Regular User
Sunday, 27 December 2015 16:48
13940
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzdevi Ylmn / F / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex is unremarkable on either side.
There is minimal fullness of the left lateral ventricle as compared to the right (normal variant). The third and the fourth ventricles are normal. There is slight prominence of the 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.
IMPRESSION :
Slight prominence of the cerebellar folia bilaterally.
No other significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzdevi Ylmn / F / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex is unremarkable on either side.
There is minimal fullness of the left lateral ventricle as compared to the right (normal variant). The third and the fourth ventricles are normal. There is slight prominence of the 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.
IMPRESSION :
Slight prominence of the cerebellar folia bilaterally.
No other significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13939
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzlallmn / M / 36 yrs.
Referred by : Dr. Abc Xyzndhi / Dr. Abc Xyzpta.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the LUE since 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 :
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.
There is a postero-central and left postero-lateral disc herniation with peridiscal osteophytes at the C6-C7 level with left neural foraminal narrowing.
A small postero-central disc herniation with peridiscal osteophytes is noted at the C4-C5 level, indenting the cervical spinal cord anteriorly.
Small postero-central disc herniation is noted at the C5-C6 level.
Small postero-central protruded disc is seen at the C3-C4 level.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
R>
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. A postero-central and left postero-lateral disc herniation with peridiscal osteophytes at the C6-C7 level with left neural foraminal narrowing.
2. A small postero-central disc herniation with peridiscal osteophytes at the C4-C5 level, indenting the cervical spinal cord anteriorly.
3. Small postero-central disc herniation at the C5-C6 level.
Date : 00.00.00
Name of the Patient : Abc Xyzlallmn / M / 36 yrs.
Referred by : Dr. Abc Xyzndhi / Dr. Abc Xyzpta.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the LUE since 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 :
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.
There is a postero-central and left postero-lateral disc herniation with peridiscal osteophytes at the C6-C7 level with left neural foraminal narrowing.
A small postero-central disc herniation with peridiscal osteophytes is noted at the C4-C5 level, indenting the cervical spinal cord anteriorly.
Small postero-central disc herniation is noted at the C5-C6 level.
Small postero-central protruded disc is seen at the C3-C4 level.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
R>
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. A postero-central and left postero-lateral disc herniation with peridiscal osteophytes at the C6-C7 level with left neural foraminal narrowing.
2. A small postero-central disc herniation with peridiscal osteophytes at the C4-C5 level, indenting the cervical spinal cord anteriorly.
3. Small postero-central disc herniation at the C5-C6 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13938
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzang lmn / M / 63 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures. On anti-epileptics.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
There is dilatation of both the lateral and third ventricles. The fourth ventricle is normal. 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.
Inflammatory changes are noted in the ethmoidal air cells bilaterally and the left frontal sinus.
IMPRESSION :
Age related cerebral cortical atrophy.
No other significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzang lmn / M / 63 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures. On anti-epileptics.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
There is dilatation of both the lateral and third ventricles. The fourth ventricle is normal. 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.
Inflammatory changes are noted in the ethmoidal air cells bilaterally and the left frontal sinus.
IMPRESSION :
Age related cerebral cortical atrophy.
No other significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13937
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzidevi Plmn / F / 45 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 4 months.
H/O fall +.
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.
The brain was screened with 5 mm thick T1 Weighted sagittal images and 5 mm thick T2 Weighted axial images.
The dorsal spine was screened with 5 mm thick T2 Weighted sagittal images.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.
Small postero-central protruded discs are noted at the C2-C3, C3-C4 and C6-C7 levels.
The cervical vertebral bodies show spotty fatty marrow changes. 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.
Screening images of the brain and the dorsal spine do not reveal any significant feature of note, except for inflammatory changes in the ethmoidal air cells and mastoid air cells bilaterally.
IMPRESSION :
Small postero-central protruded discs at the C2-C3, C3-C4 and C6-C7 levels.
No significant abnormality is detected on the screening images of the dorsal spine and brain.
Date : 00.00.00
Name of the Patient : Abc Xyzidevi Plmn / F / 45 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 4 months.
H/O fall +.
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.
The brain was screened with 5 mm thick T1 Weighted sagittal images and 5 mm thick T2 Weighted axial images.
The dorsal spine was screened with 5 mm thick T2 Weighted sagittal images.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.
Small postero-central protruded discs are noted at the C2-C3, C3-C4 and C6-C7 levels.
The cervical vertebral bodies show spotty fatty marrow changes. 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.
Screening images of the brain and the dorsal spine do not reveal any significant feature of note, except for inflammatory changes in the ethmoidal air cells and mastoid air cells bilaterally.
IMPRESSION :
Small postero-central protruded discs at the C2-C3, C3-C4 and C6-C7 levels.
No significant abnormality is detected on the screening images of the dorsal spine and brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13936
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzhore Palmn / M / 48 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE.
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 seen an intradural, CSF signal intensity lesion on all the pulse sequences, extending over the L3 to the S1/S2 vertebral levels. The walls of the lesion are not well-defined. The intrathecal nerve roots over the L2 to S2 vertebral levels are displaced anteriorly. The antero-posterior dimension of this lesion is about 11.0 mms. The intrathecal nerve roots are however well-identified separately from each other.
There is slight loss of water content of the L4-L5 and L5-S1 intervertebral discs. Small posterior disc bulges are noted at the L4-L5 and L5-S1 levels.
Facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels.
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 :
19.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
16.0 mm at L4-L5
16.0 mm at L5-S1.
IMPRESSION :
1. An intradural, CSF signal intensity lesion extending over the L3 to the S1/S2 vertebral levels with anterior displacement of the intrathecal nerve roots as described, most likely represents an intradural arachnoid cyst.
The possibility of the intrathecal nerve roots being displaced anteriorly due to arachnoiditis cannot be entirely excluded, though less likely.
2. Small posterior disc bulges at the L4-L5 and L5-S1 levels.
3. Facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzhore Palmn / M / 48 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE.
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 seen an intradural, CSF signal intensity lesion on all the pulse sequences, extending over the L3 to the S1/S2 vertebral levels. The walls of the lesion are not well-defined. The intrathecal nerve roots over the L2 to S2 vertebral levels are displaced anteriorly. The antero-posterior dimension of this lesion is about 11.0 mms. The intrathecal nerve roots are however well-identified separately from each other.
There is slight loss of water content of the L4-L5 and L5-S1 intervertebral discs. Small posterior disc bulges are noted at the L4-L5 and L5-S1 levels.
Facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels.
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 :
19.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
16.0 mm at L4-L5
16.0 mm at L5-S1.
IMPRESSION :
1. An intradural, CSF signal intensity lesion extending over the L3 to the S1/S2 vertebral levels with anterior displacement of the intrathecal nerve roots as described, most likely represents an intradural arachnoid cyst.
The possibility of the intrathecal nerve roots being displaced anteriorly due to arachnoiditis cannot be entirely excluded, though less likely.
2. Small posterior disc bulges at the L4-L5 and L5-S1 levels.
3. Facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13935
sb/bv/rg.
Date : 00.00.00
Name of the Patient : Abc XyzAgalmn / M / 37 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in low back and both hip region since 2-3 years which is increased since 15 days.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick Proton density sagittal images.
OBSERVATION :
The femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. Minimal fluid is noted within the hip joint on either side.
The musculature surrounding both the hip joints and the visualized pelvis is normal.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc XyzAgalmn / M / 37 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in low back and both hip region since 2-3 years which is increased since 15 days.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick Proton density sagittal images.
OBSERVATION :
The femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. Minimal fluid is noted within the hip joint on either side.
The musculature surrounding both the hip joints and the visualized pelvis is normal.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13934
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzkumar Milmn / M / 16 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
Known C/O oligodendroglioma for which left temporal craniotomy with excision of tumor was done on 00.00.00.
C/O weakness of BLE with kyphosis 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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is slight scoliosis of the lumbar spine with convexity to the left.
Small posterior disc bulges with posterior peridiscal osteophytes are noted at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the 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 and the thecal sac terminates at the S3 level.
R>
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
15.0 mm at L5-S1.
IMPRESSION :
Small posterior disc bulges with posterior peridiscal osteophytes at the L4-L5 and L5-S1 levels.
If drop metastasis is to be definitely excluded, a contrast enhanced scan is indicated.
Date : 00.00.00
Name of the Patient : Abc Xyzkumar Milmn / M / 16 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
Known C/O oligodendroglioma for which left temporal craniotomy with excision of tumor was done on 00.00.00.
C/O weakness of BLE with kyphosis 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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is slight scoliosis of the lumbar spine with convexity to the left.
Small posterior disc bulges with posterior peridiscal osteophytes are noted at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the 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 and the thecal sac terminates at the S3 level.
R>
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
15.0 mm at L5-S1.
IMPRESSION :
Small posterior disc bulges with posterior peridiscal osteophytes at the L4-L5 and L5-S1 levels.
If drop metastasis is to be definitely excluded, a contrast enhanced scan is indicated.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13933
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 28 yrs.
Referred by : Dr. Abc Xyza Mehta.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 6 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is a small postero-central disc herniation with peridiscal osteophytes at the L5-S1 level. Slight facetal hypertrophy also noted at this level.
The lumbar vertebral bodies and the 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 S2 level.
R>
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
18.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
A small postero-central disc herniation with peridiscal osteophytes at the L5-S1 level and slight facetal hypertrophy at this level.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 28 yrs.
Referred by : Dr. Abc Xyza Mehta.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 6 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is a small postero-central disc herniation with peridiscal osteophytes at the L5-S1 level. Slight facetal hypertrophy also noted at this level.
The lumbar vertebral bodies and the 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 S2 level.
R>
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
18.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
A small postero-central disc herniation with peridiscal osteophytes at the L5-S1 level and slight facetal hypertrophy at this level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13932
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Jlmn / M / 66 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O pain in both hip joints (left more than right) and in the LLE with a limp on the left side.
H/O laminectomy at L1 with excision of tumor 2 1/2 years ago.
HP S/O chondrosarcoma (3 sittings of radiotherapy received).
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 wedging of the L1 vertebral body.
There is seen an expansile, lobulated mass lesion involving the L1 vertebral body. This is of intermediate signal on the T1 Weighted images and appears heterogneously hyperintense on the T2 Weighted images. The left transverse process of L1 and left costo-transverse and costo-vertebral joints are involved by the lesion. There is a bulge of the posterior margin of the L1 body with resultant compression of the tip of the conus medullaris at that level. The tip of the conus medullaris shows a hyperintense signal on the T2 Weighted images which suggests cord edema/ischemia. There is also extension of the mass lesion into the left paravertebral and left posterior paraspinal region. Erosion of the inferior and superior cortical endplates of L1 is noted with a probable pathological fracture through the L1 body.
The D10, D11, D12 and L2 vertebrae show a hyperintense signal as compared to normal marrow on the T1 Weighted images which may be the sequelae of previous radiotherapy.
The lumbar intervertebral discs show loss of water content.
A posterior and bilateral far lateral disc bulges with peridiscal osteophytes is noted at the L5-S1 level.
A small posterior disc bulge is noted at the L4-L5 level.
Facetal hypertrophy is noted at the L4-L5 and L5-S1 levels.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized prevertebral 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 :
4.0 mm at L1-L2
14.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
Screening T1 Weighted sagittal images of the cervical and upper and mid-dorsal spines do not reveal any significant feature of note.
..3/.
- 3 - Scan-00002
IMPRESSION :
Altered signal in the L1 vertebral body with a lobulated, expansile mass lesion represents a recurrence of the chondrosarcoma. Cord compression is noted on the present study with altered cord signal suggesting cord edema/ischemia.
Altered signal in the D10, D11, D12 and L2 vertebral bodies is the sequelae of previous radiotherapy.
As compared to the previous MRI dated 00.00.00 (scan no. 650), there is significant increase in the size of the lesion in the L1 vertebral body.
Date : 00.00.00
Name of the Patient : Abc Xyz Jlmn / M / 66 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O pain in both hip joints (left more than right) and in the LLE with a limp on the left side.
H/O laminectomy at L1 with excision of tumor 2 1/2 years ago.
HP S/O chondrosarcoma (3 sittings of radiotherapy received).
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 wedging of the L1 vertebral body.
There is seen an expansile, lobulated mass lesion involving the L1 vertebral body. This is of intermediate signal on the T1 Weighted images and appears heterogneously hyperintense on the T2 Weighted images. The left transverse process of L1 and left costo-transverse and costo-vertebral joints are involved by the lesion. There is a bulge of the posterior margin of the L1 body with resultant compression of the tip of the conus medullaris at that level. The tip of the conus medullaris shows a hyperintense signal on the T2 Weighted images which suggests cord edema/ischemia. There is also extension of the mass lesion into the left paravertebral and left posterior paraspinal region. Erosion of the inferior and superior cortical endplates of L1 is noted with a probable pathological fracture through the L1 body.
The D10, D11, D12 and L2 vertebrae show a hyperintense signal as compared to normal marrow on the T1 Weighted images which may be the sequelae of previous radiotherapy.
The lumbar intervertebral discs show loss of water content.
A posterior and bilateral far lateral disc bulges with peridiscal osteophytes is noted at the L5-S1 level.
A small posterior disc bulge is noted at the L4-L5 level.
Facetal hypertrophy is noted at the L4-L5 and L5-S1 levels.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized prevertebral 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 :
4.0 mm at L1-L2
14.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
Screening T1 Weighted sagittal images of the cervical and upper and mid-dorsal spines do not reveal any significant feature of note.
..3/.
- 3 - Scan-00002
IMPRESSION :
Altered signal in the L1 vertebral body with a lobulated, expansile mass lesion represents a recurrence of the chondrosarcoma. Cord compression is noted on the present study with altered cord signal suggesting cord edema/ischemia.
Altered signal in the D10, D11, D12 and L2 vertebral bodies is the sequelae of previous radiotherapy.
As compared to the previous MRI dated 00.00.00 (scan no. 650), there is significant increase in the size of the lesion in the L1 vertebral body.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13931
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzen Turalmn / F / 62 yrs.
Referred by : Dr. Abc Xyzdakia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O tinnitus on the right side with decreased hearing.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
MR cisternogram was obtained in the coronal and axial planes.
OBSERVATION :
There are small bright foci on the proton, T2 Weighted and FLAIR images within the white matter in the fronto-parietal lobes bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.
The right lateral ventricle is prominent as compared to the left side and this may be a normal variant.
There is herniation of the suprasellar cistern into the sella with inferior displacement of the pituitary gland. The sella is increased in size. The stalk of the pituitary gland is seen till its attachment and this would suggest an empty sella. The stalk shows a slight shift to the right side.
There is mild prominence of the cerebral cortical sulci bilaterally.
Scan-00001
The seventh and eighth cranial nerve complex on either side are unremarkable.
The third and the fourth ventricles are normal. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of :
1. Foci of altered signal within the white matter in the fronto-parietal lobes bilaterally and these are most likely ischemic in etiology.
2. An empty sella.
If clinically indicated a contrast enhanced study may be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyzen Turalmn / F / 62 yrs.
Referred by : Dr. Abc Xyzdakia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O tinnitus on the right side with decreased hearing.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
MR cisternogram was obtained in the coronal and axial planes.
OBSERVATION :
There are small bright foci on the proton, T2 Weighted and FLAIR images within the white matter in the fronto-parietal lobes bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.
The right lateral ventricle is prominent as compared to the left side and this may be a normal variant.
There is herniation of the suprasellar cistern into the sella with inferior displacement of the pituitary gland. The sella is increased in size. The stalk of the pituitary gland is seen till its attachment and this would suggest an empty sella. The stalk shows a slight shift to the right side.
There is mild prominence of the cerebral cortical sulci bilaterally.
Scan-00001
The seventh and eighth cranial nerve complex on either side are unremarkable.
The third and the fourth ventricles are normal. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of :
1. Foci of altered signal within the white matter in the fronto-parietal lobes bilaterally and these are most likely ischemic in etiology.
2. An empty sella.
If clinically indicated a contrast enhanced study may be worthwhile.
Published in
MRI Reports