Regular User
Sunday, 27 December 2015 16:48
12827
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzna Sarglmn / F / 30 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 4 years with paresthesias.
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 a postero-central disc herniation with peridiscal osteophyte at the L4-L5 level with anterior compression of the thecal sac and mild left neural foraminal narrowing. There is inferior migration of the disc fragment which is seen to lie posterior to the L5 vertebral body, impinging the right L5 nerve root.
Small postero-central disc herniation is seen at the L3-L4 level with anterior indentation of the thecal sac. The L3-L4 and L4-L5 intervertebral discs show loss of water content.
Anterior peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels.
The facet joints in the lower lumbar region appear slightly hypertrophied.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 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 :
17.0 mm at L1-L2
15.0 mm at L2-L3
12.0 mm at L3-L4
8.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A postero-central disc herniation with peridiscal osteophyte at the L4-L5 level with inferior migration of the disc fragment posterior to the L5 vertebral body, impinging the right L5 nerve root.
2. Small postero-central disc herniation at the L3-L4 level.
Date : 00.00.00
Name of the Patient : Abc Xyzna Sarglmn / F / 30 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 4 years with paresthesias.
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 a postero-central disc herniation with peridiscal osteophyte at the L4-L5 level with anterior compression of the thecal sac and mild left neural foraminal narrowing. There is inferior migration of the disc fragment which is seen to lie posterior to the L5 vertebral body, impinging the right L5 nerve root.
Small postero-central disc herniation is seen at the L3-L4 level with anterior indentation of the thecal sac. The L3-L4 and L4-L5 intervertebral discs show loss of water content.
Anterior peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels.
The facet joints in the lower lumbar region appear slightly hypertrophied.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 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 :
17.0 mm at L1-L2
15.0 mm at L2-L3
12.0 mm at L3-L4
8.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A postero-central disc herniation with peridiscal osteophyte at the L4-L5 level with inferior migration of the disc fragment posterior to the L5 vertebral body, impinging the right L5 nerve root.
2. Small postero-central disc herniation at the L3-L4 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12826
ke/bv/nl/nl
/00006 Date : 21/00.00.00
Name of the Patient : Abc Xyz Ylmn / F / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness of the LUE and LLE with tingling in the LUE and LLE since 15 days.
H/O fever 20 days back.
H/O hypertension.
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.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are subtle hypointense areas in the right frontal and posterior parietal deep white matter on the T1 Weighted images. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. The grey matter in the precentral gyrus also appears to be involved by the pathology.
On administration of contrast, there are ring enhancing lesions in the right high parietal region. Enhancement of the meninges in the sulcal spaces on the right side is noted. Few disc enhancing lesions are also seen in the fronto-parietal deep white matter.
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.
Note is made of ethmoidal sinusitis.
IMPRESSION :
The MRI features are suggestive of multiple ring and disc enhancing lesions with leptomeningeal involvement in the right frontal and posterior parietal deep white matter and grey matter and in the precentral gyrus on the right side. The radiological features favours multiple granulomas.
The possibility of metastatic deposits seems less likely.
A follow-up with contrast would be worthwhile.
/00006 Date : 21/00.00.00
Name of the Patient : Abc Xyz Ylmn / F / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness of the LUE and LLE with tingling in the LUE and LLE since 15 days.
H/O fever 20 days back.
H/O hypertension.
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.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are subtle hypointense areas in the right frontal and posterior parietal deep white matter on the T1 Weighted images. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. The grey matter in the precentral gyrus also appears to be involved by the pathology.
On administration of contrast, there are ring enhancing lesions in the right high parietal region. Enhancement of the meninges in the sulcal spaces on the right side is noted. Few disc enhancing lesions are also seen in the fronto-parietal deep white matter.
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.
Note is made of ethmoidal sinusitis.
IMPRESSION :
The MRI features are suggestive of multiple ring and disc enhancing lesions with leptomeningeal involvement in the right frontal and posterior parietal deep white matter and grey matter and in the precentral gyrus on the right side. The radiological features favours multiple granulomas.
The possibility of metastatic deposits seems less likely.
A follow-up with contrast would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12825
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzSalmn / M / 42 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 1 1/2 years. 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 :
The hippocampus on the right side shows reduction in its volume and shows hyperintense signal on the T2 Weighted images.
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.
Inflammatory changes are noted in the ethmoidal air cells and frontal sinus.
IMPRESSION :
The MRI features are suggestive of right mesial temporal sclerosis.
Date : 00.00.00
Name of the Patient : Abc XyzSalmn / M / 42 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 1 1/2 years. 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 :
The hippocampus on the right side shows reduction in its volume and shows hyperintense signal on the T2 Weighted images.
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.
Inflammatory changes are noted in the ethmoidal air cells and frontal sinus.
IMPRESSION :
The MRI features are suggestive of right mesial temporal sclerosis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12824
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzi Hulmn / F / 40 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 1 year.
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 posterior translation of the L5 over the S1 vertebra. A pseudoposterior disc herniation with peridiscal osteophyte is seen at the L5-S1 level with mild right neural foraminal narrowing and indentation upon the right S1 nerve root. This disc shows loss of water content.
The L5-S1 facet joint on the left side shows mild degenerative change.
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 :
18.0 mm at L1-L2
18.0 mm at L2-L3
20.0 mm at L3-L4
16.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
1. Posterior translation of the L5 over the S1 vertebra.
2. A pseudoposterior disc herniation with peridiscal osteophyte at the L5-S1 level with indentation upon the right S1 nerve root.
3. Mild degenerative changes of the left sided L5-S1 facet joint.
Date : 00.00.00
Name of the Patient : Abc Xyzi Hulmn / F / 40 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 1 year.
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 posterior translation of the L5 over the S1 vertebra. A pseudoposterior disc herniation with peridiscal osteophyte is seen at the L5-S1 level with mild right neural foraminal narrowing and indentation upon the right S1 nerve root. This disc shows loss of water content.
The L5-S1 facet joint on the left side shows mild degenerative change.
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 :
18.0 mm at L1-L2
18.0 mm at L2-L3
20.0 mm at L3-L4
16.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
1. Posterior translation of the L5 over the S1 vertebra.
2. A pseudoposterior disc herniation with peridiscal osteophyte at the L5-S1 level with indentation upon the right S1 nerve root.
3. Mild degenerative changes of the left sided L5-S1 facet joint.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12823
hs/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 30 yrs.
Referred by : Dr. Abc XyzVaishnav.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches and giddiness with occasional blurring of vision.
Known C/O Aortic incompetence.
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 STIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma. (Hyperintense areas in the occipital lobes bilaterally on the FLAIR images are artifactual - se/im 105/4).
There is mild prominence of the cerebellar folia bilaterally.
The visualized optic nerves show normal signal on the STIR 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.
IMPRESSION :
The MRI features are suggestive of mild prominence of the cerebellar folia bilaterally.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 30 yrs.
Referred by : Dr. Abc XyzVaishnav.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches and giddiness with occasional blurring of vision.
Known C/O Aortic incompetence.
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 STIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma. (Hyperintense areas in the occipital lobes bilaterally on the FLAIR images are artifactual - se/im 105/4).
There is mild prominence of the cerebellar folia bilaterally.
The visualized optic nerves show normal signal on the STIR 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.
IMPRESSION :
The MRI features are suggestive of mild prominence of the cerebellar folia bilaterally.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12822
hs/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzNevrlmn / F / 70 yrs.
Referred by : Dr. Abc Xyznavati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided hemiplegia with aphasia since 2 days.
H/O HT +.
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.
5 mm thick T1 Weighted sagittal images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There are diffuse areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the caudate nucleus and putamen on the left side and are most likely ischemic in etiology. There is mild indentation upon the frontal horn and body of the left lateral ventricle.
There is no evidence of haemorrhage.
Foci of hyperintensity on the proton, T2 Weighted and FLAIR images are seen in the fronto-parietal white matter bilaterally and these may be ischemic in etiology.
There is mild fullness of the third and both the lateral ventricles. Also seen is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
Scan-00002
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The intraocular lens is not seen on the left side and this may be the result of previous cataract surgery.
IMPRESSION :
The MRI features are suggestive of areas of recent ischemia/infarction within the caudate nucleus and putamen on the left side.
Date : 00.00.00
Name of the Patient : Abc XyzNevrlmn / F / 70 yrs.
Referred by : Dr. Abc Xyznavati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided hemiplegia with aphasia since 2 days.
H/O HT +.
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.
5 mm thick T1 Weighted sagittal images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There are diffuse areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the caudate nucleus and putamen on the left side and are most likely ischemic in etiology. There is mild indentation upon the frontal horn and body of the left lateral ventricle.
There is no evidence of haemorrhage.
Foci of hyperintensity on the proton, T2 Weighted and FLAIR images are seen in the fronto-parietal white matter bilaterally and these may be ischemic in etiology.
There is mild fullness of the third and both the lateral ventricles. Also seen is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
Scan-00002
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The intraocular lens is not seen on the left side and this may be the result of previous cataract surgery.
IMPRESSION :
The MRI features are suggestive of areas of recent ischemia/infarction within the caudate nucleus and putamen on the left side.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12819
hs/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz R. Shlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to the RLE with paresthesias. Received traction. Now pain has decreased.
H/O lifting heavy weights.
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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of water content of the L1-L2, L4-L5 and L5-S1 intervertebral discs.
There is a postero-central and right paracentral disc herniation at the L5-S1 level with slight inferior migration of the disc fragment posterior to the S1 vertebra indenting the traversing right S1 nerve root. Bilateral far lateral disc bulges are noted at this level.
A fairly large, posteriorly herniated disc with peridiscal osteophytes is noted at the L4-L5 level, indenting the dural theca anteriorly. A sequestered disc fragment is noted in the anterior epidural space to the right of the midline at the L5 vertebral level, compressing the thecal sac and indenting the traversing right L5 nerve root. A left far lateral disc bulge is also noted at this level.
..2/.
A haemangioma with fat content is noted in the D12 vertebral body.
An anterior disc herniation is seen at the L1-L2 level.
Type II degenerative marrow changes are noted adjacent to the L4-L5 and L5-S1 intervertebral discs.
Slight facetal hypertrophy is noted at the L4-L5 level.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining 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
12.0 mm at L2-L3
12.0 mm at L3-L4
11.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. A postero-central and right paracentral disc herniation at the L5-S1 level with slight inferior migration of the disc fragment indenting the traversing right S1 nerve root.
..3/.
- 3 - Scan-00009
2. A fairly large, posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level with a sequestered disc fragment in the anterior epidural space to the right of the midline at the L5 vertebral level, indenting the traversing right L5 nerve root.
3. Slight facetal hypertrophy at the L4-L5 level.
As compared to the previous MRI (study no.00007) dated 00.00.00, there is a decrease in the size of the sequestered disc fragment at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyz R. Shlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to the RLE with paresthesias. Received traction. Now pain has decreased.
H/O lifting heavy weights.
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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of water content of the L1-L2, L4-L5 and L5-S1 intervertebral discs.
There is a postero-central and right paracentral disc herniation at the L5-S1 level with slight inferior migration of the disc fragment posterior to the S1 vertebra indenting the traversing right S1 nerve root. Bilateral far lateral disc bulges are noted at this level.
A fairly large, posteriorly herniated disc with peridiscal osteophytes is noted at the L4-L5 level, indenting the dural theca anteriorly. A sequestered disc fragment is noted in the anterior epidural space to the right of the midline at the L5 vertebral level, compressing the thecal sac and indenting the traversing right L5 nerve root. A left far lateral disc bulge is also noted at this level.
..2/.
A haemangioma with fat content is noted in the D12 vertebral body.
An anterior disc herniation is seen at the L1-L2 level.
Type II degenerative marrow changes are noted adjacent to the L4-L5 and L5-S1 intervertebral discs.
Slight facetal hypertrophy is noted at the L4-L5 level.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining 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
12.0 mm at L2-L3
12.0 mm at L3-L4
11.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. A postero-central and right paracentral disc herniation at the L5-S1 level with slight inferior migration of the disc fragment indenting the traversing right S1 nerve root.
..3/.
- 3 - Scan-00009
2. A fairly large, posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level with a sequestered disc fragment in the anterior epidural space to the right of the midline at the L5 vertebral level, indenting the traversing right L5 nerve root.
3. Slight facetal hypertrophy at the L4-L5 level.
As compared to the previous MRI (study no.00007) dated 00.00.00, there is a decrease in the size of the sequestered disc fragment at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12818
hs/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 2 years.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is evidence of a diffuse area of hypointensity on the T1 Weighted and T2 Weighted images within the D12 vertebral body (more so postero-superiorly). These may represent sclerotic changes. The D11-D12 intervertebral disc is decreased in height and is probably hypointense on all the pulse sequences and may be calcified. (Please correlate with plain radiographs).
Mild posterior disc bulges are noted at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
scan-00008
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
20.0 mm at L2-L3
12.0 mm at L3-L4
15.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of altered signal intensity within the D12 vertebral body as described and this may represent sclerosis.
Correlation with plain films would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 2 years.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is evidence of a diffuse area of hypointensity on the T1 Weighted and T2 Weighted images within the D12 vertebral body (more so postero-superiorly). These may represent sclerotic changes. The D11-D12 intervertebral disc is decreased in height and is probably hypointense on all the pulse sequences and may be calcified. (Please correlate with plain radiographs).
Mild posterior disc bulges are noted at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
scan-00008
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
20.0 mm at L2-L3
12.0 mm at L3-L4
15.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of altered signal intensity within the D12 vertebral body as described and this may represent sclerosis.
Correlation with plain films would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12817
Date : 00.00.00
Name of the Patient : Abc XyzManglmn / M / 69 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc XyzDoshi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O heaviness of the LLE since 4-5 months.
H/O lumbar laminectomy in February 0000.
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 evidence of laminectomy of the L2, L3 and L4 vertebrae with post-operative changes within the posterior soft tissues over these levels.
There is slight loss of water content of all the lumbar intervertebral discs. Some of the lumbar discs are reduced in height and show evidence of calcium/vacuum phenomena. There is slight retrolisthesis of the L2 over the L3 vertebrae.There is a posterior disc herniation and a left postero-lateral (foraminal) disc herniation at the L5-S1 level with left neural foraminal narrowing. A part of the disc fragment is noted in the left lateral recess of S1, indenting the traversing left S1 nerve root. There are also hypertrophic degenerative changes of the facet joints at the L5-S1 level.Posteriorly bulging discs with posterior peridiscal osteophytes are noted at the L2-L3 and L3-L4 levels. The L3-L4 facet joints show degenerative changes. ..2/.
- 2 - scan-00007
A small posterior disc herniation with peridiscal osteophyte is noted at the L4-L5 level. Hypertrophic facetal arthropathy and ligamentum flavum hypertrophy is also noted at this level. There is mild bilateral neural foraminal narrowng at the L4-L5 level.
The intrathecal nerve roots over the L2 to L4 levels are thickened and irregularly defined and this would suggest Group I arachnoiditis.
Slight anterior wedging of the D11, D12 and L1 vertebral bodies is noted without change in signal intensity. The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
IMPRESSION :
1. Post-operative status.
2. Slight retrolisthesis of the L2 over the L3 vertebrae. 3. A posterior disc herniation and a left postero-lateral (foraminal) disc herniation at the L5-S1 level with left neural foraminal narrowing with a part of the disc fragment in the left lateral recess of S1, indenting the traversing left S1 nerve root with hypertrophic facetal arthropathy at this level.4. A small posterior disc herniation with posterior peridiscal osteophytes at the L4-L5 level. Hypertrophic facetal arthropathy and ligamentum flavum hypertrophy is also seen at this level.
5. Posteriorly bulging discs with posterior peridiscal osteophytes at the L2-L3 and L3-L4 levels.
6. Group I arachnoiditis over the L2 to L4 levels.
7. Slight anterior wedging of the D11, D12 and L1 vertebral bodies without change in signal intensity, may be the sequelae of previous trauma.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
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Date : 00.00.00
Name of the Patient : Abc Xyz. Ralmn / F / 15 yrs.
Referred by : Dr. Abc XyzShah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O tuberculosis of the spine. An antero-lateral decompression was done over the D7 to the D9 levels on 00.00.00. For follow-up.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
Post-operative changes are seen in the right paraspinal and right paravertebral soft tissues over the D6 to D9 vertebral levels.
There is anterior wedging with collapse of the D8 vertebral body. Posterior subluxation of the D8 vertebra is seen with impingement of the spinal cord.
There is replacement of the normal marrow of the D5, D6, D7, D8 and D9 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The pedicles of these vertebrae and the posterior appendages of the D7 and D8 vertebrae are involved by the pathology. The superior and inferior cortical endplates of the D8 and D7 vertebrae are breached with involvement of the D7-D8 intervertebral disc. There is pre and paravertebral soft tissue extension over the D5 to D9 vertebral levels which is hypointense with a hyperintense periphery on the T1 Weighted images and turns hyperintense on the T2 Weighted images and would
represent abscess formation. The costo-vertebral and costo-transverse joints at the D7-D8 and D8-D9 levels are involved. There is slight extension into the posterior paraspinal soft tissues at the D7, D8 and D9 vertebral levels. There is circumferential epidural extension of the soft tissue lesion over the D7 and D8 levels with severe compression of the spinal cord at the D7-D8 and D8 levels. The spinal cord over the D2 to D11 levels shows a hyperintense signal on the T2 Weighted images (isointense to normal cord on the T1 Weighted images) suggestive of cord edema/ischemia/myelitis.
The aorta and IVC are displaced anteriorly by the pre and paravertebral soft tissue lesion.
The rest of the visualized dorsal vertebral bodies and remaining intervertebral discs reveal normal signal intensity.
The conus medullaris terminates at the D12-L1 level.
The lumbo-sacral spine was screened with 5 mm thick T1 Weighted sagittal images and does not reveal any diagnostic feature of note.
IMPRESSION :
In a known C/O tuberculosis of the spine, the MRI features are suggestive of :
1. Post-operative status.
2. Altered signal of the D5, D6, D7, D8 and D9 vertebral bodies and the D7-D8 intervertebral disc suggests osteitis with discitis, most likely tuberculous in etiology. Pre and paravertebral soft tissue lesion over the D5 to D9 vertebral levels may suggest an abscess formation. There is cord compression as described and cord signal alteration over the D2 to D11 levels suggestive of cord edema/ischemia/myelitis.
As compared to the previous MRI (study no. 00008) dated 00.00.00, there is a decrease in the size of the soft tissue component of the lesion.
Date : 00.00.00
Name of the Patient : Abc Xyz. Ralmn / F / 15 yrs.
Referred by : Dr. Abc XyzShah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O tuberculosis of the spine. An antero-lateral decompression was done over the D7 to the D9 levels on 00.00.00. For follow-up.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
Post-operative changes are seen in the right paraspinal and right paravertebral soft tissues over the D6 to D9 vertebral levels.
There is anterior wedging with collapse of the D8 vertebral body. Posterior subluxation of the D8 vertebra is seen with impingement of the spinal cord.
There is replacement of the normal marrow of the D5, D6, D7, D8 and D9 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The pedicles of these vertebrae and the posterior appendages of the D7 and D8 vertebrae are involved by the pathology. The superior and inferior cortical endplates of the D8 and D7 vertebrae are breached with involvement of the D7-D8 intervertebral disc. There is pre and paravertebral soft tissue extension over the D5 to D9 vertebral levels which is hypointense with a hyperintense periphery on the T1 Weighted images and turns hyperintense on the T2 Weighted images and would
represent abscess formation. The costo-vertebral and costo-transverse joints at the D7-D8 and D8-D9 levels are involved. There is slight extension into the posterior paraspinal soft tissues at the D7, D8 and D9 vertebral levels. There is circumferential epidural extension of the soft tissue lesion over the D7 and D8 levels with severe compression of the spinal cord at the D7-D8 and D8 levels. The spinal cord over the D2 to D11 levels shows a hyperintense signal on the T2 Weighted images (isointense to normal cord on the T1 Weighted images) suggestive of cord edema/ischemia/myelitis.
The aorta and IVC are displaced anteriorly by the pre and paravertebral soft tissue lesion.
The rest of the visualized dorsal vertebral bodies and remaining intervertebral discs reveal normal signal intensity.
The conus medullaris terminates at the D12-L1 level.
The lumbo-sacral spine was screened with 5 mm thick T1 Weighted sagittal images and does not reveal any diagnostic feature of note.
IMPRESSION :
In a known C/O tuberculosis of the spine, the MRI features are suggestive of :
1. Post-operative status.
2. Altered signal of the D5, D6, D7, D8 and D9 vertebral bodies and the D7-D8 intervertebral disc suggests osteitis with discitis, most likely tuberculous in etiology. Pre and paravertebral soft tissue lesion over the D5 to D9 vertebral levels may suggest an abscess formation. There is cord compression as described and cord signal alteration over the D2 to D11 levels suggestive of cord edema/ischemia/myelitis.
As compared to the previous MRI (study no. 00008) dated 00.00.00, there is a decrease in the size of the soft tissue component of the lesion.
Published in
MRI Reports