Regular User
Sunday, 27 December 2015 16:48
13333
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzang Plmn / M / 42 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in BLE (left more than right) with paresthesias since 4-5 months. Also C/O gait ataxia with slipping off of chappals.
H/O laminectomy at L3-4-5 levels in 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.
After administration of contrast, 5 mm thick T1 Weighted sagittal images with fat saturation, 5 mm thick T1 Weighted axial images and 3 mm thick T1 Weighted coronal images with fat saturation were obtained.
OBSERVATION :
There is loss of water content of all the lumbar intervertebral discs except the L2-L3 disc.
There is slight retroplacement of the L3 over the L4 and L1 over the L2 vertebrae.
There is evidence of laminectomy of the L3, L4 and L5 vertebrae with post-operative changes in the posterior lumbar region over these levels.
A postero-central disc herniation is noted at the L5-S1 level.
A posterior disc bulge with a left paracentral disc herniation is noted at the L4-L5 level with bilateral neural foraminal narrowing and indentation on the traversing left L5 nerve root.
A posteriorly herniated disc is noted at the L3-L4 level with bilateral neural foraminal narrowing. An anterior disc herniation is also seen at this level.
A postero-central disc herniation with peridiscal osteophytes is noted at the L1-L2 level.
Hypertrophic facetal arthropathy is noted at the L3-L4, L4-L5 and L5-S1 levels and facetal hypertrophy is noted at the L2-L3 level. A bony bar is noted along the posterior margin of the thecal sac at the L3-L4 level with canal stenosis. The intrathecal nerve roots at the L5 and S1 levels appear plastered to the thecal sac, peripherally suggesting Group II arachnoiditis.
There is seen a CSF intensity lesion on all pulse sequences within the lower dorsal spinal cord at the D11 and D12 vertebral levels. Septae are noted within this lesion. Slight effacement of the CSF space is noted over these levels.
There is slight anterior wedging of the D12 and L1 vertebral bodies with diffuse fatty marrow changes.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S2 level.
..3/.
- 3 - Scan-00003
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
10.0 mm at L1-L2
14.0 mm at L2-L3
After administration of contrast, there is no focal area of abnormal enhancement within the visualized lower dorsal spinal cord or the meninges. No enhancing lesion is noted on the T1 Weighted sagittal images of the dorsal spine.
IMPRESSION :
1. Post-operative status.
2. Slight retroplacement of the L3 over the L4 and L1 over the L2 vertebrae.
3. A postero-central disc herniation at the L5-S1 level.
4. A posterior disc bulge with a left paracentral disc herniation at the L4-L5 level with indentation on the traversing left L5 nerve root.
5. A posteriorly herniated disc at the L3-L4 level with a bony bar, posteriorly, with canal stenosis.
6. A postero-central disc herniation with peridiscal osteophytes at the L1-L2 level.
7. Hypertrophic facetal arthropathy at the L3-L4, L4-L5 and L5-S1 levels and facetal hypertrophy at the L2-L3 level.
..4/.
- 4 - Scan-00003
8. Group II arachnoiditis at the L5 and S1 vertebral levels.
9. A non-enhancing, CSF intensity lesion on all pulse sequences within the lower dorsal spinal cord at the D11 and D12 vertebral levels, is not specific for a single etiology. A syrinx/arachnoid cyst due to arachnoiditis may be considered as a differential diagnosis. The possibility of a neoplasm seems less likely.
Date : 00.00.00
Name of the Patient : Abc Xyzang Plmn / M / 42 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in BLE (left more than right) with paresthesias since 4-5 months. Also C/O gait ataxia with slipping off of chappals.
H/O laminectomy at L3-4-5 levels in 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.
After administration of contrast, 5 mm thick T1 Weighted sagittal images with fat saturation, 5 mm thick T1 Weighted axial images and 3 mm thick T1 Weighted coronal images with fat saturation were obtained.
OBSERVATION :
There is loss of water content of all the lumbar intervertebral discs except the L2-L3 disc.
There is slight retroplacement of the L3 over the L4 and L1 over the L2 vertebrae.
There is evidence of laminectomy of the L3, L4 and L5 vertebrae with post-operative changes in the posterior lumbar region over these levels.
A postero-central disc herniation is noted at the L5-S1 level.
A posterior disc bulge with a left paracentral disc herniation is noted at the L4-L5 level with bilateral neural foraminal narrowing and indentation on the traversing left L5 nerve root.
A posteriorly herniated disc is noted at the L3-L4 level with bilateral neural foraminal narrowing. An anterior disc herniation is also seen at this level.
A postero-central disc herniation with peridiscal osteophytes is noted at the L1-L2 level.
Hypertrophic facetal arthropathy is noted at the L3-L4, L4-L5 and L5-S1 levels and facetal hypertrophy is noted at the L2-L3 level. A bony bar is noted along the posterior margin of the thecal sac at the L3-L4 level with canal stenosis. The intrathecal nerve roots at the L5 and S1 levels appear plastered to the thecal sac, peripherally suggesting Group II arachnoiditis.
There is seen a CSF intensity lesion on all pulse sequences within the lower dorsal spinal cord at the D11 and D12 vertebral levels. Septae are noted within this lesion. Slight effacement of the CSF space is noted over these levels.
There is slight anterior wedging of the D12 and L1 vertebral bodies with diffuse fatty marrow changes.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S2 level.
..3/.
- 3 - Scan-00003
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
10.0 mm at L1-L2
14.0 mm at L2-L3
After administration of contrast, there is no focal area of abnormal enhancement within the visualized lower dorsal spinal cord or the meninges. No enhancing lesion is noted on the T1 Weighted sagittal images of the dorsal spine.
IMPRESSION :
1. Post-operative status.
2. Slight retroplacement of the L3 over the L4 and L1 over the L2 vertebrae.
3. A postero-central disc herniation at the L5-S1 level.
4. A posterior disc bulge with a left paracentral disc herniation at the L4-L5 level with indentation on the traversing left L5 nerve root.
5. A posteriorly herniated disc at the L3-L4 level with a bony bar, posteriorly, with canal stenosis.
6. A postero-central disc herniation with peridiscal osteophytes at the L1-L2 level.
7. Hypertrophic facetal arthropathy at the L3-L4, L4-L5 and L5-S1 levels and facetal hypertrophy at the L2-L3 level.
..4/.
- 4 - Scan-00003
8. Group II arachnoiditis at the L5 and S1 vertebral levels.
9. A non-enhancing, CSF intensity lesion on all pulse sequences within the lower dorsal spinal cord at the D11 and D12 vertebral levels, is not specific for a single etiology. A syrinx/arachnoid cyst due to arachnoiditis may be considered as a differential diagnosis. The possibility of a neoplasm seems less likely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13332
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzHamed lmn / F / 40 yrs.
Referred by : Dr. Abc Xyzoshipura.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE since December 0000.
EXAMINATION :
M.R.I of the lumbo-sacro-coccygeal region was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
3 mm thick T1 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
6 mm thick T1 Weighted axial images.
OBSERVATION :
There is loss of water content of the L4-L5 intervertebral disc.
A small, postero-central disc herniation is seen at the L5-S1 level.
A posterior disc bulge with peridiscal osteophytes is noted at the L4-L5 level.
A minimal posterior disc bulge is seen at the L3-L4 level.
Slight facetal hypertrophy is noted at the L5-S1 level bilaterally. The sacro-coccygeal region is unremarkable. The coccygeal vertebrae show normal signal intensity.
Scan-00002
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
14.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A small, postero-central disc herniation at the L5-S1 level.
2. A posterior disc bulge with peridiscal osteophytes at the L4-L5 level.
3. Slight facetal hypertrophy at the L5-S1 level.
Date : 00.00.00
Name of the Patient : Abc XyzHamed lmn / F / 40 yrs.
Referred by : Dr. Abc Xyzoshipura.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE since December 0000.
EXAMINATION :
M.R.I of the lumbo-sacro-coccygeal region was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
3 mm thick T1 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
6 mm thick T1 Weighted axial images.
OBSERVATION :
There is loss of water content of the L4-L5 intervertebral disc.
A small, postero-central disc herniation is seen at the L5-S1 level.
A posterior disc bulge with peridiscal osteophytes is noted at the L4-L5 level.
A minimal posterior disc bulge is seen at the L3-L4 level.
Slight facetal hypertrophy is noted at the L5-S1 level bilaterally. The sacro-coccygeal region is unremarkable. The coccygeal vertebrae show normal signal intensity.
Scan-00002
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
14.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A small, postero-central disc herniation at the L5-S1 level.
2. A posterior disc bulge with peridiscal osteophytes at the L4-L5 level.
3. Slight facetal hypertrophy at the L5-S1 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13331
sb/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza Glmn / F / 37 yrs.
Referred by : Dr. Abc Xyzhatt / Dr. Abc Xyzhipura.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 13 years (on & off) radiating to the RLE since 4-5 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is partial sacralization of the L5 vertebral body with the L5 vertebral body as marked on the film.
There is loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is a right postero-lateral (foraminal) disc herniation at the L5-S1 level with slight inferior migration of the disc fragment, indenting the traversing right S1 nerve root, which is probably inflamed (scan 105.2-4, 106.4-6, 103.6, 102.6_).
A small, postero-central protruded disc is noted at the L4-L5 level.
The lumbar vertebral bodies appear slightly hypointense when compared to the normal fatty marrow on the T1 Weighted images which may suggest conversion/preponderance of the haemopoietic marrow.
The remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S1-S2 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
19.0 mm at L2-L3
17.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A right postero-lateral (foraminal) disc herniation at the L5-S1 level with slight inferior migration of the disc fragment, indenting the traversing right S1 nerve root, which is probably inflamed.
2. A small, postero-central protruded disc at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyza Glmn / F / 37 yrs.
Referred by : Dr. Abc Xyzhatt / Dr. Abc Xyzhipura.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 13 years (on & off) radiating to the RLE since 4-5 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is partial sacralization of the L5 vertebral body with the L5 vertebral body as marked on the film.
There is loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is a right postero-lateral (foraminal) disc herniation at the L5-S1 level with slight inferior migration of the disc fragment, indenting the traversing right S1 nerve root, which is probably inflamed (scan 105.2-4, 106.4-6, 103.6, 102.6_).
A small, postero-central protruded disc is noted at the L4-L5 level.
The lumbar vertebral bodies appear slightly hypointense when compared to the normal fatty marrow on the T1 Weighted images which may suggest conversion/preponderance of the haemopoietic marrow.
The remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S1-S2 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
19.0 mm at L2-L3
17.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A right postero-lateral (foraminal) disc herniation at the L5-S1 level with slight inferior migration of the disc fragment, indenting the traversing right S1 nerve root, which is probably inflamed.
2. A small, postero-central protruded disc at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13330
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Sullmn / F / 28 yrs.
Referred by : Dr. Abc Xyzrdiwalla.
Examination : M.R.I. of the Cervical Spine.
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 slight loss of water content of the C2-C3 and C3-C4 intervertebral discs.
Small postero-central protruded disc with peridiscal osteophytes is noted at the C3-C4 level with slight right neural foraminal narrowing.
A hemangioma with fat content is noted in the C7 vertebral body.
The vertebral bodies show hypointense marrow as compared to normal on the T1 Weighted images which turns isointense on the T2 Weighted images and is suggestive of excess of red/haemotopoeitic marrow.
The remaining cervical intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Subcentimeter lymph nodes are seen deep to the sternomastoid muscles bilaterally.
IMPRESSION :
1. Small postero-central protruded disc with peridiscal osteophytes at the C3-C4 level.
2. Preponderance of red/haemotopoeitic marrow in the cervical vertebrae.
Date : 00.00.00
Name of the Patient : Abc Xyz Sullmn / F / 28 yrs.
Referred by : Dr. Abc Xyzrdiwalla.
Examination : M.R.I. of the Cervical Spine.
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 slight loss of water content of the C2-C3 and C3-C4 intervertebral discs.
Small postero-central protruded disc with peridiscal osteophytes is noted at the C3-C4 level with slight right neural foraminal narrowing.
A hemangioma with fat content is noted in the C7 vertebral body.
The vertebral bodies show hypointense marrow as compared to normal on the T1 Weighted images which turns isointense on the T2 Weighted images and is suggestive of excess of red/haemotopoeitic marrow.
The remaining cervical intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Subcentimeter lymph nodes are seen deep to the sternomastoid muscles bilaterally.
IMPRESSION :
1. Small postero-central protruded disc with peridiscal osteophytes at the C3-C4 level.
2. Preponderance of red/haemotopoeitic marrow in the cervical vertebrae.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13329
hs/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc lmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. - Cervical Spine.
(Post-contrast Study).
EXAMINATION :
M.R.I of the cervical spine was performed after administration of contrast, using the following parameters :
4 mm thick T1 Weighted (with fat saturation) and T2 Weighted sagittal images.
5 mm thick T1 Weighted (with fat saturation) axial images.
OBSERVATION :
The cervical spinal cord over the C3 to C5 vertebral levels is swollen and shows a hyperintense signal on the T2 Weighted images.
There is no abnormal focal area of enhancement within the cervical spinal cord and the meninges on this scan.
IMPRESSION :
The MRI features are suggestive of altered signal within the cervical spinal cord over the C3 to C5 vertebral levels and this is not specific for a single etiology. The differential diagnosis would include :
a. Myelitis.
b. Demyelination.
c. Ischemia.
No abnormal enhancement is noted after contrast administration.
Previous scan was not available for comparison.
Date : 00.00.00
Name of the Patient : Abc lmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. - Cervical Spine.
(Post-contrast Study).
EXAMINATION :
M.R.I of the cervical spine was performed after administration of contrast, using the following parameters :
4 mm thick T1 Weighted (with fat saturation) and T2 Weighted sagittal images.
5 mm thick T1 Weighted (with fat saturation) axial images.
OBSERVATION :
The cervical spinal cord over the C3 to C5 vertebral levels is swollen and shows a hyperintense signal on the T2 Weighted images.
There is no abnormal focal area of enhancement within the cervical spinal cord and the meninges on this scan.
IMPRESSION :
The MRI features are suggestive of altered signal within the cervical spinal cord over the C3 to C5 vertebral levels and this is not specific for a single etiology. The differential diagnosis would include :
a. Myelitis.
b. Demyelination.
c. Ischemia.
No abnormal enhancement is noted after contrast administration.
Previous scan was not available for comparison.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13328
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzChaudlmn / F / 36 yrs.
Referred by : Dr. Abc Xyzhauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 2 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is mild retroplacement of the L3 over the L4 and the L4 over the L5 vertebrae. The L3-L4 and L4-L5 intervertebral discs show loss of water content. The L3-L4 intervertebral disc is decreased in height.
Right paracentral and right postero-lateral disc herniation is seen to indent the thecal sac and cause minimal right neural foraminal narrowing, at the L3-L4 level.
A small posterior disc herniation is seen to indent the thecal sac at the L4-L5 level. Also seen is mild left neural foraminal narrowing at this level.
A posterior disc bulge is noted at the L5-S1 level. Bilateral far lateral (extraforaminal) disc bulges are noted at the L4-L5 and L5-S1 levels.
Scan-00008
The L3-L4 and L4-L5 facet joints show mild hypertrophic degenerative changes. Mild facetal hypertrophy is seen at the L2-L3 and L5-S1 levels.
A focal hyperintensity on all the pulse sequences is noted within the D12 vertebral body and this may represent a hemangioma with fat content. Type II degenerative changes are seen within the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc.
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 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 :
18.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
14.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. Right paracentral and right postero-lateral disc herniation at the L3-L4 level.
2. A small posterior disc herniation at the L4-L5 level.
3. Hypertrophic facetal arthropathy at the L3-L4 and L4-L5 levels.
Date : 00.00.00
Name of the Patient : Abc XyzChaudlmn / F / 36 yrs.
Referred by : Dr. Abc Xyzhauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 2 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is mild retroplacement of the L3 over the L4 and the L4 over the L5 vertebrae. The L3-L4 and L4-L5 intervertebral discs show loss of water content. The L3-L4 intervertebral disc is decreased in height.
Right paracentral and right postero-lateral disc herniation is seen to indent the thecal sac and cause minimal right neural foraminal narrowing, at the L3-L4 level.
A small posterior disc herniation is seen to indent the thecal sac at the L4-L5 level. Also seen is mild left neural foraminal narrowing at this level.
A posterior disc bulge is noted at the L5-S1 level. Bilateral far lateral (extraforaminal) disc bulges are noted at the L4-L5 and L5-S1 levels.
Scan-00008
The L3-L4 and L4-L5 facet joints show mild hypertrophic degenerative changes. Mild facetal hypertrophy is seen at the L2-L3 and L5-S1 levels.
A focal hyperintensity on all the pulse sequences is noted within the D12 vertebral body and this may represent a hemangioma with fat content. Type II degenerative changes are seen within the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc.
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 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 :
18.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
14.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. Right paracentral and right postero-lateral disc herniation at the L3-L4 level.
2. A small posterior disc herniation at the L4-L5 level.
3. Hypertrophic facetal arthropathy at the L3-L4 and L4-L5 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13327
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 15 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O pain in the left gluteal region since 2 months with paresthesias in the LLE.
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 scoliosis of the lumbar spine with convexity to the left side.
There is loss of normal lumbar lordosis.
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
A small posterior disc herniation with peridiscal osteophytes is seen to indent the traversing S1 nerve roots, left more than right at the L5-S1 level. Mild neural foraminal narrowing is seen bilaterally at this level.
A left postero-lateral disc protrusion with peridiscal osteophytes is seen to cause mild left neural foraminal narrowing at the L4-L5 level.
The L4-L5 and L5-S1 facet joints show mild degenerative changes.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
12.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A small posterior disc herniation with peridiscal osteophytes at the L5-S1 level.
2. A left postero-lateral disc protrusion with peridiscal osteophytes at the L4-L5 level.
3. Mild facetal arthropathy at the L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 15 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O pain in the left gluteal region since 2 months with paresthesias in the LLE.
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 scoliosis of the lumbar spine with convexity to the left side.
There is loss of normal lumbar lordosis.
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
A small posterior disc herniation with peridiscal osteophytes is seen to indent the traversing S1 nerve roots, left more than right at the L5-S1 level. Mild neural foraminal narrowing is seen bilaterally at this level.
A left postero-lateral disc protrusion with peridiscal osteophytes is seen to cause mild left neural foraminal narrowing at the L4-L5 level.
The L4-L5 and L5-S1 facet joints show mild degenerative changes.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
12.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A small posterior disc herniation with peridiscal osteophytes at the L5-S1 level.
2. A left postero-lateral disc protrusion with peridiscal osteophytes at the L4-L5 level.
3. Mild facetal arthropathy at the L4-L5 and L5-S1 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13326
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz S. Plmn / F / 29 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fever, headaches and vomiting for 2 days on 00.00.00.
C/O paresthesias in BLE with involuntary movements of the LUE and RLE and on the left side of the face since 00.00.00.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick T2 Weighted coronal images.
OBSERVATION :
There is evidence of gyral thickening in the left frontal lobe. The cortical grey matter and subcortical white matter in this region is hyperintense on the proton, T2 Weighted and FLAIR images and hypointense on the T1 Weighted images. There is effacement of the adjacent cerebral cortical sulci (scans 103.13, 106.16, 102.13, 105.17).
Smaller foci with similar signal characteristics are noted at the grey-white matter junction in the left fronto-parietal lobes (scans 106.4, 106.8-10, 106.14), right fronto-parietal region and right lentiform nucleus (scans 106.11, 106.8-10).
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of :
1. An area of altered signal intensity with gyral thickening within the left frontal lobe is not specific for a single etiology. This may be ischemic in etiology or represent an evolving granuloma. This is less likely to represent a neoplastic process.
2. Foci of altered signal intensity within the grey-white matter junction in both the fronto-parietal lobes are also not specific for a single diagnosis. These may be ischemic in etiology or represent granulomas.
A contrast enhanced scan is essential.
Date : 00.00.00
Name of the Patient : Abc Xyz S. Plmn / F / 29 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fever, headaches and vomiting for 2 days on 00.00.00.
C/O paresthesias in BLE with involuntary movements of the LUE and RLE and on the left side of the face since 00.00.00.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick T2 Weighted coronal images.
OBSERVATION :
There is evidence of gyral thickening in the left frontal lobe. The cortical grey matter and subcortical white matter in this region is hyperintense on the proton, T2 Weighted and FLAIR images and hypointense on the T1 Weighted images. There is effacement of the adjacent cerebral cortical sulci (scans 103.13, 106.16, 102.13, 105.17).
Smaller foci with similar signal characteristics are noted at the grey-white matter junction in the left fronto-parietal lobes (scans 106.4, 106.8-10, 106.14), right fronto-parietal region and right lentiform nucleus (scans 106.11, 106.8-10).
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of :
1. An area of altered signal intensity with gyral thickening within the left frontal lobe is not specific for a single etiology. This may be ischemic in etiology or represent an evolving granuloma. This is less likely to represent a neoplastic process.
2. Foci of altered signal intensity within the grey-white matter junction in both the fronto-parietal lobes are also not specific for a single diagnosis. These may be ischemic in etiology or represent granulomas.
A contrast enhanced scan is essential.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13325
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzhlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness of the right foot with generalized weakness and fever since 15 days.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick T2 Weighted and FLAIR coronal images.
The cervical spine was screened with 5 mm thick T2 Weighted sagittal images.
OBSERVATION :
There are multiple, well-marginated, hypointense lesions on the proton, T2 Weighted and FLAIR images in the cerebellar hemispheres bilaterally. These lesions are nearly isointense to normal white matter on the T1 Weighted images and varying in size from 1.0 cms to 2.2 cms in diameter. There is perilesional edema with effacement of the cerebellar folia bilaterally and compression of the fourth ventricle.
Multiple smaller lesions of similar signal characteristics are noted in the supratentorial brain parenchyma, specifically in the right occipital region, left posterior parietal region and bilateral high parietal regions (near the central sulcus on the left side). Perilesional edema is also noted around these lesions, with sulcal space effacement.
Scan-00005
There is mild dilatation of both the lateral and third ventricles.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study. Note is made of a right maxillary polyp.
IMPRESSION :
Multiple, mass lesions in the supra and infratentorial brain parenchyma, bilaterally, as described, follow the signal characteristics of tuberculoma. There is mild obstructive hydrocephalus.
A contrast enhanced scan would be worthwhile. Contrast was not given for economic reasons.
Date : 00.00.00
Name of the Patient : Abc Xyzhlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness of the right foot with generalized weakness and fever since 15 days.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick T2 Weighted and FLAIR coronal images.
The cervical spine was screened with 5 mm thick T2 Weighted sagittal images.
OBSERVATION :
There are multiple, well-marginated, hypointense lesions on the proton, T2 Weighted and FLAIR images in the cerebellar hemispheres bilaterally. These lesions are nearly isointense to normal white matter on the T1 Weighted images and varying in size from 1.0 cms to 2.2 cms in diameter. There is perilesional edema with effacement of the cerebellar folia bilaterally and compression of the fourth ventricle.
Multiple smaller lesions of similar signal characteristics are noted in the supratentorial brain parenchyma, specifically in the right occipital region, left posterior parietal region and bilateral high parietal regions (near the central sulcus on the left side). Perilesional edema is also noted around these lesions, with sulcal space effacement.
Scan-00005
There is mild dilatation of both the lateral and third ventricles.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study. Note is made of a right maxillary polyp.
IMPRESSION :
Multiple, mass lesions in the supra and infratentorial brain parenchyma, bilaterally, as described, follow the signal characteristics of tuberculoma. There is mild obstructive hydrocephalus.
A contrast enhanced scan would be worthwhile. Contrast was not given for economic reasons.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13324
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzakdalmn / M / 14 yrs.
Referred by : Dr. Abc Xyzwalla / Dr. Abc Xyzgar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O left thigh pain since 2 months with restricted SLR, bilaterally.
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 L5-S1 intervertebral disc.
There is a large postero-central disc herniation with a peridiscal osteophyte at the L5-S1 level, indenting the dural theca anteriorly. Slight inferior migration of the disc fragment is noted.
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 S2 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
18.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
A postero-central disc herniation with a peridiscal osteophyte and canal stenosis at the L5-S1 level.
Date : 00.00.00
Name of the Patient : Abc Xyzakdalmn / M / 14 yrs.
Referred by : Dr. Abc Xyzwalla / Dr. Abc Xyzgar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O left thigh pain since 2 months with restricted SLR, bilaterally.
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 L5-S1 intervertebral disc.
There is a large postero-central disc herniation with a peridiscal osteophyte at the L5-S1 level, indenting the dural theca anteriorly. Slight inferior migration of the disc fragment is noted.
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 S2 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
18.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
A postero-central disc herniation with a peridiscal osteophyte and canal stenosis at the L5-S1 level.
Published in
MRI Reports