Regular User
Sunday, 27 December 2015 16:48
13749
ke/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Wlmn / F / 5 yrs.
Referred by : Dr. Abc Xyzarmar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fever 9 days back.
C/O seizure 5 days back with drowsiness since then.
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 and FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
After administration of contrast, the following parameters were used :
5 mm thick T1 Weighted axial images with magnetization transfer
3 mm thick T1 Weighted coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is an ill-defined, hyperintense area on the proton, T2 Weighted and FLAIR images in the left cerebral peduncle, involving the substantial nigra, with slight extension into the subthalamus superiorly. This lesion is hypointense to normal white matter on the T1 Weighted images. Similar signal is also noted in the right cerebral peduncle as well as the periaqueductal grey matter.
After administration of contrast, there is no enhancement within this lesion. There is no other abnormal area of enhancement within the brain parenchyma or the meninges.
..2/.
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 :
The MRI features are suggestive of altered signal in the left cerebral peduncle with slight extension into the subthalamus superiorly, in the right cerebral peduncle as well as the periaqueductal grey matter. These changes are not specific for a single diagnosis. The differential diagnosis would include :
1. Demyelination (acute disseminated encephalomyelitis).
2. Brain-stem encephalitis.
3. ?? ischemia (less likely).
Date : 00.00.00
Name of the Patient : Abc Xyz Wlmn / F / 5 yrs.
Referred by : Dr. Abc Xyzarmar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fever 9 days back.
C/O seizure 5 days back with drowsiness since then.
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 and FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
After administration of contrast, the following parameters were used :
5 mm thick T1 Weighted axial images with magnetization transfer
3 mm thick T1 Weighted coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is an ill-defined, hyperintense area on the proton, T2 Weighted and FLAIR images in the left cerebral peduncle, involving the substantial nigra, with slight extension into the subthalamus superiorly. This lesion is hypointense to normal white matter on the T1 Weighted images. Similar signal is also noted in the right cerebral peduncle as well as the periaqueductal grey matter.
After administration of contrast, there is no enhancement within this lesion. There is no other abnormal area of enhancement within the brain parenchyma or the meninges.
..2/.
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 :
The MRI features are suggestive of altered signal in the left cerebral peduncle with slight extension into the subthalamus superiorly, in the right cerebral peduncle as well as the periaqueductal grey matter. These changes are not specific for a single diagnosis. The differential diagnosis would include :
1. Demyelination (acute disseminated encephalomyelitis).
2. Brain-stem encephalitis.
3. ?? ischemia (less likely).
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13748
ke/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 27 yrs.
Referred by : Dr. Abc Xyzolakia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O fall 8 years back with low back pain radiating to BLE (left more than right) with paresthesias 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.
OBSERVATION :
The L5-S1 facet joint on the right side and the L4-L5 facet joint on the left side show mild degenerative changes.
No obvious fracture in the region of the coccyx is seen on this study.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
19.0 mm at L2-L3
19.0 mm at L3-L4
16.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 27 yrs.
Referred by : Dr. Abc Xyzolakia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O fall 8 years back with low back pain radiating to BLE (left more than right) with paresthesias 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.
OBSERVATION :
The L5-S1 facet joint on the right side and the L4-L5 facet joint on the left side show mild degenerative changes.
No obvious fracture in the region of the coccyx is seen on this study.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
19.0 mm at L2-L3
19.0 mm at L3-L4
16.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13746
hs/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz R.lmn / M / 32 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias.
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 :
A large postero-central disc extrusion is seen to indent the thecal sac at the L5-S1 level. A disc portion is seen to lie in the anterior epidural space at the S1 level with resultant impingement of the traversing S1 nerve roots bilaterally, left more than right.
A posterior disc bulge is noted at the L4-L5 level.
The L5-S1 facet joints show degenerative changes. The L5-S1 intervertebral disc shows 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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
15.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc extrusion with a tight canal at the L5-S1 level. A disc portion is seen to lie in the anterior epidural space at the S1 level with resultant impingement of the traversing S1 nerve roots bilaterally, left more than right.
2. Facetal arthropathy at the L5-S1 level.
Date : 00.00.00
Name of the Patient : Abc Xyz R.lmn / M / 32 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias.
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 :
A large postero-central disc extrusion is seen to indent the thecal sac at the L5-S1 level. A disc portion is seen to lie in the anterior epidural space at the S1 level with resultant impingement of the traversing S1 nerve roots bilaterally, left more than right.
A posterior disc bulge is noted at the L4-L5 level.
The L5-S1 facet joints show degenerative changes. The L5-S1 intervertebral disc shows 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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
15.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc extrusion with a tight canal at the L5-S1 level. A disc portion is seen to lie in the anterior epidural space at the S1 level with resultant impingement of the traversing S1 nerve roots bilaterally, left more than right.
2. Facetal arthropathy at the L5-S1 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13745
ke/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzai Niklmn / F / 80 yrs.
Referred by : Dr. Abc Xyzasde.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O fall 8 days back with backache and weakness of the RUE and RLE 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.
OBSERVATION :
There is anterior wedging of the D11, L1, L2 and L3 vertebral bodies. The lower dorsal and lumbar vertebrae show fatty changes, suggestive of osteoporosis.
There is slight central wedging of the D12 vertebral body which shows hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images and would represent bone edema, the sequelae of a compression fracture.
Small posterior disc bulges are seen at the L3-L4 and L4-L5 levels with anterior indentation of the thecal sac. Left far lateral disc bulge is noted at the L4-L5 level.
Small posterior disc protrusions are seen at the D11-D12, D12-L1 and L1-L2 levels. The upper lumbar intervertebral discs show loss of water content.
The lumbar facet joints show degenerative changes.
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 :
13.0 mm at L1-L2
11.0 mm at L2-L3
9.0 mm at L3-L4
10.0 mm at L4-L5
12.0 mm at L5-S1.
Incidentally noted is a gallsteone.
IMPRESSION :
The MRI features are suggestive of :
1. Altered signal of the lower dorsal and lumbar vertebrae suggests osteoporosis. Anterior wedging of the D11, L1, L2 and L3 vertebral bodies may be the sequelae of osteoporotic fractures.
2. Slight central wedging of the D12 vertebral body with altered signal would represent compression fracture, with bone edema, the sequalae of previous trauma, superimposed on an osteoporotic spine.
3. Small posterior disc bulges at the L3-L4 and L4-L5 levels and a left far lateral disc bulge at the L4-L5 level.
4. Small posterior disc protrusions at the D11-D12, D12-L1 and L1-L2 levels.
5. Degenerative changes of the lumbar facet joints.
6. Gallstone in the visualized gallbladder.
Date : 00.00.00
Name of the Patient : Abc Xyzai Niklmn / F / 80 yrs.
Referred by : Dr. Abc Xyzasde.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O fall 8 days back with backache and weakness of the RUE and RLE 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.
OBSERVATION :
There is anterior wedging of the D11, L1, L2 and L3 vertebral bodies. The lower dorsal and lumbar vertebrae show fatty changes, suggestive of osteoporosis.
There is slight central wedging of the D12 vertebral body which shows hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images and would represent bone edema, the sequelae of a compression fracture.
Small posterior disc bulges are seen at the L3-L4 and L4-L5 levels with anterior indentation of the thecal sac. Left far lateral disc bulge is noted at the L4-L5 level.
Small posterior disc protrusions are seen at the D11-D12, D12-L1 and L1-L2 levels. The upper lumbar intervertebral discs show loss of water content.
The lumbar facet joints show degenerative changes.
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 :
13.0 mm at L1-L2
11.0 mm at L2-L3
9.0 mm at L3-L4
10.0 mm at L4-L5
12.0 mm at L5-S1.
Incidentally noted is a gallsteone.
IMPRESSION :
The MRI features are suggestive of :
1. Altered signal of the lower dorsal and lumbar vertebrae suggests osteoporosis. Anterior wedging of the D11, L1, L2 and L3 vertebral bodies may be the sequelae of osteoporotic fractures.
2. Slight central wedging of the D12 vertebral body with altered signal would represent compression fracture, with bone edema, the sequalae of previous trauma, superimposed on an osteoporotic spine.
3. Small posterior disc bulges at the L3-L4 and L4-L5 levels and a left far lateral disc bulge at the L4-L5 level.
4. Small posterior disc protrusions at the D11-D12, D12-L1 and L1-L2 levels.
5. Degenerative changes of the lumbar facet joints.
6. Gallstone in the visualized gallbladder.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13744
hs/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzAlmn / F / 24 yrs.
Referred by : Dr. Abc Xyz.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O diplopia on the left side since 00.00.00. On AKT since 8 days.
C/O vomiting since 1 month.
C/O heaviness of head and generalized weakness.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is evidence of a hyperintense signal on the T1 Weighted images within the superior sagittal sinus and both transverse sinuses. This is relatively hypointense on the proton and T2 Weighted images and would represent a thrombus. There appears to be recanalization of this thrombus.
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 :
The MRI features are suggestive of a probable thrombus with recanalization within the superior sagittal sinus and both transverse sinuses.
Date : 00.00.00
Name of the Patient : Abc XyzAlmn / F / 24 yrs.
Referred by : Dr. Abc Xyz.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O diplopia on the left side since 00.00.00. On AKT since 8 days.
C/O vomiting since 1 month.
C/O heaviness of head and generalized weakness.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is evidence of a hyperintense signal on the T1 Weighted images within the superior sagittal sinus and both transverse sinuses. This is relatively hypointense on the proton and T2 Weighted images and would represent a thrombus. There appears to be recanalization of this thrombus.
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 :
The MRI features are suggestive of a probable thrombus with recanalization within the superior sagittal sinus and both transverse sinuses.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13743
hs/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz L. Chalmn / F / 2 yrs.
Referred by : Dr. Abc Xyzngaonkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O pain in the lumbar region.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted sagittal images.
4 mm thick T1 Weighted and T2 Weighted axial images.
FEW IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.
OBSERVATION :
Multiple segmentation anomalies is noted in the lumbar region with presence of spina bifida in the lower lumbar and sacral region. There appears to be partial agenesis of the sacrum.
The spinal cord is split in two hemicords over approximately D12 to L4 vertebral levels. These are separated by a bony spur at the L2/L3 levels with presence of separate dural sacs at these levels.
Note is made of an intradural lesion which is isointense to fat on all the pulse sequences in the sacral region. This would represent a lipoma and the cord is seen to be tethered into this lesion.
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.
IMPRESSION :
The MRI features are suggestive of diastematomyelia with a bony spur at the L2/L3 vertebral levels with tethering of the cord into the intradural lipoma in the sacral region as described.
Date : 00.00.00
Name of the Patient : Abc Xyz L. Chalmn / F / 2 yrs.
Referred by : Dr. Abc Xyzngaonkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O pain in the lumbar region.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted sagittal images.
4 mm thick T1 Weighted and T2 Weighted axial images.
FEW IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.
OBSERVATION :
Multiple segmentation anomalies is noted in the lumbar region with presence of spina bifida in the lower lumbar and sacral region. There appears to be partial agenesis of the sacrum.
The spinal cord is split in two hemicords over approximately D12 to L4 vertebral levels. These are separated by a bony spur at the L2/L3 levels with presence of separate dural sacs at these levels.
Note is made of an intradural lesion which is isointense to fat on all the pulse sequences in the sacral region. This would represent a lipoma and the cord is seen to be tethered into this lesion.
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.
IMPRESSION :
The MRI features are suggestive of diastematomyelia with a bony spur at the L2/L3 vertebral levels with tethering of the cord into the intradural lipoma in the sacral region as described.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13742
ke/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Valmn / M / 48 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with paresthesias in BUE since 2-3 weeks.
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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of normal cervical curvature.
Small posterior disc protrusions are seen at the C3-C4, C4-C5 and C5-C6 levels with anterior indentation of the thecal sac. The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
Small posterior disc protrusions at the C3-C4, C4-C5 and C5-C6 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz Valmn / M / 48 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with paresthesias in BUE since 2-3 weeks.
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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of normal cervical curvature.
Small posterior disc protrusions are seen at the C3-C4, C4-C5 and C5-C6 levels with anterior indentation of the thecal sac. The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
Small posterior disc protrusions at the C3-C4, C4-C5 and C5-C6 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13741
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzsh lmn / M / 1 yr.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures at the age of 6 months followed with regress in motor milestones and generalized hypotonia.
C/O seizures on 00.00.00.
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. (Hyperintense areas in the periatrial deep white matter on the T2 Weighted images would represent terminal areas of myelination).
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 Xyzsh lmn / M / 1 yr.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures at the age of 6 months followed with regress in motor milestones and generalized hypotonia.
C/O seizures on 00.00.00.
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. (Hyperintense areas in the periatrial deep white matter on the T2 Weighted images would represent terminal areas of myelination).
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
13740
ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Abdul Rlmn / M / 38 yrs.
Referred by : Dr. Abc Xyz Kothawala.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 1 year.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L4-L5 disc.
There is a left postero-lateral disc extrusion at the L4-L5 level with antero-lateral indentation of the thecal sac with left neural foraminal narrowing. There is rupture of the posterior longitudinal ligament. There is inferior migration of the disc which is seen to lie in the left lateral recess of the L5 vertebral body with compression of the thecal sac and impingement of the traversing left L5 nerve root. Mild ligamentum flavum hypertrophy is also noted at this level.
The L3-L4 and L4-L5 facet joints on the right side show degenerative changes.
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.
..2/.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
14.0 mm at L2-L3
12.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A left postero-lateral disc extrusion at the L4-L5 level with inferior migration of the disc which is seen
to lie in the left lateral recess of the L5 vertebra with impingement of the traversing left L5 nerve root with mild ligamentum flavum hypertrophy.
2. Facetal arthropathy at the L3-L4 and L4-L5 levels on the right side.
Date : 00.00.00
Name of the Patient : Abc Xyz Abdul Rlmn / M / 38 yrs.
Referred by : Dr. Abc Xyz Kothawala.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 1 year.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L4-L5 disc.
There is a left postero-lateral disc extrusion at the L4-L5 level with antero-lateral indentation of the thecal sac with left neural foraminal narrowing. There is rupture of the posterior longitudinal ligament. There is inferior migration of the disc which is seen to lie in the left lateral recess of the L5 vertebral body with compression of the thecal sac and impingement of the traversing left L5 nerve root. Mild ligamentum flavum hypertrophy is also noted at this level.
The L3-L4 and L4-L5 facet joints on the right side show degenerative changes.
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.
..2/.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
14.0 mm at L2-L3
12.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A left postero-lateral disc extrusion at the L4-L5 level with inferior migration of the disc which is seen
to lie in the left lateral recess of the L5 vertebra with impingement of the traversing left L5 nerve root with mild ligamentum flavum hypertrophy.
2. Facetal arthropathy at the L3-L4 and L4-L5 levels on the right side.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13739
ke/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzntiben Kaplmn / F / 69 yrs.Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :Past H/O TBM. H/O seizure 1 week back with fall.
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 ill-defined, hyperintense areas on the proton and T2 Weighted images in the frontal deep white matter and in the posterior parietal periventricular white matter bilaterally. These areas are iso to hypointense on the T1 Weighted images. There is moderate dilatation of both the lateral and third ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.A hyperintense signal on the T1 Weighted images in the right cerebellar hemisphere (se/im 104/5) is artifactual (pulsation artifact) and is not seen on the other sequences.
IMPRESSION :1. Altered signal in the frontal deep white matter and posterior parietal periventricular white matter bilaterally most likely represent ischemic changes. 2. Moderate dilatation of both the lateral and third ventricles.As compared to the previous MRI dated 00.00.00, (scan no:0000), there is slight increase in the size of the ventricles. However as compared to the CT Scan dated 00.00.00, the ventricular size is approximately the same. The ischemic lesions in the frontal region appear more prominent as compared to the previous MRI dated 00.00.00.
Date : 00.00.00
Name of the Patient : Abc Xyzntiben Kaplmn / F / 69 yrs.Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :Past H/O TBM. H/O seizure 1 week back with fall.
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 ill-defined, hyperintense areas on the proton and T2 Weighted images in the frontal deep white matter and in the posterior parietal periventricular white matter bilaterally. These areas are iso to hypointense on the T1 Weighted images. There is moderate dilatation of both the lateral and third ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.A hyperintense signal on the T1 Weighted images in the right cerebellar hemisphere (se/im 104/5) is artifactual (pulsation artifact) and is not seen on the other sequences.
IMPRESSION :1. Altered signal in the frontal deep white matter and posterior parietal periventricular white matter bilaterally most likely represent ischemic changes. 2. Moderate dilatation of both the lateral and third ventricles.As compared to the previous MRI dated 00.00.00, (scan no:0000), there is slight increase in the size of the ventricles. However as compared to the CT Scan dated 00.00.00, the ventricular size is approximately the same. The ischemic lesions in the frontal region appear more prominent as compared to the previous MRI dated 00.00.00.
Published in
MRI Reports