Regular User
Sunday, 27 December 2015 16:48
12988
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzAli lmn / F / 40 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Operated for a suprasellar and planumsphenoidal meningioma on 00.00.00. Patient developed right hemiparesis.
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.
5 mm thick T1 Weighted sagittal images.
3 mm thick T1 Weighted and STIR coronal images.
OBSERVATION :
There is evidence of a right frontal craniotomy with post-operative changes in the soft tissues in the right frontal region.
There is seen an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the inferior frontal cortex, bilaterally, right frontal cortex, left parathird ventricular region, left cerebral peduncle and in the posterior limb of the left internal capsule. This lesion appears hypointense on the T1 Weighted images.
Focal hyperintense signal on the T1 Weighted images in the left inferior frontal region, right frontal region, left parathird ventricular region and in the left cerebral peduncle represents hemoglobin breakdown products.
There is an ill-defined, hyperintense signal on the T1 Weighted images in the suprasellar cistern on the left, which remains hyperintense on the proton, T2 Weighted and STIR images. The pituitary stalk is not well-identified from the lesion which is seen to indent the optic chiasma to the left of the midline. The left optic nerve appears slightly atrophied and shows a hyperintense signal on the STIR images in its proximal segment. The pituitary gland is well identified on the present study. The cavernous sinuses on either side are unremarkable. The visualized right optic nerve shows normal signal.
There is mild dilatation of both the lateral, third and the fourth ventricles. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
1. Post-operative status.
2. Altered signal in the inferior frontal cortex, bilaterally, right frontal cortex, left parathird ventricular region, left cerebral peduncle and in the posterior limb of the left internal capsule as described, most likely represent areas of gliosis/encephalomalacia, the sequelae of previous vascular insult/post-operative changes. (It is difficult to distinguish the frontal lesions from post-operative changes).
3. Altered signal in the suprasellar cistern, more to the left of the midline, may represent haemorrhage/hemostatic material like gel foam, in the given clinical setting.
4. Left optic nerve atrophy with altered signal suggestive of edema/ischemia. Visualized right optic nerve is unremarkable.
5. Mild dilatation of the ventricular system.
No previous investigations were available for comparison.
Date : 00.00.00
Name of the Patient : Abc XyzAli lmn / F / 40 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Operated for a suprasellar and planumsphenoidal meningioma on 00.00.00. Patient developed right hemiparesis.
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.
5 mm thick T1 Weighted sagittal images.
3 mm thick T1 Weighted and STIR coronal images.
OBSERVATION :
There is evidence of a right frontal craniotomy with post-operative changes in the soft tissues in the right frontal region.
There is seen an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the inferior frontal cortex, bilaterally, right frontal cortex, left parathird ventricular region, left cerebral peduncle and in the posterior limb of the left internal capsule. This lesion appears hypointense on the T1 Weighted images.
Focal hyperintense signal on the T1 Weighted images in the left inferior frontal region, right frontal region, left parathird ventricular region and in the left cerebral peduncle represents hemoglobin breakdown products.
There is an ill-defined, hyperintense signal on the T1 Weighted images in the suprasellar cistern on the left, which remains hyperintense on the proton, T2 Weighted and STIR images. The pituitary stalk is not well-identified from the lesion which is seen to indent the optic chiasma to the left of the midline. The left optic nerve appears slightly atrophied and shows a hyperintense signal on the STIR images in its proximal segment. The pituitary gland is well identified on the present study. The cavernous sinuses on either side are unremarkable. The visualized right optic nerve shows normal signal.
There is mild dilatation of both the lateral, third and the fourth ventricles. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
1. Post-operative status.
2. Altered signal in the inferior frontal cortex, bilaterally, right frontal cortex, left parathird ventricular region, left cerebral peduncle and in the posterior limb of the left internal capsule as described, most likely represent areas of gliosis/encephalomalacia, the sequelae of previous vascular insult/post-operative changes. (It is difficult to distinguish the frontal lesions from post-operative changes).
3. Altered signal in the suprasellar cistern, more to the left of the midline, may represent haemorrhage/hemostatic material like gel foam, in the given clinical setting.
4. Left optic nerve atrophy with altered signal suggestive of edema/ischemia. Visualized right optic nerve is unremarkable.
5. Mild dilatation of the ventricular system.
No previous investigations were available for comparison.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12986
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xylmn / F / 30 yrs.
Referred by : Dr. Abc Xyzurya.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 5 years.
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, T2 Weighted and FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
The left hippocampal complex appears slightly smaller in volume when compared to the right and shows a hyperintense signal on the T2 Weighted and FLAIR images, suggesting left sided mesial temporal sclerosis.
There is a small bright focus on the proton and T2 Weighted images in the subcortical white matter in the right fronto-temporal region. This lesion appears hypointense on the T1 Weighted images (scans 105.10, 106.10) and may represent an ischemic focus.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Reduction in the volume of the left hippocampal complex with altered signal suggests left mesial temporal sclerosis.
Date : 00.00.00
Name of the Patient : Abc Xylmn / F / 30 yrs.
Referred by : Dr. Abc Xyzurya.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 5 years.
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, T2 Weighted and FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
The left hippocampal complex appears slightly smaller in volume when compared to the right and shows a hyperintense signal on the T2 Weighted and FLAIR images, suggesting left sided mesial temporal sclerosis.
There is a small bright focus on the proton and T2 Weighted images in the subcortical white matter in the right fronto-temporal region. This lesion appears hypointense on the T1 Weighted images (scans 105.10, 106.10) and may represent an ischemic focus.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Reduction in the volume of the left hippocampal complex with altered signal suggests left mesial temporal sclerosis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12985
Date : 00.00.00
Name of the Patient : Abc Xyz. Sollmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with nausea since 6-7 years.
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.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
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. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the Brain.
Name of the Patient : Abc Xyz. Sollmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with nausea since 6-7 years.
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.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
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. 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
12984
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzi Jalmn / M / 59 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 15 days.
C/O retention of urine since 8 days.
H/O fever since 2 months.
H/O trauma +.
EXAMINATION :
M.R.I of the dorsal 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 near complete collapse of the D12 vertebral body which shows fatty marrow changes. The D11-D12 and D12-L1 intervertebral discs are unremarkable. There is indentation on the anterior dural theca by the postero-superior margin of the D12 vertebral body. There is however, no cord compression.
Facetal hypertrophy is noted on the right at the D8-D9 and D10-D11 levels.
The rest of the visualized dorsal vertebral bodies reveal normal signal intensity. The visualized dorsal intervertebral discs show slight loss of water content. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1 level.
Screening, T1 Weighted sagittal images of the lumbar spine show evidence of central and anterior wedging of the L4 and L2 vertebral bodies.
Screening, T2 Weighted sagittal images of the cervico-dorsal region do not reveal any significant feature of note.
Incidentally noted is right sided hydronephrosis.
IMPRESSION :
1. Wedging of D12, L2 and L4 vertebral bodies as described most likely is the sequelae of previous trauma. There is however, no significant cord compression or cord signal alteration identified.
2. Slight facetal hypertrophy on the right at the D8-D9 and D10-D11 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzi Jalmn / M / 59 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 15 days.
C/O retention of urine since 8 days.
H/O fever since 2 months.
H/O trauma +.
EXAMINATION :
M.R.I of the dorsal 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 near complete collapse of the D12 vertebral body which shows fatty marrow changes. The D11-D12 and D12-L1 intervertebral discs are unremarkable. There is indentation on the anterior dural theca by the postero-superior margin of the D12 vertebral body. There is however, no cord compression.
Facetal hypertrophy is noted on the right at the D8-D9 and D10-D11 levels.
The rest of the visualized dorsal vertebral bodies reveal normal signal intensity. The visualized dorsal intervertebral discs show slight loss of water content. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1 level.
Screening, T1 Weighted sagittal images of the lumbar spine show evidence of central and anterior wedging of the L4 and L2 vertebral bodies.
Screening, T2 Weighted sagittal images of the cervico-dorsal region do not reveal any significant feature of note.
Incidentally noted is right sided hydronephrosis.
IMPRESSION :
1. Wedging of D12, L2 and L4 vertebral bodies as described most likely is the sequelae of previous trauma. There is however, no significant cord compression or cord signal alteration identified.
2. Slight facetal hypertrophy on the right at the D8-D9 and D10-D11 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12983
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzal Upadlmn / M / 85 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O drowsiness since 1 month.
C/O generalized weakness with stiffness of body.
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 ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and in the left centrum semiovale. These lesions appear hypointense to normal white matter on the T1 Weighted images.
There is mild fullness of both the lateral, third and fourth ventricles. There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
1. Altered signal in the posterior parietal periventricular white matter bilaterally and in the left centrum semiovale most likely represent ischemic changes.
2. Mild cerebral cortical and cerebellar atrophy with mild ventricular fullness.
Date : 00.00.00
Name of the Patient : Abc Xyzal Upadlmn / M / 85 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O drowsiness since 1 month.
C/O generalized weakness with stiffness of body.
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 ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and in the left centrum semiovale. These lesions appear hypointense to normal white matter on the T1 Weighted images.
There is mild fullness of both the lateral, third and fourth ventricles. There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
1. Altered signal in the posterior parietal periventricular white matter bilaterally and in the left centrum semiovale most likely represent ischemic changes.
2. Mild cerebral cortical and cerebellar atrophy with mild ventricular fullness.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12982
sb/ke/nl/rg.
982 Date : 00.00.00
Name of the Patient : Abc Xyzum Shlmn / F / 12 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since the age of 2 years.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex is unremarkable on either side.
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.
982 Date : 00.00.00
Name of the Patient : Abc Xyzum Shlmn / F / 12 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since the age of 2 years.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex is unremarkable on either side.
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
12981
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzal Abdlmn / M / 7 mnths.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures.
H/O visual impairment and does not follow light well.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There are ill-defined, hypointense areas on the T1 Weighted images in the left temporo-parieto-occipital lobe involving the cortex and subcortical white matter. This lesion follows CSF signal intensity characteristics on all the pulse sequences and represents an area of cystic encephalomalacia. Perilesional white matter hyperintense signal on all the pulse sequences may represent gliotic changes.
Similar changes but to a much lesser extent are noted in the right parieto-occipital region and in the right fronto-parietal cortex.
There is seen a loculated, subdural collection over the left cerebral convexity and posterior interhemispheric fissure. This lesion is slightly hyperintense to CSF on all the pulse sequences. There is no resultant underlying mass effect.
There is mild dilatation of the ventricular system. There is slight thinning of the corpus callosum. There is prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the left middle ear cavity.
IMPRESSION :
1. Altered signal in the left temporo-parieto-occipital lobes, right parieto-occipital region and in the right fronto-parietal cortex represent areas of cystic encephalomalacia.
2. A loculated, chronic subdural collection over the left cerebral convexity and posterior interhemispheric fissure, without mass effect.
3. Cerebral cortical atrophy with mild ventricular dilatation.
As compared to the previous MRI dated 00.00.00, the left subdural hematoma now appears chronic. Cystic encephalomalacic changes are noted in the brain parenchyma as described. Mild cerebral cortical atrophy with mild ventricular dilatation is now noted.
Date : 00.00.00
Name of the Patient : Abc Xyzal Abdlmn / M / 7 mnths.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures.
H/O visual impairment and does not follow light well.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There are ill-defined, hypointense areas on the T1 Weighted images in the left temporo-parieto-occipital lobe involving the cortex and subcortical white matter. This lesion follows CSF signal intensity characteristics on all the pulse sequences and represents an area of cystic encephalomalacia. Perilesional white matter hyperintense signal on all the pulse sequences may represent gliotic changes.
Similar changes but to a much lesser extent are noted in the right parieto-occipital region and in the right fronto-parietal cortex.
There is seen a loculated, subdural collection over the left cerebral convexity and posterior interhemispheric fissure. This lesion is slightly hyperintense to CSF on all the pulse sequences. There is no resultant underlying mass effect.
There is mild dilatation of the ventricular system. There is slight thinning of the corpus callosum. There is prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the left middle ear cavity.
IMPRESSION :
1. Altered signal in the left temporo-parieto-occipital lobes, right parieto-occipital region and in the right fronto-parietal cortex represent areas of cystic encephalomalacia.
2. A loculated, chronic subdural collection over the left cerebral convexity and posterior interhemispheric fissure, without mass effect.
3. Cerebral cortical atrophy with mild ventricular dilatation.
As compared to the previous MRI dated 00.00.00, the left subdural hematoma now appears chronic. Cystic encephalomalacic changes are noted in the brain parenchyma as described. Mild cerebral cortical atrophy with mild ventricular dilatation is now noted.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12980
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza lmn / F / 11 yrs.
Referred by : Dr. Abc Xyzhtekar.
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 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. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyza lmn / F / 11 yrs.
Referred by : Dr. Abc Xyzhtekar.
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 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. 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
12979
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzLlmn / M / 15 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the left hip region since 15 days.
H/O TLL. Operated 1 year back.
H/O fall 1 year ago.
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 T1 Weighted sagittal images.
OBSERVATION :
Scar of previous surgery is noted in the soft tissues overlying the lateral aspect of the left hip joint with post-operative changes and susceptibility artifacts in that region.
Track of previous nailing is noted traversing the greater trochantaric region, the neck and through the epiphysis of the left femoral head. Susceptibility artifacts are noted in these regions.
The epiphysis of the left femoral head is not well identified on this study due to susceptibility artifacts. The contour of the left femoral epiphysis is not well maintained. There is a well marginated, hypointense lesion on all the pulse sequences in the epiphysis of the left femoral head. This may represent Class D avascular necrosis. The left hip joint space is slightly reduced supero-laterally. The articular cartilage overlying the epiphysis of the left femoral head also appears irregular supero-laterally. The left acetabulum is unremarkable. A small left hip joint effusion is noted. The muscles around the left hip joint appear atrophied.
The visualized right hip joint is unremarkable.
..2/.
IMPRESSION :
1. Post-operative status with track of previous nailing identified in the left femoral head, neck and trochanteric region with susceptibility artifacts.
2. Altered signal in the epiphysis of the left femoral head suggest Class D avascular necrosis. Resultant loss of contour of the left femoral head is noted.
3. Probable early osteoarthritic changes in the left hip joint.
No previous plain radiographs were available for review.
Date : 00.00.00
Name of the Patient : Abc XyzLlmn / M / 15 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the left hip region since 15 days.
H/O TLL. Operated 1 year back.
H/O fall 1 year ago.
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 T1 Weighted sagittal images.
OBSERVATION :
Scar of previous surgery is noted in the soft tissues overlying the lateral aspect of the left hip joint with post-operative changes and susceptibility artifacts in that region.
Track of previous nailing is noted traversing the greater trochantaric region, the neck and through the epiphysis of the left femoral head. Susceptibility artifacts are noted in these regions.
The epiphysis of the left femoral head is not well identified on this study due to susceptibility artifacts. The contour of the left femoral epiphysis is not well maintained. There is a well marginated, hypointense lesion on all the pulse sequences in the epiphysis of the left femoral head. This may represent Class D avascular necrosis. The left hip joint space is slightly reduced supero-laterally. The articular cartilage overlying the epiphysis of the left femoral head also appears irregular supero-laterally. The left acetabulum is unremarkable. A small left hip joint effusion is noted. The muscles around the left hip joint appear atrophied.
The visualized right hip joint is unremarkable.
..2/.
IMPRESSION :
1. Post-operative status with track of previous nailing identified in the left femoral head, neck and trochanteric region with susceptibility artifacts.
2. Altered signal in the epiphysis of the left femoral head suggest Class D avascular necrosis. Resultant loss of contour of the left femoral head is noted.
3. Probable early osteoarthritic changes in the left hip joint.
No previous plain radiographs were available for review.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12978
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Mhashelmn / M / 26 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 3 1/2 years.
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 :
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
13.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
Normal study of the Lumbo-sacral Spine.
Date : 00.00.00
Name of the Patient : Abc Xyz Mhashelmn / M / 26 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 3 1/2 years.
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 :
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
13.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
Normal study of the Lumbo-sacral Spine.
Published in
MRI Reports