Regular User
Sunday, 27 December 2015 16:48
13413
sb/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzslmn / M / 38 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Left Elbow Joint.
CLINICAL PROFILE :
C/O pain and swelling over the inner side of the left elbow with limitation of joint movements since 3 months.
EXAMINATION :
M.R.I. of the left elbow joint was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
4 mm thick T1 Weighted and T2 Weighted (with fat saturation) sagittal images.
4 mm thick T1 Weighted and STIR coronal images.
OBSERVATION :
There was a fixed flexion deformity at the left elbow joint.
The distal end of the left humures (including the epicondyles, trochlea and the capitellum), the proximal end of the radius and the ulna bones show normal signal intensity. Marginal osteophytes/new bone formation is noted along the inferior margin of the radial head, along the margins of the olecranon and coronoid processes and along the proximal end of the ulna. Slight remodelling of the radial head is also noted.
The articular cartilage in the radio-humeral joint appears slightly thinned. The annular ligament is unremarkable.
A small left elbow joint effusion is noted.
No obvious soft tissue mass lesion is identified around the visualized left elbow joint.
IMPRESSION :
Fixed flexion deformity at the left elbow joint with marginal osteophytes/new bone formation and slight remodelling of the radial head as described is not specific for a single etiology. These changes may be the sequelae of a previous inflammatory arthritis with secondary osetoarthritis. The possibility of a post-traumatic etiology seems less likely.
Date : 00.00.00
Name of the Patient : Abc Xyzslmn / M / 38 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Left Elbow Joint.
CLINICAL PROFILE :
C/O pain and swelling over the inner side of the left elbow with limitation of joint movements since 3 months.
EXAMINATION :
M.R.I. of the left elbow joint was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
4 mm thick T1 Weighted and T2 Weighted (with fat saturation) sagittal images.
4 mm thick T1 Weighted and STIR coronal images.
OBSERVATION :
There was a fixed flexion deformity at the left elbow joint.
The distal end of the left humures (including the epicondyles, trochlea and the capitellum), the proximal end of the radius and the ulna bones show normal signal intensity. Marginal osteophytes/new bone formation is noted along the inferior margin of the radial head, along the margins of the olecranon and coronoid processes and along the proximal end of the ulna. Slight remodelling of the radial head is also noted.
The articular cartilage in the radio-humeral joint appears slightly thinned. The annular ligament is unremarkable.
A small left elbow joint effusion is noted.
No obvious soft tissue mass lesion is identified around the visualized left elbow joint.
IMPRESSION :
Fixed flexion deformity at the left elbow joint with marginal osteophytes/new bone formation and slight remodelling of the radial head as described is not specific for a single etiology. These changes may be the sequelae of a previous inflammatory arthritis with secondary osetoarthritis. The possibility of a post-traumatic etiology seems less likely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13412
ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xylmn / F / 28 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. - Brain (Post-contrast study).
CLINICAL PROFILE :
Known C/O intracranial tuberculoma.
For follow-up.
EXAMINATION :
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
3 mm thick T1 Weighted axial images with magnetization transfer through the region of interest.
OBSERVATION :
There is very faint enhancement along the gyri in the right parafalcine frontal region (scans 104.12, 102.16) in the region showing gliotic changes.
No other abnormal supratentorial or infratentorial enhancement or meningeal enhancement is noted.
Date : 00.00.00
Name of the Patient : Abc Xylmn / F / 28 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. - Brain (Post-contrast study).
CLINICAL PROFILE :
Known C/O intracranial tuberculoma.
For follow-up.
EXAMINATION :
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
3 mm thick T1 Weighted axial images with magnetization transfer through the region of interest.
OBSERVATION :
There is very faint enhancement along the gyri in the right parafalcine frontal region (scans 104.12, 102.16) in the region showing gliotic changes.
No other abnormal supratentorial or infratentorial enhancement or meningeal enhancement is noted.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13411
ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzalmn / F / 68 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the LUE.
H/O fall on 00.00.00.
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.
OBSERVATION :
There is loss of normal cervical curvature with reduction in the C4-C5, C5-C6 and C6-C7 discs height. The cervical intervertebral discs show loss of water content.
There are posterior disc herniations at the C4-C5, C5-C6 and C6-C7 levels with large posterior peridiscal osteophytes. There is anterior indentation of the thecal sac with left neural foraminal narrowing. Slight indentation of the cord is noted at the C4-C5 and C5-C6 levels. The joints of Luschka on the left side at the C4-C5, C5-C6 and C6-C7 levels also show degenerative changes. There is also indentation upon the left C5, C6 and C7 nerve roots. Mild flavum hypertrophy is seen at the C5-C6 level.
There is anterior wedging of the C4 and C5 vertebral bodies with irregularity of the inferior cortical endplate of C4 and superior cortical endplate of C5. Type I and Type III degenerative changes are seen adjacent to the C4-C5 disc in the C4 and C5 vertebrae.
Small postero-central disc herniations are noted at the C2-C3 and C3-C4 levels with posterior peridiscal osteophytes.
Diffuse fatty changes are seen in the upper cervical vertebrae.
The rest of the cervical vertebral bodies show normal signal intensity. The remaining joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Small subcentimeter lymph nodes are seen deep to the sternomastoid muscles bilaterally.
IMPRESSION :
1. Posterior disc herniations at the C4-C5, C5-C6 and C6-C7 levels with large posterior peridiscal osteophytes.
2. Degenerative changes of the joints of Luschka on the left side at the C4-C5, C5-C6 and C6-C7 levels with indentation upon the left C5, C6 and C7 nerve roots.
Date : 00.00.00
Name of the Patient : Abc Xyzalmn / F / 68 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the LUE.
H/O fall on 00.00.00.
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.
OBSERVATION :
There is loss of normal cervical curvature with reduction in the C4-C5, C5-C6 and C6-C7 discs height. The cervical intervertebral discs show loss of water content.
There are posterior disc herniations at the C4-C5, C5-C6 and C6-C7 levels with large posterior peridiscal osteophytes. There is anterior indentation of the thecal sac with left neural foraminal narrowing. Slight indentation of the cord is noted at the C4-C5 and C5-C6 levels. The joints of Luschka on the left side at the C4-C5, C5-C6 and C6-C7 levels also show degenerative changes. There is also indentation upon the left C5, C6 and C7 nerve roots. Mild flavum hypertrophy is seen at the C5-C6 level.
There is anterior wedging of the C4 and C5 vertebral bodies with irregularity of the inferior cortical endplate of C4 and superior cortical endplate of C5. Type I and Type III degenerative changes are seen adjacent to the C4-C5 disc in the C4 and C5 vertebrae.
Small postero-central disc herniations are noted at the C2-C3 and C3-C4 levels with posterior peridiscal osteophytes.
Diffuse fatty changes are seen in the upper cervical vertebrae.
The rest of the cervical vertebral bodies show normal signal intensity. The remaining joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Small subcentimeter lymph nodes are seen deep to the sternomastoid muscles bilaterally.
IMPRESSION :
1. Posterior disc herniations at the C4-C5, C5-C6 and C6-C7 levels with large posterior peridiscal osteophytes.
2. Degenerative changes of the joints of Luschka on the left side at the C4-C5, C5-C6 and C6-C7 levels with indentation upon the left C5, C6 and C7 nerve roots.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13410
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzi Kollmn / F / 50 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O involuntary movements of the RUE since 5-6 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.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
OBSERVATION :
There are small bright foci on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the frontal regions bilaterally and in the left fronto-temporal region. These lesions appear isointense to normal white matter on the T1 Weighted images.
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 bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Altered signal in the frontal regions bilaterally and in the left fronto-temporal region most likely represent ischemic changes.
Date : 00.00.00
Name of the Patient : Abc Xyzi Kollmn / F / 50 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O involuntary movements of the RUE since 5-6 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.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
OBSERVATION :
There are small bright foci on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the frontal regions bilaterally and in the left fronto-temporal region. These lesions appear isointense to normal white matter on the T1 Weighted images.
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 bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Altered signal in the frontal regions bilaterally and in the left fronto-temporal region most likely represent ischemic changes.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13409
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzai Badlmn / M / 64 yrs.
Referred by : Dr. Abc Xyznghal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with tingling since 1 1/2 - 2 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 minimal forward translation of the L4 over the L5 vertebra, without obvious spondylolysis.
There is loss of water content of the lumbar intervertebral discs.
There is a small posterior disc herniation at the L4-L5 level indenting the dural theca anteriorly. Hypertrophic facetal arthropathy and ligamentum flavum hypertrophy is also noted at this level with canal stenosis.
A minimal posterior disc bulge is noted at the L3-L4 level.
Right far lateral peridiscal osteophytes are noted at the D12-L1 and L1-L2 levels.
The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.
Screening, T2 Weighted sagittal images of the dorsal spine reveal anterior peridiscal osteophytes, more to the right of the midline in the mid and lower dorsal region. The visualized dorsal spinal cord shows normal signal.
IMPRESSION :
1. Minimal forward translation of the L4 over the L5 vertebra, without obvious spondylolysis.
2. A small posterior disc herniation at the L4-L5 level with hypertrophic facetal arthropathy and ligamentum flavum hypertrophy and canal stenosis.
3. Right far lateral peridiscal osteophytes at the D12-L1 and L1-L2 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzai Badlmn / M / 64 yrs.
Referred by : Dr. Abc Xyznghal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with tingling since 1 1/2 - 2 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 minimal forward translation of the L4 over the L5 vertebra, without obvious spondylolysis.
There is loss of water content of the lumbar intervertebral discs.
There is a small posterior disc herniation at the L4-L5 level indenting the dural theca anteriorly. Hypertrophic facetal arthropathy and ligamentum flavum hypertrophy is also noted at this level with canal stenosis.
A minimal posterior disc bulge is noted at the L3-L4 level.
Right far lateral peridiscal osteophytes are noted at the D12-L1 and L1-L2 levels.
The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.
Screening, T2 Weighted sagittal images of the dorsal spine reveal anterior peridiscal osteophytes, more to the right of the midline in the mid and lower dorsal region. The visualized dorsal spinal cord shows normal signal.
IMPRESSION :
1. Minimal forward translation of the L4 over the L5 vertebra, without obvious spondylolysis.
2. A small posterior disc herniation at the L4-L5 level with hypertrophic facetal arthropathy and ligamentum flavum hypertrophy and canal stenosis.
3. Right far lateral peridiscal osteophytes at the D12-L1 and L1-L2 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13408
sb/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzben Plmn / F / 52 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 2 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 reduction in height and loss of water content of the L5-S1 intervertebral disc.
There is a posteriorly herniated disc with posterior peridiscal osteophyte at the L5-S1 level with bilateral neural foraminal narrowing. The L5 and S1 vertebral bodies adjacent to the L5-S1 disc show Type II degenerative changes. Slight inferior migration of the disc is noted posterior to the S1 vertebral body. Far lateral disc bulges are also noted at this level with indentation upon the extraforaminal L5 nerve roots bilaterally.
A minimal posterior disc bulge is seen at the L4-L5 level.
The facet joints at the L4-L5 and L5-S1 levels appear slightly hypertrophied bilaterally.
Anterior peridiscal osteophytes are seen in the lumbar region.
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 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 :
16.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. Degenerated L5-S1 disc with a posteriorly herniated disc and posterior peridiscal osteophytes, causing bilateral neural foraminal narrowing with inferior migration of the disc posterior to the S1 vertebral body. Far lateral disc bulges are also seen at this level with indentation upon the extraforaminal L5 nerve roots bilaterally.
2. Facetal hypertrophy at the L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzben Plmn / F / 52 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 2 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 reduction in height and loss of water content of the L5-S1 intervertebral disc.
There is a posteriorly herniated disc with posterior peridiscal osteophyte at the L5-S1 level with bilateral neural foraminal narrowing. The L5 and S1 vertebral bodies adjacent to the L5-S1 disc show Type II degenerative changes. Slight inferior migration of the disc is noted posterior to the S1 vertebral body. Far lateral disc bulges are also noted at this level with indentation upon the extraforaminal L5 nerve roots bilaterally.
A minimal posterior disc bulge is seen at the L4-L5 level.
The facet joints at the L4-L5 and L5-S1 levels appear slightly hypertrophied bilaterally.
Anterior peridiscal osteophytes are seen in the lumbar region.
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 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 :
16.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. Degenerated L5-S1 disc with a posteriorly herniated disc and posterior peridiscal osteophytes, causing bilateral neural foraminal narrowing with inferior migration of the disc posterior to the S1 vertebral body. Far lateral disc bulges are also seen at this level with indentation upon the extraforaminal L5 nerve roots bilaterally.
2. Facetal hypertrophy at the L4-L5 and L5-S1 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13407
sb/bv/nl/nl
Date : 00.00.00 Name of the Patient : Abc Xyz lmn / F / 25 yrs.Referred by : Dr. Abc Xyzmpat. Examination : M.R.I. of the Cervical Spine.CLINICAL PROFILE : H/O pulmonary kochs in September 0000. AKT taken irregularly for 1 year. Developed cervical lymphadenopathy in October 0000. Cervical lymphadenectomy done. Subsequently developed headaches and abnormal behaviour in March 0000. For follow-up.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 T1 Weighted sagittal images were obtained in flexion and extension.
OBSERVATION :
There is atlanto-dens subluxation with the atlanto-dens interval measuring 5.0 mms in the neutral position. The peridental fat shows an ill-defined, hypointense signal on the T1 Weighted images which turns hyperintense on the T2 Weighted and Fast Scan (T2 *) images. On the flexion images, the atlanto-dens interval measures approximately 5.0 mms and on the extension images the atlanto-dens interval is approximately 3.0 mms. Minimal posterior disc bulges are noted at the C3-C4 and C4-C5 levels. Scan-00007
The cervical vertebral bodies and intervertebral discs reveal 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. There is no cord compression.The cervico-medullary junction is unremarkable.IMPRESSION :
1. Mobile atlanto-dens subluxation.
2. Altered signal in the peridental soft tissue may represent granulation tissue/fibrous tissue.
As compared to the previous MRI (study no:0000/4) dated 10/00.00.00, there is near complete resolution of the soft tissue in the right paravertebral region. The signal change in the right lateral mass of C1 and left lateral mass of C2 has also nearly resolved. Signal change in the peridental soft tissue represents granulation/fibrous tissue. There is no increase in the degree of the atlanto-dens subluxation.
Date : 00.00.00 Name of the Patient : Abc Xyz lmn / F / 25 yrs.Referred by : Dr. Abc Xyzmpat. Examination : M.R.I. of the Cervical Spine.CLINICAL PROFILE : H/O pulmonary kochs in September 0000. AKT taken irregularly for 1 year. Developed cervical lymphadenopathy in October 0000. Cervical lymphadenectomy done. Subsequently developed headaches and abnormal behaviour in March 0000. For follow-up.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 T1 Weighted sagittal images were obtained in flexion and extension.
OBSERVATION :
There is atlanto-dens subluxation with the atlanto-dens interval measuring 5.0 mms in the neutral position. The peridental fat shows an ill-defined, hypointense signal on the T1 Weighted images which turns hyperintense on the T2 Weighted and Fast Scan (T2 *) images. On the flexion images, the atlanto-dens interval measures approximately 5.0 mms and on the extension images the atlanto-dens interval is approximately 3.0 mms. Minimal posterior disc bulges are noted at the C3-C4 and C4-C5 levels. Scan-00007
The cervical vertebral bodies and intervertebral discs reveal 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. There is no cord compression.The cervico-medullary junction is unremarkable.IMPRESSION :
1. Mobile atlanto-dens subluxation.
2. Altered signal in the peridental soft tissue may represent granulation tissue/fibrous tissue.
As compared to the previous MRI (study no:0000/4) dated 10/00.00.00, there is near complete resolution of the soft tissue in the right paravertebral region. The signal change in the right lateral mass of C1 and left lateral mass of C2 has also nearly resolved. Signal change in the peridental soft tissue represents granulation/fibrous tissue. There is no increase in the degree of the atlanto-dens subluxation.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13406
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzgh Jalmn / M / 34 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 15 days.
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 partial sacralization of the L5 vertebra.
There is loss of water content of the L3-L4, L4-L5 and L5-S1 intervertebral discs.
A small posterior disc bulge is noted at the L5-S1 level.
A posteriorly herniated disc is seen at the L4-L5 level with inferior migration of the disc fragment to the right of the midline, indenting the traversing right L5 nerve root. There is bilateral neural foraminal narrowing. Mild ligamentum flavum hypertrophy is noted at this level.
A postero-central disc herniation with peridiscal osteophyte is noted at the L3-L4 level, with thecal sac compression.
Facetal hypertrophy is noted in the lumbar region. The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions, with a resultant tight lumbar canal at the L3-L4 and L4-L5 levels.
..2/.
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 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. A posteriorly herniated disc at the L4-L5 level with slight inferior migration of the disc fragment to the right of the midline, indenting the traversing right L5 nerve root.
3. A postero-central disc herniation with peridiscal osteophyte at the L3-L4 level.
4. Facetal hypertrophy in the lumbar region.
5. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions, with a resultant tight lumbar canal at the L3-L4 and L4-L5 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzgh Jalmn / M / 34 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 15 days.
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 partial sacralization of the L5 vertebra.
There is loss of water content of the L3-L4, L4-L5 and L5-S1 intervertebral discs.
A small posterior disc bulge is noted at the L5-S1 level.
A posteriorly herniated disc is seen at the L4-L5 level with inferior migration of the disc fragment to the right of the midline, indenting the traversing right L5 nerve root. There is bilateral neural foraminal narrowing. Mild ligamentum flavum hypertrophy is noted at this level.
A postero-central disc herniation with peridiscal osteophyte is noted at the L3-L4 level, with thecal sac compression.
Facetal hypertrophy is noted in the lumbar region. The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions, with a resultant tight lumbar canal at the L3-L4 and L4-L5 levels.
..2/.
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 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. A posteriorly herniated disc at the L4-L5 level with slight inferior migration of the disc fragment to the right of the midline, indenting the traversing right L5 nerve root.
3. A postero-central disc herniation with peridiscal osteophyte at the L3-L4 level.
4. Facetal hypertrophy in the lumbar region.
5. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions, with a resultant tight lumbar canal at the L3-L4 and L4-L5 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13404
sb/ke/nl/.rg.
Date : 00.00.00
Name of the Patient : Abc Xyzh Darulmn / M / 8 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered behaviour for 2 hours on 00.00.00.
H/O vomiting prior to this.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick 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.
Inflammatory changes are noted in the sphenoid sinus and ethmoidal air cells on the left and enlarged adenoids.
IMPRESSION :
Normal study of the brain.
Date : 00.00.00
Name of the Patient : Abc Xyzh Darulmn / M / 8 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered behaviour for 2 hours on 00.00.00.
H/O vomiting prior to this.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick 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.
Inflammatory changes are noted in the sphenoid sinus and ethmoidal air cells on the left and enlarged adenoids.
IMPRESSION :
Normal study of the brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13402
sb/bv/nl/rg.
/3 Date : 00.00.00
Name of the Patient : Abc Xyz Golmn / M / 65 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 10 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is minimal forward translation of the L4 over the L5 vertebra without obvious spondylolysis.
There is loss of water content of the L3-L4, L4-L5 and L5-S1 intervertebral discs.
There is a small, posterior and right postero-lateral disc herniation with peridiscal osteophyte at the L5-S1 level, indenting the dural theca anteriorly and slight indentation on the traversing right S1 nerve root. A right far lateral disc herniation is also seen at this level with impingement of the foraminal portion of the right L5 nerve root (scan 102.6).
A postero-central and right paracentral disc herniation is noted at the L4-L5 level with a sequestered disc fragment in the right lateral recess of L5, indenting the traversing right L5 nerve root (scan 104.5). A left far lateral disc herniation with peridiscal osteophyte is also noted at this level.
..2/.
Minimal posterior disc bulge is seen at the L3-L4 level.
Facetal hypertrophy is noted at the L1-L2, L4-L5 and L5-S1 levels.
Type II degenerative marrow changes are noted 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 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 :
19.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.
Incidentally noted is a left sided renal cortical cyst.
IMPRESSION :
1. Minimal forward translation of the L4 over the L5 vertebra without obvious spondylolysis.
2. A small, posterior and right postero-lateral disc herniation with peridiscal osteophyte at the L5-S1 level, with slight indentation on the traversing right S1 nerve root. A right far lateral disc herniation is also seen at this level with impingement of the foraminal right L5 nerve root
..3/.
- 3 - scan-00002
3. A postero-central and right paracentral disc herniation at the L4-L5 level with a sequestered disc fragment in the right lateral recess of L5, indenting the traversing right L5 nerve root.
4. Facetal hypertrophy at the L1-L2, L4-L5 and L5-S1 levels.
/3 Date : 00.00.00
Name of the Patient : Abc Xyz Golmn / M / 65 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 10 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is minimal forward translation of the L4 over the L5 vertebra without obvious spondylolysis.
There is loss of water content of the L3-L4, L4-L5 and L5-S1 intervertebral discs.
There is a small, posterior and right postero-lateral disc herniation with peridiscal osteophyte at the L5-S1 level, indenting the dural theca anteriorly and slight indentation on the traversing right S1 nerve root. A right far lateral disc herniation is also seen at this level with impingement of the foraminal portion of the right L5 nerve root (scan 102.6).
A postero-central and right paracentral disc herniation is noted at the L4-L5 level with a sequestered disc fragment in the right lateral recess of L5, indenting the traversing right L5 nerve root (scan 104.5). A left far lateral disc herniation with peridiscal osteophyte is also noted at this level.
..2/.
Minimal posterior disc bulge is seen at the L3-L4 level.
Facetal hypertrophy is noted at the L1-L2, L4-L5 and L5-S1 levels.
Type II degenerative marrow changes are noted 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 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 :
19.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.
Incidentally noted is a left sided renal cortical cyst.
IMPRESSION :
1. Minimal forward translation of the L4 over the L5 vertebra without obvious spondylolysis.
2. A small, posterior and right postero-lateral disc herniation with peridiscal osteophyte at the L5-S1 level, with slight indentation on the traversing right S1 nerve root. A right far lateral disc herniation is also seen at this level with impingement of the foraminal right L5 nerve root
..3/.
- 3 - scan-00002
3. A postero-central and right paracentral disc herniation at the L4-L5 level with a sequestered disc fragment in the right lateral recess of L5, indenting the traversing right L5 nerve root.
4. Facetal hypertrophy at the L1-L2, L4-L5 and L5-S1 levels.
Published in
MRI Reports