Regular User
Sunday, 27 December 2015 16:48
14903
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / M / 38 yrs.
Referred by : Dr. Abc Xyzane.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in the RLE since 2 months.
H/O laminectomy with discectomy at L4 and L5 levels on 00.00.00.
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 and the L2 vertebral body is as marked on the film. Mild retrolisthesis of the L4 over the L5 vertebra is noted.
There is loss of normal lumbar lordosis with reduction in height and loss of water of content of the L2-L3 and L4-L5 intervertebral discs.
There is evidence of laminectomy at the L4 and L5 vertebral levels with probable discectomy at the L4-L5 level and post-operative changes in the soft tissues in the posterior lumbar region at these levels.
There is a posteriorly bulging disc with peridiscal osteophytes at the L4-L5 level with bilateral neural foraminal narrowng. Inferior migration of the disc fragment is noted, centrally and more to the right of the midline. Probable indentation of right L5 nerve root is noted. The facet joints at the L4-L5 level appear hypertrophied. The intrathecal nerve roots at the L4-L5 and L5 levels appears plastered to the thecal sac suggesting Group II arachnoiditis.
..2/.
Small posterior disc bulges are noted at the L2-L3 and L3-L4 levels with facetal hypertrophy at the L3-L4 level.
Type II degenerative marrow changes are seen adjacent to the L4-L5 and L5-S1 intervertebral discs.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 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 :
17.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4.
IMPRESSION :
1. Post-operative status.
2. Sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film.
3. A posteriorly bulging disc with peridiscal osteophytes at the L4-L5 level with inferior migration of the disc fragment, centrally and more to the right of the midline, probably indenting the right L5 nerve root.
4. Facetal hypertrophy at the L3-L4 and L4-L5 levels.
5. Group II arachnoiditis at the L4-L5 and L5 levels.
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / M / 38 yrs.
Referred by : Dr. Abc Xyzane.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in the RLE since 2 months.
H/O laminectomy with discectomy at L4 and L5 levels on 00.00.00.
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 and the L2 vertebral body is as marked on the film. Mild retrolisthesis of the L4 over the L5 vertebra is noted.
There is loss of normal lumbar lordosis with reduction in height and loss of water of content of the L2-L3 and L4-L5 intervertebral discs.
There is evidence of laminectomy at the L4 and L5 vertebral levels with probable discectomy at the L4-L5 level and post-operative changes in the soft tissues in the posterior lumbar region at these levels.
There is a posteriorly bulging disc with peridiscal osteophytes at the L4-L5 level with bilateral neural foraminal narrowng. Inferior migration of the disc fragment is noted, centrally and more to the right of the midline. Probable indentation of right L5 nerve root is noted. The facet joints at the L4-L5 level appear hypertrophied. The intrathecal nerve roots at the L4-L5 and L5 levels appears plastered to the thecal sac suggesting Group II arachnoiditis.
..2/.
Small posterior disc bulges are noted at the L2-L3 and L3-L4 levels with facetal hypertrophy at the L3-L4 level.
Type II degenerative marrow changes are seen adjacent to the L4-L5 and L5-S1 intervertebral discs.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 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 :
17.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4.
IMPRESSION :
1. Post-operative status.
2. Sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film.
3. A posteriorly bulging disc with peridiscal osteophytes at the L4-L5 level with inferior migration of the disc fragment, centrally and more to the right of the midline, probably indenting the right L5 nerve root.
4. Facetal hypertrophy at the L3-L4 and L4-L5 levels.
5. Group II arachnoiditis at the L4-L5 and L5 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14902
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc XyzDlmn / M / 52 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in the RLE with numbness since 00.00.00.
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 lumbar intervertebral discs except the L1-L2 disc.
A postero-central disc herniation with peridiscal osteophytes is noted at the L3-L4 level indenting the dural theca anteriorly. A disc portion is seen to migrate inferiorly in the right lateral recess of the L4 vertebra with impingement of the right L4 nerve root.
There is a posteriorly herniated disc with peridiscal osteophytes at the L5-S1 level, with bilateral neural foraminal narrowing. Minimal indentation on the traversing right S1 nerve root is noted.
A small posterior disc bulge with peridiscal osteophytes is noted at the L4-L5 level with slight right neural foraminal narrowing.
A fairly large, right paracentral extruded disc is noted at the L2-L3 level with right neural foraminal narrowing and indentation on the traversing right L3 nerve root.
Facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels.
..2/.
The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
13.0 mm at L2-L3
13.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A posteriorly herniated disc with peridiscal osteophytes at the L5-S1 level, with minimal indentation on the traversing right S1 nerve root.
2. A small posterior disc bulge with peridiscal osteophytes at the L4-L5 level.
3. A postero-central disc herniation with peridiscal osteophytes at the L3-L4 level with a disc portion in the right lateral recess of the L4 vertebra with impingement of the right L4 nerve root.
4. A fairly large, right paracentral extruded disc at the L2-L3 level with indentation on the traversing right L3 nerve root.
5. Facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc XyzDlmn / M / 52 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in the RLE with numbness since 00.00.00.
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 lumbar intervertebral discs except the L1-L2 disc.
A postero-central disc herniation with peridiscal osteophytes is noted at the L3-L4 level indenting the dural theca anteriorly. A disc portion is seen to migrate inferiorly in the right lateral recess of the L4 vertebra with impingement of the right L4 nerve root.
There is a posteriorly herniated disc with peridiscal osteophytes at the L5-S1 level, with bilateral neural foraminal narrowing. Minimal indentation on the traversing right S1 nerve root is noted.
A small posterior disc bulge with peridiscal osteophytes is noted at the L4-L5 level with slight right neural foraminal narrowing.
A fairly large, right paracentral extruded disc is noted at the L2-L3 level with right neural foraminal narrowing and indentation on the traversing right L3 nerve root.
Facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels.
..2/.
The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
13.0 mm at L2-L3
13.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A posteriorly herniated disc with peridiscal osteophytes at the L5-S1 level, with minimal indentation on the traversing right S1 nerve root.
2. A small posterior disc bulge with peridiscal osteophytes at the L4-L5 level.
3. A postero-central disc herniation with peridiscal osteophytes at the L3-L4 level with a disc portion in the right lateral recess of the L4 vertebra with impingement of the right L4 nerve root.
4. A fairly large, right paracentral extruded disc at the L2-L3 level with indentation on the traversing right L3 nerve root.
5. Facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.
Published in
MRI Reports
Tagged under
Sunday, 27 December 2015 16:48
14901
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzi Chinlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyzhsa.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is a small, approximately 7.0 mms diameter sized hypointense lesion best appreciated on the T2 Weighted coronal images in the left inferior temporal cortex/subcortical white matter. This lesion appears near isointense to the grey matter on the T1 Weighted images (scans 105.6, 106.6). There is no perilesional edema.
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 slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
A small, approximately 7.0 mms diameter sized hypointense lesion, more pronounced on the T2 Weighted coronal images in the left inferior temporal cortex/subcortical white matter as described, most likely represents a calcified granuloma.
Date : 00.00.00
Name of the Patient : Abc Xyzi Chinlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyzhsa.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is a small, approximately 7.0 mms diameter sized hypointense lesion best appreciated on the T2 Weighted coronal images in the left inferior temporal cortex/subcortical white matter. This lesion appears near isointense to the grey matter on the T1 Weighted images (scans 105.6, 106.6). There is no perilesional edema.
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 slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
A small, approximately 7.0 mms diameter sized hypointense lesion, more pronounced on the T2 Weighted coronal images in the left inferior temporal cortex/subcortical white matter as described, most likely represents a calcified granuloma.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14900
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzna Kanlmn / F / 34 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias 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 transepiphysial herniation of the L4-L5 intervertebral disc through the antero-superior margin of the L5 vertebral body and of the L3-L4 disc through the antero-superior margin of the L4 vertebral body suggestive of limbus vertebrae.
Small posterior disc bulges are noted at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 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 :
16.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzna Kanlmn / F / 34 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias 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 transepiphysial herniation of the L4-L5 intervertebral disc through the antero-superior margin of the L5 vertebral body and of the L3-L4 disc through the antero-superior margin of the L4 vertebral body suggestive of limbus vertebrae.
Small posterior disc bulges are noted at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 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 :
16.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14899
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzNagvlmn / M / 33 yrs.
Referred by : Dr. Abc Xyzhia / Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O schizophrenia with convulsions since 1 1/2 months.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex is unremarkable on either side.
There is 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 left cerebellar hemisphere is hypoplastic with a mega cisterna magna and a prominent left cerebellar cistern.
The rest of 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 pansinusitis.
IMPRESSION :
Slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
Date : 00.00.00
Name of the Patient : Abc XyzNagvlmn / M / 33 yrs.
Referred by : Dr. Abc Xyzhia / Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O schizophrenia with convulsions since 1 1/2 months.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex is unremarkable on either side.
There is 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 left cerebellar hemisphere is hypoplastic with a mega cisterna magna and a prominent left cerebellar cistern.
The rest of 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 pansinusitis.
IMPRESSION :
Slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14898
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Jalmn / M / 50 yrs.
Referred by : Dr. Abc Xyzh.
Examination : M.R.I. of the Abdomen.
CLINICAL PROFILE :
C/O pain in the abdomen since 3 months.
H/O fever since 3 months.
EXAMINATION :
M.R.I of the abdomen was performed using the following parameters:
8 mm thick T1 Weighted and T2 Weighted axial images.
7 mm thick T1 Weighted and STIR coronal images.
7 mm thick T1 Weighted and T2 Weighted (with fat saturation) sagittal images.
OBSERVATION :
There is seen a fairly large, ill-marginated, intermediate signal intensity mass lesion on the T1 Weighted images with its epicentre in the left suprarenal region. This lesion appears significantly hypointense on the T2 Weighted and STIR images. The lesion extends from the left suprarenal region along the anterior and lateral margins of the left kidney, along the medial margin of the spleen, including the splenic hilum and is seen to encase the tail of the pancreas at the splenic hilum. The fat plane along the greater curvature of the stomach is not well-defined. The left suprarenal gland is not identified separately from the lesion.
The liver is normal in size, shape and position. There is no focal or diffuse area of altered signal intensity. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architecture is normal.
The gall bladder is normal and reveals no intrinsic abnormality.
The head and body of the pancreas appear normal in bulk and signal characteristics. The tail of the pancreas also shows normal signal characteristics.
The right adrenal gland is normal. There is mild splenomegaly without change in signal intensity.
The right kidney is normal in size and signal characteristics.
There is no evidence of free fluid within the abdomen.
IMPRESSION :
A fairly large, mass lesion in the left suprarenal region with extensions as described is not specific for a single etiology. The differential diagnosis would include :
a. Tuberculosis of the suprarenal gland.
b. Neoplastic lesions like lymphoma, ? adenocarcinoma.
Date : 00.00.00
Name of the Patient : Abc Xyz Jalmn / M / 50 yrs.
Referred by : Dr. Abc Xyzh.
Examination : M.R.I. of the Abdomen.
CLINICAL PROFILE :
C/O pain in the abdomen since 3 months.
H/O fever since 3 months.
EXAMINATION :
M.R.I of the abdomen was performed using the following parameters:
8 mm thick T1 Weighted and T2 Weighted axial images.
7 mm thick T1 Weighted and STIR coronal images.
7 mm thick T1 Weighted and T2 Weighted (with fat saturation) sagittal images.
OBSERVATION :
There is seen a fairly large, ill-marginated, intermediate signal intensity mass lesion on the T1 Weighted images with its epicentre in the left suprarenal region. This lesion appears significantly hypointense on the T2 Weighted and STIR images. The lesion extends from the left suprarenal region along the anterior and lateral margins of the left kidney, along the medial margin of the spleen, including the splenic hilum and is seen to encase the tail of the pancreas at the splenic hilum. The fat plane along the greater curvature of the stomach is not well-defined. The left suprarenal gland is not identified separately from the lesion.
The liver is normal in size, shape and position. There is no focal or diffuse area of altered signal intensity. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architecture is normal.
The gall bladder is normal and reveals no intrinsic abnormality.
The head and body of the pancreas appear normal in bulk and signal characteristics. The tail of the pancreas also shows normal signal characteristics.
The right adrenal gland is normal. There is mild splenomegaly without change in signal intensity.
The right kidney is normal in size and signal characteristics.
There is no evidence of free fluid within the abdomen.
IMPRESSION :
A fairly large, mass lesion in the left suprarenal region with extensions as described is not specific for a single etiology. The differential diagnosis would include :
a. Tuberculosis of the suprarenal gland.
b. Neoplastic lesions like lymphoma, ? adenocarcinoma.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14897
Ssb.ke.nl.rg.can No : 00007 Date : 00.00.00
Name of the Patient : Abc Xyz Kilmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O headaches with neckpain and vomiting since 00.00.00.
H/O right sided pleural effusion. Received AKT.
(? spinal surgery for tumor, surgical details not available).
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
4 mm thick T2 Weighted (with fat saturation) coronal images.
OBSERVATION :
There is loss slight loss of water content of the upper cervical intervertebral discs.
Small posterior disc bulges are noted at the C3-C4, C4-C5 and C5-C6 levels.
Degenerative changes of the joints of Luschka are noted at the C3-C4, C4-C5 and C5-C6 levels, bilaterally.
The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
Scan-00007
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
A hyperintense signal on all the pulse sequences is noted in the right internal jugular vein, which appears slightly dilated at the base of the neck.
Incidentally noted is a large, right sided pleural effusion.
An intermediate signal intensity lesion is seen on the T1 Weighted images in the right neural foramen at the D3-D4 level which is seen to turn hyperintense on the T2 Weighted images and would require further evaluation.
IMPRESSION :
1. Small posterior disc bulges at the C3-C4, C4-C5 and C5-C6 levels.
2. Degenerative changes of the joints of Luschka at the C3-C4, C4-C5 and C5-C6 levels, bilaterally.
3. A large, right sided pleural effusion.
4. H/O surgery for spinal tumor 4 years back of which details are not available).
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14896
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Kilmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with neckpain and vomiting since 00.00.00.
H/O right sided pleural effusion. Received AKT.
(? spinal surgery for tumor, surgical details not available).
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 STIR coronal images through the optic nerves.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is probable thickening of the meninges overlying the right cerebral hemisphere, more so in the fronto-parietal region (scans 104.12 to 104.18). Subtle sulcal space effacement is noted in the right cerebral convexity.
There is mild asymmetric dilatation of the left lateral ventricle as compared to the right. The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is mild bulge of the midline structures to the right. No obvious vascular anomaly is identified on this study.
The optic nerves on either side appear normal in course and characteristics.
IMPRESSION :
1. Probable thickening of the meninges over the right cerebral convexity, as described, may suggest a meningeal pathology.
2. Mild dilatation of the left lateral ventricle is ? a normal variant, ?? obstruction at the level of the foramen of Monroe.
A contrast enhanced scan would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyz Kilmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with neckpain and vomiting since 00.00.00.
H/O right sided pleural effusion. Received AKT.
(? spinal surgery for tumor, surgical details not available).
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 STIR coronal images through the optic nerves.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is probable thickening of the meninges overlying the right cerebral hemisphere, more so in the fronto-parietal region (scans 104.12 to 104.18). Subtle sulcal space effacement is noted in the right cerebral convexity.
There is mild asymmetric dilatation of the left lateral ventricle as compared to the right. The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is mild bulge of the midline structures to the right. No obvious vascular anomaly is identified on this study.
The optic nerves on either side appear normal in course and characteristics.
IMPRESSION :
1. Probable thickening of the meninges over the right cerebral convexity, as described, may suggest a meningeal pathology.
2. Mild dilatation of the left lateral ventricle is ? a normal variant, ?? obstruction at the level of the foramen of Monroe.
A contrast enhanced scan would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14895
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz A.M. Bhojlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (upto the knee) since 00.00.00.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is clockwise rotation of the lumbar vertebral bodies.
There is a small postero-central protruded disc with peridiscal osteophytes at the L5-S1 level.
There is a small left far lateral (foraminal and extraforaminal) disc herniation at the L4-L5 level indenting the extraforaminal segment of the left L4 nerve root.
An anterior peridiscal osteophyte is seen at the L1-L2 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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 :
15.0 mm at L1-L2
17.0 mm at L2-L3
18.0 mm at L3-L4
19.0 mm at L4-L5
20.0 mm at L5-S1.
IMPRESSION :
1. A small postero-central protruded disc with peridiscal osteophytes at the L5-S1 level.
2. A small left far lateral (foraminal and extraforaminal) disc herniation at the L4-L5 level indenting the extraforaminal segment of the left L4 nerve root.
Date : 00.00.00
Name of the Patient : Abc Xyz A.M. Bhojlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (upto the knee) since 00.00.00.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is clockwise rotation of the lumbar vertebral bodies.
There is a small postero-central protruded disc with peridiscal osteophytes at the L5-S1 level.
There is a small left far lateral (foraminal and extraforaminal) disc herniation at the L4-L5 level indenting the extraforaminal segment of the left L4 nerve root.
An anterior peridiscal osteophyte is seen at the L1-L2 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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 :
15.0 mm at L1-L2
17.0 mm at L2-L3
18.0 mm at L3-L4
19.0 mm at L4-L5
20.0 mm at L5-S1.
IMPRESSION :
1. A small postero-central protruded disc with peridiscal osteophytes at the L5-S1 level.
2. A small left far lateral (foraminal and extraforaminal) disc herniation at the L4-L5 level indenting the extraforaminal segment of the left L4 nerve root.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14894
Date : 00.00.00
Name of the Patient : Abc Xyzo Waghlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain with sudden onset of weakness of BLE and the LUE since 8 days.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted, T2 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.
There is slight forward translation of the C4 over the C5 vertebra with a resultant pseudo posterior disc herniation at that level.
Small postero-central protruded discs are noted at the C2-C3 and C3-C4 levels.
A fairly large posterior peridiscal osteophyte is noted at the C5-C6 level, indenting the dural theca anteriorly.
A fairly large, postero-central and left postero-lateral disc herniation is noted at the C6-C7 level with left neural foraminal narrowing and indentation on the left C7 nerve root. Superior migration of the disc fragment is noted along the posterior margin of the C5 vertebral body. There is resultant mild cord compression at the C5-C6 level.
The degenerative changes of the joints of Luschka on the left at the C4-C5 and C5-C6 levels is noted. Facetal hypertrophy on the left is noted at the C3-C4 and C4-C5 levels.
The cervical vertebral bodies show replacement of normal fatty marrow by hematopoietic marrow.
The rest of 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 :
1. Slight forward translation of the C4 over the C5 vertebra with a resultant pseudo posterior disc herniation at that level.
2. Small postero-central protruded discs at the C2-C3 and C3-C4 levels.
3. A fairly large posterior peridiscal osteophyte at the C5-C6 level.
4. A fairly large, postero-central and left postero-lateral disc herniation at the C6-C7 level with left neural foraminal narrowing and indentation on the left C7 nerve root. Superior migration of the disc fragment is noted along the posterior margin of the C5 vertebral body with resultant mild cord compression at the C5-C6 level.
5. Degenerative changes of the joints of Luschka on the left at the C4-C5 and C5-C6 levels.
6. Facetal hypertrophy on the left at the C3-C4 and C4-C5 levels.
Name of the Patient : Abc Xyzo Waghlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain with sudden onset of weakness of BLE and the LUE since 8 days.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted, T2 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.
There is slight forward translation of the C4 over the C5 vertebra with a resultant pseudo posterior disc herniation at that level.
Small postero-central protruded discs are noted at the C2-C3 and C3-C4 levels.
A fairly large posterior peridiscal osteophyte is noted at the C5-C6 level, indenting the dural theca anteriorly.
A fairly large, postero-central and left postero-lateral disc herniation is noted at the C6-C7 level with left neural foraminal narrowing and indentation on the left C7 nerve root. Superior migration of the disc fragment is noted along the posterior margin of the C5 vertebral body. There is resultant mild cord compression at the C5-C6 level.
The degenerative changes of the joints of Luschka on the left at the C4-C5 and C5-C6 levels is noted. Facetal hypertrophy on the left is noted at the C3-C4 and C4-C5 levels.
The cervical vertebral bodies show replacement of normal fatty marrow by hematopoietic marrow.
The rest of 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 :
1. Slight forward translation of the C4 over the C5 vertebra with a resultant pseudo posterior disc herniation at that level.
2. Small postero-central protruded discs at the C2-C3 and C3-C4 levels.
3. A fairly large posterior peridiscal osteophyte at the C5-C6 level.
4. A fairly large, postero-central and left postero-lateral disc herniation at the C6-C7 level with left neural foraminal narrowing and indentation on the left C7 nerve root. Superior migration of the disc fragment is noted along the posterior margin of the C5 vertebral body with resultant mild cord compression at the C5-C6 level.
5. Degenerative changes of the joints of Luschka on the left at the C4-C5 and C5-C6 levels.
6. Facetal hypertrophy on the left at the C3-C4 and C4-C5 levels.
Published in
MRI Reports