Regular User
Sunday, 27 December 2015 16:48
13301
bv/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz P. lmn / F / 42 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzehta.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the LUE with numbness since 1 week.
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.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of the C4-C5 and C5-C6 intervertebral discs.
There is a fairly large left postero-lateral disc herniation at the C5-C6 level with ventral indentation upon the spinal cord and the left C6 nerve root. A part of the disc fragment is seen to migrate superiorly and inferiorly, posterior to the C5 and C6 vertebrae in the left lateral recess.
A postero-central disc protrusion is seen at the C6-C7 level with ventral indentation of the thecal sac.
Focal disc protrusions are seen at the C2-C3 and C3-C4 levels.
Mild hypertrophy of the facet joints is seen at the C5-C6 level.
The cervical vertebral bodies and the remaining 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.
IMPRESSION :
The MRI features are suggestive of a fairly large left postero-lateral disc herniation at the C5-C6 level with ventral indentation upon the spinal cord and the left C6 nerve root with a part of the disc fragment seen to migrate superiorly and inferiorly, posterior to the C5 and C6 vertebrae in the left lateral recess.
Date : 00.00.00
Name of the Patient : Abc Xyz P. lmn / F / 42 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzehta.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the LUE with numbness since 1 week.
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.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of the C4-C5 and C5-C6 intervertebral discs.
There is a fairly large left postero-lateral disc herniation at the C5-C6 level with ventral indentation upon the spinal cord and the left C6 nerve root. A part of the disc fragment is seen to migrate superiorly and inferiorly, posterior to the C5 and C6 vertebrae in the left lateral recess.
A postero-central disc protrusion is seen at the C6-C7 level with ventral indentation of the thecal sac.
Focal disc protrusions are seen at the C2-C3 and C3-C4 levels.
Mild hypertrophy of the facet joints is seen at the C5-C6 level.
The cervical vertebral bodies and the remaining 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.
IMPRESSION :
The MRI features are suggestive of a fairly large left postero-lateral disc herniation at the C5-C6 level with ventral indentation upon the spinal cord and the left C6 nerve root with a part of the disc fragment seen to migrate superiorly and inferiorly, posterior to the C5 and C6 vertebrae in the left lateral recess.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13300
ke/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzkumar Slmn / M / 14 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is 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.
Incidental note is made of enlarged adenoids.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyzkumar Slmn / M / 14 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is 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.
Incidental note is made of enlarged adenoids.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13299
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzahim Blmn / M / 72 yrs.
Referred by : Dr. Abc Xyzonawalla.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 0000.
H/O backache radiating to BLE since 0000 for which patient was operated twice (1st in 0000 and 2nd 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.
OBSERVATION :
There is reduction in height of the L4-L5 disc and loss of water content of the lumbar intervertebral discs.
There is evidence of laminectomy at the L4 and L5 levels with L4-L5 discectomy and post-operative changes in the soft tissues in the posterior lumbar region at these levels.
There is minimal forward translation of the L4 over the L5 vertebra.
There is a postero-central and right paracentral extruded disc at the L4-L5 level with superior migration of the disc fragment along the posterior margin of the L4 vertebral body. Resultant probable indentation on the exiting right L4 nerve root is noted. There is also hypertrophy of the right facet joint at the L4-L5 level with right lateral recess stenosis. Probable scar tissue is also noted in the right lateral recess of L5.
A small left postero-lateral and left far lateral disc bulge is noted at the L3-L4 level.
The intrathecal nerve roots at the L3-L4 and L4 vertebral levels appear clumped suggesting arachnoiditis.
The lumbar vertebral bodies reveal normal signal intensity. The facet joints at the L5-S1 level also appears slightly hypertrophied. 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 :
17.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L5-S1.
IMPRESSION :
1. Post-operative status.
2. A postero-central and right paracentral extruded disc at the L4-L5 level with superior migration of the disc fragment indenting the exiting right L4 nerve root.
3. Hypertrophy of the right facet joint at the L4-L5 level with right lateral recess stenosis. Probable scar tissue is also noted in the right lateral recess of L5.
4. A small left postero-lateral and left far lateral disc bulge at the L3-L4 level.
5. Clumped intrathecal nerve roots at the L3-L4 and L4 vertebral levels suggest arachnoiditis.
Date : 00.00.00
Name of the Patient : Abc Xyzahim Blmn / M / 72 yrs.
Referred by : Dr. Abc Xyzonawalla.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 0000.
H/O backache radiating to BLE since 0000 for which patient was operated twice (1st in 0000 and 2nd 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.
OBSERVATION :
There is reduction in height of the L4-L5 disc and loss of water content of the lumbar intervertebral discs.
There is evidence of laminectomy at the L4 and L5 levels with L4-L5 discectomy and post-operative changes in the soft tissues in the posterior lumbar region at these levels.
There is minimal forward translation of the L4 over the L5 vertebra.
There is a postero-central and right paracentral extruded disc at the L4-L5 level with superior migration of the disc fragment along the posterior margin of the L4 vertebral body. Resultant probable indentation on the exiting right L4 nerve root is noted. There is also hypertrophy of the right facet joint at the L4-L5 level with right lateral recess stenosis. Probable scar tissue is also noted in the right lateral recess of L5.
A small left postero-lateral and left far lateral disc bulge is noted at the L3-L4 level.
The intrathecal nerve roots at the L3-L4 and L4 vertebral levels appear clumped suggesting arachnoiditis.
The lumbar vertebral bodies reveal normal signal intensity. The facet joints at the L5-S1 level also appears slightly hypertrophied. 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 :
17.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L5-S1.
IMPRESSION :
1. Post-operative status.
2. A postero-central and right paracentral extruded disc at the L4-L5 level with superior migration of the disc fragment indenting the exiting right L4 nerve root.
3. Hypertrophy of the right facet joint at the L4-L5 level with right lateral recess stenosis. Probable scar tissue is also noted in the right lateral recess of L5.
4. A small left postero-lateral and left far lateral disc bulge at the L3-L4 level.
5. Clumped intrathecal nerve roots at the L3-L4 and L4 vertebral levels suggest arachnoiditis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13298
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyznt Bhlmn / M / 53 yrs.
Referred by : Dr. Abc Xyzmani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided seizures since 8-9 months.
H/O injury to the left eye 8 months back for which patient was operated 4 months ago. Now C/O diminished vision in the left eye.
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 ill-defined, hyperintense areas, best appreciated on the FLAIR images in the subcortical white matter in the right posterior parietal and parietal region, right high parietal, parafalcine region and in the left parietal, parafalcine region. These lesions appear nearly isointense to normal white matter on the T1 Weighted images. In the centre of some of these lesions a focal hypointense signal on the FLAIR images is noted.
There is mild fullness of both the lateral and third ventricles. The fourth ventricle is 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 left maxillary antrum.
IMPRESSION :
Altered signal in the subcortical white matter in the right posterior parietal and parietal region, right high parietal, parafalcine region and in the left parietal, parafalcine region as described, is not specific for a single diagnosis. These lesions either represent granulomas or metastases.
A contrast enhanced scan would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyznt Bhlmn / M / 53 yrs.
Referred by : Dr. Abc Xyzmani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided seizures since 8-9 months.
H/O injury to the left eye 8 months back for which patient was operated 4 months ago. Now C/O diminished vision in the left eye.
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 ill-defined, hyperintense areas, best appreciated on the FLAIR images in the subcortical white matter in the right posterior parietal and parietal region, right high parietal, parafalcine region and in the left parietal, parafalcine region. These lesions appear nearly isointense to normal white matter on the T1 Weighted images. In the centre of some of these lesions a focal hypointense signal on the FLAIR images is noted.
There is mild fullness of both the lateral and third ventricles. The fourth ventricle is 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 left maxillary antrum.
IMPRESSION :
Altered signal in the subcortical white matter in the right posterior parietal and parietal region, right high parietal, parafalcine region and in the left parietal, parafalcine region as described, is not specific for a single diagnosis. These lesions either represent granulomas or metastases.
A contrast enhanced scan would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13297
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Ghadlmn / F / 37 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures 2 days back.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex is unremarkable on either side.
There is focal dilatation of the temporal horn of the right lateral ventricle.
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. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the paranasal sinuses bilaterally.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz Ghadlmn / F / 37 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures 2 days back.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex is unremarkable on either side.
There is focal dilatation of the temporal horn of the right lateral ventricle.
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. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the paranasal sinuses bilaterally.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13296
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza Divlmn / F / 43 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 6 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the dorso-lumbar and L4-L5 intervertebral disc.
Segmentation anomalies of the D10, D12 and L1 vertebrae is noted. There is Grade I spondylolisthesis of the L4 over the L5 vertebra with spondylolysis at L4, bilaterally. A resultant pseudoposterior disc herniation is noted at the L4-L5 level with slight right neural foraminal narrowing. Slight ligamentum flavum hypertrophy is noted at the L4 vertebral level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S2 level.
Fat is noted in the filum terminale over the L3 to L5 vertebral levels.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
19.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Segmentation anomalies of the D10, D12 and L1 vertebrae.
2. Grade I spondylolisthesis of the L4 over the L5 vertebra with spondylolysis at L4, bilaterally.
3. A pseudoposterior disc herniation at the L4-L5 level with slight right neural foraminal narrowing.
4. Slight ligamentum flavum hypertrophy at the L4 vertebral level.
Date : 00.00.00
Name of the Patient : Abc Xyza Divlmn / F / 43 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 6 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the dorso-lumbar and L4-L5 intervertebral disc.
Segmentation anomalies of the D10, D12 and L1 vertebrae is noted. There is Grade I spondylolisthesis of the L4 over the L5 vertebra with spondylolysis at L4, bilaterally. A resultant pseudoposterior disc herniation is noted at the L4-L5 level with slight right neural foraminal narrowing. Slight ligamentum flavum hypertrophy is noted at the L4 vertebral level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S2 level.
Fat is noted in the filum terminale over the L3 to L5 vertebral levels.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
19.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Segmentation anomalies of the D10, D12 and L1 vertebrae.
2. Grade I spondylolisthesis of the L4 over the L5 vertebra with spondylolysis at L4, bilaterally.
3. A pseudoposterior disc herniation at the L4-L5 level with slight right neural foraminal narrowing.
4. Slight ligamentum flavum hypertrophy at the L4 vertebral level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13295
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Udlmn / F / 33 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
Past H/O fall from a height of 5th floor on 00.00.00.
Now C/O backache since 20-25 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 slight anterior wedging of the D12 and L1 vertebral bodies without change in signal intensity. Mild herniation of D11-D12 and D12-L1 intervertebral discs into the body of the D12 and L1 vertebrae is noted.
A minimal posterior disc bulge is noted at the L4-L5 level.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
21.0 mm at L2-L3
19.0 mm at L3-L4
18.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
Slight anterior wedging of the D12 and L1 vertebral bodies without change in signal intensity, is the sequelae of previous trauma.
No other significant abnormality is detected on this study.
As compared to the previous MRI (study no:0000) dated 00.00.0000, there is no significant increase in the degree of wedging of the D12 and L1 vertebrae.
Date : 00.00.00
Name of the Patient : Abc Xyz Udlmn / F / 33 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
Past H/O fall from a height of 5th floor on 00.00.00.
Now C/O backache since 20-25 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 slight anterior wedging of the D12 and L1 vertebral bodies without change in signal intensity. Mild herniation of D11-D12 and D12-L1 intervertebral discs into the body of the D12 and L1 vertebrae is noted.
A minimal posterior disc bulge is noted at the L4-L5 level.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
21.0 mm at L2-L3
19.0 mm at L3-L4
18.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
Slight anterior wedging of the D12 and L1 vertebral bodies without change in signal intensity, is the sequelae of previous trauma.
No other significant abnormality is detected on this study.
As compared to the previous MRI (study no:0000) dated 00.00.0000, there is no significant increase in the degree of wedging of the D12 and L1 vertebrae.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13294
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzkant Adiplmn / M / 10 yrs.
Referred by : Dr. Abc Xyzdar / Dr. Abc Xyzidya.
Examination : M.R.I. of the Dorso-lumbo-sacral
Spine.
CLINICAL PROFILE :
Diagnosed C/O congenital hydrocephalus with delayed milestones.
H/O surgery for meningomyelocele at the age of 3 days.
EXAMINATION :
M.R.I of the dorso-lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
3 mm thick T1 Weighted coronal images.
OBSERVATION :
There is scoliosis of the mid dorsal spine with convexity to the right.
The distal sacral segments are not well visualized. There is an open lower lumbar and sacral canal.
There is evidence of a diastematomyelia with two hemicords extending over about D10 to L5-S1 levels. A bony bar is noted at the L1 level, separating the two hemicords. A syrinx is seen in the hemicord on the left at the level of the bony bar. Another focal syrinx is noted in the mid dorsal region.
The conus medullaris terminates at the S1 vertebral level. An intradural lipoma is noted at the L5/S1 vertebral level along the postero-lateral margin of the thecal sac. There is however, no obvious tethering of the left hemicord to the intradural lipoma.
The visualized dorso-lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The right kidney is not identified in the right renal fossa, ? ectopic kidney, ?? agenesis of the right kidney.
IMPRESSION :
The MRI features suggest spinal dysraphism with a diastematomyelia extending over about D10 to L5-S1 levels, with a bony bar at the L1 level, separating the two hemicords. A syrinx is seen in the hemicord on the left at the level of the bony bar and another focal syrinx in the mid dorsal region.
An intradural lipoma is noted at the L5/S1 level.
Non-visualization of the right kidney in the right renal fossa, ? ectopic kidney, ?? agenesis of the right kidney.
Date : 00.00.00
Name of the Patient : Abc Xyzkant Adiplmn / M / 10 yrs.
Referred by : Dr. Abc Xyzdar / Dr. Abc Xyzidya.
Examination : M.R.I. of the Dorso-lumbo-sacral
Spine.
CLINICAL PROFILE :
Diagnosed C/O congenital hydrocephalus with delayed milestones.
H/O surgery for meningomyelocele at the age of 3 days.
EXAMINATION :
M.R.I of the dorso-lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
3 mm thick T1 Weighted coronal images.
OBSERVATION :
There is scoliosis of the mid dorsal spine with convexity to the right.
The distal sacral segments are not well visualized. There is an open lower lumbar and sacral canal.
There is evidence of a diastematomyelia with two hemicords extending over about D10 to L5-S1 levels. A bony bar is noted at the L1 level, separating the two hemicords. A syrinx is seen in the hemicord on the left at the level of the bony bar. Another focal syrinx is noted in the mid dorsal region.
The conus medullaris terminates at the S1 vertebral level. An intradural lipoma is noted at the L5/S1 vertebral level along the postero-lateral margin of the thecal sac. There is however, no obvious tethering of the left hemicord to the intradural lipoma.
The visualized dorso-lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The right kidney is not identified in the right renal fossa, ? ectopic kidney, ?? agenesis of the right kidney.
IMPRESSION :
The MRI features suggest spinal dysraphism with a diastematomyelia extending over about D10 to L5-S1 levels, with a bony bar at the L1 level, separating the two hemicords. A syrinx is seen in the hemicord on the left at the level of the bony bar and another focal syrinx in the mid dorsal region.
An intradural lipoma is noted at the L5/S1 level.
Non-visualization of the right kidney in the right renal fossa, ? ectopic kidney, ?? agenesis of the right kidney.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13293
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzDanalmn / M / 33 yrs.
Referred by : Dr. Abc Xyzikhalikar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache since 1 month.
C/O weakness of BLE since 4-5 days.
H/O epilepsy since 2 years.
EXAMINATION :
M.R.I of the dorso-lumbar 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.
6 mm thick T1 Weighted coronal images.
OBSERVATION :
The D7 and D8 vertebral bodies appear relatively more hypointense when compared to the rest of the vertebrae on the T1 Weighted images and appear heterogeneously hyperintense on the T2 Weighted images. The D3 and D5 vertebral bodies also show a hyperintense signal on the T2 Weighted images.
There is destruction of the right transverse process of the D10 and D11 vertebrae. There is a minimal right paravertebral and right posterior paraspinal soft tissue lesion extending over the D10 to D12 vertebral levels. This lesion is of intermediate signal on the T1 Weighted images and turns hyperintense on the T2 Weighted images. There is also extension of the soft tissue lesion in the right lateral epidural space over the D9 to D12 vertebral levels, with cord compression. The dorsal spinal cord over these levels shows a subtle hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia.
..2/.
- 2 - scan-00003
A small, left paravertebral soft tissue lesion inoted at the D8 and L1 vertebral levels.
A soft tissue lesion is also noted in the sacral region extending into the epidural space at that level with probable erosion of the spinous process of S1.
The dorso-lumbar vertebral bodies appear relatively hypointense when compared to normal marrow on the T1 Weighted images but appear isointense to normal marrow on the T2 Weighted images. The visualized dorso-lumbar intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The conus medullaris terminates at the L1 level.
Incidentally noted is a consolidated left lung with probable underlying left pleural effusion and focal parenchymal lesions (?? cavities, in the lung fields on either side).
IMPRESSION :
Altered signal of the D3, D5, D7 and D8 vertebral bodies most likely represent osteitis, probably tuberculous osteitis. Paravertebral and right lateral epidural soft tissue lesion over the D9 to D12 levels and soft tissue lesion in the sacral region may represent granulation tissue/abscess. There is resultant cord compression and cord signal alteration suggesting cord edema/ischemia.
The possibility of the above described lesion representing a neoplasm is less likely.
Altered signal in the rest of the visualized dorso-lumbar vertebrae may represent preponderance of hematopoeitic marrow.
Changes in the thorax are described above.
Date : 00.00.00
Name of the Patient : Abc XyzDanalmn / M / 33 yrs.
Referred by : Dr. Abc Xyzikhalikar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache since 1 month.
C/O weakness of BLE since 4-5 days.
H/O epilepsy since 2 years.
EXAMINATION :
M.R.I of the dorso-lumbar 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.
6 mm thick T1 Weighted coronal images.
OBSERVATION :
The D7 and D8 vertebral bodies appear relatively more hypointense when compared to the rest of the vertebrae on the T1 Weighted images and appear heterogeneously hyperintense on the T2 Weighted images. The D3 and D5 vertebral bodies also show a hyperintense signal on the T2 Weighted images.
There is destruction of the right transverse process of the D10 and D11 vertebrae. There is a minimal right paravertebral and right posterior paraspinal soft tissue lesion extending over the D10 to D12 vertebral levels. This lesion is of intermediate signal on the T1 Weighted images and turns hyperintense on the T2 Weighted images. There is also extension of the soft tissue lesion in the right lateral epidural space over the D9 to D12 vertebral levels, with cord compression. The dorsal spinal cord over these levels shows a subtle hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia.
..2/.
- 2 - scan-00003
A small, left paravertebral soft tissue lesion inoted at the D8 and L1 vertebral levels.
A soft tissue lesion is also noted in the sacral region extending into the epidural space at that level with probable erosion of the spinous process of S1.
The dorso-lumbar vertebral bodies appear relatively hypointense when compared to normal marrow on the T1 Weighted images but appear isointense to normal marrow on the T2 Weighted images. The visualized dorso-lumbar intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The conus medullaris terminates at the L1 level.
Incidentally noted is a consolidated left lung with probable underlying left pleural effusion and focal parenchymal lesions (?? cavities, in the lung fields on either side).
IMPRESSION :
Altered signal of the D3, D5, D7 and D8 vertebral bodies most likely represent osteitis, probably tuberculous osteitis. Paravertebral and right lateral epidural soft tissue lesion over the D9 to D12 levels and soft tissue lesion in the sacral region may represent granulation tissue/abscess. There is resultant cord compression and cord signal alteration suggesting cord edema/ischemia.
The possibility of the above described lesion representing a neoplasm is less likely.
Altered signal in the rest of the visualized dorso-lumbar vertebrae may represent preponderance of hematopoeitic marrow.
Changes in the thorax are described above.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13292
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzv lmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE.
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 loss of water content of the visualized dorso-lumbar intervertebral discs.
There is a fairly large, postero-central and right paracentral protruded disc at the L2-L3 level, indenting the dural theca anteriorly.
Small posterior disc bulge is seen at the L4-L5 level.
Slight facetal hypertrophy is noted at the L2-L3, L3-L4 and L4-L5 levels.
The visualized dorso-lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The visualized lower dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1 level.
IMPRESSION :
1. A fairly large, postero-central and right paracentral protruded disc at the L2-L3 level.
2. Slight facetal hypertrophy at the L2-L3, L3-L4 and L4-L5 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzv lmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE.
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 loss of water content of the visualized dorso-lumbar intervertebral discs.
There is a fairly large, postero-central and right paracentral protruded disc at the L2-L3 level, indenting the dural theca anteriorly.
Small posterior disc bulge is seen at the L4-L5 level.
Slight facetal hypertrophy is noted at the L2-L3, L3-L4 and L4-L5 levels.
The visualized dorso-lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The visualized lower dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1 level.
IMPRESSION :
1. A fairly large, postero-central and right paracentral protruded disc at the L2-L3 level.
2. Slight facetal hypertrophy at the L2-L3, L3-L4 and L4-L5 levels.
Published in
MRI Reports