949
ke/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzDawood Sunlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to the RLE with paresthesias since January 0000.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac. Slight inferior migration of the disc is seen with indentation upon the right L5 nerve root. Mild facetal arthropathy is noted at this level.
Minimal posterior disc bulge is noted at the L5-S1 level. The L4-L5 and L5-S1 intervertebral discs show loss of water content.
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 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
Degenerated L4-L5 and L5-S1 intervertebral discs with a posterior disc herniation at the L4-L5 level with slight inferior migration of the disc with indentation upon the right L5 nerve root.
Date : 00.00.00
Name of the Patient : Abc XyzDawood Sunlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to the RLE with paresthesias since January 0000.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac. Slight inferior migration of the disc is seen with indentation upon the right L5 nerve root. Mild facetal arthropathy is noted at this level.
Minimal posterior disc bulge is noted at the L5-S1 level. The L4-L5 and L5-S1 intervertebral discs show loss of water content.
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 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
Degenerated L4-L5 and L5-S1 intervertebral discs with a posterior disc herniation at the L4-L5 level with slight inferior migration of the disc with indentation upon the right L5 nerve root.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13948
ke/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzr lmn / M / 63 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden onset of forgetfullness with excessive sleep since 18-20 days.
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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons, periatrial white matter, left cerebral peduncle and the left frontal deep white matter. These are iso to hypointense to white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.
Lacunar infarcts (which are isointense to hyperintense to CSF on all the pulse sequences) are seen in the lentiform nuclei bilaterally, head of the caudate nucleus and thalamus on the right side, left corona radiata and right centrum semiovale.
There is mild to moderate dilatation of both the lateral ventricles with fullness of the third and fourth ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
..2/.
Incidental note is made of inflammatory changes in the paranasal sinuses.
IMPRESSION :
1. Altered signal in the pons, periatrial white matter, left cerebral peduncle and the left frontal deep white matter are suggestive of areas of ischemia/infarction.
2. Lacunar infarcts in the lentiform nuclei bilaterally, head of the caudate nucleus and thalamus on the right side, left corona radiata and right centrum semiovale.
3. Mild to moderate dilatation of the lateral ventricles which is disproportionate to the degree of cerebral cortical atrophy. Normal pressure hydrocephalus should be excluded.
Date : 00.00.00
Name of the Patient : Abc Xyzr lmn / M / 63 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden onset of forgetfullness with excessive sleep since 18-20 days.
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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons, periatrial white matter, left cerebral peduncle and the left frontal deep white matter. These are iso to hypointense to white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.
Lacunar infarcts (which are isointense to hyperintense to CSF on all the pulse sequences) are seen in the lentiform nuclei bilaterally, head of the caudate nucleus and thalamus on the right side, left corona radiata and right centrum semiovale.
There is mild to moderate dilatation of both the lateral ventricles with fullness of the third and fourth ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
..2/.
Incidental note is made of inflammatory changes in the paranasal sinuses.
IMPRESSION :
1. Altered signal in the pons, periatrial white matter, left cerebral peduncle and the left frontal deep white matter are suggestive of areas of ischemia/infarction.
2. Lacunar infarcts in the lentiform nuclei bilaterally, head of the caudate nucleus and thalamus on the right side, left corona radiata and right centrum semiovale.
3. Mild to moderate dilatation of the lateral ventricles which is disproportionate to the degree of cerebral cortical atrophy. Normal pressure hydrocephalus should be excluded.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13946
sb-ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzharlmn / F / 44 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with numbness since 1 month.
H/O fall 3 years back.
H/O Pulmonary Kochs 2 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 loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is a very small, left postero-lateral (foraminal) protruded disc at the L4-L5 level (scans 104.7, 106.6). Small posterior peridiscal osteophytes are noted at this 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 D12-L1 level and the thecal sac terminates at the S4 level.
Scan-00006
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
19.0 mm at L2-L3
19.0 mm at L3-L4
16.0 mm at L4-L5
16.0 mm at L5-S1.
Screening images of the cervical spine were done with 4 mm thick T2 Weighted sagittal images and 5 mm thick Fast Scan (T2 *) axial images. Right postero-lateral disc herniation is seen at the C4-C5 level and left postero-lateral disc herniations at the C5-C6 and C6-C7 levels. Posterior peridiscal osteophytes are noted at these levels.
IMPRESSION :
Degenerated L4-L5 and L5-S1 discs with a small left postero-lateral (foraminal) protruded disc at the L4-L5 level. Small posterior peridiscal osteophytes are noted at the L4-L5 level.
If clinically indicated, a dedicated study of the cervical spine would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyzharlmn / F / 44 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with numbness since 1 month.
H/O fall 3 years back.
H/O Pulmonary Kochs 2 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 loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is a very small, left postero-lateral (foraminal) protruded disc at the L4-L5 level (scans 104.7, 106.6). Small posterior peridiscal osteophytes are noted at this 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 D12-L1 level and the thecal sac terminates at the S4 level.
Scan-00006
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
19.0 mm at L2-L3
19.0 mm at L3-L4
16.0 mm at L4-L5
16.0 mm at L5-S1.
Screening images of the cervical spine were done with 4 mm thick T2 Weighted sagittal images and 5 mm thick Fast Scan (T2 *) axial images. Right postero-lateral disc herniation is seen at the C4-C5 level and left postero-lateral disc herniations at the C5-C6 and C6-C7 levels. Posterior peridiscal osteophytes are noted at these levels.
IMPRESSION :
Degenerated L4-L5 and L5-S1 discs with a small left postero-lateral (foraminal) protruded disc at the L4-L5 level. Small posterior peridiscal osteophytes are noted at the L4-L5 level.
If clinically indicated, a dedicated study of the cervical spine would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13945
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzKolamlmn / M / 64 yrs.
Referred by : Dr. Abc Xyzndu / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O drowsiness with incontinence of urine and dysphagia.
Right upper motor neuron facial palsy.
Known hypertensive and diabetic.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally, bilateral corona radiata and centrum semiovale.
A lacunar infarct is noted in the left thalamus.
The left cerebral peduncle appears slightly smaller than the right.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the paranasal sinuses bilaterally.
There is no evidence of haemorrhage on this study.
IMPRESSION :
1. Altered signal in the periventricular white matter bilaterally, bilateral corona radiata and centrum semiovale most likely represent ischemic changes.
2. A lacunar infarct in the left thalamus.
As compared to the previous MRI (study no:00001) dated 00.00.0000, there appears to be slight increase in the white matter ischemic changes on the present study.
Date : 00.00.00
Name of the Patient : Abc XyzKolamlmn / M / 64 yrs.
Referred by : Dr. Abc Xyzndu / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O drowsiness with incontinence of urine and dysphagia.
Right upper motor neuron facial palsy.
Known hypertensive and diabetic.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally, bilateral corona radiata and centrum semiovale.
A lacunar infarct is noted in the left thalamus.
The left cerebral peduncle appears slightly smaller than the right.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the paranasal sinuses bilaterally.
There is no evidence of haemorrhage on this study.
IMPRESSION :
1. Altered signal in the periventricular white matter bilaterally, bilateral corona radiata and centrum semiovale most likely represent ischemic changes.
2. A lacunar infarct in the left thalamus.
As compared to the previous MRI (study no:00001) dated 00.00.0000, there appears to be slight increase in the white matter ischemic changes on the present study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13944
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzh Sonalmn / M / 53 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weakness of the RUE and RLE with bladder involvement.
H/O suprapubic cystotomy done 2 1/2 years back.
Known C/O TBM.
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.
3 mm thick T2 Weighted coronal images.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.
There is seen an ill-marginated, most likely intradural - extramedullary mass lesion in the spinal canal to the right of the cervical spinal cord at the C4 vertebral level measuring approximately 1.0 x 0.8 x 2.1 cms. This lesion is nearly isointense to the normal cord on the T1 Weighted images and appears hypointense on the T2 Weighted images. The lesion has a broad base towards the dural theca. There is resultant cord compression and displacement of the cervical spinal cord to the left, at that level. The cervical spinal cord along its entire extent appears slightly swollen and shows a hyperintense signal on the T2 Weighted images which suggest cord edema/ischemia.
There is a fairly large, postero-central and right postero-lateral (foraminal) disc herniations with peridiscal osteophytes at the C5-C6 level with right neural foraminal narrowing.
A right paracentral protruded disc with peridiscal osteophytes is noted at the C4-C5 level.
A small postero-central protruded disc is noted at the C2-C3 level.
The cervical vertebral bodies show spotty fatty marrow changes. 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. An approximately 1.0 x 0.8 x 2.1 cms. sized intradural - extramedullary mass lesion in the spinal canal to the right of the cervical spinal cord at the C4 vertebral level, follows the signal characteristics of a tuberculoma (patient is a known C/O TBM). The possibility of this lesion being intramedullary in location cannot be entirely excluded. The possibility of this lesion representing a meningioma also seems less likely.
2. Altered cord signal in the cervical region suggest cord edema/ischemia.
..3/.
- 3 - Scan-00004
3. A fairly large, postero-central and right postero-lateral (foraminal) disc herniations with peridiscal osteophytes at the C5-C6 level with right neural foraminal narrowing.
4. A right paracentral protruded disc with peridiscal osteophytes at the C4-C5 level.
5. A small postero-central protruded disc at the C2-C3 level.
A contrast enhanced scan is essential.
Date : 00.00.00
Name of the Patient : Abc Xyzh Sonalmn / M / 53 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weakness of the RUE and RLE with bladder involvement.
H/O suprapubic cystotomy done 2 1/2 years back.
Known C/O TBM.
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.
3 mm thick T2 Weighted coronal images.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.
There is seen an ill-marginated, most likely intradural - extramedullary mass lesion in the spinal canal to the right of the cervical spinal cord at the C4 vertebral level measuring approximately 1.0 x 0.8 x 2.1 cms. This lesion is nearly isointense to the normal cord on the T1 Weighted images and appears hypointense on the T2 Weighted images. The lesion has a broad base towards the dural theca. There is resultant cord compression and displacement of the cervical spinal cord to the left, at that level. The cervical spinal cord along its entire extent appears slightly swollen and shows a hyperintense signal on the T2 Weighted images which suggest cord edema/ischemia.
There is a fairly large, postero-central and right postero-lateral (foraminal) disc herniations with peridiscal osteophytes at the C5-C6 level with right neural foraminal narrowing.
A right paracentral protruded disc with peridiscal osteophytes is noted at the C4-C5 level.
A small postero-central protruded disc is noted at the C2-C3 level.
The cervical vertebral bodies show spotty fatty marrow changes. 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. An approximately 1.0 x 0.8 x 2.1 cms. sized intradural - extramedullary mass lesion in the spinal canal to the right of the cervical spinal cord at the C4 vertebral level, follows the signal characteristics of a tuberculoma (patient is a known C/O TBM). The possibility of this lesion being intramedullary in location cannot be entirely excluded. The possibility of this lesion representing a meningioma also seems less likely.
2. Altered cord signal in the cervical region suggest cord edema/ischemia.
..3/.
- 3 - Scan-00004
3. A fairly large, postero-central and right postero-lateral (foraminal) disc herniations with peridiscal osteophytes at the C5-C6 level with right neural foraminal narrowing.
4. A right paracentral protruded disc with peridiscal osteophytes at the C4-C5 level.
5. A small postero-central protruded disc at the C2-C3 level.
A contrast enhanced scan is essential.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13943
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Lakdalmn / F / 76 yrs.
Referred by : Dr. Abc Xyzakdawala.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O memory impairement since 1 1/2 months.
Known hypertensive.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick FLAIR coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
There are ill-defined, hyperintense areas in the periatrial deep white matter on the T2 Weighted and FLAIR images which are ischemic in etiology.
There is slight fullness of both the lateral ventricles. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidentally noted is an empty sella.
INTRACRANIAL MRA :
The vertebro-basilar system is ectatic.
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 common carotid arteries in the neck appear tortuous. The carotid bifurcations are unremarkable. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
Altered signal in the periatrial deep white matter is ischemic in etiology.
No significant abnormality is detected on the intracranial and neck MRA on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz Lakdalmn / F / 76 yrs.
Referred by : Dr. Abc Xyzakdawala.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O memory impairement since 1 1/2 months.
Known hypertensive.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick FLAIR coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
There are ill-defined, hyperintense areas in the periatrial deep white matter on the T2 Weighted and FLAIR images which are ischemic in etiology.
There is slight fullness of both the lateral ventricles. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidentally noted is an empty sella.
INTRACRANIAL MRA :
The vertebro-basilar system is ectatic.
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 common carotid arteries in the neck appear tortuous. The carotid bifurcations are unremarkable. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
Altered signal in the periatrial deep white matter is ischemic in etiology.
No significant abnormality is detected on the intracranial and neck MRA on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13942
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzA. Rlmn / M / 13 mnths.
Referred by : Dr. Abc Xyzsbekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fever 2 months back treated for respiratory track infection from 00.00.00 to 00.00.00.
C/O delayed milestones.
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 T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The myelination pattern is normal for the patients age.
There is mild fullness of both the lateral, third and the fourth ventricles. There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Mild fullness of the ventricular system with slight sulcal space prominence.
No other abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc XyzA. Rlmn / M / 13 mnths.
Referred by : Dr. Abc Xyzsbekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fever 2 months back treated for respiratory track infection from 00.00.00 to 00.00.00.
C/O delayed milestones.
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 T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The myelination pattern is normal for the patients age.
There is mild fullness of both the lateral, third and the fourth ventricles. There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Mild fullness of the ventricular system with slight sulcal space prominence.
No other abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13941
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xylmn / F / 60 yrs.
Referred by : Dr. Abc Xyzgaonkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to the RLE with paresthesias since 1 year which has increased since 2 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is reduction in height of the L5-S1 intervertebral disc and loss of water content of the lumbar intervertebral discs.
There is a fairly large postero-central disc herniation at the L5-S1 level with thecal sac compression and indentation on the S1 nerve roots bilaterally. Bilateral far lateral disc bulges and facetal arthropathy are also noted at this level.
A posteriorly bulging disc with peridiscal osteophytes is seen at the L4-L5 level with bilateral neural foraminal narrowing.
Left and right postero-lateral disc bulge is noted at the L3-L4 level with bilateral neural foraminal narrowing.
Anterior disc herniations with anterior peridiscal osteophytes are noted in the lumbar region.
The lumbar vertebral bodies 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 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
19.0 mm at L2-L3
17.0 mm at L3-L4
13.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. A fairly large postero-central disc herniation at the L5-S1 level with indentation on the S1 nerve roots bilaterally. Facetal arthropathy is also noted with canal stenosis at this level.
2. A posteriorly bulging disc with peridiscal osteophytes at the L4-L5 level with bilateral neural foraminal narrowing.
3. Left and right postero-lateral disc bulge at the L3-L4 level with bilateral neural foraminal narrowing.
Date : 00.00.00
Name of the Patient : Abc Xylmn / F / 60 yrs.
Referred by : Dr. Abc Xyzgaonkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to the RLE with paresthesias since 1 year which has increased since 2 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is reduction in height of the L5-S1 intervertebral disc and loss of water content of the lumbar intervertebral discs.
There is a fairly large postero-central disc herniation at the L5-S1 level with thecal sac compression and indentation on the S1 nerve roots bilaterally. Bilateral far lateral disc bulges and facetal arthropathy are also noted at this level.
A posteriorly bulging disc with peridiscal osteophytes is seen at the L4-L5 level with bilateral neural foraminal narrowing.
Left and right postero-lateral disc bulge is noted at the L3-L4 level with bilateral neural foraminal narrowing.
Anterior disc herniations with anterior peridiscal osteophytes are noted in the lumbar region.
The lumbar vertebral bodies 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 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
19.0 mm at L2-L3
17.0 mm at L3-L4
13.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. A fairly large postero-central disc herniation at the L5-S1 level with indentation on the S1 nerve roots bilaterally. Facetal arthropathy is also noted with canal stenosis at this level.
2. A posteriorly bulging disc with peridiscal osteophytes at the L4-L5 level with bilateral neural foraminal narrowing.
3. Left and right postero-lateral disc bulge at the L3-L4 level with bilateral neural foraminal narrowing.
Published in
MRI Reports