Regular User
Sunday, 27 December 2015 16:48
12882
sb/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyztala Ralmn / F / 63 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 6 months which has increased since 2 1/2 months.
H/O right Ca breast (infiltrating duct carcinoma) for which patient was operated 1 year back. Received 25 sittings of radiotherapy.
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.
The dorsal spine was screened with 5 mm thick T1 Weighted sagittal and coronal images.
OBSERVATION :
The L5 vertebra is sacralized.
There is slight central wedging of the L1 vertebral body. The L1 vertebra appears hypointense on the T1 Weighted images and heterogeneously hyperintense on the T2 Weighted images. Slight bulge of the posterior margin of the L1 vertebral body is noted. The L5, S2, S3 and S4 segments also show focal altered signal as described above.
Small posterior disc bulge is seen at the L4-L5 level.
Scan-00002
Small postero-central and left postero-lateral disc herniation is noted at the L3-L4 level.
A right far lateral (extraforaminal) disc herniation is seen at the L2-L3 level indenting the extraforaminal segment of the right L2 nerve root.
Slight facetal hypertrophy is noted in the lumbar region.
The rest of the visualized lumbar vertebral bodies reveal normal signal intensity. The lumbar intervertebral discs except the L5-S1 disc show slight loss of water content.
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 :
18.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
9.0 mm at L5-S1.
Screening images of the dorsal spine reveal a Schmorls node along the superior margin of the D9 vertebral body.
Changes in the pelvic bones are described in the study of the pelvis.
IMPRESSION :
1. Sacralized L5 vertebra.
..3/.
- 3 - Scan-00002
2. Altered signal in the L1, L5, S2, S3 and S4 vertebral segments as described most likely represent metastases in a known C/O Ca breast.
3. Small posterior disc bulge at the L4-L5 level.
4. Small postero-central and left postero-lateral disc herniation at the L3-L4 level.
5. A right far lateral (extraforaminal) disc herniation at the L2-L3 level indenting the extraforaminal segment of the right L2 nerve root.
6. Slight facetal hypertrophy in the lumbar region.
Date : 00.00.00
Name of the Patient : Abc Xyztala Ralmn / F / 63 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 6 months which has increased since 2 1/2 months.
H/O right Ca breast (infiltrating duct carcinoma) for which patient was operated 1 year back. Received 25 sittings of radiotherapy.
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.
The dorsal spine was screened with 5 mm thick T1 Weighted sagittal and coronal images.
OBSERVATION :
The L5 vertebra is sacralized.
There is slight central wedging of the L1 vertebral body. The L1 vertebra appears hypointense on the T1 Weighted images and heterogeneously hyperintense on the T2 Weighted images. Slight bulge of the posterior margin of the L1 vertebral body is noted. The L5, S2, S3 and S4 segments also show focal altered signal as described above.
Small posterior disc bulge is seen at the L4-L5 level.
Scan-00002
Small postero-central and left postero-lateral disc herniation is noted at the L3-L4 level.
A right far lateral (extraforaminal) disc herniation is seen at the L2-L3 level indenting the extraforaminal segment of the right L2 nerve root.
Slight facetal hypertrophy is noted in the lumbar region.
The rest of the visualized lumbar vertebral bodies reveal normal signal intensity. The lumbar intervertebral discs except the L5-S1 disc show slight loss of water content.
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 :
18.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
9.0 mm at L5-S1.
Screening images of the dorsal spine reveal a Schmorls node along the superior margin of the D9 vertebral body.
Changes in the pelvic bones are described in the study of the pelvis.
IMPRESSION :
1. Sacralized L5 vertebra.
..3/.
- 3 - Scan-00002
2. Altered signal in the L1, L5, S2, S3 and S4 vertebral segments as described most likely represent metastases in a known C/O Ca breast.
3. Small posterior disc bulge at the L4-L5 level.
4. Small postero-central and left postero-lateral disc herniation at the L3-L4 level.
5. A right far lateral (extraforaminal) disc herniation at the L2-L3 level indenting the extraforaminal segment of the right L2 nerve root.
6. Slight facetal hypertrophy in the lumbar region.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12881
sb/ke/nl/nl
/3 Date : 00.00.00
Name of the Patient : Abc Xyzkumar Bartlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O altered speech, memory impairment, tremors in the RUE and tingling in the LUE and LLE since 2 years.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images, 5 mm thick Fast Scan (T2 *) coronal images and 5 mm thick T1 Weighted sagittal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
There is seen a well marginated, approximately 0.8 x 3.0 x 2.5 cms sized hyperintense mass lesion on the T1 Weighted images in the left external capsular region. This lesion remains hyperintense on the T2 Weighted images and shows evidence of a peripheral hypointense rim, more pronounced on the Fast Scan (T2 *) images. There is no perilesional edema. Mild effacement of the left Sylvian cistern is noted.
An ill-defined hyperintense signal on the T2 Weighted images is noted in the ponto-medullary junction on the left, anteriorly. This most likely represents an ischemic lesion.
Lacunar infarcts are noted in the thalami bilaterally, pons, right corona radiata, left frontal deep white matter and in the right posterior parietal region.
- 2 - Scan-00001/3
Linear hypointense signal, more pronounced on the Fast Scan (T2 *) images is noted in the right posterior parietal periventricular white matter (scans 104.4 & 5).
Mild fullness of both the lateral and third ventricles is noted. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted in the left mastoid air cells.
INTRACRANIAL MRA :
There is ectasia of the vertebro-basilar system. The right vertebral artery is hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The right vertebral artery in the neck also appears hypoplastic.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. A well marginated, approximately 0.8 x 3.0 x 2.5 cms sized mass lesion in the left external capsular region follows the signal characteristics of a late subacute hematoma.
..3/.
- 3 - Scan-00001/3
2. Altered signal in the ponto-medullary junction on the left, anteriorly most likely represents an ischemic lesion.
3. Lacunar infarcts in the thalami bilaterally, pons, right corona radiata, left frontal deep white matter and in the right posterior parietal region.
4. Linear hypointense signal, more pronounced on the Fast Scan (T2 *) images in the right posterior parietal periventricular white matter most likely represents residual hemosiderin, probably the sequelae of a previous haemorrhage.
5. Ectatic vertebro-basilar system with a hypoplastic right vertebral artery.
6. No other significant abnormality is detected on the intracranial and neck MRA on this study.
/3 Date : 00.00.00
Name of the Patient : Abc Xyzkumar Bartlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O altered speech, memory impairment, tremors in the RUE and tingling in the LUE and LLE since 2 years.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images, 5 mm thick Fast Scan (T2 *) coronal images and 5 mm thick T1 Weighted sagittal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
There is seen a well marginated, approximately 0.8 x 3.0 x 2.5 cms sized hyperintense mass lesion on the T1 Weighted images in the left external capsular region. This lesion remains hyperintense on the T2 Weighted images and shows evidence of a peripheral hypointense rim, more pronounced on the Fast Scan (T2 *) images. There is no perilesional edema. Mild effacement of the left Sylvian cistern is noted.
An ill-defined hyperintense signal on the T2 Weighted images is noted in the ponto-medullary junction on the left, anteriorly. This most likely represents an ischemic lesion.
Lacunar infarcts are noted in the thalami bilaterally, pons, right corona radiata, left frontal deep white matter and in the right posterior parietal region.
- 2 - Scan-00001/3
Linear hypointense signal, more pronounced on the Fast Scan (T2 *) images is noted in the right posterior parietal periventricular white matter (scans 104.4 & 5).
Mild fullness of both the lateral and third ventricles is noted. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted in the left mastoid air cells.
INTRACRANIAL MRA :
There is ectasia of the vertebro-basilar system. The right vertebral artery is hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The right vertebral artery in the neck also appears hypoplastic.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. A well marginated, approximately 0.8 x 3.0 x 2.5 cms sized mass lesion in the left external capsular region follows the signal characteristics of a late subacute hematoma.
..3/.
- 3 - Scan-00001/3
2. Altered signal in the ponto-medullary junction on the left, anteriorly most likely represents an ischemic lesion.
3. Lacunar infarcts in the thalami bilaterally, pons, right corona radiata, left frontal deep white matter and in the right posterior parietal region.
4. Linear hypointense signal, more pronounced on the Fast Scan (T2 *) images in the right posterior parietal periventricular white matter most likely represents residual hemosiderin, probably the sequelae of a previous haemorrhage.
5. Ectatic vertebro-basilar system with a hypoplastic right vertebral artery.
6. No other significant abnormality is detected on the intracranial and neck MRA on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12880
sb/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzra Plmn / M / 50 yrs.
Referred by : Dr. Abc Xyzatt / Dr. Abc Xyzhah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered speech since the evening of 00.00.00 with increased 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 FLAIR coronal images.
OBSERVATION :
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the left temporal deep white matter extending into the left corona radiata. This lesion appears nearly isointense to normal white matter on the T1 Weighted images and most likely represents an ischemic lesion (scans 105.10, 102.13, 103.13). There is no evidence of haemorrhage.
There are small bright foci on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the left posterior parietal region and left frontal region. These lesions also appear isointense to normal white matter on the T1 Weighted images.
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.
Inflammatory changes are noted in the left maxillary antrum.
IMPRESSION :
1. Altered signal in the left temporal deep white matter extending into the left corona radiata most likely represents an ischemic lesion (probably recent).
2. Small bright foci on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the left posterior parietal region and left frontal region represent ischemic changes.
Date : 00.00.00
Name of the Patient : Abc Xyzra Plmn / M / 50 yrs.
Referred by : Dr. Abc Xyzatt / Dr. Abc Xyzhah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered speech since the evening of 00.00.00 with increased 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 FLAIR coronal images.
OBSERVATION :
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the left temporal deep white matter extending into the left corona radiata. This lesion appears nearly isointense to normal white matter on the T1 Weighted images and most likely represents an ischemic lesion (scans 105.10, 102.13, 103.13). There is no evidence of haemorrhage.
There are small bright foci on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the left posterior parietal region and left frontal region. These lesions also appear isointense to normal white matter on the T1 Weighted images.
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.
Inflammatory changes are noted in the left maxillary antrum.
IMPRESSION :
1. Altered signal in the left temporal deep white matter extending into the left corona radiata most likely represents an ischemic lesion (probably recent).
2. Small bright foci on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the left posterior parietal region and left frontal region represent ischemic changes.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12879
ke/bv/nlnl
Date : 00.00.00
Name of the Patient : Abc Xyzta A. Shlmn / F / 13 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 0000. On anti-epileptics.
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 reduction in the volume of the hippocampus on the left side. Hyperintense area is seen on the T2 Weighted images in the left hippocampus on the T2 Weighted images (scans 105.5 to 105.9, 107.5 to 107.9). There is fullness of the temporal horns bilaterally, more marked on the left side.
There is slight 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 :
The MRI features are suggestive of left hippocampal sclerosis.
Date : 00.00.00
Name of the Patient : Abc Xyzta A. Shlmn / F / 13 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 0000. On anti-epileptics.
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 reduction in the volume of the hippocampus on the left side. Hyperintense area is seen on the T2 Weighted images in the left hippocampus on the T2 Weighted images (scans 105.5 to 105.9, 107.5 to 107.9). There is fullness of the temporal horns bilaterally, more marked on the left side.
There is slight 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 :
The MRI features are suggestive of left hippocampal sclerosis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12878
sb/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Triplmn / M / 30 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O weakness of BLE since November 0000 for which discoidectomy was done at C4-C5 and C5-C6 levels on 00.00.00. Subsequently developed fever and loose motions with paraplegia and swelling of BLE (right more than left).
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
8 mm thick T1 Weighted and T2 Weighted axial images.
The lumbar and cervical spines were screened with 5 mm thick T1 Weighted sagittal images and 5 mm thick T2 Weighted sagittal images, respectively.
OBSERVATION :
The dorsal spinal cord over atleast the D5 to D11 vertebral levels shows an ill-defined, hyperintense signal on the T2 Weighted images which appears iso to hypointense to normal cord on the T1 Weighted images. This signal is predominantly involving the posterior columns.
The visualized dorsal intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal, lumbar and cervical vertebrae reveal hypointense marrow signal on the T1 Weighted images as compared to normal which suggests excess of hematopoietic marrow.
There is no cord compression.
The conus medullaris terminates at the L1 level.
Consolidation is noted in the visualized lung fields on either side.
Screening images of the lumbar spine reveal a distended urinary bladder without any obvious spinal lesion.
Screening images of the cervical spine reveal evidence of discoidectomy at the C6-C7 and C7-D1 levels. Altered cord signal is noted upto the D1 vertebral level.
IMPRESSION :
1. Altered signal in the dorsal spinal cord over atleast the D1 to D11 vertebral levels as described is not specific for a single etiology. These changes may suggest cord demyelination/edema/ischemia/myelitis/gliotic changes.
Subacute combined degeneration should be ruled out.
2. The patient is status post-operative in the cervical region.
3. Consolidation is noted in the lower zones of both the lungs.
Date : 00.00.00
Name of the Patient : Abc Xyz Triplmn / M / 30 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O weakness of BLE since November 0000 for which discoidectomy was done at C4-C5 and C5-C6 levels on 00.00.00. Subsequently developed fever and loose motions with paraplegia and swelling of BLE (right more than left).
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
8 mm thick T1 Weighted and T2 Weighted axial images.
The lumbar and cervical spines were screened with 5 mm thick T1 Weighted sagittal images and 5 mm thick T2 Weighted sagittal images, respectively.
OBSERVATION :
The dorsal spinal cord over atleast the D5 to D11 vertebral levels shows an ill-defined, hyperintense signal on the T2 Weighted images which appears iso to hypointense to normal cord on the T1 Weighted images. This signal is predominantly involving the posterior columns.
The visualized dorsal intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal, lumbar and cervical vertebrae reveal hypointense marrow signal on the T1 Weighted images as compared to normal which suggests excess of hematopoietic marrow.
There is no cord compression.
The conus medullaris terminates at the L1 level.
Consolidation is noted in the visualized lung fields on either side.
Screening images of the lumbar spine reveal a distended urinary bladder without any obvious spinal lesion.
Screening images of the cervical spine reveal evidence of discoidectomy at the C6-C7 and C7-D1 levels. Altered cord signal is noted upto the D1 vertebral level.
IMPRESSION :
1. Altered signal in the dorsal spinal cord over atleast the D1 to D11 vertebral levels as described is not specific for a single etiology. These changes may suggest cord demyelination/edema/ischemia/myelitis/gliotic changes.
Subacute combined degeneration should be ruled out.
2. The patient is status post-operative in the cervical region.
3. Consolidation is noted in the lower zones of both the lungs.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12877
sb/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzdin D. lmn / M / 56 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain (off and on) since several years which has increased since 8 days radiating to the RLE.
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 L1-L2, L4-L5 and L5-S1 intervertebral discs.
There is slight retroplacement of the L4 over the L5 and L5 over the S1 vertebrae.
There is a posteriorly bulging disc with posterior peridiscal osteophyte at the L5-S1 level. A left far lateral disc herniation is also noted at this level.
A postero-central and right paracentral disc herniation with peridiscal osteophyte is noted at the L4-L5 level indenting the dural theca anteriorly and the traversing right L5 nerve root.
Type II degenerative changes are seen adjacent to the L5-S1 disc.
A hemangioma with fat content is noted in the D12 vertebral body.
Scan-00007
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
Incidentally noted is fat in the filum terminale at the L2 and L3 vertebral levels.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
19.0 mm at L2-L3
16.0 mm at L3-L4
9.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. A postero-central and right paracentral disc herniation with peridiscal osteophyte at the L4-L5 level indenting the traversing right L5 nerve root.
2. A posteriorly bulging disc with posterior peridiscal osteophyte at the L5-S1 level with a left far lateral disc herniation at this level.
Date : 00.00.00
Name of the Patient : Abc Xyzdin D. lmn / M / 56 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain (off and on) since several years which has increased since 8 days radiating to the RLE.
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 L1-L2, L4-L5 and L5-S1 intervertebral discs.
There is slight retroplacement of the L4 over the L5 and L5 over the S1 vertebrae.
There is a posteriorly bulging disc with posterior peridiscal osteophyte at the L5-S1 level. A left far lateral disc herniation is also noted at this level.
A postero-central and right paracentral disc herniation with peridiscal osteophyte is noted at the L4-L5 level indenting the dural theca anteriorly and the traversing right L5 nerve root.
Type II degenerative changes are seen adjacent to the L5-S1 disc.
A hemangioma with fat content is noted in the D12 vertebral body.
Scan-00007
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
Incidentally noted is fat in the filum terminale at the L2 and L3 vertebral levels.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
19.0 mm at L2-L3
16.0 mm at L3-L4
9.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. A postero-central and right paracentral disc herniation with peridiscal osteophyte at the L4-L5 level indenting the traversing right L5 nerve root.
2. A posteriorly bulging disc with posterior peridiscal osteophyte at the L5-S1 level with a left far lateral disc herniation at this level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12876
sb/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzn H. lmn / F / 40 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with giddiness and pain in BLE since 1 year.
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 slight loss of water content of the upper cervical intervertebral discs.
There is evidence of cerebellar tonsillar herniation through the foramen magnum with the tip of the tonsils lying at about the C2 vertebral level. Slight hypertrophy of the transverse ligament is noted indenting the cervico-medullary junction anteriorly. The fourth ventricle is mildly dilated with prominent cerebellar folia. The tip of the odontoid process is seen at the level of the foramen magnum.
A congenital block D2/D3 vertebra is noted.
There is a small postero-central protruded disc with peridiscal osteophyte at the C4-C5 level indenting the dural theca anteriorly.
A postero-central and left postero-lateral disc herniation with peridiscal osteophyte is noted at the C5-C6 level with left neural foraminal narrowing and indentation on the traversing left C6 nerve root.
The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region is unremarkable.
IMPRESSION :
Cerebellar tonsillar herniation through the foramen magnum with congenital block D2/D3 vertebra suggest Chiari I malformation. Mild dilatation of the fourth ventricle is also noted with prominent cerebellar folia.
Date : 00.00.00
Name of the Patient : Abc Xyzn H. lmn / F / 40 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with giddiness and pain in BLE since 1 year.
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 slight loss of water content of the upper cervical intervertebral discs.
There is evidence of cerebellar tonsillar herniation through the foramen magnum with the tip of the tonsils lying at about the C2 vertebral level. Slight hypertrophy of the transverse ligament is noted indenting the cervico-medullary junction anteriorly. The fourth ventricle is mildly dilated with prominent cerebellar folia. The tip of the odontoid process is seen at the level of the foramen magnum.
A congenital block D2/D3 vertebra is noted.
There is a small postero-central protruded disc with peridiscal osteophyte at the C4-C5 level indenting the dural theca anteriorly.
A postero-central and left postero-lateral disc herniation with peridiscal osteophyte is noted at the C5-C6 level with left neural foraminal narrowing and indentation on the traversing left C6 nerve root.
The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region is unremarkable.
IMPRESSION :
Cerebellar tonsillar herniation through the foramen magnum with congenital block D2/D3 vertebra suggest Chiari I malformation. Mild dilatation of the fourth ventricle is also noted with prominent cerebellar folia.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12875
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzo.
Examination : M.R.I. of the Lower Neck and Chest.
CLINICAL PROFILE :
C/O multiple swellings over the body since 25 years.
The lesion on the right arm and left shoulder were operated on 00.00.00. Histopathology s/o pleomorphic liposarcoma (left supra clavicular region).
EXAMINATION :
M.R.I. of the lower neck and chest was performed using the following parameters:
10 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.7 mm thick T1 Weighted and STIR coronal images.7 mm thick T1 Weighted and T2 Weighted sagittal images.OBSERVATION :
There is evidence of operative intervention in the left supra clavicular region extending posteriorly upto the scapular region. Ill-defined, hyperintense signal on the T2 Weighted and STIR images in the supraclavicular fat may be the sequelae of previous surgery.
There is no focal mass lesion identified in the visualized chest wall on either side. No abnormally enlarged lymph nodes are noted in the visualized lower neck, axillae or the visualized mediastinum.
A hyperintense signal on the T2 Weighted and STIR images just superior to the aortic arch in the left paratracheal region posterior to the left subclavian artery is most likely a vessel (scans 110.16 & 17, 111.11 & 12). No other vascular anomaly is identified on this study.
The trachea and the main bronchi do not show any intrinsic lesion.
No obvious abnormality is visualized in the cervico-dorsal vertebrae on this study.
The right lobe of the thyroid gland appear slightly larger in size when compared to the left.
IMPRESSION :1. Post-operative status.
2. No focal mass lesion is identified on this study. No obvious abnormally enlarged lymph nodes are seen on this study.
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzo.
Examination : M.R.I. of the Lower Neck and Chest.
CLINICAL PROFILE :
C/O multiple swellings over the body since 25 years.
The lesion on the right arm and left shoulder were operated on 00.00.00. Histopathology s/o pleomorphic liposarcoma (left supra clavicular region).
EXAMINATION :
M.R.I. of the lower neck and chest was performed using the following parameters:
10 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.7 mm thick T1 Weighted and STIR coronal images.7 mm thick T1 Weighted and T2 Weighted sagittal images.OBSERVATION :
There is evidence of operative intervention in the left supra clavicular region extending posteriorly upto the scapular region. Ill-defined, hyperintense signal on the T2 Weighted and STIR images in the supraclavicular fat may be the sequelae of previous surgery.
There is no focal mass lesion identified in the visualized chest wall on either side. No abnormally enlarged lymph nodes are noted in the visualized lower neck, axillae or the visualized mediastinum.
A hyperintense signal on the T2 Weighted and STIR images just superior to the aortic arch in the left paratracheal region posterior to the left subclavian artery is most likely a vessel (scans 110.16 & 17, 111.11 & 12). No other vascular anomaly is identified on this study.
The trachea and the main bronchi do not show any intrinsic lesion.
No obvious abnormality is visualized in the cervico-dorsal vertebrae on this study.
The right lobe of the thyroid gland appear slightly larger in size when compared to the left.
IMPRESSION :1. Post-operative status.
2. No focal mass lesion is identified on this study. No obvious abnormally enlarged lymph nodes are seen on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12874
bv/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 57 yrs.
Referred by : Dr. Abc Xyzsbekar / Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness since 2 years and occasional tinnitus.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
MR cisternogram was obtained in the coronal plane.
3 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Note is made of metallic susceptibility artifacts in the left frontal region.
Note is made of a polyp in the left maxillary sinus.
The seventh and eighth cranial nerve 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 Xyzlmn / M / 57 yrs.
Referred by : Dr. Abc Xyzsbekar / Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness since 2 years and occasional tinnitus.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
MR cisternogram was obtained in the coronal plane.
3 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Note is made of metallic susceptibility artifacts in the left frontal region.
Note is made of a polyp in the left maxillary sinus.
The seventh and eighth cranial nerve 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
12873
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzarayanlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzenoy.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O road accident on 00.00.00 with injury to the face and drooping of the left eyelid since then.
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 STIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma per se
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.
Susceptibility artifacts are noted in the subgaleal soft tissues in the left periorbital region, the sequelae of previous injury.
Multiple comminuted fractures of the nasal bone, maxillary sinuses, orbits and the floor of the anterior cranial fossa are noted. The left globe is displaced inferiorly and posteriorly into the left orbit. The vitreous of the left globe is slightly more hyperintense with layering when compared to the right on the T1 Weighted images and appears more hyperintense on the proton and T2 Weighted images. No obvious displacement of the lens is noted on either side.
There is herniation of the intraorbital fat and the left inferior rectus muscle into the left maxillary antrum through the fracture in the floor of the left orbit. Altered signal in the left orbital fat may be the sequelae of previous injury. The left optic nerve is normal in its course and signal intensity. The left optic nerve is not well visualized in the left optic canal.
Slight inferior herniation of the right orbit into the right maxillary antrum, anteriorly, is also noted. The visualized right optic nerve is normal in its course and signal intensity without entrapment.
Soft tissue in the paranasal sinuses may represent ? old haemorrhage, ?? inflammatory tissue. Deviation of the nasal septum to the right is noted.
Fracture of the left zygoma is also noted.
IMPRESSION :
1. No abnormality is detected within the brain parenchyma per se on this study.
2. Multiple comminuted fractures involving the orbits and paranasal sinuses on either side as described.
3. Herniation of the left orbital contents into the left maxillary antrum with injury to the left globe as described (most likely represents vitreous haemorrhage).
4. The left optic nerve in the left optic canal is not well visualized.
Date : 00.00.00
Name of the Patient : Abc Xyzarayanlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzenoy.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O road accident on 00.00.00 with injury to the face and drooping of the left eyelid since then.
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 STIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma per se
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.
Susceptibility artifacts are noted in the subgaleal soft tissues in the left periorbital region, the sequelae of previous injury.
Multiple comminuted fractures of the nasal bone, maxillary sinuses, orbits and the floor of the anterior cranial fossa are noted. The left globe is displaced inferiorly and posteriorly into the left orbit. The vitreous of the left globe is slightly more hyperintense with layering when compared to the right on the T1 Weighted images and appears more hyperintense on the proton and T2 Weighted images. No obvious displacement of the lens is noted on either side.
There is herniation of the intraorbital fat and the left inferior rectus muscle into the left maxillary antrum through the fracture in the floor of the left orbit. Altered signal in the left orbital fat may be the sequelae of previous injury. The left optic nerve is normal in its course and signal intensity. The left optic nerve is not well visualized in the left optic canal.
Slight inferior herniation of the right orbit into the right maxillary antrum, anteriorly, is also noted. The visualized right optic nerve is normal in its course and signal intensity without entrapment.
Soft tissue in the paranasal sinuses may represent ? old haemorrhage, ?? inflammatory tissue. Deviation of the nasal septum to the right is noted.
Fracture of the left zygoma is also noted.
IMPRESSION :
1. No abnormality is detected within the brain parenchyma per se on this study.
2. Multiple comminuted fractures involving the orbits and paranasal sinuses on either side as described.
3. Herniation of the left orbital contents into the left maxillary antrum with injury to the left globe as described (most likely represents vitreous haemorrhage).
4. The left optic nerve in the left optic canal is not well visualized.
Published in
MRI Reports