Regular User
Sunday, 27 December 2015 16:48
13055
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzak Berlmn / M / 16 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O 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.
3 mm thick T1 Weighted and FLAIR coronal images.
OBSERVATION :
There are small, subcentimeter, hypointense areas (atleast 2) in the left frontal region on the T1 Weighted images which are seen to remain hypointense on the proton, T2 Weighted and FLAIR images. There is surrounding perilesional edema with mass effect and effacement of the adjacent sulci.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of areas of altered signal (atleast two) in the left frontal region which most likely represent granulomas, probably cysticercii.
A contrast enhanced scan is mandatory.
Patient refused contrast administration.
Date : 00.00.00
Name of the Patient : Abc Xyzak Berlmn / M / 16 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O 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.
3 mm thick T1 Weighted and FLAIR coronal images.
OBSERVATION :
There are small, subcentimeter, hypointense areas (atleast 2) in the left frontal region on the T1 Weighted images which are seen to remain hypointense on the proton, T2 Weighted and FLAIR images. There is surrounding perilesional edema with mass effect and effacement of the adjacent sulci.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of areas of altered signal (atleast two) in the left frontal region which most likely represent granulomas, probably cysticercii.
A contrast enhanced scan is mandatory.
Patient refused contrast administration.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13054
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyza Shlmn / F / 19 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain since 3-4 months and loss of appetite.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is replacement of the normal marrow of the C2, C3, C4, C5, D1 and D2 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images. The C3-C4 and C4-C5 discs are involved by the pathology. A large pre and paravertebral soft tissue lesion which is of intermediate signal intensity with a peripheral hyperintense rim on the T1 Weighted images is seen extending over the C1 to the D2 vertebral levels predominantly on the left side. There is compression upon the oropharynx and larynx. This lesion is seen to turn hyperintense on the T2 Weighted images and would represent abscess formation. There is anterior epidural extension over the C2 to C5 vertebral levels with compression of the spinal cord and encroachment into the left neural foramen over the C2-C3 to C4-C5 levels. The spinal cord shows normal signal intensity.
The rest of the cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
A congenital, block, D3/D4 vertebra is noted.
IMPRESSION :
The MRI features are suggestive of granulomatous infective lesion like tuberculosis involving the C2, C3, C4, C5, D1 and D2 vertebral bodies, C3-C4 and C4-C5 intervertebral discs with a fairly large pre and paravertebral abscess extending over the C2 to D2 vertebral levels as described. Anterior epidural extension of the abscess is noted over the C2 to C5 vertebral levels with mild cord compression.
Date : 00.00.00
Name of the Patient : Abc Xyza Shlmn / F / 19 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain since 3-4 months and loss of appetite.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is replacement of the normal marrow of the C2, C3, C4, C5, D1 and D2 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images. The C3-C4 and C4-C5 discs are involved by the pathology. A large pre and paravertebral soft tissue lesion which is of intermediate signal intensity with a peripheral hyperintense rim on the T1 Weighted images is seen extending over the C1 to the D2 vertebral levels predominantly on the left side. There is compression upon the oropharynx and larynx. This lesion is seen to turn hyperintense on the T2 Weighted images and would represent abscess formation. There is anterior epidural extension over the C2 to C5 vertebral levels with compression of the spinal cord and encroachment into the left neural foramen over the C2-C3 to C4-C5 levels. The spinal cord shows normal signal intensity.
The rest of the cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
A congenital, block, D3/D4 vertebra is noted.
IMPRESSION :
The MRI features are suggestive of granulomatous infective lesion like tuberculosis involving the C2, C3, C4, C5, D1 and D2 vertebral bodies, C3-C4 and C4-C5 intervertebral discs with a fairly large pre and paravertebral abscess extending over the C2 to D2 vertebral levels as described. Anterior epidural extension of the abscess is noted over the C2 to C5 vertebral levels with mild cord compression.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13053
ke/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
H/O vehicular accident on 00.00.00.
C/O quadriplegia since then.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is loss of normal cervical lordosis. Minimal forward translation of the C5 over the C6 vertebra is noted.
There are small posterior disc herniations at the C4-C5 and C5-C6 levels with anterior compression of the spinal cord.
The spinal cord over the C2 to the D1 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which is isointense to normal cord on the T1 Weighted images. A small hypointense area is seen at the C5-C6 level which may represent altered blood.
Intermediate signal intensity lesion is seen in the anterior epidural space at the C2 and C3 levels on the T1 Weighted images which turns hyperintense on the T2 Weighted images and may represent altered blood.
Hyperintense areas are seen in the prevertebral soft tissue from the level of the clivus to the C4 vertebral levels which represents edema/contusion/hematoma.
Small posterior disc bulges are noted at the C3-C4 and C6-C7 levels.
..2/.
- 2 - scan-00003
Hyperintense signal on the T2 Weighted images in the C2-C3 disc anteriorly, C4-C5 disc posteriorly and C5-C6 disc superiorly may represent traumatic discs.
Fracture of posterior elements of C5 is noted. The fat planes between the muscles in the posterior paraspinal region, more on the right are effaced, due to soft tissue injury.
The rest of the cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
In a known C/O trauma, the MRI features are suggestive of :
1. Altered signal of the cord over the C2 to the D1 levels represents cord edema/contusion. A haemorrhagic focus is noted at the C5-C6 level, on the right.
2. Altered signal in the anterior epidural space at the C2 and C3 levels and in the prevertebral soft tissues represent altered blood.
3. Probable traumatic rupture of the C2-C3, C4-C5 and C5-C6 discs with posterior disc herniations at the C4-C5 and C5-C6 levels.
4. Fracture of the posterior elements of C5 (spinous process) with minimal forward translation of C5 over C6 vertebra.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
H/O vehicular accident on 00.00.00.
C/O quadriplegia since then.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is loss of normal cervical lordosis. Minimal forward translation of the C5 over the C6 vertebra is noted.
There are small posterior disc herniations at the C4-C5 and C5-C6 levels with anterior compression of the spinal cord.
The spinal cord over the C2 to the D1 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which is isointense to normal cord on the T1 Weighted images. A small hypointense area is seen at the C5-C6 level which may represent altered blood.
Intermediate signal intensity lesion is seen in the anterior epidural space at the C2 and C3 levels on the T1 Weighted images which turns hyperintense on the T2 Weighted images and may represent altered blood.
Hyperintense areas are seen in the prevertebral soft tissue from the level of the clivus to the C4 vertebral levels which represents edema/contusion/hematoma.
Small posterior disc bulges are noted at the C3-C4 and C6-C7 levels.
..2/.
- 2 - scan-00003
Hyperintense signal on the T2 Weighted images in the C2-C3 disc anteriorly, C4-C5 disc posteriorly and C5-C6 disc superiorly may represent traumatic discs.
Fracture of posterior elements of C5 is noted. The fat planes between the muscles in the posterior paraspinal region, more on the right are effaced, due to soft tissue injury.
The rest of the cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
In a known C/O trauma, the MRI features are suggestive of :
1. Altered signal of the cord over the C2 to the D1 levels represents cord edema/contusion. A haemorrhagic focus is noted at the C5-C6 level, on the right.
2. Altered signal in the anterior epidural space at the C2 and C3 levels and in the prevertebral soft tissues represent altered blood.
3. Probable traumatic rupture of the C2-C3, C4-C5 and C5-C6 discs with posterior disc herniations at the C4-C5 and C5-C6 levels.
4. Fracture of the posterior elements of C5 (spinous process) with minimal forward translation of C5 over C6 vertebra.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13052
ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 55 yrs.
Referred by : Dr. Abc Xyz Mehta / Dr. Abc Xyzaveri.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O right sided hemiparesis with vomiting and LOC since 00.00.00 with high blood pressure.
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 Gradient Echo coronal images.
OBSERVATION :
There is a large, intermediate signal intensity lesion on the T1 Weighted images having its epicentre in the left external capsular region measuring approximately 2.8 x 6.0 x 3.0 cms. This lesion is heterogeneously hyperintense on the proton, T2 Weighted and Gradient images. The periphery of this lesion is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images and would represent serum due to clot retraction. The periphery of lesion and the few areas within the lesion are seen to bloom on the Fast Scan (T2 *) images. There is slight extension anteriorly into the left frontal lobe. There is mass effect with compression upon the body of the left lateral and the third ventricles.
Altered blood is also noted within the left lateral and fourth ventricles.
The right lateral ventricle is normal. The basal cisternal spaces are unremarkable. There is mild bulge of the midline structures to the right. No obvious vascular anomaly is identified on this study.
Incidental note is made of left maxillary polyp.
IMPRESSION :
The MRI features are suggestive of an acute hematoma measuring approximately 2.8 x 6.0 x 3.0 cms. in the left external capsular region with extensions as described.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 55 yrs.
Referred by : Dr. Abc Xyz Mehta / Dr. Abc Xyzaveri.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O right sided hemiparesis with vomiting and LOC since 00.00.00 with high blood pressure.
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 Gradient Echo coronal images.
OBSERVATION :
There is a large, intermediate signal intensity lesion on the T1 Weighted images having its epicentre in the left external capsular region measuring approximately 2.8 x 6.0 x 3.0 cms. This lesion is heterogeneously hyperintense on the proton, T2 Weighted and Gradient images. The periphery of this lesion is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images and would represent serum due to clot retraction. The periphery of lesion and the few areas within the lesion are seen to bloom on the Fast Scan (T2 *) images. There is slight extension anteriorly into the left frontal lobe. There is mass effect with compression upon the body of the left lateral and the third ventricles.
Altered blood is also noted within the left lateral and fourth ventricles.
The right lateral ventricle is normal. The basal cisternal spaces are unremarkable. There is mild bulge of the midline structures to the right. No obvious vascular anomaly is identified on this study.
Incidental note is made of left maxillary polyp.
IMPRESSION :
The MRI features are suggestive of an acute hematoma measuring approximately 2.8 x 6.0 x 3.0 cms. in the left external capsular region with extensions as described.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13051
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzuddha Nagarklmn / M / 4 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O delayed milestones.
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
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The right lateral ventricle appears slightly prominent as compared to the left, probably a normal variant.
There is no obvious mass lesion in the region of the hypothalamus.
The 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 Xyzuddha Nagarklmn / M / 4 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O delayed milestones.
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
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The right lateral ventricle appears slightly prominent as compared to the left, probably a normal variant.
There is no obvious mass lesion in the region of the hypothalamus.
The 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
13050
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Shalmn / M / 14 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 3 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.
5 mm Fast Scan (T2 *) coronal images.
OBSERVATION :
There is seen an expansile mass lesion involving the left postero-lateral margin of the L5 vertebral body, and the left pedicle and transverse process of L5. This lesion is of intermediate signal on the T1 Weighted images and appears hyperintense on the T2 Weighted images. The lesion is well marginated without obvious cortical erosion. No obvious soft tissue extension of the lesion is identified.
The rest of the visualized 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.
IMPRESSION :
An expansile mass lesion involving the left postero-lateral margin of the L5 vertebral body, the left pedicle and transverse process of L5 as described is not specific for a single etiology. A giant cell tumor or an aneurysmal bone cyst may be considered as likely possibilities.
A tuberculous etiology or a round cell tumor seems less likely.
Date : 00.00.00
Name of the Patient : Abc Xyz Shalmn / M / 14 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 3 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.
5 mm Fast Scan (T2 *) coronal images.
OBSERVATION :
There is seen an expansile mass lesion involving the left postero-lateral margin of the L5 vertebral body, and the left pedicle and transverse process of L5. This lesion is of intermediate signal on the T1 Weighted images and appears hyperintense on the T2 Weighted images. The lesion is well marginated without obvious cortical erosion. No obvious soft tissue extension of the lesion is identified.
The rest of the visualized 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.
IMPRESSION :
An expansile mass lesion involving the left postero-lateral margin of the L5 vertebral body, the left pedicle and transverse process of L5 as described is not specific for a single etiology. A giant cell tumor or an aneurysmal bone cyst may be considered as likely possibilities.
A tuberculous etiology or a round cell tumor seems less likely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13049
ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzn Klmn / M / 53 yrs.
Referred by : Dr. Abc Xyzdy / Dr. Abc Xyznna. Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias 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 probable sacralization of the L5 vertebra which is as marked on the film (Kindly correlate with plain radiographs).
There is a posterior and a left postero-lateral disc herniation at the L3-L4 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. There is indentation upon the extraforaminal portion of the left L3 nerve root.
A posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The L3-L4 and L4-L5 intervertebral discs show loss of water content.
The lumbar facet joints show degenerative changes.
Scan-00009
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 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
14.0 mm at L2-L3
14.0 mm at L3-L4
11.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Probable sacralization of the L5 vertebra.
2. A posterior and a left postero-lateral disc herniation at the L3-L4 level with indentation upon the extraforaminal portion of the left L3 nerve root.
3. A posterior disc herniation at the L4-L5 level.
4. Facetal arthropathy in the lumbar region.
Date : 00.00.00
Name of the Patient : Abc Xyzn Klmn / M / 53 yrs.
Referred by : Dr. Abc Xyzdy / Dr. Abc Xyznna. Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias 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 probable sacralization of the L5 vertebra which is as marked on the film (Kindly correlate with plain radiographs).
There is a posterior and a left postero-lateral disc herniation at the L3-L4 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. There is indentation upon the extraforaminal portion of the left L3 nerve root.
A posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The L3-L4 and L4-L5 intervertebral discs show loss of water content.
The lumbar facet joints show degenerative changes.
Scan-00009
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 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
14.0 mm at L2-L3
14.0 mm at L3-L4
11.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Probable sacralization of the L5 vertebra.
2. A posterior and a left postero-lateral disc herniation at the L3-L4 level with indentation upon the extraforaminal portion of the left L3 nerve root.
3. A posterior disc herniation at the L4-L5 level.
4. Facetal arthropathy in the lumbar region.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13048
ke/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzra J. Glmn / M / 46 yrs.
Referred by : Dr. Abc Xyzdhwa.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the left hip joint since 1 1/2 months.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick GRASS sagittal images.
OBSERVATION :
Ill-defined, hypointense areas are seen within the head and neck as well as the upper shaft of the left femur on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images. The articular cartilage overlying the left femoral head is unremarkable. The left femoral head shows normal contour.
Effusion is seen in the left hip joint.
A small hypointense area on the T1 Weighted images is seen in left femoral head, anteriorly which is seen to remain so on the T1 Weighted images and would represent a bone island.
The muscles around the left hip joint are slightly atrophic as compared to the right.
The right hip joint is unremarkable.
IMPRESSION :
1. Altered signal within the head and neck as well as the upper shaft of the left femur may be due to transient osteoporosis. The possibility of early avascular necrosis cannot be entirely excluded.
2. Effusion in the left hip joint.
A follow up scan is recommended.
Date : 00.00.00
Name of the Patient : Abc Xyzra J. Glmn / M / 46 yrs.
Referred by : Dr. Abc Xyzdhwa.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the left hip joint since 1 1/2 months.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick GRASS sagittal images.
OBSERVATION :
Ill-defined, hypointense areas are seen within the head and neck as well as the upper shaft of the left femur on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images. The articular cartilage overlying the left femoral head is unremarkable. The left femoral head shows normal contour.
Effusion is seen in the left hip joint.
A small hypointense area on the T1 Weighted images is seen in left femoral head, anteriorly which is seen to remain so on the T1 Weighted images and would represent a bone island.
The muscles around the left hip joint are slightly atrophic as compared to the right.
The right hip joint is unremarkable.
IMPRESSION :
1. Altered signal within the head and neck as well as the upper shaft of the left femur may be due to transient osteoporosis. The possibility of early avascular necrosis cannot be entirely excluded.
2. Effusion in the left hip joint.
A follow up scan is recommended.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13047
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzbdulrelmn / M / 24 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Distal Left Forearm &
Left Wrist.
CLINICAL PROFILE :
C/O pain and swelling over the left wrist since 2 1/2 months.
EXAMINATION :
M.R.I of the distal left forearm and left wrist joint was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
3 mm thick T1 Weighted and STIR coronal images.
3 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is seen an expansile lesion at the distal end of the left radius measuring approximately 3.2 x 3.7 x 3.3 cms. This lesion is of intermediate signal on the T1 Weighted images and appears hyperintense on the T2 Weighted and STIR images. The supero-inferior extent of the lesion is about 3.3 cms. The lesion extends right upto the distal end of the left radius. The zone of transition between the normal and the abnormal marrow is well demarcated. Erosion of the cortical margin of the distal end is noted. The flexor and extensor tendons around the distal end of the radius are displaced to the periphery of this lesion. No vascular encasement is noted. Extension of this lesion into the left radiocarpal joint, is noted laterally.
A focal hypointense signal on all the pulse sequences in the lunate bone which appears hyperintense on the T2 Weighted and STIR images most likely represent a bone island.
The visualized distal end of the left ulna bone appears unremarkable.
IMPRESSION :
An approximately 3.2 x 3.7 x 3.3 cms. expansile mass lesion in the distal end of the left radius extending upto the articular margin as described, is not specific for a single etiology. A giant cell tumor is a likely possibility. Extension of this lesion into the radiocarpal joint along its margin is noted.
Date : 00.00.00
Name of the Patient : Abc Xyzbdulrelmn / M / 24 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Distal Left Forearm &
Left Wrist.
CLINICAL PROFILE :
C/O pain and swelling over the left wrist since 2 1/2 months.
EXAMINATION :
M.R.I of the distal left forearm and left wrist joint was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
3 mm thick T1 Weighted and STIR coronal images.
3 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is seen an expansile lesion at the distal end of the left radius measuring approximately 3.2 x 3.7 x 3.3 cms. This lesion is of intermediate signal on the T1 Weighted images and appears hyperintense on the T2 Weighted and STIR images. The supero-inferior extent of the lesion is about 3.3 cms. The lesion extends right upto the distal end of the left radius. The zone of transition between the normal and the abnormal marrow is well demarcated. Erosion of the cortical margin of the distal end is noted. The flexor and extensor tendons around the distal end of the radius are displaced to the periphery of this lesion. No vascular encasement is noted. Extension of this lesion into the left radiocarpal joint, is noted laterally.
A focal hypointense signal on all the pulse sequences in the lunate bone which appears hyperintense on the T2 Weighted and STIR images most likely represent a bone island.
The visualized distal end of the left ulna bone appears unremarkable.
IMPRESSION :
An approximately 3.2 x 3.7 x 3.3 cms. expansile mass lesion in the distal end of the left radius extending upto the articular margin as described, is not specific for a single etiology. A giant cell tumor is a likely possibility. Extension of this lesion into the radiocarpal joint along its margin is noted.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13046
ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzT. lmn / M / 48 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to RLE with numbness and difficulty in walking.
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 probable partial sacralization of the L5 vertebra on the left (Kindly correlate with plain radiographs).
There is an anterior and diffuse posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. A free fragment is seen in the right lateral recess of the L5 vertebra with impingement of the right L5 nerve root.
The L4-L5 facet joint on the left side shows degenerative changes.
A small postero-central disc herniation is noted at the L3-L4 level with anterior indentation of the thecal sac. The L3-L4 and L4-L5 intervertebral discs show loss of water content. Posterior peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels.
Scan-00006
There is ligamentum flavum hypertrophy at the L4-L5 and L5 levels.
Type I/II degenerative changes are noted in the L4 and L5 vertebrae adjacent to the L4-L5 intervertebral disc.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints appear 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 :
18.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. An anterior and diffuse posterior disc herniation at the L4-L5 level with a free fragment seen in the right lateral recess of the L5 vertebra impinging the right L5 nerve root with facetal arthropathy on the left side at this level.
2. A small postero-central disc herniation at the L3-L4 level.
3. Slight facetal hypertrophy of the rest of the lumbar facet joints.
Date : 00.00.00
Name of the Patient : Abc XyzT. lmn / M / 48 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to RLE with numbness and difficulty in walking.
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 probable partial sacralization of the L5 vertebra on the left (Kindly correlate with plain radiographs).
There is an anterior and diffuse posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. A free fragment is seen in the right lateral recess of the L5 vertebra with impingement of the right L5 nerve root.
The L4-L5 facet joint on the left side shows degenerative changes.
A small postero-central disc herniation is noted at the L3-L4 level with anterior indentation of the thecal sac. The L3-L4 and L4-L5 intervertebral discs show loss of water content. Posterior peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels.
Scan-00006
There is ligamentum flavum hypertrophy at the L4-L5 and L5 levels.
Type I/II degenerative changes are noted in the L4 and L5 vertebrae adjacent to the L4-L5 intervertebral disc.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints appear 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 :
18.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. An anterior and diffuse posterior disc herniation at the L4-L5 level with a free fragment seen in the right lateral recess of the L5 vertebra impinging the right L5 nerve root with facetal arthropathy on the left side at this level.
2. A small postero-central disc herniation at the L3-L4 level.
3. Slight facetal hypertrophy of the rest of the lumbar facet joints.
Published in
MRI Reports