Regular User
Sunday, 27 December 2015 16:48
13344
hs/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 33 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
H/O fall 6 months back with pain and swelling over the left knee joint since then.
EXAMINATION :
M.R.I of the left knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and T2 Weighted (with fat saturation) coronal images.
4 mm thick T1 Weighted and GRASS axial images.
OBSERVATION :
There is evidence of an area of hypointensity on the T1 Weighted images which turns hyperintense on the T2 Weighted and GRASS images in the region of Hoffas pad and posterior to the quadriceps tendon. This most likely represents synovial thickening. A few areas of hypointensity on the GRASS images are also seen within this lesion. Slight effusion is seen within the left knee joint.
A linear hyperintense signal, not reaching upto the articular surface is seen within the posterior horn of the medial meniscus. This would represent Grade I meniscal signal (degeneration).
The anterior and posterior cruciate ligaments and the rest of the menisci are unremarkable. The visualized femur, tibia and patellar are unremarkable.
IMPRESSION :
The MRI features are suggestive of synovial thickening around the left knee joint as described. Pigmented villo nodular synovitis may be considered.
A contrast enhanced scan may be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 33 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
H/O fall 6 months back with pain and swelling over the left knee joint since then.
EXAMINATION :
M.R.I of the left knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and T2 Weighted (with fat saturation) coronal images.
4 mm thick T1 Weighted and GRASS axial images.
OBSERVATION :
There is evidence of an area of hypointensity on the T1 Weighted images which turns hyperintense on the T2 Weighted and GRASS images in the region of Hoffas pad and posterior to the quadriceps tendon. This most likely represents synovial thickening. A few areas of hypointensity on the GRASS images are also seen within this lesion. Slight effusion is seen within the left knee joint.
A linear hyperintense signal, not reaching upto the articular surface is seen within the posterior horn of the medial meniscus. This would represent Grade I meniscal signal (degeneration).
The anterior and posterior cruciate ligaments and the rest of the menisci are unremarkable. The visualized femur, tibia and patellar are unremarkable.
IMPRESSION :
The MRI features are suggestive of synovial thickening around the left knee joint as described. Pigmented villo nodular synovitis may be considered.
A contrast enhanced scan may be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13343
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyza Belmn / F / 22 yrs.
Referred by : Dr. Abc Xyzodak / Dr. Abc Xyzkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 3 months with radiation of pain to the RLE and paresthesias.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebra and the L4 vertebra is as marked on the film. Please correlate with plain radiographs.
There is loss of water content of the D12-L1 and L2-L3 intervertebral discs.
There is a transepiphyseal herniation of the L2-L3 disc through the antero-superior margin of the L3 vertebral body. The L3 vertebral body adjacent to the L2-L3 disc appears hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images.
Minimal posterior disc bulges are noted at the L2-L3 and L4-L5 levels.
The rest of 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 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
15.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Sacralized L5 vertebra.
2. Transepiphyseal herniation of the L2-L3 disc through the antero-superior margin of the L3 vertebral body.
3. Altered signal in the L3 vertebral body adjacent to the L2-L3 disc most likely represents Type I degenerative marrow change, rather than osteitis.
Date : 00.00.00
Name of the Patient : Abc Xyza Belmn / F / 22 yrs.
Referred by : Dr. Abc Xyzodak / Dr. Abc Xyzkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 3 months with radiation of pain to the RLE and paresthesias.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebra and the L4 vertebra is as marked on the film. Please correlate with plain radiographs.
There is loss of water content of the D12-L1 and L2-L3 intervertebral discs.
There is a transepiphyseal herniation of the L2-L3 disc through the antero-superior margin of the L3 vertebral body. The L3 vertebral body adjacent to the L2-L3 disc appears hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images.
Minimal posterior disc bulges are noted at the L2-L3 and L4-L5 levels.
The rest of 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 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
15.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Sacralized L5 vertebra.
2. Transepiphyseal herniation of the L2-L3 disc through the antero-superior margin of the L3 vertebral body.
3. Altered signal in the L3 vertebral body adjacent to the L2-L3 disc most likely represents Type I degenerative marrow change, rather than osteitis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13342
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzbai Blmn / F / 65 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with weakness in BLE since March 0000. D8 to D10 decompressive laminectomy with drainage of paravertebral abscess done 20 days 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.
7 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is evidence of laminectomy over the D7 to D11 levels with post-operative changes in the soft tissues in the posterior dorsal region over these levels.
There is an ill-defined, hypointense signal on the T1 Weighted images in the D8, D9 and D10 vertebral bodies, more to the left of the midline. This signal, however, appears isointense to slightly hyperintense on the T2 Weighted images. The D8-D9 intervertebral disc is slightly more hyperintense on the T2 Weighted images.
The dorsal spinal cord over the D6 to D11 vertebral levels appears hypointense to normal cord on the T1 Weighted images and is hyperintense on the T2 Weighted images. Its margins are slightly irregular.
The rest of the visualized dorsal vertebral bodies and the remaining intervertebral discs are unremarkable. The visualized pre and paravertebral soft tissues are unremarkable.
There is no extrinsic cord compression.
The conus medullaris terminates at the L1 level.
Screening, T1 Weighted sagittal images of the lumbo-sacral spine reveals Grade I spondylolisthesis of the L5 over the S1 vertebra with probable spondylolysis of L5.
IMPRESSION :
1. Post-operative status.
2. Altered signal of the D8, D9 and D10 vertebral bodies and D8-D9 intervertebral disc may be the sequelae of previous osteitis and discitis.
3. Altered signal in the dorsal spinal cord over the D6 to D11 vertebral levels may represent cord edema/ischemia/? myelomalacic changes or syrinx.
The previous scans were not available for comparison.
Date : 00.00.00
Name of the Patient : Abc Xyzbai Blmn / F / 65 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with weakness in BLE since March 0000. D8 to D10 decompressive laminectomy with drainage of paravertebral abscess done 20 days 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.
7 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is evidence of laminectomy over the D7 to D11 levels with post-operative changes in the soft tissues in the posterior dorsal region over these levels.
There is an ill-defined, hypointense signal on the T1 Weighted images in the D8, D9 and D10 vertebral bodies, more to the left of the midline. This signal, however, appears isointense to slightly hyperintense on the T2 Weighted images. The D8-D9 intervertebral disc is slightly more hyperintense on the T2 Weighted images.
The dorsal spinal cord over the D6 to D11 vertebral levels appears hypointense to normal cord on the T1 Weighted images and is hyperintense on the T2 Weighted images. Its margins are slightly irregular.
The rest of the visualized dorsal vertebral bodies and the remaining intervertebral discs are unremarkable. The visualized pre and paravertebral soft tissues are unremarkable.
There is no extrinsic cord compression.
The conus medullaris terminates at the L1 level.
Screening, T1 Weighted sagittal images of the lumbo-sacral spine reveals Grade I spondylolisthesis of the L5 over the S1 vertebra with probable spondylolysis of L5.
IMPRESSION :
1. Post-operative status.
2. Altered signal of the D8, D9 and D10 vertebral bodies and D8-D9 intervertebral disc may be the sequelae of previous osteitis and discitis.
3. Altered signal in the dorsal spinal cord over the D6 to D11 vertebral levels may represent cord edema/ischemia/? myelomalacic changes or syrinx.
The previous scans were not available for comparison.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13341
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Nlmn / F / 46 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right hemiparesis with altered sensorium and fever since 4 days.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
Limited MR Venogram sequence was obtained in the coronal plane.
SOME SCANS SHOW PATIENT MOTION.
OBSERVATION :
There are ill-defined, hyperintense areas on the T2 Weighted and FLAIR images in the frontal regions bilaterally, left posterior parietal region and to a much lesser extent in the right posterior parietal region. These lesions appear predominantly hypointense on the T1 Weighted images and are seen to involve the cortex and subcortical white matter. There is a hyperintense focus on all the pulse sequences within the left frontal region which represents subacute haemorrhage. There is resultant effacement of the sulcal spaces with mild indentation and inferior displacement of the left lateral ventricle by the lesion in the left posterior parietal region.
Both the lateral, third and the fourth ventricles are otherwise unremarkable. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
The superior sagittal sinus and partly the left transverse sinus do not show the normal flow void signal. In place, there is a hyperintense signal on all the pulse sequences within the above mentioned dural venous sinuses which represent a thrombus.
Limited MR Venogram reveals absence of normal flow signal in the superior sagittal sinus and a thin streak in the left transverse sinus. The left sigmoid sinus is well-visualized. The right transverse and sigmoid sinuses are not well-visualized (? hypoplasia). The internal cerebral veins, vein of Galen and straight sinus are unremarkable.
IMPRESSION :
The MRI features described above suggest superior sagittal and left transverse sinus thrombosis with altered signal in the frontal regions and posterior parietal regions bilaterally, which most likely represent venous infarcts. The left frontal lesion shows evidence of haemorrhage.
Date : 00.00.00
Name of the Patient : Abc Xyz Nlmn / F / 46 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right hemiparesis with altered sensorium and fever since 4 days.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
Limited MR Venogram sequence was obtained in the coronal plane.
SOME SCANS SHOW PATIENT MOTION.
OBSERVATION :
There are ill-defined, hyperintense areas on the T2 Weighted and FLAIR images in the frontal regions bilaterally, left posterior parietal region and to a much lesser extent in the right posterior parietal region. These lesions appear predominantly hypointense on the T1 Weighted images and are seen to involve the cortex and subcortical white matter. There is a hyperintense focus on all the pulse sequences within the left frontal region which represents subacute haemorrhage. There is resultant effacement of the sulcal spaces with mild indentation and inferior displacement of the left lateral ventricle by the lesion in the left posterior parietal region.
Both the lateral, third and the fourth ventricles are otherwise unremarkable. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
The superior sagittal sinus and partly the left transverse sinus do not show the normal flow void signal. In place, there is a hyperintense signal on all the pulse sequences within the above mentioned dural venous sinuses which represent a thrombus.
Limited MR Venogram reveals absence of normal flow signal in the superior sagittal sinus and a thin streak in the left transverse sinus. The left sigmoid sinus is well-visualized. The right transverse and sigmoid sinuses are not well-visualized (? hypoplasia). The internal cerebral veins, vein of Galen and straight sinus are unremarkable.
IMPRESSION :
The MRI features described above suggest superior sagittal and left transverse sinus thrombosis with altered signal in the frontal regions and posterior parietal regions bilaterally, which most likely represent venous infarcts. The left frontal lesion shows evidence of haemorrhage.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13340
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyznt Klmn / M / 60 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 1 month.
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.
There is a fairly large, right paracentral extruded disc at the L4-L5 level with small peridiscal osteophytes with inferior migration of the disc fragment into the right lateral recess of L5 indenting the traversing right L5 nerve root. There is also bilateral neural foraminal narrowing.
A small postero-central protruded disc with bilateral far lateral disc bulges is noted at the L5-S1 level.
The pedicles of the L4 and L5 vertebrae appear congenitally short in their antero-posterior dimensions. Slight facetal hypertrophy is noted at the L4-L5 and L5-S1 levels.
Anterior disc herniations are seen at the L2-L3, L3-L4 and L4-L5 levels.
The lumbar vertebral bodies reveal spotty fatty changes. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
11.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A fairly large, right paracentral extruded disc at the L4-L5 level with inferior migration of the disc fragment into the right lateral recess of L5, indenting the traversing right L5 nerve root.
2. Congenitally short pedicles of the L4 and L5 vertebrae in their antero-posterior dimensions with canal stenosis at L4-L5 and L5-S1 levels.
3. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyznt Klmn / M / 60 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 1 month.
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.
There is a fairly large, right paracentral extruded disc at the L4-L5 level with small peridiscal osteophytes with inferior migration of the disc fragment into the right lateral recess of L5 indenting the traversing right L5 nerve root. There is also bilateral neural foraminal narrowing.
A small postero-central protruded disc with bilateral far lateral disc bulges is noted at the L5-S1 level.
The pedicles of the L4 and L5 vertebrae appear congenitally short in their antero-posterior dimensions. Slight facetal hypertrophy is noted at the L4-L5 and L5-S1 levels.
Anterior disc herniations are seen at the L2-L3, L3-L4 and L4-L5 levels.
The lumbar vertebral bodies reveal spotty fatty changes. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
11.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A fairly large, right paracentral extruded disc at the L4-L5 level with inferior migration of the disc fragment into the right lateral recess of L5, indenting the traversing right L5 nerve root.
2. Congenitally short pedicles of the L4 and L5 vertebrae in their antero-posterior dimensions with canal stenosis at L4-L5 and L5-S1 levels.
3. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13339
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzRelmn / F / 25 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 0000.
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 :
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-L2 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 :
18.0 mm at L1-L2
16.0 mm at L2-L3
11.0 mm at L3-L4
10.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc XyzRelmn / F / 25 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 0000.
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 :
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-L2 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 :
18.0 mm at L1-L2
16.0 mm at L2-L3
11.0 mm at L3-L4
10.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13338
sb/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzp Bavlmn / M / 29 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache with paresthesias in BLE since 6 months. AKT taken.
EXAMINATION :
M.R.I of the dorso-lumbar 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 an ill-defined hypointense signal on the T1 Weighted images involving the superior half of the D11 vertebral body and both pedicles. This lesion appears hyperintense on the T2 Weighted images. There is circumferential bulging of this vertebra into the pre and paravertebral soft tissues. There is reduction in height and loss of water content of the D10-D11 intervertebral disc. Irregularity of the superior cortical endplate of D11 body is noted.
The rest of the visualized dorso-lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The visualized lower dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1 level.
scan-00008
IMPRESSION :
Altered signal of superior half of the D11 vertebral body is not specific for a single etiology. Osteitis is a likely possibility. The D10-D11 intervertebral disc is also involved.
The possibility of a neoplasm is less likely.
No previous investigations were available for comparison.
Date : 00.00.00
Name of the Patient : Abc Xyzp Bavlmn / M / 29 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache with paresthesias in BLE since 6 months. AKT taken.
EXAMINATION :
M.R.I of the dorso-lumbar 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 an ill-defined hypointense signal on the T1 Weighted images involving the superior half of the D11 vertebral body and both pedicles. This lesion appears hyperintense on the T2 Weighted images. There is circumferential bulging of this vertebra into the pre and paravertebral soft tissues. There is reduction in height and loss of water content of the D10-D11 intervertebral disc. Irregularity of the superior cortical endplate of D11 body is noted.
The rest of the visualized dorso-lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The visualized lower dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1 level.
scan-00008
IMPRESSION :
Altered signal of superior half of the D11 vertebral body is not specific for a single etiology. Osteitis is a likely possibility. The D10-D11 intervertebral disc is also involved.
The possibility of a neoplasm is less likely.
No previous investigations were available for comparison.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13337
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Kalmn / M / 30 yrs.
Referred by : Dr. Abc Xyzavale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered behaviour since 4 months.
Patient is HIV +ve.
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.
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.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the right maxillary sinus and ethmoidal air cells.
After administration of contrast, no focal area of abnormal enhancement is noted in the brain parenchyma or the meninges.
IMPRESSION :
No significant abnormality is detected within the brain on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz Kalmn / M / 30 yrs.
Referred by : Dr. Abc Xyzavale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered behaviour since 4 months.
Patient is HIV +ve.
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.
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.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the right maxillary sinus and ethmoidal air cells.
After administration of contrast, no focal area of abnormal enhancement is noted in the brain parenchyma or the meninges.
IMPRESSION :
No significant abnormality is detected within the brain on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13336
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzSiddlmn / M / 70 yrs.
Referred by : Dr. Abc Xyzcha.
Examination : M.R.I. of the Dorsal & Lumbo-sacral
Spines.
CLINICAL PROFILE :
C/O backache since 1 1/2 years.
EXAMINATION :
M.R.I of the dorsal and lumbo-sacral spine was performed using the following parameters :
5 mm and 4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is central wedging of nearly all the lumbar vertebral bodies, more so of the L1, L4 and L5 vertebral bodies. The L2, L4 and L5 vertebral bodies show a hypointense signal on the T1 Weighted images. A soft tissue lesion is seen in the anterior epidural space at the L5 vertebral level, compressing the thecal sac and indenting the traversing left S1 nerve root. Similar soft tissue lesion is noted in the prevertebral lesion at the L4 vertebral level. The L4 vertebral body is seen to bulge anteriorly and the L5 vertebral body is seen to bulge posteriorly.
Small posterior disc bulges are noted at the L4-L5 and L3-L4 levels and a right postero-lateral (foraminal) disc herniation is noted at the L2-L3 level.
The facet joints at the L5-S1 level appears hypertrophied.
scan-00006
The study of the dorsal spine reveals central and anterior wedging of the D12, D9, D7, and D6 vertebral bodies. The corresponding intervertebral discs are seen to bulge into the dorsal vertebral bodies. Posterior peridiscal osteophytes are noted in the dorsal region. Slight ligamentum flavum hypertrophy is also noted in the mid and lower dorsal region.
The rest of the visualized dorsal and lumbar vertebral bodies show spotty fatty marrow changes suggesting osteoporosis. The visualized intervertebral discs show loss of water content.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1-L2 level and thecal sac terminates at the S1 level.
Perineural cysts are noted in the sacral region. Meningeal cysts are seen within the D8-D9 and D9-D10 neural foramina on the right side.
Screening, T2 Weighted sagittal images of the cervical spine reveal posterior peridiscal osteophytes in the mid and lower cervical region.
Aorta shows atherosclerotic changes.
IMPRESSION :
1. Central wedging of nearly all the lumbar vertebral bodies, more so of the L1, L4 and L5 vertebral bodies with altered signal of the L2, L4 and L5 vertebral bodies as described is not specific for a single etiology. Anterior epidural soft tissue lesion is noted at the L5 vertebral level and prevertebral soft tissue lesion is noted at the L4 vertebral level. Round cell tumors, metastasis or an infective etiology may be considered as differential diagnosis.
..3/.
- 3 - Scan-00006
2. Degenerative changes in the cervical, dorsal and lumbar regions as described.
3. Central and anterior wedging of the D12, D9, D7, and D6 vertebral bodies with fatty marrow changes may suggest osteoporotic collapse of the vertebral bodies.
Date : 00.00.00
Name of the Patient : Abc XyzSiddlmn / M / 70 yrs.
Referred by : Dr. Abc Xyzcha.
Examination : M.R.I. of the Dorsal & Lumbo-sacral
Spines.
CLINICAL PROFILE :
C/O backache since 1 1/2 years.
EXAMINATION :
M.R.I of the dorsal and lumbo-sacral spine was performed using the following parameters :
5 mm and 4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is central wedging of nearly all the lumbar vertebral bodies, more so of the L1, L4 and L5 vertebral bodies. The L2, L4 and L5 vertebral bodies show a hypointense signal on the T1 Weighted images. A soft tissue lesion is seen in the anterior epidural space at the L5 vertebral level, compressing the thecal sac and indenting the traversing left S1 nerve root. Similar soft tissue lesion is noted in the prevertebral lesion at the L4 vertebral level. The L4 vertebral body is seen to bulge anteriorly and the L5 vertebral body is seen to bulge posteriorly.
Small posterior disc bulges are noted at the L4-L5 and L3-L4 levels and a right postero-lateral (foraminal) disc herniation is noted at the L2-L3 level.
The facet joints at the L5-S1 level appears hypertrophied.
scan-00006
The study of the dorsal spine reveals central and anterior wedging of the D12, D9, D7, and D6 vertebral bodies. The corresponding intervertebral discs are seen to bulge into the dorsal vertebral bodies. Posterior peridiscal osteophytes are noted in the dorsal region. Slight ligamentum flavum hypertrophy is also noted in the mid and lower dorsal region.
The rest of the visualized dorsal and lumbar vertebral bodies show spotty fatty marrow changes suggesting osteoporosis. The visualized intervertebral discs show loss of water content.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1-L2 level and thecal sac terminates at the S1 level.
Perineural cysts are noted in the sacral region. Meningeal cysts are seen within the D8-D9 and D9-D10 neural foramina on the right side.
Screening, T2 Weighted sagittal images of the cervical spine reveal posterior peridiscal osteophytes in the mid and lower cervical region.
Aorta shows atherosclerotic changes.
IMPRESSION :
1. Central wedging of nearly all the lumbar vertebral bodies, more so of the L1, L4 and L5 vertebral bodies with altered signal of the L2, L4 and L5 vertebral bodies as described is not specific for a single etiology. Anterior epidural soft tissue lesion is noted at the L5 vertebral level and prevertebral soft tissue lesion is noted at the L4 vertebral level. Round cell tumors, metastasis or an infective etiology may be considered as differential diagnosis.
..3/.
- 3 - Scan-00006
2. Degenerative changes in the cervical, dorsal and lumbar regions as described.
3. Central and anterior wedging of the D12, D9, D7, and D6 vertebral bodies with fatty marrow changes may suggest osteoporotic collapse of the vertebral bodies.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13335
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyza lmn / F / 74 yrs.
Referred by : Dr. Abc Xyzhacker.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered sensorium since 1 week with loss of appetite and weight since 1 month.
Known hypertensive. On Rx.
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 is a small hyperintense focus on the proton, T2 Weighted and FLAIR images in the right centrum semiovale. This lesion appears hypointense to normal white matter on the T1 Weighted images. A hypointense speck, more pronounced on the Fast Scan (T2 *) images is noted within this lesion (scans 103.14, 102.14, 104.14, 105.10).
Dilated perivascular spaces are seen in the centrum semiovale and the lentiform nucleii bilaterally.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidentally noted is an empty sella and inflammatory changes in the maxillary sinuses bilaterally.
IMPRESSION :
1. Altered signal intensity area in the right centrum semiovale most likely represents an ischemic lesion. A hypointense speck on all the pulse sequences may represent calcification/vessel.
2. Age related cerebral and cerebellar atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyza lmn / F / 74 yrs.
Referred by : Dr. Abc Xyzhacker.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered sensorium since 1 week with loss of appetite and weight since 1 month.
Known hypertensive. On Rx.
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 is a small hyperintense focus on the proton, T2 Weighted and FLAIR images in the right centrum semiovale. This lesion appears hypointense to normal white matter on the T1 Weighted images. A hypointense speck, more pronounced on the Fast Scan (T2 *) images is noted within this lesion (scans 103.14, 102.14, 104.14, 105.10).
Dilated perivascular spaces are seen in the centrum semiovale and the lentiform nucleii bilaterally.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidentally noted is an empty sella and inflammatory changes in the maxillary sinuses bilaterally.
IMPRESSION :
1. Altered signal intensity area in the right centrum semiovale most likely represents an ischemic lesion. A hypointense speck on all the pulse sequences may represent calcification/vessel.
2. Age related cerebral and cerebellar atrophy.
Published in
MRI Reports