Regular User
Sunday, 27 December 2015 16:48
13215
ke/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzra Vlmn / M / 20 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache and paresthesias in BLE since 1 month with sudden onset of paraplegia since 3-4 days.
H/O injury to neck 20 days back.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted, Proton and T2 Weighted sagittal images.
7 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a lesion in the epidural space on the right and posteriorly extending over the C6 to the D6 vertebral levels. This lesion is slightly hyperintense to normal muscle on the T1 Weighted images and is seen to turn more hyperintense on the T2 Weighted images. The lesion is seen to extend through the right neural foramina in the upper cervico-dorsal region into the paravertebral soft tissues superiorly and posteriorly and into the pleural/extrapleural space. There is displacement and compression of the spinal cord to the left over the C7 to the D5 levels. The cervico-dorsal spine over these levels shows a hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia.
Probable involvement of the posterior elements of D4 vertebra is noted.
The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
- 2 - scan-00005
IMPRESSION :
The MRI features are suggestive of a lesion in the epidural space on the right and posteriorly extending over the C6 to the D6 levels with extensions as described. This is not specific for a single etiology. A round cell tumor/metastasis or tuberculosis may be considered as differential diagnosis.
Altered signal in the cervical spinal cord over the C7 to D5 vertebral levels may represent cord edema/ischemia.
Date : 00.00.00
Name of the Patient : Abc Xyzra Vlmn / M / 20 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache and paresthesias in BLE since 1 month with sudden onset of paraplegia since 3-4 days.
H/O injury to neck 20 days back.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted, Proton and T2 Weighted sagittal images.
7 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a lesion in the epidural space on the right and posteriorly extending over the C6 to the D6 vertebral levels. This lesion is slightly hyperintense to normal muscle on the T1 Weighted images and is seen to turn more hyperintense on the T2 Weighted images. The lesion is seen to extend through the right neural foramina in the upper cervico-dorsal region into the paravertebral soft tissues superiorly and posteriorly and into the pleural/extrapleural space. There is displacement and compression of the spinal cord to the left over the C7 to the D5 levels. The cervico-dorsal spine over these levels shows a hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia.
Probable involvement of the posterior elements of D4 vertebra is noted.
The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
- 2 - scan-00005
IMPRESSION :
The MRI features are suggestive of a lesion in the epidural space on the right and posteriorly extending over the C6 to the D6 levels with extensions as described. This is not specific for a single etiology. A round cell tumor/metastasis or tuberculosis may be considered as differential diagnosis.
Altered signal in the cervical spinal cord over the C7 to D5 vertebral levels may represent cord edema/ischemia.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13214
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzEngilmn / M / 76 yrs.
Referred by : Dr. Abc Xyzka.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait ataxia with forgetfulness since 1 year.
Known hypertensive.
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.
OBSERVATION :
There are hypointense areas in the pons, bilateral thalami, lentiform nuclei, corona radiata and the right frontal deep white matter on the T1 Weighted images which are seen to turn hyperintense on the proton and T2 Weighted images and represent lacunar infarcts.
Hyperintense areas are seen in the periventricular deep white matter especially in the posterior parietal region on the proton, T2 Weighted and FLAIR images and these are iso to hypointense to normal white matter on the T1 Weighted images and represent areas of ischemia/infarction.
There is mild dilatation of both the lateral and third ventricles with slight fullness of the fourth ventricle. Prominence of the cerebral cortical sulci and cerebellar folia is noted. The basal cisternal spaces are prominent. A mega cisterna magna is noted. The vertebro-basilar system is ectatic.
There is no shift of the midline structures.
Incidental note is made of mucosal thickening in the left maxillary sinus and absence of lens bilaterally, the result of previous surgery.
IMPRESSION :
1. Lacunar infarcts in the pons, bilateral thalami, lentiform nuclei, corona radiata and the right frontal deep white matter.
2. Areas of altered signal in the periventricular deep white matter especially in the posterior parietal region represent areas of ischemia/infarction.
Date : 00.00.00
Name of the Patient : Abc XyzEngilmn / M / 76 yrs.
Referred by : Dr. Abc Xyzka.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait ataxia with forgetfulness since 1 year.
Known hypertensive.
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.
OBSERVATION :
There are hypointense areas in the pons, bilateral thalami, lentiform nuclei, corona radiata and the right frontal deep white matter on the T1 Weighted images which are seen to turn hyperintense on the proton and T2 Weighted images and represent lacunar infarcts.
Hyperintense areas are seen in the periventricular deep white matter especially in the posterior parietal region on the proton, T2 Weighted and FLAIR images and these are iso to hypointense to normal white matter on the T1 Weighted images and represent areas of ischemia/infarction.
There is mild dilatation of both the lateral and third ventricles with slight fullness of the fourth ventricle. Prominence of the cerebral cortical sulci and cerebellar folia is noted. The basal cisternal spaces are prominent. A mega cisterna magna is noted. The vertebro-basilar system is ectatic.
There is no shift of the midline structures.
Incidental note is made of mucosal thickening in the left maxillary sinus and absence of lens bilaterally, the result of previous surgery.
IMPRESSION :
1. Lacunar infarcts in the pons, bilateral thalami, lentiform nuclei, corona radiata and the right frontal deep white matter.
2. Areas of altered signal in the periventricular deep white matter especially in the posterior parietal region represent areas of ischemia/infarction.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13213
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyza Mlmn / F / 68 yrs.
Referred by : Dr. Abc XyzBhojraj.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) with paresthesias since 7 years which has increased since 3-4 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 sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film.
Small posterior disc bulge is seen at the L4-L5 level. The L4-L5 facet joints show degenerative changes bilaterally. Mild ligamentum flavum hypertrophy is also noted at this level.
The L5-S1 facet joints also show hypertrophic degenerative changes. The lumbar intervertebral discs except for the L5-S1 disc show loss of water content.
The lumbar vertebral bodies reveal normal signal intensity. The remaining 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 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
17.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
8.0 mm at L5-S1.
Screening, T2 Weighted sagittal images of the cervico-dorsal spine reveal minimal posterior peridiscal osteophytes in the mid cervical region. Facetal/ligamentum flavum hypertrophy is noted at the D3-D4 and D5-D6 levels.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. Small posterior disc bulge at the L4-L5 level with facetal arthropathy at this level.
3. Hypertrophic facetal arthropathy at the L5-S1 level.
Date : 00.00.00
Name of the Patient : Abc Xyza Mlmn / F / 68 yrs.
Referred by : Dr. Abc XyzBhojraj.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) with paresthesias since 7 years which has increased since 3-4 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 sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film.
Small posterior disc bulge is seen at the L4-L5 level. The L4-L5 facet joints show degenerative changes bilaterally. Mild ligamentum flavum hypertrophy is also noted at this level.
The L5-S1 facet joints also show hypertrophic degenerative changes. The lumbar intervertebral discs except for the L5-S1 disc show loss of water content.
The lumbar vertebral bodies reveal normal signal intensity. The remaining 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 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
17.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
8.0 mm at L5-S1.
Screening, T2 Weighted sagittal images of the cervico-dorsal spine reveal minimal posterior peridiscal osteophytes in the mid cervical region. Facetal/ligamentum flavum hypertrophy is noted at the D3-D4 and D5-D6 levels.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. Small posterior disc bulge at the L4-L5 level with facetal arthropathy at this level.
3. Hypertrophic facetal arthropathy at the L5-S1 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13212
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzi Chalmn / F / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) with paresthesias since 2 months.
H/O lifting heavy weights.
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 forward translation of the L2 over the L3 vertebral body without obvious spondylolysis.
There is a pseudoposterior disc herniation at the L2-L3 level with anterior indentation of the thecal sac and mild bilateral neural foraminal narrowing. The L2-L3 facet joints show hypertrophic degenerative changes.
Posterior disc herniation is noted at the L4-L5 level and a posterior peridiscal osteophyte is noted at the L5-S1 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The L4-L5 facet joints bilaterally and the L5-S1 facet joint on the left show degenerative changes. Mild effusion is seen in the L5-S1 facet joint on the right side. Central and lateral canal stenosis is noted at the L4-L5 level.
Small posterior disc herniation is seen at the L3-L4 level. Anterior disc herniations are seen at the L4-L5 and L5-S1 levels. The L2-L3, L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.
Posterior peridiscal osteophytes are noted in the lower lumbar levels.
The rest of the lumbar facet joints show mild degenerative changes.
Type I/III degenerative change is seen in the L5 and S1 vertebrae adjacent to the L5-S1 disc.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
13.0 mm at L1-L2
12.0 mm at L2-L3
15.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.
The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and does not reveal any diagnostic feature of note.
..3/.
- 3 - Scan-00002
IMPRESSION :
1. Slight forward translation of the L2 over the L3 vertebral body without obvious spondylolysis.
2. A pseudoposterior disc herniation at the L2-L3 level with degenerative changes of the facet joints at this level.
3. Posterior disc herniation at the L4-L5 level and posterior peridiscal osteophyte at the L5-S1 level with degenerative changes of the L4-L5 facet joints bilaterally and on the left side at the L5-S1 level mild facetal effusion on the right side at the L5-S1 level.
4. Small posterior disc herniation at the L3-L4 level.
5. Tight canal at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzi Chalmn / F / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) with paresthesias since 2 months.
H/O lifting heavy weights.
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 forward translation of the L2 over the L3 vertebral body without obvious spondylolysis.
There is a pseudoposterior disc herniation at the L2-L3 level with anterior indentation of the thecal sac and mild bilateral neural foraminal narrowing. The L2-L3 facet joints show hypertrophic degenerative changes.
Posterior disc herniation is noted at the L4-L5 level and a posterior peridiscal osteophyte is noted at the L5-S1 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The L4-L5 facet joints bilaterally and the L5-S1 facet joint on the left show degenerative changes. Mild effusion is seen in the L5-S1 facet joint on the right side. Central and lateral canal stenosis is noted at the L4-L5 level.
Small posterior disc herniation is seen at the L3-L4 level. Anterior disc herniations are seen at the L4-L5 and L5-S1 levels. The L2-L3, L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.
Posterior peridiscal osteophytes are noted in the lower lumbar levels.
The rest of the lumbar facet joints show mild degenerative changes.
Type I/III degenerative change is seen in the L5 and S1 vertebrae adjacent to the L5-S1 disc.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
13.0 mm at L1-L2
12.0 mm at L2-L3
15.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.
The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and does not reveal any diagnostic feature of note.
..3/.
- 3 - Scan-00002
IMPRESSION :
1. Slight forward translation of the L2 over the L3 vertebral body without obvious spondylolysis.
2. A pseudoposterior disc herniation at the L2-L3 level with degenerative changes of the facet joints at this level.
3. Posterior disc herniation at the L4-L5 level and posterior peridiscal osteophyte at the L5-S1 level with degenerative changes of the L4-L5 facet joints bilaterally and on the left side at the L5-S1 level mild facetal effusion on the right side at the L5-S1 level.
4. Small posterior disc herniation at the L3-L4 level.
5. Tight canal at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13211
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyza Klmn / F / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE with paresthesias since 5-6 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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
The L3-L4 disc shows loss of water content.
A transepiphyseal herniation is seen in the antero-inferior aspect of the L5 vertebra.
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 D12 level and the thecal sac terminates at the S1 level.
- 2 - Scan-00001
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
14.0 mm at L3-L4
14.0 mm at L4-L5
16.0 mm at L5-S1.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyza Klmn / F / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE with paresthesias since 5-6 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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
The L3-L4 disc shows loss of water content.
A transepiphyseal herniation is seen in the antero-inferior aspect of the L5 vertebra.
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 D12 level and the thecal sac terminates at the S1 level.
- 2 - Scan-00001
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
14.0 mm at L3-L4
14.0 mm at L4-L5
16.0 mm at L5-S1.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13209
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza Palmn / F / 30 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O fall with loss of consciousness on the evening of the 00.00.00. Exact details not available.
?? drug overdose.
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.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of slight prominence of the cerebral cortical sulci bilaterally.
Date : 00.00.00
Name of the Patient : Abc Xyza Palmn / F / 30 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O fall with loss of consciousness on the evening of the 00.00.00. Exact details not available.
?? drug overdose.
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.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of slight prominence of the cerebral cortical sulci bilaterally.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13208
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 68 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O aggressive NHL. Detected in April 0000. Received 2 cycles of chemotherapy.
Now C/O fever, generalized weakness and severe backpain.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
8 mm thick T1 Weighted and T2 Weighted axial images.
6 mm thick T1 Weighted coronal images.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal and 7 mm thick T1 Weighted axial images.
The cervical spine was screened with 4 mm thick T2 Weighted sagittal images and 8 mm thick T1 Weighted axial images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is still seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the retrocrural space on the right at the D11/D12 vertebral levels. This lesion appears hyperintense on the T2 Weighted images.
There are multiple, lobulated, soft tissue lesions in the subcarinal region, paraaortic region in the lower thorax at the D7 and D8 vertebral levels, paraaortic, retrocaval and interaortico-caval regions in the visualized abdomen. These most likely represent enlarged lymph nodes.
..2/.
Note is also made of mild splenomegaly.
Screening images of the lumbar spine reveal degenerative changes in the lower lumbar region with fatty changes of marrow. Multiple enlarged lymph nodes are also noted in the lumbar region.
There is slight loss of water content of some of the dorsal intervertebral discs.
Posterior peridiscal osteophytes with posterior disc bulges are identified at the D11-D12, L1-L2 and L2-L3 levels.
The visualized dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1-L2 level.
Screening images of the cervical region reveal degenerative changes in the mid cervical region.
IMPRESSION :
In a known C/O aggressive non-Hodgkins lymphoma (status post-chemoatherapy-2 cycles), on comparison with the previous MRI dated 00.00.00 (study no:00007), there is significant reduction in the pleural based lesion in the right hemithorax and retrocrural region on the right. Slight decrease in size of the para-aortic lymph nodes in the thorax, subcarinal lymph nodes and the para-aortic lymph nodes in the abdomen is also noted.
No new lesion is detected.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 68 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O aggressive NHL. Detected in April 0000. Received 2 cycles of chemotherapy.
Now C/O fever, generalized weakness and severe backpain.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
8 mm thick T1 Weighted and T2 Weighted axial images.
6 mm thick T1 Weighted coronal images.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal and 7 mm thick T1 Weighted axial images.
The cervical spine was screened with 4 mm thick T2 Weighted sagittal images and 8 mm thick T1 Weighted axial images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is still seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the retrocrural space on the right at the D11/D12 vertebral levels. This lesion appears hyperintense on the T2 Weighted images.
There are multiple, lobulated, soft tissue lesions in the subcarinal region, paraaortic region in the lower thorax at the D7 and D8 vertebral levels, paraaortic, retrocaval and interaortico-caval regions in the visualized abdomen. These most likely represent enlarged lymph nodes.
..2/.
Note is also made of mild splenomegaly.
Screening images of the lumbar spine reveal degenerative changes in the lower lumbar region with fatty changes of marrow. Multiple enlarged lymph nodes are also noted in the lumbar region.
There is slight loss of water content of some of the dorsal intervertebral discs.
Posterior peridiscal osteophytes with posterior disc bulges are identified at the D11-D12, L1-L2 and L2-L3 levels.
The visualized dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1-L2 level.
Screening images of the cervical region reveal degenerative changes in the mid cervical region.
IMPRESSION :
In a known C/O aggressive non-Hodgkins lymphoma (status post-chemoatherapy-2 cycles), on comparison with the previous MRI dated 00.00.00 (study no:00007), there is significant reduction in the pleural based lesion in the right hemithorax and retrocrural region on the right. Slight decrease in size of the para-aortic lymph nodes in the thorax, subcarinal lymph nodes and the para-aortic lymph nodes in the abdomen is also noted.
No new lesion is detected.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13207
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzina Dslmn / F / 30 yrs.
Referred by : Dr. Abc Xyzelwal / Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O adenocarcinoma of colon with mesenteric tubercular lymph nodes operated 1 month back. Admitted for chemotherapy on 00.00.00.
C/O 2 episodes of seizures on 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 no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex is unremarkable on either side.
There is mild fullness of the right temporal horn as compared to the left. Both the lateral, third and the fourth ventricles are otherwise unremarkable. There is mild prominence of the cerebellar folia bilaterally.
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 mild prominence of the cerebellar folia bilaterally.
Date : 00.00.00
Name of the Patient : Abc Xyzina Dslmn / F / 30 yrs.
Referred by : Dr. Abc Xyzelwal / Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O adenocarcinoma of colon with mesenteric tubercular lymph nodes operated 1 month back. Admitted for chemotherapy on 00.00.00.
C/O 2 episodes of seizures on 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 no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex is unremarkable on either side.
There is mild fullness of the right temporal horn as compared to the left. Both the lateral, third and the fourth ventricles are otherwise unremarkable. There is mild prominence of the cerebellar folia bilaterally.
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 mild prominence of the cerebellar folia bilaterally.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13206
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzar S. Salmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O forgetfulness since 5-6 months.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is mild to moderate dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. The ventricular dilatation is slightly disproportionate to the degree of cerebral cortical atrophy.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are seen within the left mastoid air cells.
IMPRESSION :
1. Mild to moderate dilatation of both the lateral and third ventricles which is disproportionate to the degree of cerebral cortical atrophy. Normal pressure hydrocephalus should be ruled out.
2. Mild cerebral and cerebellar atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyzar S. Salmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O forgetfulness since 5-6 months.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is mild to moderate dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. The ventricular dilatation is slightly disproportionate to the degree of cerebral cortical atrophy.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are seen within the left mastoid air cells.
IMPRESSION :
1. Mild to moderate dilatation of both the lateral and third ventricles which is disproportionate to the degree of cerebral cortical atrophy. Normal pressure hydrocephalus should be ruled out.
2. Mild cerebral and cerebellar atrophy.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13205
ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzK. Ralmn / F / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches and giddiness since 00.00.00.
Visual loss in both eyes on 00.00.00 which has recovered partially.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
There is a large hyperintense area on the T2 Weighted images in the left temporo-occipital region. A similar but smaller area is seen in the right occipital lobe. There are small bright foci in the left cerebellar hemisphere inferiorly and bilateral thalami. These are iso to hypointense to normal white matter on the T1 Weighted images and are suggestive of fresh infarcts.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
There is slight narrowing of the distal portion of the P2 segment of the left posterior cerebral artery.
The left vertebral artery is hypoplastic.
..2/.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, right vertebral and right posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The left vertebral artery is hypoplastic.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Fresh infarcts in the left temporo-occipital region, right occipital lobe, thalami and left cerebellar hemisphere, inferiorly.
2. Slight narrowing of the distal portion of the P2 segment of the left posterior cerebral artery.
Date : 00.00.00
Name of the Patient : Abc XyzK. Ralmn / F / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches and giddiness since 00.00.00.
Visual loss in both eyes on 00.00.00 which has recovered partially.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
There is a large hyperintense area on the T2 Weighted images in the left temporo-occipital region. A similar but smaller area is seen in the right occipital lobe. There are small bright foci in the left cerebellar hemisphere inferiorly and bilateral thalami. These are iso to hypointense to normal white matter on the T1 Weighted images and are suggestive of fresh infarcts.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
There is slight narrowing of the distal portion of the P2 segment of the left posterior cerebral artery.
The left vertebral artery is hypoplastic.
..2/.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, right vertebral and right posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The left vertebral artery is hypoplastic.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Fresh infarcts in the left temporo-occipital region, right occipital lobe, thalami and left cerebellar hemisphere, inferiorly.
2. Slight narrowing of the distal portion of the P2 segment of the left posterior cerebral artery.
Published in
MRI Reports