Regular User
Sunday, 27 December 2015 16:48
13760
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzm Koilmn / M / 49 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with pain radiating to the RUE since 10-12 days.
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.
A right postero-lateral disc herniation with peridiscal osteophytes is seen at the C6-C7 level with right neural foraminal narrowing.
Small postero-central disc herniations with peridiscal osteophytes are noted at the C3-C4 and C4-C5 levels with anterior indentation of the thecal sac.
A posterior disc bulge is seen at the C5-C6 level. Posterior peridiscal osteophytes, more to the left of the midline are seen to indent the cord at this level. The left joint of Luschka at this level shows degenerative changes with left neural foraminal narrowing.
A mild posterior disc bulge is seen at the C2-C3 level.
The cervical intervertebral discs show loss of water content.
Diffuse fatty changes are seen in the cervical vertebral bodies.
The remaining 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.
Incidental note is made of prominence of the cerebellar folia.
IMPRESSION :
1. A right postero-lateral disc herniation at the C6-C7 level with right neural foraminal narrowing.
2. Small postero-central disc herniations with peridiscal osteophytes at the C3-C4 and C4-C5 levels.
3. A small posterior disc bulge at the C5-C6 level.
4. Posterior peridiscal osteophytes, more to the left of the midline at the C5-C6 level.
5. Degenerative changes of the left joint of Luschka at the C5-C6 level.
Date : 00.00.00
Name of the Patient : Abc Xyzm Koilmn / M / 49 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with pain radiating to the RUE since 10-12 days.
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.
A right postero-lateral disc herniation with peridiscal osteophytes is seen at the C6-C7 level with right neural foraminal narrowing.
Small postero-central disc herniations with peridiscal osteophytes are noted at the C3-C4 and C4-C5 levels with anterior indentation of the thecal sac.
A posterior disc bulge is seen at the C5-C6 level. Posterior peridiscal osteophytes, more to the left of the midline are seen to indent the cord at this level. The left joint of Luschka at this level shows degenerative changes with left neural foraminal narrowing.
A mild posterior disc bulge is seen at the C2-C3 level.
The cervical intervertebral discs show loss of water content.
Diffuse fatty changes are seen in the cervical vertebral bodies.
The remaining 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.
Incidental note is made of prominence of the cerebellar folia.
IMPRESSION :
1. A right postero-lateral disc herniation at the C6-C7 level with right neural foraminal narrowing.
2. Small postero-central disc herniations with peridiscal osteophytes at the C3-C4 and C4-C5 levels.
3. A small posterior disc bulge at the C5-C6 level.
4. Posterior peridiscal osteophytes, more to the left of the midline at the C5-C6 level.
5. Degenerative changes of the left joint of Luschka at the C5-C6 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13758
sb/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzrlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain and limitation of joint movements with clicking since 2 years. H/O fall while playing football.
EXAMINATION :
M.R.I of the right knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and T2 Weighted coronal images.
4 mm thick GRASS axial images.
OBSERVATION :
Menisci
There is a linear hyperintense signal on all pulse sequences in the posterior horn of the medial meniscus of the right knee joint extending upto the inferior articular margin. This represents Grade III meniscal signal (meniscal tear, horizontal type).
The anterior horn of the medial meniscus and the anterior and posterior horns of the lateral meniscus reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
The articular cartilage overlying the patella, tibia and femur appears normal.
Marginal osteophytes are noted around the right knee joint.
IMPRESSION :
Grade III meniscal signal (meniscal tear) in the posterior horn of the medial meniscus of the right knee joint.
Marginal osteophytes around the right knee joint suggests osteoarthritis.
Date : 00.00.00
Name of the Patient : Abc Xyzrlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain and limitation of joint movements with clicking since 2 years. H/O fall while playing football.
EXAMINATION :
M.R.I of the right knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and T2 Weighted coronal images.
4 mm thick GRASS axial images.
OBSERVATION :
Menisci
There is a linear hyperintense signal on all pulse sequences in the posterior horn of the medial meniscus of the right knee joint extending upto the inferior articular margin. This represents Grade III meniscal signal (meniscal tear, horizontal type).
The anterior horn of the medial meniscus and the anterior and posterior horns of the lateral meniscus reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
The articular cartilage overlying the patella, tibia and femur appears normal.
Marginal osteophytes are noted around the right knee joint.
IMPRESSION :
Grade III meniscal signal (meniscal tear) in the posterior horn of the medial meniscus of the right knee joint.
Marginal osteophytes around the right knee joint suggests osteoarthritis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13757
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Salmn / M / 49 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O single episode of convulsion on 00.00.00 with fall and head injury (right parietal region).
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight 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.
Inflammatory changes are noted in the paranasal sinuses.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz Salmn / M / 49 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O single episode of convulsion on 00.00.00 with fall and head injury (right parietal region).
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight 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.
Inflammatory changes are noted in the paranasal sinuses.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13756
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzDlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) with paresthesias since 2-3 years.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebra.
There is probable spondylolysis at L4, bilaterally without obvious listhesis (scans 105.4,5). (Kindly correlate with plain radiographs).
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 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
18.0 mm at L2-L3
18.0 mm at L3-L4
16.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. Probable spondylolysis at L4, bilaterally without obvious listhesis.
Date : 00.00.00
Name of the Patient : Abc XyzDlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) with paresthesias since 2-3 years.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebra.
There is probable spondylolysis at L4, bilaterally without obvious listhesis (scans 105.4,5). (Kindly correlate with plain radiographs).
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 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
18.0 mm at L2-L3
18.0 mm at L3-L4
16.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. Probable spondylolysis at L4, bilaterally without obvious listhesis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13755
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz R. Kulmn / M / 12 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden onset of bifrontal headaches with auditory and visual hallucinations since 15 days.
H/O vomiting and diarrhea for 2 days prior to this.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T2 Weighted coronal images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyz R. Kulmn / M / 12 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden onset of bifrontal headaches with auditory and visual hallucinations since 15 days.
H/O vomiting and diarrhea for 2 days prior to this.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T2 Weighted coronal images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13754
ke/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Anwar Dlmn / M / 16 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
H/O fall while playing football 2 weeks ago with difficulty in bending and straightening the RLE.
C/O pain and swelling over the right knee joint with limitation of joint movements and clicking since then.
EXAMINATION :
M.R.I of the right knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and STIR coronal images.
5 mm thick GRASS axial images.
OBSERVATION :
Menisci
There is a curvilinear hyperintense signal on all pulse sequences within the posterior horn of the medial meniscus reaching upto the superior and the inferior articular surface and displaced medially, and would represent a Grade III meniscal signal (meniscal tear - bucket handle).
The anterior and posterior horns of the lateral meniscus and anterior horn of the medial meniscus reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior cruciate is not well-identified. Intermediate signal intensity lesion is seen along the course of the anterior cruciate ligament on the T1 Weighted images. This is seen to turn hyperintense on the Gradient and STIR images and would represent partial tear/strain of the anterior cruciate ligament.
..2/.
The posterior cruciate ligament shows normal contour and signal
characteristics.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
Hoffas Fat Pad :
There is streaking of the Hoffas fat pad with minimal amount of fluid.
Articular cartilage and bones :
Ill-defined hyperintense areas are seen within the epiphysis of the tibia, medially as well as laterally (more so medially) on the STIR images. These are hypointense to the normal marrow on the T1 Weighted images. This is suggestive of bone bruise/edema. Similar signal is also noted in the medial femoral condyle.
There is suggestion of fracture of the tibial plateau medially (scan 106/7).
The articular cartilage overlying the patella, tibia and femur appears normal.
Effusion is seen within the right knee joint and the suprapatellar bursa.
IMPRESSION :
The MRI features are suggestive of :
1. Bucket handle tear (meniscal tear) within the posterior horn of the medial meniscus of the right knee joint.
2. Partial tear/strain of the anterior cruciate ligament.
3. Bone bruise/edema within the proximal epiphysis of the tibia, medially as well as laterally and in the medial femoral condyle.
4. Fracture of the tibial plateau medially.
Date : 00.00.00
Name of the Patient : Abc Xyz Anwar Dlmn / M / 16 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
H/O fall while playing football 2 weeks ago with difficulty in bending and straightening the RLE.
C/O pain and swelling over the right knee joint with limitation of joint movements and clicking since then.
EXAMINATION :
M.R.I of the right knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and STIR coronal images.
5 mm thick GRASS axial images.
OBSERVATION :
Menisci
There is a curvilinear hyperintense signal on all pulse sequences within the posterior horn of the medial meniscus reaching upto the superior and the inferior articular surface and displaced medially, and would represent a Grade III meniscal signal (meniscal tear - bucket handle).
The anterior and posterior horns of the lateral meniscus and anterior horn of the medial meniscus reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior cruciate is not well-identified. Intermediate signal intensity lesion is seen along the course of the anterior cruciate ligament on the T1 Weighted images. This is seen to turn hyperintense on the Gradient and STIR images and would represent partial tear/strain of the anterior cruciate ligament.
..2/.
The posterior cruciate ligament shows normal contour and signal
characteristics.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
Hoffas Fat Pad :
There is streaking of the Hoffas fat pad with minimal amount of fluid.
Articular cartilage and bones :
Ill-defined hyperintense areas are seen within the epiphysis of the tibia, medially as well as laterally (more so medially) on the STIR images. These are hypointense to the normal marrow on the T1 Weighted images. This is suggestive of bone bruise/edema. Similar signal is also noted in the medial femoral condyle.
There is suggestion of fracture of the tibial plateau medially (scan 106/7).
The articular cartilage overlying the patella, tibia and femur appears normal.
Effusion is seen within the right knee joint and the suprapatellar bursa.
IMPRESSION :
The MRI features are suggestive of :
1. Bucket handle tear (meniscal tear) within the posterior horn of the medial meniscus of the right knee joint.
2. Partial tear/strain of the anterior cruciate ligament.
3. Bone bruise/edema within the proximal epiphysis of the tibia, medially as well as laterally and in the medial femoral condyle.
4. Fracture of the tibial plateau medially.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13753
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzAmlmn / M / 31 yrs.
Referred by : Dr. Abc Xyzabhat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches since many years (on & off).
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There 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 tissue in the ethmoidal air cells and right maxillary sinus.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc XyzAmlmn / M / 31 yrs.
Referred by : Dr. Abc Xyzabhat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches since many years (on & off).
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There 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 tissue in the ethmoidal air cells and right maxillary sinus.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13752
ke/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzraya B. Dlmn / M / 52 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to BUE (left more than right) with paresthesias since 15 days.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There are small posterior disc bulges at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels with anterior indentation of the thecal sac. The cervical intervertebral discs show loss of water content.
Posterior peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.
The C4-C5 and C5-C6 facet joints show degenerative changes.
Focal fatty changes are seen in the upper cervical vertebral bodies.
The rest of 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 :
The MRI features are suggestive of :
1. Small posterior disc bulges at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels.
2. Posterior peridiscal osteophytes at the C5-C6 and C6-C7 levels.
3. Facetal arthropathy at the C4-C5 and C5-C6 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzraya B. Dlmn / M / 52 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to BUE (left more than right) with paresthesias since 15 days.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There are small posterior disc bulges at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels with anterior indentation of the thecal sac. The cervical intervertebral discs show loss of water content.
Posterior peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.
The C4-C5 and C5-C6 facet joints show degenerative changes.
Focal fatty changes are seen in the upper cervical vertebral bodies.
The rest of 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 :
The MRI features are suggestive of :
1. Small posterior disc bulges at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels.
2. Posterior peridiscal osteophytes at the C5-C6 and C6-C7 levels.
3. Facetal arthropathy at the C4-C5 and C5-C6 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13751
ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzKhanvilmn / M / 70 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) with paresthesias since 7-8 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 a left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with antero-lateral compression of the thecal sac and bilateral neural foraminal narrowing, left more than right. Mild ligamentum flavum and facetal hypertrophy is seen at this level with resultant canal stenosis.
Left and right postero-lateral disc herniations with peridiscal osteophytes are seen at the L2-L3 and L3-L4 levels with bilateral neural foraminal narrowing. The L2-L3 facet joints show mild degenerative changes.
Schmorls nodes are noted in the inferior aspect of the L2 and L3 vertebral bodies and the superior aspect of the L5 vertebral body. Anterior disc herniations with peridiscal osteophytes are seen at the L2-L3, L3-L4 and L4-L5 levels. The lumbar intervertebral discs show loss of water content.
Type II degenerative changes are noted in the lower lumbar vertebrae.
R>
The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 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 :
16.0 mm at L1-L2
15.0 mm at L2-L3
12.0 mm at L3-L4
9.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with mild ligamentum flavum and facetal hypertrophy and resultant canal stenosis.
2. Bilateral postero-lateral disc herniations with peridiscal osteophytes at the L2-L3 and L3-L4 levels with mild facetal arthropathy at the L2-L3 level.
Date : 00.00.00
Name of the Patient : Abc XyzKhanvilmn / M / 70 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) with paresthesias since 7-8 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 a left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with antero-lateral compression of the thecal sac and bilateral neural foraminal narrowing, left more than right. Mild ligamentum flavum and facetal hypertrophy is seen at this level with resultant canal stenosis.
Left and right postero-lateral disc herniations with peridiscal osteophytes are seen at the L2-L3 and L3-L4 levels with bilateral neural foraminal narrowing. The L2-L3 facet joints show mild degenerative changes.
Schmorls nodes are noted in the inferior aspect of the L2 and L3 vertebral bodies and the superior aspect of the L5 vertebral body. Anterior disc herniations with peridiscal osteophytes are seen at the L2-L3, L3-L4 and L4-L5 levels. The lumbar intervertebral discs show loss of water content.
Type II degenerative changes are noted in the lower lumbar vertebrae.
R>
The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 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 :
16.0 mm at L1-L2
15.0 mm at L2-L3
12.0 mm at L3-L4
9.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with mild ligamentum flavum and facetal hypertrophy and resultant canal stenosis.
2. Bilateral postero-lateral disc herniations with peridiscal osteophytes at the L2-L3 and L3-L4 levels with mild facetal arthropathy at the L2-L3 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13750
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzDlmn / F / 65 yrs.
Referred by : Dr. Abc Xyzre.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
H/O transthoracic excision of Kochs granulation tissue at D5 with bone and disc material grafting.
C/O backache since 2 months.
H/O fall in March 0000.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is past h/o transthoracic excision of tuberculous granulation tissue at D5 vertebral level with bone and disc material grafting. The D5 vertebral body is not well-identified, probably the sequelae of previous infection/surgery. A kyphus is noted at the D4/D5/D6 levels.
Subtle hypointense singal on all pulse sequences is noted along the inferior margin of the D4 vertebra. The intervening disc/bone graft between D4 and D6 vertebrae appears hypointense on all the pulse sequences and is seen to minimally indent the dural theca anteriorly. Bilateral neural foraminal narrowing is also noted at this level.
A Schmorls node/herniated disc is seen along the superior margin of the D6 vertebral body.
Subtle hyperintense signal on the T2 Weighted images is noted in the dorsal spinal cord at the D5 and D6 vertebral levels which may suggest cord ischemia/gliosis.
..2/.
R>
There is anterior wedging of the D12 vertebral body with fatty marrow changes. Indentation on the anterior dural theca at this level is noted by the postero-superior margin of the D12 vertebral body.
The rest of the visualized dorsal vertebral bodies show spotty fatty marrow changes. The dorsal intervertebral discs show loss of water content. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level.
IMPRESSION :
1. Post-operative status with non-visualization of the D5 vertebral body with bone/disc graft at that level.
2. Subtle altered signal in the dorsal spinal cord at the D5 and D6 vertebral levels may suggests cord ischemia/gliosis.
3. Anterior wedging of the D12 vertebral body with fatty marrow changes is ? the sequelae of previous trauma/infection.
As compared to the previous MRI dated 00.00.00 (scan no.0000), there is near complete resolution of the previous identified osteitis and granulation tissue.
Date : 00.00.00
Name of the Patient : Abc XyzDlmn / F / 65 yrs.
Referred by : Dr. Abc Xyzre.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
H/O transthoracic excision of Kochs granulation tissue at D5 with bone and disc material grafting.
C/O backache since 2 months.
H/O fall in March 0000.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is past h/o transthoracic excision of tuberculous granulation tissue at D5 vertebral level with bone and disc material grafting. The D5 vertebral body is not well-identified, probably the sequelae of previous infection/surgery. A kyphus is noted at the D4/D5/D6 levels.
Subtle hypointense singal on all pulse sequences is noted along the inferior margin of the D4 vertebra. The intervening disc/bone graft between D4 and D6 vertebrae appears hypointense on all the pulse sequences and is seen to minimally indent the dural theca anteriorly. Bilateral neural foraminal narrowing is also noted at this level.
A Schmorls node/herniated disc is seen along the superior margin of the D6 vertebral body.
Subtle hyperintense signal on the T2 Weighted images is noted in the dorsal spinal cord at the D5 and D6 vertebral levels which may suggest cord ischemia/gliosis.
..2/.
R>
There is anterior wedging of the D12 vertebral body with fatty marrow changes. Indentation on the anterior dural theca at this level is noted by the postero-superior margin of the D12 vertebral body.
The rest of the visualized dorsal vertebral bodies show spotty fatty marrow changes. The dorsal intervertebral discs show loss of water content. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level.
IMPRESSION :
1. Post-operative status with non-visualization of the D5 vertebral body with bone/disc graft at that level.
2. Subtle altered signal in the dorsal spinal cord at the D5 and D6 vertebral levels may suggests cord ischemia/gliosis.
3. Anterior wedging of the D12 vertebral body with fatty marrow changes is ? the sequelae of previous trauma/infection.
As compared to the previous MRI dated 00.00.00 (scan no.0000), there is near complete resolution of the previous identified osteitis and granulation tissue.
Published in
MRI Reports