Regular User
Sunday, 27 December 2015 16:48
13508
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzDslmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O involuntary movements of the RUE and RLE.
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.
3 mm thick T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are small hypointense areas in the right periatrial deep white matter on the T1 Weighted images. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images (scans 103.12, 105.1, 105.2, 102.12, 104.12) and most likely represent a dilated perivascular spaces.
A dilated perivascular space is seen in the region of the left lentiform nucleus.
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. The basal ganglia are unremarkable.
Incidental note is made of bilateral maxillary polyps and note is made of inflammatory changes in the sphenoid sinus.
IMPRESSION :
No significant abnormality detected on this study.
Date : 00.00.00
Name of the Patient : Abc XyzDslmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O involuntary movements of the RUE and RLE.
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.
3 mm thick T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are small hypointense areas in the right periatrial deep white matter on the T1 Weighted images. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images (scans 103.12, 105.1, 105.2, 102.12, 104.12) and most likely represent a dilated perivascular spaces.
A dilated perivascular space is seen in the region of the left lentiform nucleus.
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. The basal ganglia are unremarkable.
Incidental note is made of bilateral maxillary polyps and note is made of inflammatory changes in the sphenoid sinus.
IMPRESSION :
No significant abnormality detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13507
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzimal lmn / M / 40 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
Known C/O rheumatoid arthritis since 5 years.
C/O severe neck pain with dysphagia since 2 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 reduction in height and loss of water content of the cervical intervertebral discs.
There is slight anterior translation of nearly all the proximal cervical vertebrae over the corresponding distal vertebra.
There is invagination of the odontoid process through the foramen magnum with resultant indentation on the cervico-medullary junction. The peridental fat is not well identified. Intermediate signal intensity lesion is noted in the peridental region on the T1 Weighted images which appears hyperintense on the T2 Weighted and Fast Scan (T2 *) images.
Small posterior peridiscal osteophytes are noted in the cervical region. There is also ligamentum flavum hypertrophy at the C1-C2, C2-C3, C3-C4, C4-C5 and C6-C7 levels with resultant effacement of the posterior subarachnoid space.
Type III degenerative marrow changes are noted adjacent to the C2-C3, C3-C4 and C6-C7 intervertebral discs.
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 left vertebral artery appears hypoplastic.
IMPRESSION :
1. Slight anterior translation of nearly all the proximal cervical vertebrae over the corresponding distal vertebra.
2. Basilar invagination with tip of the odontoid process indenting the cervico-medullary junction.
3. Altered signal in the peridental region may either represent pannus or degenerative fibrous tissue.
4. Small posterior peridiscal osteophytes are noted in the cervical region with ligamentum flavum hypertrophy at the C1-C2, C2-C3, C3-C4, C4-C5 and C6-C7 levels.
These changes may either be the sequelae of rheumatoid arthritis with secondary degenerative changes or may be primarily degenerative in etiology.
Date : 00.00.00
Name of the Patient : Abc Xyzimal lmn / M / 40 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
Known C/O rheumatoid arthritis since 5 years.
C/O severe neck pain with dysphagia since 2 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 reduction in height and loss of water content of the cervical intervertebral discs.
There is slight anterior translation of nearly all the proximal cervical vertebrae over the corresponding distal vertebra.
There is invagination of the odontoid process through the foramen magnum with resultant indentation on the cervico-medullary junction. The peridental fat is not well identified. Intermediate signal intensity lesion is noted in the peridental region on the T1 Weighted images which appears hyperintense on the T2 Weighted and Fast Scan (T2 *) images.
Small posterior peridiscal osteophytes are noted in the cervical region. There is also ligamentum flavum hypertrophy at the C1-C2, C2-C3, C3-C4, C4-C5 and C6-C7 levels with resultant effacement of the posterior subarachnoid space.
Type III degenerative marrow changes are noted adjacent to the C2-C3, C3-C4 and C6-C7 intervertebral discs.
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 left vertebral artery appears hypoplastic.
IMPRESSION :
1. Slight anterior translation of nearly all the proximal cervical vertebrae over the corresponding distal vertebra.
2. Basilar invagination with tip of the odontoid process indenting the cervico-medullary junction.
3. Altered signal in the peridental region may either represent pannus or degenerative fibrous tissue.
4. Small posterior peridiscal osteophytes are noted in the cervical region with ligamentum flavum hypertrophy at the C1-C2, C2-C3, C3-C4, C4-C5 and C6-C7 levels.
These changes may either be the sequelae of rheumatoid arthritis with secondary degenerative changes or may be primarily degenerative in etiology.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13506
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyza Vishwaklmn / F / 10 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with deformity of the spine since 6 months.
H/O fall 6 months back.
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 near complete collapse of the D5 vertebral body with an angular kyphus at that level.
The D4, visualized D5, D6, D7 and D8 vertebral bodies show an ill-defined, hypointense signal on T1 Weighted images which turn hyperintense on the T2 Weighted images. The intervening intervertebral discs are unremarkable.
There is seen an intermediate signal intensity mass lesion on the T1 Weighted images in the prevertebral region extending over the D2 to D9 vertebral levels. This lesion appears hyperintense on the T2 Weighted images and most likely represents an abscess. Few septae are seen within this lesion. Anterior displacement of the trachea, oesophagus and the great vessels is noted. Similar lesion is noted in the epidural space, circumferentially at the D4 and D5 vertebral levels and into the corresponding neural foramen at these levels. The dorsal spinal cord at these levels however show normal signal intensity.
The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The conus medullaris terminates at the L1-L2 level.
IMPRESSION :
Near complete collapse of the D5 vertebral body with altered signal of the D4 to D8 vertebral bodies as described, most likely represents osteitis, probably tuberculous osteitis. Prevertebral and epidural soft tissue lesion may represent an abscess.
There is no significant cord compression or cord signal alteration noted.
The possibility of a neoplasm like a small cell tumor seems unlikely.
Date : 00.00.00
Name of the Patient : Abc Xyza Vishwaklmn / F / 10 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with deformity of the spine since 6 months.
H/O fall 6 months back.
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 near complete collapse of the D5 vertebral body with an angular kyphus at that level.
The D4, visualized D5, D6, D7 and D8 vertebral bodies show an ill-defined, hypointense signal on T1 Weighted images which turn hyperintense on the T2 Weighted images. The intervening intervertebral discs are unremarkable.
There is seen an intermediate signal intensity mass lesion on the T1 Weighted images in the prevertebral region extending over the D2 to D9 vertebral levels. This lesion appears hyperintense on the T2 Weighted images and most likely represents an abscess. Few septae are seen within this lesion. Anterior displacement of the trachea, oesophagus and the great vessels is noted. Similar lesion is noted in the epidural space, circumferentially at the D4 and D5 vertebral levels and into the corresponding neural foramen at these levels. The dorsal spinal cord at these levels however show normal signal intensity.
The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The conus medullaris terminates at the L1-L2 level.
IMPRESSION :
Near complete collapse of the D5 vertebral body with altered signal of the D4 to D8 vertebral bodies as described, most likely represents osteitis, probably tuberculous osteitis. Prevertebral and epidural soft tissue lesion may represent an abscess.
There is no significant cord compression or cord signal alteration noted.
The possibility of a neoplasm like a small cell tumor seems unlikely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13505
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Salmn / F / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since the age of 6 years.
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.
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.
Mucosal thickening is identified in the maxillary, ethmoidal and sphenoidal air cells.
The pituitary gland has a superior convex margin, which may be normal for the patients age.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyz Salmn / F / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since the age of 6 years.
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.
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.
Mucosal thickening is identified in the maxillary, ethmoidal and sphenoidal air cells.
The pituitary gland has a superior convex margin, which may be normal for the patients age.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13504
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzassilmn / M / 47 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 2-4 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 loss of normal lumbar lordosis and loss of water content of the L4-L5 intervertebral disc.
There is a fairly large, postero-central and left postero-lateral disc herniation at the L4-L5 level with thecal sac compression and bilateral neural foraminal narrowing. A sequestered disc fragment is noted in the right lateral recess of L5, impinging the traversing right L5 nerve root (the sequestered fragment is seen to extend upto the L5-S1 disc). There is also facetal hypertrophy at this level with resultant canal stenosis.
A small postero-central protruded disc is noted at the L3-L4 level.
The facet joints at the L3-L4 and L5-S1 levels appear slightly hypertrophied.
Schmorls nodes are noted in the dorso-lumbar region.
- 2 - Scan-00004
Type II degenerative marrow changes are noted adjacent to the L4-L5 intervertebral disc.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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 :
12.0 mm at L1-L2
12.0 mm at L2-L3
10.0 mm at L3-L4
8.0 mm at L4-L5
12.0 mm at L5-S1.
The left ureter appears dilated as compared to the right side.
IMPRESSION :
1. A fairly large, postero-central and left postero-lateral disc herniation at the L4-L5 level with bilateral neural foraminal narrowing with a sequestered disc fragment in the right lateral recess of L5, impinging the traversing right L5 nerve root There is also facetal hypertrophy at this level with resultant canal stenosis.
2. Facetal hypertrophy at the L3-L4 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzassilmn / M / 47 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 2-4 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 loss of normal lumbar lordosis and loss of water content of the L4-L5 intervertebral disc.
There is a fairly large, postero-central and left postero-lateral disc herniation at the L4-L5 level with thecal sac compression and bilateral neural foraminal narrowing. A sequestered disc fragment is noted in the right lateral recess of L5, impinging the traversing right L5 nerve root (the sequestered fragment is seen to extend upto the L5-S1 disc). There is also facetal hypertrophy at this level with resultant canal stenosis.
A small postero-central protruded disc is noted at the L3-L4 level.
The facet joints at the L3-L4 and L5-S1 levels appear slightly hypertrophied.
Schmorls nodes are noted in the dorso-lumbar region.
- 2 - Scan-00004
Type II degenerative marrow changes are noted adjacent to the L4-L5 intervertebral disc.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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 :
12.0 mm at L1-L2
12.0 mm at L2-L3
10.0 mm at L3-L4
8.0 mm at L4-L5
12.0 mm at L5-S1.
The left ureter appears dilated as compared to the right side.
IMPRESSION :
1. A fairly large, postero-central and left postero-lateral disc herniation at the L4-L5 level with bilateral neural foraminal narrowing with a sequestered disc fragment in the right lateral recess of L5, impinging the traversing right L5 nerve root There is also facetal hypertrophy at this level with resultant canal stenosis.
2. Facetal hypertrophy at the L3-L4 and L5-S1 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13503
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzha Toralmn / F / 35 yrs.
Referred by : Dr. Abc Xyzg.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 2-3 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L4-L5 intervertebral disc.
There is a left paracentral disc herniation with a peridiscal osteophyte at the L4-L5 level indenting the dural theca anteriorly and narrowing the left neural foramen.
Slight hypertrophy of the facet joints is noted at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
13.0 mm at L2-L3
12.0 mm at L3-L4
9.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
Degenerated L4-L5 intervertebral disc with a left paracentral disc herniation with a peridiscal osteophyte at that level causing left neural foraminal narrowing.
Date : 00.00.00
Name of the Patient : Abc Xyzha Toralmn / F / 35 yrs.
Referred by : Dr. Abc Xyzg.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 2-3 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L4-L5 intervertebral disc.
There is a left paracentral disc herniation with a peridiscal osteophyte at the L4-L5 level indenting the dural theca anteriorly and narrowing the left neural foramen.
Slight hypertrophy of the facet joints is noted at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
13.0 mm at L2-L3
12.0 mm at L3-L4
9.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
Degenerated L4-L5 intervertebral disc with a left paracentral disc herniation with a peridiscal osteophyte at that level causing left neural foraminal narrowing.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13502
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzMhlmn / M / 53 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 2 months with tingling.
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 all the lumbar intervertebral discs except the L5-S1 disc.
There is a left postero-lateral (foraminal) and left far lateral disc herniation at the L4-L5 level with left neural foraminal narrowing and impingement of the foraminal segment of the left L4 nerve root. A disc fragment is noted in the left neural foramen at the L4-L5 level (scans 104.8, 102.2) and also posterior to the L4 vertebral body.
A small, posterior disc bulge is noted at the L3-L4 level.
A right far lateral (extraforaminal) disc herniation is noted at the L2-L3 level indenting the extraforaminal segment of the right L2 nerve root.
A small posterior disc bulge with peridiscal osteophytes is noted at the L1-L2 level.
The left psoas muscle appears atrophied. The right psoas muscle also shows atrophy in its upper portion.
The lumbar vertebral bodies 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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
12.0 mm at L1-L2
11.0 mm at L2-L3
10.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. A left postero-lateral (foraminal) and left far lateral disc herniation at the L4-L5 level with left neural foraminal narrowing and impingement of the foraminal segment of the left L4 nerve root. A disc fragment is noted in the left neural foramen at the L4-L5 level.
2. A small posterior disc bulge with peridiscal osteophytes at the L1-L2 level.
3. Atrophy of the psoas muscles (left greater than right).
Date : 00.00.00
Name of the Patient : Abc XyzMhlmn / M / 53 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 2 months with tingling.
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 all the lumbar intervertebral discs except the L5-S1 disc.
There is a left postero-lateral (foraminal) and left far lateral disc herniation at the L4-L5 level with left neural foraminal narrowing and impingement of the foraminal segment of the left L4 nerve root. A disc fragment is noted in the left neural foramen at the L4-L5 level (scans 104.8, 102.2) and also posterior to the L4 vertebral body.
A small, posterior disc bulge is noted at the L3-L4 level.
A right far lateral (extraforaminal) disc herniation is noted at the L2-L3 level indenting the extraforaminal segment of the right L2 nerve root.
A small posterior disc bulge with peridiscal osteophytes is noted at the L1-L2 level.
The left psoas muscle appears atrophied. The right psoas muscle also shows atrophy in its upper portion.
The lumbar vertebral bodies 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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
12.0 mm at L1-L2
11.0 mm at L2-L3
10.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. A left postero-lateral (foraminal) and left far lateral disc herniation at the L4-L5 level with left neural foraminal narrowing and impingement of the foraminal segment of the left L4 nerve root. A disc fragment is noted in the left neural foramen at the L4-L5 level.
2. A small posterior disc bulge with peridiscal osteophytes at the L1-L2 level.
3. Atrophy of the psoas muscles (left greater than right).
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13501
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Mlmn / F / 19 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness, blackouts with fall and LOC 1 year ago.
H/O similar complaints since 2 months with headaches.
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.
The pituitary gland appears unremarkable on this unenhanced study.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyz Mlmn / F / 19 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness, blackouts with fall and LOC 1 year ago.
H/O similar complaints since 2 months with headaches.
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.
The pituitary gland appears unremarkable on this unenhanced study.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13500
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzSinlmn / F / 26 yrs.
Referred by : Dr. Abc Xyzmpat / Dr. Abc Xyzdar.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O amenorrhea.
Serum Prolaction level = 41ng.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images.
After contrast administration, 3 mm thick T1 Weighted coronal, sagittal and axial images (with magnetization transfer) were obtained and 5 mm thick T1 Weighted axial images with magnetization transfer were obtained through the brain.
Delayed 3 mm thick T1 Weighted coronal images were also obtained through the sella.
OBSERVATION :
There is seen a very small, approximately 4.0 mms diameter sized well-defined, hypointense lesion on the T1 Weighted images on the surface of the anterior pituitary gland, to the left of the midline, close to the cavernous segment of the left internal carotid artery. This lesion appears hyperintense on the T2 Weighted images (scans 104.7-8 & 105.7-8). Minimal superior convexity of the anterior pituitary gland is noted at that level.
After administration of contrast, on the early post-contrast images, there is rim-enhancement of the above described lesion (scan 106.6) on the delayed post-contrast images, the lesion fills up with contrast (scan 110.6).
The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable.
The cavernous sinuses and the suprasellar cisterns are unremarkable.
No abnormality is detected in the brain parenchyma. The ventricular system is unremarkable. There is no midline shift.
Inflammatory changes are noted in the sphenoid sinus on the left.
A septum is also noted in the sphenoid sinus.
IMPRESSION :
A very small, approximately 4.0 mms diameter sized well-defined lesion on the surface of the anterior pituitary gland, to the left of the midline, close to the cavernous segment of the left internal carotid artery follows the enhancing pattern of a pituitary microadenoma.
The possibility of a Rathkes cleft cyst seems less likely.
Date : 00.00.00
Name of the Patient : Abc XyzSinlmn / F / 26 yrs.
Referred by : Dr. Abc Xyzmpat / Dr. Abc Xyzdar.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O amenorrhea.
Serum Prolaction level = 41ng.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images.
After contrast administration, 3 mm thick T1 Weighted coronal, sagittal and axial images (with magnetization transfer) were obtained and 5 mm thick T1 Weighted axial images with magnetization transfer were obtained through the brain.
Delayed 3 mm thick T1 Weighted coronal images were also obtained through the sella.
OBSERVATION :
There is seen a very small, approximately 4.0 mms diameter sized well-defined, hypointense lesion on the T1 Weighted images on the surface of the anterior pituitary gland, to the left of the midline, close to the cavernous segment of the left internal carotid artery. This lesion appears hyperintense on the T2 Weighted images (scans 104.7-8 & 105.7-8). Minimal superior convexity of the anterior pituitary gland is noted at that level.
After administration of contrast, on the early post-contrast images, there is rim-enhancement of the above described lesion (scan 106.6) on the delayed post-contrast images, the lesion fills up with contrast (scan 110.6).
The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable.
The cavernous sinuses and the suprasellar cisterns are unremarkable.
No abnormality is detected in the brain parenchyma. The ventricular system is unremarkable. There is no midline shift.
Inflammatory changes are noted in the sphenoid sinus on the left.
A septum is also noted in the sphenoid sinus.
IMPRESSION :
A very small, approximately 4.0 mms diameter sized well-defined lesion on the surface of the anterior pituitary gland, to the left of the midline, close to the cavernous segment of the left internal carotid artery follows the enhancing pattern of a pituitary microadenoma.
The possibility of a Rathkes cleft cyst seems less likely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13499
sb/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Sinlmn / F / 49 yrs.
Referred by : Dr. Abc Xyzmpat / Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O craniotomy done on 00.00.00 with excision of meningioma.
No complaints at present.
For follow up.
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 evidence of left fronto-parietal craniotomy.
There is seen an approximately 1.1 x 1.5 cms sized intermediate signal intensity, extra-axial lesion on the T1 Weighted images in the left high parietal, parafalcine region (at the vertex) close to the superior sagittal sinus. This lesion appears relatively hypointense on the proton and T2 Weighted images (scans 104.19, 103.19, 105.8, 101.8). The lumen of the superior sagittal sinus
is not well-identified in this region.
There is predominantly hypointense signal on the T1 Weighted
images in the left fronto-parietal parafalcine cortex. This lesion appears hyperintense on the proton, T2 Weighted and FLAIR images. Focal hyperintense signal on the T1 Weighted images within this lesion represents extracellular methaemoglobin (subacute blood). Prominent sulcal space is noted in the left frontal region.
..2/.
There is mild fullness of both the lateral ventricles. The 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.
Incidentally noted is an empty sella.
IMPRESSION :
1. Post-operative status.
2. Altered signal in the left fronto-parietal parafalcine cortex may the sequelae of previous surgery.
3. An approximately 1.1 x 1.5 cms sized extra-axial lesion in the left high parietal, parafalcine region (at the vertex) close to the superior sagittal sinus as described may either represent surgical hemostatic material or may represent residual tumor nodule.
As compared to the previous MRI dated 00.00.00 (study no.00003), the patient is now status post-operative with near complete excision of the meningioma. ? Residual surgical hemostatic material, ?? tumor nodule is identified as described above.
A contrast enhanced scan/follow up scan would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyz Sinlmn / F / 49 yrs.
Referred by : Dr. Abc Xyzmpat / Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O craniotomy done on 00.00.00 with excision of meningioma.
No complaints at present.
For follow up.
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 evidence of left fronto-parietal craniotomy.
There is seen an approximately 1.1 x 1.5 cms sized intermediate signal intensity, extra-axial lesion on the T1 Weighted images in the left high parietal, parafalcine region (at the vertex) close to the superior sagittal sinus. This lesion appears relatively hypointense on the proton and T2 Weighted images (scans 104.19, 103.19, 105.8, 101.8). The lumen of the superior sagittal sinus
is not well-identified in this region.
There is predominantly hypointense signal on the T1 Weighted
images in the left fronto-parietal parafalcine cortex. This lesion appears hyperintense on the proton, T2 Weighted and FLAIR images. Focal hyperintense signal on the T1 Weighted images within this lesion represents extracellular methaemoglobin (subacute blood). Prominent sulcal space is noted in the left frontal region.
..2/.
There is mild fullness of both the lateral ventricles. The 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.
Incidentally noted is an empty sella.
IMPRESSION :
1. Post-operative status.
2. Altered signal in the left fronto-parietal parafalcine cortex may the sequelae of previous surgery.
3. An approximately 1.1 x 1.5 cms sized extra-axial lesion in the left high parietal, parafalcine region (at the vertex) close to the superior sagittal sinus as described may either represent surgical hemostatic material or may represent residual tumor nodule.
As compared to the previous MRI dated 00.00.00 (study no.00003), the patient is now status post-operative with near complete excision of the meningioma. ? Residual surgical hemostatic material, ?? tumor nodule is identified as described above.
A contrast enhanced scan/follow up scan would be worthwhile.
Published in
MRI Reports