Regular User
Sunday, 27 December 2015 16:48
12849
hs/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzka Shinlmn / F / 10 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
There is prominence of the cerebellar folia bilaterally. There is mild fullness of the fourth ventricle.
Both the lateral and third 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 mild prominence of the cerebellar folia.
Date : 00.00.00
Name of the Patient : Abc Xyzka Shinlmn / F / 10 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
There is prominence of the cerebellar folia bilaterally. There is mild fullness of the fourth ventricle.
Both the lateral and third 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 mild prominence of the cerebellar folia.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12848
sb/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzesh Rlmn / M / 8 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since the age of 2 months.
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 T1 Weighted sagittal 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 Xyzesh Rlmn / M / 8 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since the age of 2 months.
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 T1 Weighted sagittal 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
12847
sb/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzn Thlmn / M / 43 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 2 1/2 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is slight loss of water content of the L4-L5 intervertebral disc.
A small, postero-central protruded disc is noted at the L5-S1 level.
A posteriorly herniated disc is noted at the L4-L5 level with thecal sac compression. A sequestered disc fragment is noted in the left postero-lateral epidural space at the L4-L5 level with indentation on the traversing left L5 nerve root.
Small posterior disc bulge is noted at the L3-L4 level.
The facet joints at the L4-L5 and L5-S1 levels appears slightly hypertrophied.
Scan-00007
The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
Schmorls nodes are noted in the lumbar region.
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 :
14.0 mm at L1-L2
11.0 mm at L2-L3
11.0 mm at L3-L4
10.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A posteriorly herniated disc at the L4-L5 level with a sequestered disc fragment in the left postero-lateral epidural space at the L4-L5 level indenting the traversing left L5 nerve root.
2. A small, postero-central protruded disc at the L5-S1 level.
3. Small posterior disc bulge at the L3-L4 level.
4. Slight hypertrophy of the facet joints at the L4-L5 and L5-S1 levels.
5. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions with canal stenosis at the L3-L4 and L4-L5 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzn Thlmn / M / 43 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 2 1/2 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is slight loss of water content of the L4-L5 intervertebral disc.
A small, postero-central protruded disc is noted at the L5-S1 level.
A posteriorly herniated disc is noted at the L4-L5 level with thecal sac compression. A sequestered disc fragment is noted in the left postero-lateral epidural space at the L4-L5 level with indentation on the traversing left L5 nerve root.
Small posterior disc bulge is noted at the L3-L4 level.
The facet joints at the L4-L5 and L5-S1 levels appears slightly hypertrophied.
Scan-00007
The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
Schmorls nodes are noted in the lumbar region.
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 :
14.0 mm at L1-L2
11.0 mm at L2-L3
11.0 mm at L3-L4
10.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A posteriorly herniated disc at the L4-L5 level with a sequestered disc fragment in the left postero-lateral epidural space at the L4-L5 level indenting the traversing left L5 nerve root.
2. A small, postero-central protruded disc at the L5-S1 level.
3. Small posterior disc bulge at the L3-L4 level.
4. Slight hypertrophy of the facet joints at the L4-L5 and L5-S1 levels.
5. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions with canal stenosis at the L3-L4 and L4-L5 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12846
sb/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 45 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 3 months of age.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There are small bright foci on the proton and T2 Weighted images in the subcortical white matter in the left frontal region. These lesions appear hypointense on the T1 Weighted images and may represent prominent perivascular spaces (scans 104.12, 102.12, 103.4).
There is reduction in the volume of the body of the left hippocampus which appears slightly hyperintense on the T2 Weighted images when compared to the right side. Mild fullness of the temporal horn of the left lateral ventricle is also noted (scans 105.5 - 105.9, 106.5 - 106.9).
Both the lateral, third and the fourth ventricles are otherwise unremarkable. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
A subgaleal lipoma is noted at the vertex, more to the left of the midline.
Inflammatory changes are noted in the ethmoidal air cells bilaterally.
IMPRESSION :
Reduction in the volume of the left hippocampus with altered signal suggests left hippocampal sclerosis.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 45 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 3 months of age.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There are small bright foci on the proton and T2 Weighted images in the subcortical white matter in the left frontal region. These lesions appear hypointense on the T1 Weighted images and may represent prominent perivascular spaces (scans 104.12, 102.12, 103.4).
There is reduction in the volume of the body of the left hippocampus which appears slightly hyperintense on the T2 Weighted images when compared to the right side. Mild fullness of the temporal horn of the left lateral ventricle is also noted (scans 105.5 - 105.9, 106.5 - 106.9).
Both the lateral, third and the fourth ventricles are otherwise unremarkable. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
A subgaleal lipoma is noted at the vertex, more to the left of the midline.
Inflammatory changes are noted in the ethmoidal air cells bilaterally.
IMPRESSION :
Reduction in the volume of the left hippocampus with altered signal suggests left hippocampal sclerosis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12845
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz A. lmn / F / 59 yrs.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain in the right knee joint since 1 month.
EXAMINATION :
M.R.I of the right knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and STIR coronal images.
4 mm thick T1 Weighted and GRASS axial images.
OBSERVATION :
There is slight forward translation of the right femur over the right tibia.
Menisci
There is an irregular, hyperintense signal on all the pulse sequences in the posterior horn of the medial meniscus of the right knee joint, extending upto the inferior articular margin. This lesion represents Grade III meniscal signal (meniscal tear).
The anterior horn of the medial meniscus and the anterior and posterior horns of the lateral menisci reveal normal configuration and signal characteristics.
Cruciate Ligaments :
There is an ill-defined, intermediate signal on the T1 Weighted images along the course of the anterior cruciate ligament. This appears hyperintense on the GRASS and STIR images and would suggest a tear (? partial) of the anterior cruciate ligament.
The posterior cruciate ligament shows normal contour and signal characteristics.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
The articular cartilage overlying the patella, tibia and femur appears normal.
Minimal marginal osteophytes are noted around the right knee joint.
A small right knee joint effusion is noted.
A subchondral cyst is noted along the superior margin of the right tibia in the region of the tibial spine.
IMPRESSION :
1. Grade III meniscal signal (meniscal tear) in the posterior horn of the medial meniscus of the right knee joint.
2. Tear of the anterior cruciate ligament.
3. Small right knee joint effusion.
4. Mild osteoarthritic changes around the right knee joint.
Date : 00.00.00
Name of the Patient : Abc Xyz A. lmn / F / 59 yrs.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain in the right knee joint since 1 month.
EXAMINATION :
M.R.I of the right knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and STIR coronal images.
4 mm thick T1 Weighted and GRASS axial images.
OBSERVATION :
There is slight forward translation of the right femur over the right tibia.
Menisci
There is an irregular, hyperintense signal on all the pulse sequences in the posterior horn of the medial meniscus of the right knee joint, extending upto the inferior articular margin. This lesion represents Grade III meniscal signal (meniscal tear).
The anterior horn of the medial meniscus and the anterior and posterior horns of the lateral menisci reveal normal configuration and signal characteristics.
Cruciate Ligaments :
There is an ill-defined, intermediate signal on the T1 Weighted images along the course of the anterior cruciate ligament. This appears hyperintense on the GRASS and STIR images and would suggest a tear (? partial) of the anterior cruciate ligament.
The posterior cruciate ligament shows normal contour and signal characteristics.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
The articular cartilage overlying the patella, tibia and femur appears normal.
Minimal marginal osteophytes are noted around the right knee joint.
A small right knee joint effusion is noted.
A subchondral cyst is noted along the superior margin of the right tibia in the region of the tibial spine.
IMPRESSION :
1. Grade III meniscal signal (meniscal tear) in the posterior horn of the medial meniscus of the right knee joint.
2. Tear of the anterior cruciate ligament.
3. Small right knee joint effusion.
4. Mild osteoarthritic changes around the right knee joint.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12844
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzMerclmn / F / 79 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache with difficulty in walking since 1 month. H/O spinal surgery on 00.00.00 with weakness of BLE and bladder/bowel involvement.
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.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There are still seen post-operative changes in the right paravertebral region over atleast the D7 to D11 levels.
Areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images are seen to involve the D10 and D11 vertebral bodies and pedicles. The D10-D11 intervertebral disc is seen to be involved with erosion of the adjacent cortical endplates.
There is extension of this pathologic process into the anterior epidural space at the D10 and D11 vertebral levels with mild cord compression. There is slight extension of the soft tissue into the prevertebral region over these levels.
There is a large right paravertebral soft tissue lesion seen over the D7 to the D11 levels with absence of the posterior segments of the D10, D9, D8 and the D7 ribs on the right side and probably the right transverse processes of the D7, D8 and D9 vertebrae. This lesion shows a hypointense signal as compared to fat on the T1 Weighted images and is heterogeneously hyperintense on the T2 Weighted images posteriorly and is hyperintense in the anterior portion.
The spinal cord over D10 to the tip of the conus medullaris shows a hyperintense signal on the T2 Weighted images which is iso to hypointense to normal cord on the T1 Weighted images, suggestive of cord edema/ischemia.
Left pleural collection is also noted.
A small well-defined area of hyperintensity on all the pulse sequences is seen within the postero-superior aspect of the D9 vertebral body and this would represent a hemangioma. The rest of the visualized dorsal vertebral bodies show areas of fatty replacement of normal marrow suggestive of osteoporosis.
A Schmorls node is seen in the superior surface of the D9 vertebral body.
The rest of the dorsal intervertebral discs show loss of water content.
IMPRESSION :
1. Post-operative status.
2. Altered cord signal over the D10 to the tip of the conus medullaris most likely represents cord edema/ischemia.
..3/.
- 3 - Scan-00004
3. Reduction in the anterior epidural lesion at the D10 and D11 vertebral levels as compared to the previous MRI study (scan no.00006).
4. Right paravertebral soft tissue lesion over the D7 to the D11 levels with left pleural collection as described is the sequelae of previous surgery.
As compared to the previous MRI (study no:00006) dated 00.00.00 :
1. There is reduction in the post-operative changes in the right paravertebral region.
2. Part of the D10 and D11 vertebral bodies show fatty marrow changes, suggesting a healing process.
3. Minimal reduction in size of the anterior epidural lesion at the D10 and D11 vertebral levels.
4. No significant change in the cord signal alteration over D10 to the tip of conus.
Date : 00.00.00
Name of the Patient : Abc XyzMerclmn / F / 79 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache with difficulty in walking since 1 month. H/O spinal surgery on 00.00.00 with weakness of BLE and bladder/bowel involvement.
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.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There are still seen post-operative changes in the right paravertebral region over atleast the D7 to D11 levels.
Areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images are seen to involve the D10 and D11 vertebral bodies and pedicles. The D10-D11 intervertebral disc is seen to be involved with erosion of the adjacent cortical endplates.
There is extension of this pathologic process into the anterior epidural space at the D10 and D11 vertebral levels with mild cord compression. There is slight extension of the soft tissue into the prevertebral region over these levels.
There is a large right paravertebral soft tissue lesion seen over the D7 to the D11 levels with absence of the posterior segments of the D10, D9, D8 and the D7 ribs on the right side and probably the right transverse processes of the D7, D8 and D9 vertebrae. This lesion shows a hypointense signal as compared to fat on the T1 Weighted images and is heterogeneously hyperintense on the T2 Weighted images posteriorly and is hyperintense in the anterior portion.
The spinal cord over D10 to the tip of the conus medullaris shows a hyperintense signal on the T2 Weighted images which is iso to hypointense to normal cord on the T1 Weighted images, suggestive of cord edema/ischemia.
Left pleural collection is also noted.
A small well-defined area of hyperintensity on all the pulse sequences is seen within the postero-superior aspect of the D9 vertebral body and this would represent a hemangioma. The rest of the visualized dorsal vertebral bodies show areas of fatty replacement of normal marrow suggestive of osteoporosis.
A Schmorls node is seen in the superior surface of the D9 vertebral body.
The rest of the dorsal intervertebral discs show loss of water content.
IMPRESSION :
1. Post-operative status.
2. Altered cord signal over the D10 to the tip of the conus medullaris most likely represents cord edema/ischemia.
..3/.
- 3 - Scan-00004
3. Reduction in the anterior epidural lesion at the D10 and D11 vertebral levels as compared to the previous MRI study (scan no.00006).
4. Right paravertebral soft tissue lesion over the D7 to the D11 levels with left pleural collection as described is the sequelae of previous surgery.
As compared to the previous MRI (study no:00006) dated 00.00.00 :
1. There is reduction in the post-operative changes in the right paravertebral region.
2. Part of the D10 and D11 vertebral bodies show fatty marrow changes, suggesting a healing process.
3. Minimal reduction in size of the anterior epidural lesion at the D10 and D11 vertebral levels.
4. No significant change in the cord signal alteration over D10 to the tip of conus.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12843
sb/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzben lmn / F / 45 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 6 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is partial sacralization of the L5 vertebra on the left.
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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
19.0 mm at L2-L3
19.0 mm at L3-L4
16.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
Sacralized L5 vertebra.
No other significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzben lmn / F / 45 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 6 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is partial sacralization of the L5 vertebra on the left.
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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
19.0 mm at L2-L3
19.0 mm at L3-L4
16.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
Sacralized L5 vertebra.
No other significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12842
bv/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzKlmn / M / 57 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O pain in the nape of the neck since several years.
C/O radicular pain to the RUE since 15 days.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of all the cervical intervertebral discs.
There is slight retroplacement of the C4 over the C5 vertebral bodies.
There is a fairly large postero-central disc herniation at the C4-C5 level with ventral indentation of the thecal sac and the spinal cord. The spinal cord appears semilunar in shape and there is a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images within the spinal cord at this level suggesting cord edema/ischemia.
Postero-central disc herniations with small peridiscal osteophytes are seen at the C5-C6, C6-C7 and C7-D1 levels, more to the right of the midline at the C7-D1 level. There is also cord compression over these levels.
Scan-00002
There is a small, left paracentral protruded disc with peridiscal osteophyte at the C2-C3 level.
There appears to be ossification of the posterior longitudinal ligament extending from the C4-C5 to C7 vertebral levels.
There is slight hypertrophy of the facet joints on the left side at the C4-C5 and C5-C6 levels.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. Slight retroplacement of the C4 over the C5 vertebral bodies.
2. A fairly large postero-central disc herniation at the C4-C5 level with cord signal alteration at this level suggesting cord edema/ischemia.
3. Postero-central disc herniations with small peridiscal osteophytes at the C5-C6, C6-C7 and C7-D1 levels.
4. Ossification of the posterior longitudinal ligament extending from the C4-C5 to C7 vertebral levels.
5. Tight cervical canal over the C4-C5 to the C7-D1 levels.
Date : 00.00.00
Name of the Patient : Abc XyzKlmn / M / 57 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O pain in the nape of the neck since several years.
C/O radicular pain to the RUE since 15 days.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of all the cervical intervertebral discs.
There is slight retroplacement of the C4 over the C5 vertebral bodies.
There is a fairly large postero-central disc herniation at the C4-C5 level with ventral indentation of the thecal sac and the spinal cord. The spinal cord appears semilunar in shape and there is a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images within the spinal cord at this level suggesting cord edema/ischemia.
Postero-central disc herniations with small peridiscal osteophytes are seen at the C5-C6, C6-C7 and C7-D1 levels, more to the right of the midline at the C7-D1 level. There is also cord compression over these levels.
Scan-00002
There is a small, left paracentral protruded disc with peridiscal osteophyte at the C2-C3 level.
There appears to be ossification of the posterior longitudinal ligament extending from the C4-C5 to C7 vertebral levels.
There is slight hypertrophy of the facet joints on the left side at the C4-C5 and C5-C6 levels.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. Slight retroplacement of the C4 over the C5 vertebral bodies.
2. A fairly large postero-central disc herniation at the C4-C5 level with cord signal alteration at this level suggesting cord edema/ischemia.
3. Postero-central disc herniations with small peridiscal osteophytes at the C5-C6, C6-C7 and C7-D1 levels.
4. Ossification of the posterior longitudinal ligament extending from the C4-C5 to C7 vertebral levels.
5. Tight cervical canal over the C4-C5 to the C7-D1 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12841
ke/sb/nl/nl
/41 Date : 00.00.00
Name of the Patient : Abc XyzRajadhyalmn / M / 59 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O momentary weakness on the left side with altered speech for few seconds 4 days back followed by momentary weakness on the right side 4 days back. Recovered.
C/O mild gait imbalance.
C/O tinnitus bilaterally.
EXAMINATION :
M.R.I. of the brain was performed using the following parameters:
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
BRAIN :
There is no focal area of altered signal intensity within the brain parenchyma.
A prominent perivascular space is noted in the left lentiform nucleus.
The hippocampal complex is unremarkable on either side.
There is slight prominence of both the lateral ventricles. The third and the fourth ventricles are normal. There is prominence of the cerebral cortical sulci in the high parietal regions bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of pansinusitis.
INTRACRANIAL MRA :
The A1 segment of the right anterior communicating artery is hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left 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 :
No significant abnormality is detected within the brain parenchyma or on the intracranial and neck MRA on this study.
/41 Date : 00.00.00
Name of the Patient : Abc XyzRajadhyalmn / M / 59 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O momentary weakness on the left side with altered speech for few seconds 4 days back followed by momentary weakness on the right side 4 days back. Recovered.
C/O mild gait imbalance.
C/O tinnitus bilaterally.
EXAMINATION :
M.R.I. of the brain was performed using the following parameters:
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
BRAIN :
There is no focal area of altered signal intensity within the brain parenchyma.
A prominent perivascular space is noted in the left lentiform nucleus.
The hippocampal complex is unremarkable on either side.
There is slight prominence of both the lateral ventricles. The third and the fourth ventricles are normal. There is prominence of the cerebral cortical sulci in the high parietal regions bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of pansinusitis.
INTRACRANIAL MRA :
The A1 segment of the right anterior communicating artery is hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left 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 :
No significant abnormality is detected within the brain parenchyma or on the intracranial and neck MRA on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12839
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzram Kollmn / M / 40 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered behaviour since 1 1/2 years.
H/O evolving subcortical granuloma in 0000. Received AKT for 1 year.
H/O epilepsy since 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 coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are ill-defined hypointense areas in the left temporo-parietal region on the T1 Weighted images which are seen to follow CSF signal characteristics on all the pulse sequences. Hyperintense areas are seen at the periphery of this lesion on the proton, T2 Weighted and FLAIR images which are hypointense to normal white matter on the T1 Weighted images and would represent areas of gliosis. There is mild fullness of the atrium and occipital horn of the left lateral ventricle. This lesion in toto would represent an area of cystic encephalomalacia.
There is an ill-defined hyperintense signal on the T1 Weighted images in the lentiform nuclei bilaterally, extending into the subthalamic region. This signal appears isointense to normal grey matter on the T2 Weighted and FLAIR images.
Scan-00009
The right 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 :
1. Areas of cystic encephalomalacia in the left temporo-parietal region, probably the sequelae of a previous vascular insult.
2. Altered signal in the lentiform nuclei bilaterally, extending into the subthalamic region may suggest paramagnetic substance deposition. Hepato-cerebral syndrome should be ruled out.
Date : 00.00.00
Name of the Patient : Abc Xyzram Kollmn / M / 40 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered behaviour since 1 1/2 years.
H/O evolving subcortical granuloma in 0000. Received AKT for 1 year.
H/O epilepsy since 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 coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are ill-defined hypointense areas in the left temporo-parietal region on the T1 Weighted images which are seen to follow CSF signal characteristics on all the pulse sequences. Hyperintense areas are seen at the periphery of this lesion on the proton, T2 Weighted and FLAIR images which are hypointense to normal white matter on the T1 Weighted images and would represent areas of gliosis. There is mild fullness of the atrium and occipital horn of the left lateral ventricle. This lesion in toto would represent an area of cystic encephalomalacia.
There is an ill-defined hyperintense signal on the T1 Weighted images in the lentiform nuclei bilaterally, extending into the subthalamic region. This signal appears isointense to normal grey matter on the T2 Weighted and FLAIR images.
Scan-00009
The right 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 :
1. Areas of cystic encephalomalacia in the left temporo-parietal region, probably the sequelae of a previous vascular insult.
2. Altered signal in the lentiform nuclei bilaterally, extending into the subthalamic region may suggest paramagnetic substance deposition. Hepato-cerebral syndrome should be ruled out.
Published in
MRI Reports