Regular User
Sunday, 27 December 2015 16:48
13194
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzdevi Prajalmn / F / 42 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : Intracranial MR Venogram.
CLINICAL PROFILE :
Alleged H/O fall on the left side with LOC for 2-3 hours 10 days back with headaches since 1 week.
Also C/O paresthesias in BUE and BLE since 4-5 years.
EXAMINATION :
The brain was screened with the help of 5 mm thick T2 Weighted axial images.
MR Venogram was performed with 2D TOF sequences in the axial, coronal and sagittal planes.
OBSERVATION :
There is no focal area of altered signal in the brain parenchyma.
The ventricular system is unremarkable. There is slight prominence of the CSF space in the frontal regions bilaterally. The basal cisternal spaces are unremarkable. There is no midline shift.
On the MRV the visualized dural and deep venous sinuses show normal flow characteristics. No obvious venous thrombosis is evident on this scan.
IMPRESSION :
No significant abnormality detected on the Intracranial MR Venogram.
Date : 00.00.00
Name of the Patient : Abc Xyzdevi Prajalmn / F / 42 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : Intracranial MR Venogram.
CLINICAL PROFILE :
Alleged H/O fall on the left side with LOC for 2-3 hours 10 days back with headaches since 1 week.
Also C/O paresthesias in BUE and BLE since 4-5 years.
EXAMINATION :
The brain was screened with the help of 5 mm thick T2 Weighted axial images.
MR Venogram was performed with 2D TOF sequences in the axial, coronal and sagittal planes.
OBSERVATION :
There is no focal area of altered signal in the brain parenchyma.
The ventricular system is unremarkable. There is slight prominence of the CSF space in the frontal regions bilaterally. The basal cisternal spaces are unremarkable. There is no midline shift.
On the MRV the visualized dural and deep venous sinuses show normal flow characteristics. No obvious venous thrombosis is evident on this scan.
IMPRESSION :
No significant abnormality detected on the Intracranial MR Venogram.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13193
sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyztala Tlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O weakness of the RUE with twisting of mouth towards the left for 15 minutes (4 episodes) since 4-5 months. ? TIA.
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 no focal area of altered signal intensity within the brain parenchyma (Areas of calcification seen within the pons on the CT Scan are not seen on the MRI).
Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia and basal cisternal spaces bilaterally. There is no shift of the midline structures.
INTRACRANIAL MRA :
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
- 2 - scan-00003
NECK MRA :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
Mild cerebral and cerebellar atrophy.
No significant abnormality is detected on the intracranial and neck MRA on this study.
Date : 00.00.00
Name of the Patient : Abc Xyztala Tlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O weakness of the RUE with twisting of mouth towards the left for 15 minutes (4 episodes) since 4-5 months. ? TIA.
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 no focal area of altered signal intensity within the brain parenchyma (Areas of calcification seen within the pons on the CT Scan are not seen on the MRI).
Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia and basal cisternal spaces bilaterally. There is no shift of the midline structures.
INTRACRANIAL MRA :
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
- 2 - scan-00003
NECK MRA :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
Mild cerebral and cerebellar atrophy.
No significant abnormality is detected on the intracranial and neck MRA on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13192
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzh Achlmn / M / 21 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.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyzh Achlmn / M / 21 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.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13191
hs/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzbegum Anlmn / F / 37 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with stiffness since 3-4 months
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 are diffuse areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen to involve the C2, C3 and C4 vertebral bodies and pedicles bilaterally, anterior arch of the atlas on the right side, the lateral masses of the C1 and C2 vertebrae and both the occipital condyles.
A large soft tissue component is seen to extend into the anterior epidural space over the C1 to C4 levels and foramen magnum with resultant severe compression of the cervico-medullary junction and cervical spinal cord over these levels. The cord over these levels shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia/myelitis.
A smaller soft tissue component is noted within the pre and paravertebral soft tissues over the C1 to C4 vertebral levels. There is encasement of the right vertebral artery with absence of the normal flow void over these levels.
The cervical intervertebral discs show loss of water content.
The rest of the cervical vertebral bodies show normal signal intensity.
IMPRESSION :
The MRI features are suggestive of a pathologic process involving the C1 to C4 vertebrae with soft tissue extensions, cord compression and cord edema/isclmn / Myelitis as described. This most likely represents an infective etiology like tuberculosis.
However the possibility of this being a neoplastic process like a round cell tumor though less likely (cannot be entirely excluded).
Date : 00.00.00
Name of the Patient : Abc Xyzbegum Anlmn / F / 37 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with stiffness since 3-4 months
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 are diffuse areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen to involve the C2, C3 and C4 vertebral bodies and pedicles bilaterally, anterior arch of the atlas on the right side, the lateral masses of the C1 and C2 vertebrae and both the occipital condyles.
A large soft tissue component is seen to extend into the anterior epidural space over the C1 to C4 levels and foramen magnum with resultant severe compression of the cervico-medullary junction and cervical spinal cord over these levels. The cord over these levels shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia/myelitis.
A smaller soft tissue component is noted within the pre and paravertebral soft tissues over the C1 to C4 vertebral levels. There is encasement of the right vertebral artery with absence of the normal flow void over these levels.
The cervical intervertebral discs show loss of water content.
The rest of the cervical vertebral bodies show normal signal intensity.
IMPRESSION :
The MRI features are suggestive of a pathologic process involving the C1 to C4 vertebrae with soft tissue extensions, cord compression and cord edema/isclmn / Myelitis as described. This most likely represents an infective etiology like tuberculosis.
However the possibility of this being a neoplastic process like a round cell tumor though less likely (cannot be entirely excluded).
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13190
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzn Vanilmn / F / 77 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 1 year.
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 dorso-lumbar spine with convexity to the left.
There is loss of water content of the lumbar intervertebral discs. The L4-L5 and L5-S1 intervertebral discs show evidence of calcium/vacuum phenomena.
There is Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis.
A small posterior disc bulge is noted at the L5-S1 level with bilateral neural foraminal narrowing.
A pseudo-posterior disc herniation and bilateral far lateral disc herniations are noted at the L4-L5 level, with bilateral neural foraminal narrowing. Indentation on the extraforaminal segment of the L5 nerve roots is noted bilaterally. There is also facetal hypertrophy and a resultant canal stenosis at the L4-L5 level.
- 2 - scan-00000
A posterior and a right far lateral disc bulge is noted at the L3-L4 level with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L3 nerve root. Slight facetal hypertrophy is also noted at this level.
There is a left far lateral disc bulge at the L2-L3 level.
A right postero-lateral disc herniation is noted at the L1-L2 level with right neural foraminal narrowing.
The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
A dilated right renal pelvis is noted.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
17.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis.
2. A small posterior disc bulge at the L5-S1 level.
..3/.
- 3 - scan-00000
3. A pseudo-posterior disc herniation and bilateral far lateral disc herniations at the L4-L5 level, with indentation on the extraforaminal segments of the L5 nerve roots bilaterally. There is also facetal hypertrophy and resultant canal stenosis at the L4-L5 level.
4. A posterior and a right far lateral disc bulge at the L3-L4 level indenting the extraforaminal segment of the right L3 nerve root. Slight facetal hypertrophy is also noted at this level.
5. A left far lateral disc bulge at the L2-L3 level.
6. A right postero-lateral disc herniation at the L1-L2 level.
Date : 00.00.00
Name of the Patient : Abc Xyzn Vanilmn / F / 77 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 1 year.
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 dorso-lumbar spine with convexity to the left.
There is loss of water content of the lumbar intervertebral discs. The L4-L5 and L5-S1 intervertebral discs show evidence of calcium/vacuum phenomena.
There is Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis.
A small posterior disc bulge is noted at the L5-S1 level with bilateral neural foraminal narrowing.
A pseudo-posterior disc herniation and bilateral far lateral disc herniations are noted at the L4-L5 level, with bilateral neural foraminal narrowing. Indentation on the extraforaminal segment of the L5 nerve roots is noted bilaterally. There is also facetal hypertrophy and a resultant canal stenosis at the L4-L5 level.
- 2 - scan-00000
A posterior and a right far lateral disc bulge is noted at the L3-L4 level with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L3 nerve root. Slight facetal hypertrophy is also noted at this level.
There is a left far lateral disc bulge at the L2-L3 level.
A right postero-lateral disc herniation is noted at the L1-L2 level with right neural foraminal narrowing.
The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
A dilated right renal pelvis is noted.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
17.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis.
2. A small posterior disc bulge at the L5-S1 level.
..3/.
- 3 - scan-00000
3. A pseudo-posterior disc herniation and bilateral far lateral disc herniations at the L4-L5 level, with indentation on the extraforaminal segments of the L5 nerve roots bilaterally. There is also facetal hypertrophy and resultant canal stenosis at the L4-L5 level.
4. A posterior and a right far lateral disc bulge at the L3-L4 level indenting the extraforaminal segment of the right L3 nerve root. Slight facetal hypertrophy is also noted at this level.
5. A left far lateral disc bulge at the L2-L3 level.
6. A right postero-lateral disc herniation at the L1-L2 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13189
sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza lmn / F / 52 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O paresthesias in the LUE and LLE and left side of the face.
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.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There are linear signal void lesions on all the pulse sequences in the right middle cerebellar peduncle. These most likely represent a venous angioma.
The hippocampal complex is unremarkable on either side.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Screening T2 Weighted sagittal images of the cervical spine reveal postero-central disc herniations with peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and C6-C7 levels. A right paracentral disc herniation is also noted at the C3-C4 level.
IMPRESSION :
1. Signal void lesions in the right middle cerebellar peduncle most likely represent a venous angioma.
2. Postero-central disc herniations with peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and C6-C7 levels and a right paracentral disc herniation at the C3-C4 level.
Date : 00.00.00
Name of the Patient : Abc Xyza lmn / F / 52 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O paresthesias in the LUE and LLE and left side of the face.
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.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There are linear signal void lesions on all the pulse sequences in the right middle cerebellar peduncle. These most likely represent a venous angioma.
The hippocampal complex is unremarkable on either side.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Screening T2 Weighted sagittal images of the cervical spine reveal postero-central disc herniations with peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and C6-C7 levels. A right paracentral disc herniation is also noted at the C3-C4 level.
IMPRESSION :
1. Signal void lesions in the right middle cerebellar peduncle most likely represent a venous angioma.
2. Postero-central disc herniations with peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and C6-C7 levels and a right paracentral disc herniation at the C3-C4 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13188
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Balmn / F / 8 mnths.
Referred by : Dr. Abc Xyzadkat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever, increased frequency of stools, vomiting and altered sensorium.
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.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma. The myelination pattern is normal for the patients age.
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 :
No abnormality is detected within the brain on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz Balmn / F / 8 mnths.
Referred by : Dr. Abc Xyzadkat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever, increased frequency of stools, vomiting and altered sensorium.
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.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma. The myelination pattern is normal for the patients age.
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 :
No abnormality is detected within the brain on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13187
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzvta R. Kanlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to the LLE with paresthesias since 15 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There are mild posterior disc bulges at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
No significant abnormality detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzvta R. Kanlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to the LLE with paresthesias since 15 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There are mild posterior disc bulges at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
No significant abnormality detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13186
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyznlu Mlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzgaonkar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) with paresthesias since 1 1/2 months.
H/O left foot drop since 15 days.
EXAMINATION :
M.R.I of the dorsao-lumbar spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
The cervical spine was screened with 4 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a large postero-central disc herniation with peridiscal osteophytes more to the right of the midline and compressing the cord at the D11-D12 level. The cord at this level shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia.
A postero-central disc herniation with peridiscal osteophyte is seen to indent the cord at the D12-L1 level. There is a posterior disc bulge with peridiscal osteophytes at the L1-l2 level.
The D10-D11, D11-D12, D12-L1 and L1-L2 facet joints show degenerative changes.
A focal hyperintensity on all the pulse sequences is noted within the posterior aspect of the D10 vertebral body and this may represent a small hemangioma with high fat content.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level.
Screening images of the cervical spine reveal degenerative changes at the C3-C4, C4-C5 and C5-C6 levels.
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc herniation with peridiscal osteophytes, more to the right of the mildine with cord compression and cord edema/ischemia at this level.
2. A postero-central disc herniation with peridiscal osteophytes at the D12-L1 level.
3. Facetal arthropathy at the D10-D11, D11-D12, D12-L1 and L1-L2 levels.
4. Canal stenosis at the D11-D12 level.
Date : 00.00.00
Name of the Patient : Abc Xyznlu Mlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzgaonkar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) with paresthesias since 1 1/2 months.
H/O left foot drop since 15 days.
EXAMINATION :
M.R.I of the dorsao-lumbar spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
The cervical spine was screened with 4 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a large postero-central disc herniation with peridiscal osteophytes more to the right of the midline and compressing the cord at the D11-D12 level. The cord at this level shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia.
A postero-central disc herniation with peridiscal osteophyte is seen to indent the cord at the D12-L1 level. There is a posterior disc bulge with peridiscal osteophytes at the L1-l2 level.
The D10-D11, D11-D12, D12-L1 and L1-L2 facet joints show degenerative changes.
A focal hyperintensity on all the pulse sequences is noted within the posterior aspect of the D10 vertebral body and this may represent a small hemangioma with high fat content.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level.
Screening images of the cervical spine reveal degenerative changes at the C3-C4, C4-C5 and C5-C6 levels.
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc herniation with peridiscal osteophytes, more to the right of the mildine with cord compression and cord edema/ischemia at this level.
2. A postero-central disc herniation with peridiscal osteophytes at the D12-L1 level.
3. Facetal arthropathy at the D10-D11, D11-D12, D12-L1 and L1-L2 levels.
4. Canal stenosis at the D11-D12 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13185
hs/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza Cheulmn / F / 70 yrs.
Referred by : Dr. Abc Xyzatil.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O tingling on the left side of the body since 3 days.
Similar complaints 6 months back.
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 focal hyperintensity on the T2 Weighted images within the right middle cerebellar peduncle and this may be ischemic in etiology.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is mild fullness of the ventricular system.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
There is slight irregularity of the vessel wall of the mid and distal portion of the M1 segment of the left middle cerebral artery.
The right posterior cerebral artery is seen to be a continuation of the right posterior communicating artery.
Scan-00005
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, right middle cerebral, basilar, vertebral and left posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
There is slight narrowing of the left subclavian artery just distal to the origin of the left vertebral artery.
The common carotid arteries and their extracranial branches appear normal bilaterally.
IMPRESSION :
The MRA features are suggestive of :
1. A focal hyperintensity on the T2 Weighted images within the right middle cerebellar peduncle may be ischemic in etiology.
2. Slight irregularity of the vessel wall of the mid and distal portion of the M1 segment of the left middle cerebral artery.
3. Slight narrowing of the left subclavian artery just distal to the origin of the left vertebral artery.
Date : 00.00.00
Name of the Patient : Abc Xyza Cheulmn / F / 70 yrs.
Referred by : Dr. Abc Xyzatil.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O tingling on the left side of the body since 3 days.
Similar complaints 6 months back.
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 focal hyperintensity on the T2 Weighted images within the right middle cerebellar peduncle and this may be ischemic in etiology.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is mild fullness of the ventricular system.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
There is slight irregularity of the vessel wall of the mid and distal portion of the M1 segment of the left middle cerebral artery.
The right posterior cerebral artery is seen to be a continuation of the right posterior communicating artery.
Scan-00005
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, right middle cerebral, basilar, vertebral and left posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
There is slight narrowing of the left subclavian artery just distal to the origin of the left vertebral artery.
The common carotid arteries and their extracranial branches appear normal bilaterally.
IMPRESSION :
The MRA features are suggestive of :
1. A focal hyperintensity on the T2 Weighted images within the right middle cerebellar peduncle may be ischemic in etiology.
2. Slight irregularity of the vessel wall of the mid and distal portion of the M1 segment of the left middle cerebral artery.
3. Slight narrowing of the left subclavian artery just distal to the origin of the left vertebral artery.
Published in
MRI Reports