Regular User
Sunday, 27 December 2015 16:48
12925
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzhry.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O pain in the LLE.
H/O spinal surgery on 29th July 0000 (details not available).
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
4 mm thick T1 Weighted and T2 Weighted axial images.
4 mm thick T1 Weighted sagittal images were also obtained in flexion and extension.
OBSERVATION :
There is evidence of operative intervention in the posterior cervical and suboccipital region with susceptibility artifacts in the soft tissues in the posterior cervical region at that level.
There is loss of water content of the cervical intervertebral discs.
There is still seen a fracture of odontoid process through its mid portion with the base of the fractured fragment tilted posteriorly. Slight anterior subluxation of this fractured fragment with the anterior arch of C1 over the rest of the odontoid process is noted. The distance between the arch and the dens is maintained.
The cervical spinal cord at C1 and C2 vertebral bodies is atrophied and shows a hyperintense signal on the proton and T2 Weighted images suggesting gliotic/myelomalacic changes.
Small postero-central protruded disc with peridiscal osteophytes are noted at the C2-C3, C3-C4 and C5-C6 levels.
Small postero-central disc herniation with peridiscal osteophyte is noted at the C4-C5 level.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
There is no significant change noted in the relation of the fractured fragment and the rest of the odontoid process on the flexion images. On the extension images, however the fractured tip comes more towards the normal alignment with the rest of the odontoid process.
IMPRESSION :
1. Post-operative status.
2. Fracture of the odontoid process through its mid portion with slight anterior translation of the fractured fragment and the anterior arch of C1 over the rest of the odontoid process.
3. Atrophy of the cervical spinal cord at the C1 and C2 vertebral levels with altered signal suggesting gliotic/myelomalacic changes.
..3/.
- 3 - Scan-00005
4. Small postero-central protruded discs with peridiscal osteophytes at the C2-C3, C3-C4, C5-C6 and C6-C7 levels.
5. Small postero-central disc herniation with peridiscal osteophytes at the C4-C5 level.
As compared to the previous MRI (study no:502) dated 00.00.00, there is no significant change noted.
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzhry.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O pain in the LLE.
H/O spinal surgery on 29th July 0000 (details not available).
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
4 mm thick T1 Weighted and T2 Weighted axial images.
4 mm thick T1 Weighted sagittal images were also obtained in flexion and extension.
OBSERVATION :
There is evidence of operative intervention in the posterior cervical and suboccipital region with susceptibility artifacts in the soft tissues in the posterior cervical region at that level.
There is loss of water content of the cervical intervertebral discs.
There is still seen a fracture of odontoid process through its mid portion with the base of the fractured fragment tilted posteriorly. Slight anterior subluxation of this fractured fragment with the anterior arch of C1 over the rest of the odontoid process is noted. The distance between the arch and the dens is maintained.
The cervical spinal cord at C1 and C2 vertebral bodies is atrophied and shows a hyperintense signal on the proton and T2 Weighted images suggesting gliotic/myelomalacic changes.
Small postero-central protruded disc with peridiscal osteophytes are noted at the C2-C3, C3-C4 and C5-C6 levels.
Small postero-central disc herniation with peridiscal osteophyte is noted at the C4-C5 level.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
There is no significant change noted in the relation of the fractured fragment and the rest of the odontoid process on the flexion images. On the extension images, however the fractured tip comes more towards the normal alignment with the rest of the odontoid process.
IMPRESSION :
1. Post-operative status.
2. Fracture of the odontoid process through its mid portion with slight anterior translation of the fractured fragment and the anterior arch of C1 over the rest of the odontoid process.
3. Atrophy of the cervical spinal cord at the C1 and C2 vertebral levels with altered signal suggesting gliotic/myelomalacic changes.
..3/.
- 3 - Scan-00005
4. Small postero-central protruded discs with peridiscal osteophytes at the C2-C3, C3-C4, C5-C6 and C6-C7 levels.
5. Small postero-central disc herniation with peridiscal osteophytes at the C4-C5 level.
As compared to the previous MRI (study no:502) dated 00.00.00, there is no significant change noted.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12924
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyza Plmn / F / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O difficulty in walking since 5-6 years with pain in BLE, tingling and loss of balance.
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.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is prominence of the cerebellar folia bilaterally with mild dilatation of the fourth ventricle. The ventral pontine bulge and the olivary bulges are maintained.
Both the lateral and third ventricles are unremarkable. There is slight 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.
IMPRESSION :
Prominence of the cerebellar folia bilaterally with mild dilatation of the fourth ventricle suggest cerebellar atrophy. The ventral pontine and olivary bulges are maintained.
Date : 00.00.00
Name of the Patient : Abc Xyza Plmn / F / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O difficulty in walking since 5-6 years with pain in BLE, tingling and loss of balance.
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.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is prominence of the cerebellar folia bilaterally with mild dilatation of the fourth ventricle. The ventral pontine bulge and the olivary bulges are maintained.
Both the lateral and third ventricles are unremarkable. There is slight 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.
IMPRESSION :
Prominence of the cerebellar folia bilaterally with mild dilatation of the fourth ventricle suggest cerebellar atrophy. The ventral pontine and olivary bulges are maintained.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12923
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 20 yrs.
Referred by : Dr. Abc Xyz. Patel.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O fall 6 months back with low back pain since then.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The D12 vertebral body is as marked on the film.
There is slight anterior wedging of the D10, D11 and D12 bodies. These vertebrae show spotty fatty marrow changes. Subtle hyperintense signal is seen in the D10 vertebral body along the inferior cortical endplate on the T2 Weighted images and is hypointense on the T1 Weighted images suggestive of Type I degenerative changes. Schmorls nodes are noted over the D10 to L1 vertebrae. The intervening discs, however, show normal signal.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorso-lumbar spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1 level.
IMPRESSION :
Anterior wedging of the D10, D11 and D12 vertebral bodies with spotty fatty marrow changes and Type I degenerative changes in the inferior cortical endplate of D10 vertebrae may be the sequelae of previous trauma. No compressive lesion is identified. Visualized lower dorsal cord shows normal signal.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 20 yrs.
Referred by : Dr. Abc Xyz. Patel.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O fall 6 months back with low back pain since then.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The D12 vertebral body is as marked on the film.
There is slight anterior wedging of the D10, D11 and D12 bodies. These vertebrae show spotty fatty marrow changes. Subtle hyperintense signal is seen in the D10 vertebral body along the inferior cortical endplate on the T2 Weighted images and is hypointense on the T1 Weighted images suggestive of Type I degenerative changes. Schmorls nodes are noted over the D10 to L1 vertebrae. The intervening discs, however, show normal signal.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorso-lumbar spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1 level.
IMPRESSION :
Anterior wedging of the D10, D11 and D12 vertebral bodies with spotty fatty marrow changes and Type I degenerative changes in the inferior cortical endplate of D10 vertebrae may be the sequelae of previous trauma. No compressive lesion is identified. Visualized lower dorsal cord shows normal signal.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12922
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzkant Trilmn / M / 75 yrs.
Referred by : Dr. Abc Xyz Sampat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness of the LLE since 2 years.
Known hypertensive/diabetic.
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 subcortical white matter in the right temporal, occipital lobes and frontal lobes, in the pons and in the periventricular white matter bilaterally. These lesions appear hypointense to normal white matter on the T1 Weighted images.
Lacunar infarcts are noted in the right frontal deep white matter, right lentiform nucleus, bilateral thalami and in the cerebellar hemispheres bilaterally.
There is mild to moderate dilatation of the ventricular system which is disproportionate to the degree of cerebral cortical atrophy. There is 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.
Scan-00002
Inflammatory changes are noted in the left maxillary antrum.
Partial fusion of C2/C3 vertebrae is noted.
IMPRESSION :
1. Altered signal in the subcortical white matter in the right temporal, occipital lobes and frontal lobes in the pons and in the periventricular white matter bilaterally most likely represent ischemic changes.
2. Lacunar infarcts in the right frontal deep white matter, right lentiform nucleus, bilateral thalami and in the cerebellar hemispheres bilaterally.
3. Mild to moderate dilatation of the ventricular system which is disproportionate to the degree of cerebral cortical atrophy. Normal pressure hydrocephalus should be ruled out.
As compared to the previous CT Scan dated 00.00.00, there is no significant change in the size of the ventricles.
Date : 00.00.00
Name of the Patient : Abc Xyzkant Trilmn / M / 75 yrs.
Referred by : Dr. Abc Xyz Sampat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness of the LLE since 2 years.
Known hypertensive/diabetic.
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 subcortical white matter in the right temporal, occipital lobes and frontal lobes, in the pons and in the periventricular white matter bilaterally. These lesions appear hypointense to normal white matter on the T1 Weighted images.
Lacunar infarcts are noted in the right frontal deep white matter, right lentiform nucleus, bilateral thalami and in the cerebellar hemispheres bilaterally.
There is mild to moderate dilatation of the ventricular system which is disproportionate to the degree of cerebral cortical atrophy. There is 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.
Scan-00002
Inflammatory changes are noted in the left maxillary antrum.
Partial fusion of C2/C3 vertebrae is noted.
IMPRESSION :
1. Altered signal in the subcortical white matter in the right temporal, occipital lobes and frontal lobes in the pons and in the periventricular white matter bilaterally most likely represent ischemic changes.
2. Lacunar infarcts in the right frontal deep white matter, right lentiform nucleus, bilateral thalami and in the cerebellar hemispheres bilaterally.
3. Mild to moderate dilatation of the ventricular system which is disproportionate to the degree of cerebral cortical atrophy. Normal pressure hydrocephalus should be ruled out.
As compared to the previous CT Scan dated 00.00.00, there is no significant change in the size of the ventricles.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12920
hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzao Plmn / M / 58 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O craniotomy done on 00.00.00 for a Grade IV glioblastoma. Received 33 sittings of radiotherapy.
Now C/O loss of appetite and altered speech since 15 days.
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.
IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is evidence of a left high parietal craniotomy.
There is evidence of an irregularly defined area of hypointensity on the T1 Weighted images which turns hyperintense on the proton and T2 Weighted images and follows CSF signal on the FLAIR images within the left parietal lobe.
There is mild to moderate dilatation of the ventricular system. Hyperintense areas are noted on the proton, T2 Weighted and FLAIR images in the periventricular white matter. This would represent periventricular CSF ooze. Also seen is effacement of the cerebral cortical sulci bilaterally. This may suggest raised intracranial tension.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
In a known C/O Grade IV glioblastoma the MRI features are suggestive of :
1. Post-operative status.
2. Altered signal in the left parietal lobe most likely represents an area of cystic encephalomalacia. The possibility of residual infiltrative lesion cannot be entirely excluded.
3. Communicating hydrocephalus with periventricular CSF ooze.
Date : 00.00.00
Name of the Patient : Abc Xyzao Plmn / M / 58 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O craniotomy done on 00.00.00 for a Grade IV glioblastoma. Received 33 sittings of radiotherapy.
Now C/O loss of appetite and altered speech since 15 days.
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.
IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is evidence of a left high parietal craniotomy.
There is evidence of an irregularly defined area of hypointensity on the T1 Weighted images which turns hyperintense on the proton and T2 Weighted images and follows CSF signal on the FLAIR images within the left parietal lobe.
There is mild to moderate dilatation of the ventricular system. Hyperintense areas are noted on the proton, T2 Weighted and FLAIR images in the periventricular white matter. This would represent periventricular CSF ooze. Also seen is effacement of the cerebral cortical sulci bilaterally. This may suggest raised intracranial tension.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
In a known C/O Grade IV glioblastoma the MRI features are suggestive of :
1. Post-operative status.
2. Altered signal in the left parietal lobe most likely represents an area of cystic encephalomalacia. The possibility of residual infiltrative lesion cannot be entirely excluded.
3. Communicating hydrocephalus with periventricular CSF ooze.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12919
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzai Polmn / F / 70 yrs.
Referred by : Dr. Abc Xyz Sampat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches, gait ataxia and drooping of the left eyelid since 2 days.
H/O fever since 10 days.
Known hypertensive.
H/O weakness of the RUE with altered speech 2 1/2 years back (has recovered).
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.
FEW NECK IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There are hyperintense areas on the T2 Weighted images in the right temporo-occipital and the right high parietal region. Sulcal spaces are prominent in this region.
A small hyperintense focus on the T2 Weighted images seen in the midbrain posteriorly.
There is mild fullness of the ventricular system. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. 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.
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 :
1. Areas of encephalomalacia in the right temporo-occipital and the right high parietal region.
2. A focus of altered signal intensity in the midbrain posteriorly, is most likely ischemic in etiology.
3. Age related 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 Xyzai Polmn / F / 70 yrs.
Referred by : Dr. Abc Xyz Sampat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches, gait ataxia and drooping of the left eyelid since 2 days.
H/O fever since 10 days.
Known hypertensive.
H/O weakness of the RUE with altered speech 2 1/2 years back (has recovered).
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.
FEW NECK IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There are hyperintense areas on the T2 Weighted images in the right temporo-occipital and the right high parietal region. Sulcal spaces are prominent in this region.
A small hyperintense focus on the T2 Weighted images seen in the midbrain posteriorly.
There is mild fullness of the ventricular system. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. 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.
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 :
1. Areas of encephalomalacia in the right temporo-occipital and the right high parietal region.
2. A focus of altered signal intensity in the midbrain posteriorly, is most likely ischemic in etiology.
3. Age related 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
12918
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzDclmn / F / 70 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache since 1 month with tingling in the RLE since 1 month.
H/O filariaris of the right leg since 7 years.
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 slight wedging of the D8 and D9 vertebral bodies and pedicles which show hypointense areas replacing the normal marrow on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The superior and inferior cortical endplates of the D9 and D8 vertebral bodies, respectively, are breached with involvement of the D8-D9 intervertebral disc. There is slight pre and paravertebral soft tissue extension over these levels.
The rest of the visualized dorsal vertebral bodies show focal fatty changes suggestive of osteoporosis. The remaining visualized intervertebral discs show loss of water content. The facet joints are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
Scan-00008
The conus medullaris terminates at the L1 level.
Screening, 4 mm thick T2 Weighted sagittal images of the cervico-dorsal spine do not reveal any diagnostic feature of note.
The right dome of the diaphragm is elevated.
IMPRESSION :
The MRI features are suggestive of altered signal of the D8 and D9 vertebrae and the D8-D9 intervertebral disc with extensions as described and this would most likely represent an infective process like tuberculosis. The possibility of this being a neoplastic process though less likely cannot be entirely excluded.
Date : 00.00.00
Name of the Patient : Abc XyzDclmn / F / 70 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache since 1 month with tingling in the RLE since 1 month.
H/O filariaris of the right leg since 7 years.
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 slight wedging of the D8 and D9 vertebral bodies and pedicles which show hypointense areas replacing the normal marrow on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The superior and inferior cortical endplates of the D9 and D8 vertebral bodies, respectively, are breached with involvement of the D8-D9 intervertebral disc. There is slight pre and paravertebral soft tissue extension over these levels.
The rest of the visualized dorsal vertebral bodies show focal fatty changes suggestive of osteoporosis. The remaining visualized intervertebral discs show loss of water content. The facet joints are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
Scan-00008
The conus medullaris terminates at the L1 level.
Screening, 4 mm thick T2 Weighted sagittal images of the cervico-dorsal spine do not reveal any diagnostic feature of note.
The right dome of the diaphragm is elevated.
IMPRESSION :
The MRI features are suggestive of altered signal of the D8 and D9 vertebrae and the D8-D9 intervertebral disc with extensions as described and this would most likely represent an infective process like tuberculosis. The possibility of this being a neoplastic process though less likely cannot be entirely excluded.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12917
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzValmn / M / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, diplopia in the right eye (on and off) since August 0000.
C/O seizures in December 0000.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
OBSERVATION :
There are small, subcentimeter, hypointense lesions on all the pulse sequences, more pronounced on the proton, T2 Weighted, FLAIR and Fast Scan (T2 *) images in the subcortical white matter in the frontal and temporal regions bilaterally, right high parietal-parafalcine region and in the right occipital region. There is no perilesional edema.
A similar lesion is noted in the pons, centrally and posteriorly. Minimal hyperintense signal on the proton, T2 Weighted and FLAIR images around the lesion in the pons may represent perilesional edema/gliosis.
There is mild fullness of both the lateral ventricles. 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.
IMPRESSION :
Focal, hypointense lesions on all the pulse sequences in the cerebral hemispheres and pons, as described, most likely represent calcified granulomas. The lesion in the pons shows evidence of minimal perilesional edema/gliosis.
Date : 00.00.00
Name of the Patient : Abc XyzValmn / M / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, diplopia in the right eye (on and off) since August 0000.
C/O seizures in December 0000.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
OBSERVATION :
There are small, subcentimeter, hypointense lesions on all the pulse sequences, more pronounced on the proton, T2 Weighted, FLAIR and Fast Scan (T2 *) images in the subcortical white matter in the frontal and temporal regions bilaterally, right high parietal-parafalcine region and in the right occipital region. There is no perilesional edema.
A similar lesion is noted in the pons, centrally and posteriorly. Minimal hyperintense signal on the proton, T2 Weighted and FLAIR images around the lesion in the pons may represent perilesional edema/gliosis.
There is mild fullness of both the lateral ventricles. 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.
IMPRESSION :
Focal, hypointense lesions on all the pulse sequences in the cerebral hemispheres and pons, as described, most likely represent calcified granulomas. The lesion in the pons shows evidence of minimal perilesional edema/gliosis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12916
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzeep M. Balmn / M / 9 yrs.
Referred by : Dr. Abc Xyzankhla.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O weakness of BLE and no control over bowel since birth.
Release of tethered cord with excision of lipoma on 00.00.0000.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There are post-operative changes in the posterior soft tissues over the L3 to S1 levels. Open lumbo-sacral canal is noted at the L3, L4 and L5 levels. Segmentation anomaly of the L4 vertebral body and posterior elements of the L4 and L5 vertebrae is noted.
There is tethering of the spinal cord to an intradural lipoma at the L2 and L3 vertebral levels and its tip is seen to lie at the L4-L5 level with thickened filum terminale extending upto the L5-S1 level.
A hypointense signal is seen in the spinal cord extending over the D12-L1 level upwards into the dorsal spine upto about D9 vertebral level, with few septae following CSF signal characteristics and would represent a syrinx.
Dural ectasia is seen in the lower lumbar region.
The visualized dorso-lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. Post-operated study.
2. Spinal dysraphism with an intradural lipoma at the L2 and L3 levels, tethering the spinal cord with its the tip lying at the L4-L5 level with thickened filum terminale extending upto the L5-S1 level. A syrinx in the lower dorsal spinal cord extending over the D12-L1 level upwards into the dorsal spine upto about the D9 level, with few septae.
As compared to the previous MRI dated 00.00.00, there is still seen a residual intradural lipoma at the L2/L3 level, tethering the cord. A syrinx is not noted in the lower dorsal region.
Date : 00.00.00
Name of the Patient : Abc Xyzeep M. Balmn / M / 9 yrs.
Referred by : Dr. Abc Xyzankhla.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O weakness of BLE and no control over bowel since birth.
Release of tethered cord with excision of lipoma on 00.00.0000.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There are post-operative changes in the posterior soft tissues over the L3 to S1 levels. Open lumbo-sacral canal is noted at the L3, L4 and L5 levels. Segmentation anomaly of the L4 vertebral body and posterior elements of the L4 and L5 vertebrae is noted.
There is tethering of the spinal cord to an intradural lipoma at the L2 and L3 vertebral levels and its tip is seen to lie at the L4-L5 level with thickened filum terminale extending upto the L5-S1 level.
A hypointense signal is seen in the spinal cord extending over the D12-L1 level upwards into the dorsal spine upto about D9 vertebral level, with few septae following CSF signal characteristics and would represent a syrinx.
Dural ectasia is seen in the lower lumbar region.
The visualized dorso-lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. Post-operated study.
2. Spinal dysraphism with an intradural lipoma at the L2 and L3 levels, tethering the spinal cord with its the tip lying at the L4-L5 level with thickened filum terminale extending upto the L5-S1 level. A syrinx in the lower dorsal spinal cord extending over the D12-L1 level upwards into the dorsal spine upto about the D9 level, with few septae.
As compared to the previous MRI dated 00.00.00, there is still seen a residual intradural lipoma at the L2/L3 level, tethering the cord. A syrinx is not noted in the lower dorsal region.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12915
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz. Glmn / F / 46 yrs.
Referred by : Dr. Abc Xyzoshipura.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain radiating to the RLE since December 0000 with paresthesias in the RLE 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 is loss of water content of the L3-L4, L4-L5 and L5-S1 intervertebral discs.
There is a fairly large, right paracentral and right postero-lateral disc herniation with peridiscal osteophyte at the L4-L5 level with right neural foraminal narrowing. Inferior migration of the disc fragment is noted into the right lateral recess of L5, impinging the right L5 nerve root. Slight facetal hypertrophy is also noted at the L4-L5 level.
A small, postero-central protruded disc is noted at the L5-S1 level. Slight left facetal hypertrophy is noted at this level.
A small, left postero-lateral protruded disc is noted at the L3-L4 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of 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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
20.0 mm at L2-L3
19.0 mm at L3-L4
15.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A fairly large, right paracentral and right postero-lateral disc herniation with peridiscal osteophyte at the L4-L5 level with inferior migration of the disc fragment into the right lateral recess of L5, impinging the right L5 nerve root.
2. A small, postero-central protruded disc at the L5-S1 level.
As compared to the previous MRI dated 00.00.00, scan no:0000, there is an increase in the degree of disc herniation at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyz. Glmn / F / 46 yrs.
Referred by : Dr. Abc Xyzoshipura.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain radiating to the RLE since December 0000 with paresthesias in the RLE 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 is loss of water content of the L3-L4, L4-L5 and L5-S1 intervertebral discs.
There is a fairly large, right paracentral and right postero-lateral disc herniation with peridiscal osteophyte at the L4-L5 level with right neural foraminal narrowing. Inferior migration of the disc fragment is noted into the right lateral recess of L5, impinging the right L5 nerve root. Slight facetal hypertrophy is also noted at the L4-L5 level.
A small, postero-central protruded disc is noted at the L5-S1 level. Slight left facetal hypertrophy is noted at this level.
A small, left postero-lateral protruded disc is noted at the L3-L4 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of 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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
20.0 mm at L2-L3
19.0 mm at L3-L4
15.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A fairly large, right paracentral and right postero-lateral disc herniation with peridiscal osteophyte at the L4-L5 level with inferior migration of the disc fragment into the right lateral recess of L5, impinging the right L5 nerve root.
2. A small, postero-central protruded disc at the L5-S1 level.
As compared to the previous MRI dated 00.00.00, scan no:0000, there is an increase in the degree of disc herniation at the L4-L5 level.
Published in
MRI Reports