Regular User
Sunday, 27 December 2015 16:48
12785
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz M. lmn / M / 36 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 7 days.
Similar complaints earlier in 0000 and 0000. Recovered.
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 L4-L5 and L5-S1 intervertebral discs.
There is slight retroplacement of the L5 over the S1 vertebra.
Postero-central disc herniations are noted at the L4-L5 and L5-S1 levels with slight inferior migration of the disc at these levels. Ventral indentation on the thecal sac is noted over these levels.
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 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 :
19.0 mm at L1-L2
19.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
Degenerated L4-L5 and L5-S1 discs with postero-central disc herniations at these levels.
Date : 00.00.00
Name of the Patient : Abc Xyz M. lmn / M / 36 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 7 days.
Similar complaints earlier in 0000 and 0000. Recovered.
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 L4-L5 and L5-S1 intervertebral discs.
There is slight retroplacement of the L5 over the S1 vertebra.
Postero-central disc herniations are noted at the L4-L5 and L5-S1 levels with slight inferior migration of the disc at these levels. Ventral indentation on the thecal sac is noted over these levels.
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 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 :
19.0 mm at L1-L2
19.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
Degenerated L4-L5 and L5-S1 discs with postero-central disc herniations at these levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12784
ke/bv/nl/rg.
/84 Date : 15/00.00.00
Name of the Patient : Abc Xyzh lmn / M / 16 yrs.
Referred by : Dr. Abc Xyzosale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) since 6 months.
Also C/O epilepsy since the age of 13 years with MR.
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.
IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION. SCAN WAS REPEATED AGAIN ON 00.00.00 BUT STILL IMAGES SHOWED PATIENT MOTION.
OBSERVATION :
There is a change in the alignment of the L5 over the S1 vertebra.
There is Grade II spondylolisthesis of the L5 over the S1 vertebra without obvious spondylolysis. A large pseudo-posterior disc herniation is seen at the L5-S1 level with anterior compression of the thecal sac and canal stenosis. There is bilateral neural foraminal narrowing with indentation upon the foraminal portion of the L5 nerve roots bilaterally. This intervertebral disc shows loss of water content.
A postero-central and right postero-lateral disc bulge is noted at the L4-L5 level with anteior indentation of the thecal sac and right neural foraminal narrowing.
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.
..2/.
The conus medullaris terminates at the D12-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 :
19.0 mm at L1-L2
18.0 mm at L2-L3
16.0 mm at L3-L4
12.0 mm at L4-L5
6.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Grade II spondylolisthesis of the L5 over the S1 vertebra without obvious spondylolysis.
2. A large pseudo-posterior disc herniation at the L5-S1 level with indentation upon the foraminal portion of the L5 nerve
roots bilaterally and canal stenosis.
/84 Date : 15/00.00.00
Name of the Patient : Abc Xyzh lmn / M / 16 yrs.
Referred by : Dr. Abc Xyzosale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) since 6 months.
Also C/O epilepsy since the age of 13 years with MR.
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.
IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION. SCAN WAS REPEATED AGAIN ON 00.00.00 BUT STILL IMAGES SHOWED PATIENT MOTION.
OBSERVATION :
There is a change in the alignment of the L5 over the S1 vertebra.
There is Grade II spondylolisthesis of the L5 over the S1 vertebra without obvious spondylolysis. A large pseudo-posterior disc herniation is seen at the L5-S1 level with anterior compression of the thecal sac and canal stenosis. There is bilateral neural foraminal narrowing with indentation upon the foraminal portion of the L5 nerve roots bilaterally. This intervertebral disc shows loss of water content.
A postero-central and right postero-lateral disc bulge is noted at the L4-L5 level with anteior indentation of the thecal sac and right neural foraminal narrowing.
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.
..2/.
The conus medullaris terminates at the D12-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 :
19.0 mm at L1-L2
18.0 mm at L2-L3
16.0 mm at L3-L4
12.0 mm at L4-L5
6.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Grade II spondylolisthesis of the L5 over the S1 vertebra without obvious spondylolysis.
2. A large pseudo-posterior disc herniation at the L5-S1 level with indentation upon the foraminal portion of the L5 nerve
roots bilaterally and canal stenosis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12783
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzh B. Klmn / M / 30 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 2 months.
H/O fall prior to this.
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 L5-S1 intervertebral disc.
There is a posterior disc herniation at the L5-S1 level with mild indentation and posterior displacement on the S1 nerve roots. There is an extruded disc portion seen to migrate inferiorly behind the L5 vertebra with impingement of the traversing left S1 nerve root.
Postero-central disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac.
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 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 :
15.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. A posterior disc herniation at the L5-S1 level with posterior displacement and indentation on the S1 nerve roots and inferior migration of the extruded disc posterior to the S1 vertebral body impinging the traversing left S1 nerve root.
2. Postero-central disc herniation at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyzh B. Klmn / M / 30 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 2 months.
H/O fall prior to this.
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 L5-S1 intervertebral disc.
There is a posterior disc herniation at the L5-S1 level with mild indentation and posterior displacement on the S1 nerve roots. There is an extruded disc portion seen to migrate inferiorly behind the L5 vertebra with impingement of the traversing left S1 nerve root.
Postero-central disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac.
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 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 :
15.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. A posterior disc herniation at the L5-S1 level with posterior displacement and indentation on the S1 nerve roots and inferior migration of the extruded disc posterior to the S1 vertebral body impinging the traversing left S1 nerve root.
2. Postero-central disc herniation at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12782
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzingh Gulmn / M / 75 yrs.
Referred by : Dr. Abc Xyzlkan / Dr. Abc Xyznghal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) since 2 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 forward subluxation of the L4 over the L5 vertebra.
A small pseudoposterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The L4-L5 facet joints show hypertrophic degenerative changes.
Small posterior disc bulge is seen at the L5-S1 level. The right facet joint at this level shows hypertrophic degenerative changes.
The lumbar intervertebral discs show loss of water content.
Type II degenerative changes are noted in the antero-superior portion of the L5 vertebra and antero-inferior portion of the L1 vertebra.
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 D12-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
16.0 mm at L3-L4
10.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Forward subluxation of the L4 over the L5 vertebra.
2. A small pseudoposterior disc herniation at the L4-L5 level with hypertrophic facetal arthropathy at this level.
3. Small posterior disc bulge at the L5-S1 level with hypertrophic degenerative changes of the right facet joint at this level.
Date : 00.00.00
Name of the Patient : Abc Xyzingh Gulmn / M / 75 yrs.
Referred by : Dr. Abc Xyzlkan / Dr. Abc Xyznghal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) since 2 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 forward subluxation of the L4 over the L5 vertebra.
A small pseudoposterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The L4-L5 facet joints show hypertrophic degenerative changes.
Small posterior disc bulge is seen at the L5-S1 level. The right facet joint at this level shows hypertrophic degenerative changes.
The lumbar intervertebral discs show loss of water content.
Type II degenerative changes are noted in the antero-superior portion of the L5 vertebra and antero-inferior portion of the L1 vertebra.
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 D12-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
16.0 mm at L3-L4
10.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Forward subluxation of the L4 over the L5 vertebra.
2. A small pseudoposterior disc herniation at the L4-L5 level with hypertrophic facetal arthropathy at this level.
3. Small posterior disc bulge at the L5-S1 level with hypertrophic degenerative changes of the right facet joint at this level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12781
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Kalmn / M / 35 yrs.
Referred by : Dr. Abc Xyzl.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) with tingling 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 a posterior disc bulge at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. Mild facetal arthropathy is noted at this level. The L4-L5 disc shows slight loss of water content.
A small postero-central disc protrusion is seen at the L5-S1 level.
A small right postero-lateral disc bulge is noted at the L3-L4 level.
The pedicles of the lumbar vertebrae are congenitally short in their antero-posterior dimensions.
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 :
16.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A posterior disc bulge at the L4-L5 level with mild facetal arthropathy at this level.
2. A small postero-central disc protrusion at the L5-S1 level.
3. A small right postero-lateral disc bulge at the L3-L4 level.
4. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
Date : 00.00.00
Name of the Patient : Abc Xyz Kalmn / M / 35 yrs.
Referred by : Dr. Abc Xyzl.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) with tingling 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 a posterior disc bulge at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. Mild facetal arthropathy is noted at this level. The L4-L5 disc shows slight loss of water content.
A small postero-central disc protrusion is seen at the L5-S1 level.
A small right postero-lateral disc bulge is noted at the L3-L4 level.
The pedicles of the lumbar vertebrae are congenitally short in their antero-posterior dimensions.
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 :
16.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A posterior disc bulge at the L4-L5 level with mild facetal arthropathy at this level.
2. A small postero-central disc protrusion at the L5-S1 level.
3. A small right postero-lateral disc bulge at the L3-L4 level.
4. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12780
Date : 00.00.00
Name of the Patient : Abc XyzAchlmn / M / 65 yrs.
Referred by : Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Thorax.
CLINICAL PROFILE :
C/O drooping of the left eyelid since 6-7 months.
EXAMINATION :
M.R.I. of the thorax was performed using the following parameters:
8 mm thick T1 Weighted and T2 Weighted axial images.8 mm thick T1 Weighted sagittal images.9 mm thick T1 Weighted coronal images.
OBSERVATION :
There is seen a small, approximately 1.2 cms diameter sized lymphnode in the pretracheal-retrocaval region.
A small, approximately 1.1 cms diameter sized intermediate signal intensity lesion on T1 Weighted images is noted in the anterior mediastinal fat at about the level of the aortic arch (scans 102.12, 106.5). This lesion appears hypointense on the T2 Weighted images (scans 104.12). The anterior mediastinal fat is otherwise unremarkable and shows normal signal.
The vascular structures in the mediastinum are normal. The hila bilaterally appear to be normal.
The visualized cervico-dorsal vertebral bodies, the sternum and the costochondral joints do not reveal any area of altered signal intensity.
An approximately 3.0 x 1.8 cms sized well-defined, intermediate signal intensity lesion is noted in the subcoracoid region, in the intermuscular plane between the trapezius muscle and the infraspinatous muscle on the right (scans 104.2-4, 102.2-4). This lesion appears hyperintense on the T2 Weighted images.
IMPRESSION :
1. A small, approximately 1.2 cms diameter sized lymphnode in the pretracheal-retrocaval region
2. A small, approximately 1.1 cms diameter sized lesion in the anterior mediastinal fat at about the level of the aortic arch also most likely represents a lymphnode. The possibility of this lesion representing a thymic tumor seems less likely.
3. An approximately 3.0 x 1.8 cms sized well-defined, lesion in the subcoracoid region, in the intermuscular plane between the trapezius muscle and the infraspinatous muscle on the right is not specific for a single etiology. This may represents a fluid filled bursa.
Name of the Patient : Abc XyzAchlmn / M / 65 yrs.
Referred by : Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Thorax.
CLINICAL PROFILE :
C/O drooping of the left eyelid since 6-7 months.
EXAMINATION :
M.R.I. of the thorax was performed using the following parameters:
8 mm thick T1 Weighted and T2 Weighted axial images.8 mm thick T1 Weighted sagittal images.9 mm thick T1 Weighted coronal images.
OBSERVATION :
There is seen a small, approximately 1.2 cms diameter sized lymphnode in the pretracheal-retrocaval region.
A small, approximately 1.1 cms diameter sized intermediate signal intensity lesion on T1 Weighted images is noted in the anterior mediastinal fat at about the level of the aortic arch (scans 102.12, 106.5). This lesion appears hypointense on the T2 Weighted images (scans 104.12). The anterior mediastinal fat is otherwise unremarkable and shows normal signal.
The vascular structures in the mediastinum are normal. The hila bilaterally appear to be normal.
The visualized cervico-dorsal vertebral bodies, the sternum and the costochondral joints do not reveal any area of altered signal intensity.
An approximately 3.0 x 1.8 cms sized well-defined, intermediate signal intensity lesion is noted in the subcoracoid region, in the intermuscular plane between the trapezius muscle and the infraspinatous muscle on the right (scans 104.2-4, 102.2-4). This lesion appears hyperintense on the T2 Weighted images.
IMPRESSION :
1. A small, approximately 1.2 cms diameter sized lymphnode in the pretracheal-retrocaval region
2. A small, approximately 1.1 cms diameter sized lesion in the anterior mediastinal fat at about the level of the aortic arch also most likely represents a lymphnode. The possibility of this lesion representing a thymic tumor seems less likely.
3. An approximately 3.0 x 1.8 cms sized well-defined, lesion in the subcoracoid region, in the intermuscular plane between the trapezius muscle and the infraspinatous muscle on the right is not specific for a single etiology. This may represents a fluid filled bursa.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12779
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzth lmn / M / 55 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain with Contrast.
CLINICAL PROFILE :
C/O deafness of the right ear since 23 years.
Now C/O tinnitus and decreased hearing on the left side.
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 also obtained.
3 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
After administration of contrast, the following parameters were used :
3 mm thick T1 Weighted axial and coronal images.
OBSERVATION :
There is thickening of the seventh and eighth cranial nerve complex on the left side (se/im 107/5, 106/6, 103/5, 102/5). This is slightly hyperintense to the normal nerve on the T1 Weighted images and appears hypointense on the proton and T2 Weighted images. There is effacement of the adjacent CSF space.
There is enhancement of the seventh and eighth cranial nerve on the left side on administration of contrast.
There is no area of abnormal enhancement within the brain parenchyma or the meninges.
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 thickening of the seventh and eighth nerve complex on the left side with enhancement. These findings may be seen with,
1. An intracanalicular acoustic neurinoma.
2. Focal neuritis.
Date : 00.00.00
Name of the Patient : Abc Xyzth lmn / M / 55 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain with Contrast.
CLINICAL PROFILE :
C/O deafness of the right ear since 23 years.
Now C/O tinnitus and decreased hearing on the left side.
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 also obtained.
3 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
After administration of contrast, the following parameters were used :
3 mm thick T1 Weighted axial and coronal images.
OBSERVATION :
There is thickening of the seventh and eighth cranial nerve complex on the left side (se/im 107/5, 106/6, 103/5, 102/5). This is slightly hyperintense to the normal nerve on the T1 Weighted images and appears hypointense on the proton and T2 Weighted images. There is effacement of the adjacent CSF space.
There is enhancement of the seventh and eighth cranial nerve on the left side on administration of contrast.
There is no area of abnormal enhancement within the brain parenchyma or the meninges.
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 thickening of the seventh and eighth nerve complex on the left side with enhancement. These findings may be seen with,
1. An intracanalicular acoustic neurinoma.
2. Focal neuritis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12778
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Mlmn / M / 31 yrs.
Referred by : Dr. Abc Xyzadilkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with paresthesias in the RLE 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 slight forward subluxation of the L5 over the S1 vertebra.
A small posterior disc herniation is seen at the L5-S1 level with anterior indentation of the thecal sac.
A small posterior disc bulge is identified at the L4-L5 level.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
19.0 mm at L2-L3
17.0 mm at L3-L4
15.0 mm at L4-L5
12.0 mm at L5-S1.
The dorsal spine was screened with 5 mm thick T1 Weighted sagittal images and does not reveal any diagnostic feature of note.
IMPRESSION :
A small posterior disc herniation at the L5-S1 level.
Date : 00.00.00
Name of the Patient : Abc Xyz Mlmn / M / 31 yrs.
Referred by : Dr. Abc Xyzadilkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with paresthesias in the RLE 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 slight forward subluxation of the L5 over the S1 vertebra.
A small posterior disc herniation is seen at the L5-S1 level with anterior indentation of the thecal sac.
A small posterior disc bulge is identified at the L4-L5 level.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
19.0 mm at L2-L3
17.0 mm at L3-L4
15.0 mm at L4-L5
12.0 mm at L5-S1.
The dorsal spine was screened with 5 mm thick T1 Weighted sagittal images and does not reveal any diagnostic feature of note.
IMPRESSION :
A small posterior disc herniation at the L5-S1 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12777
hs/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzhai lmn / M / 81 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O weakness of BLE with acute onset of bladder/bowel incontinence.
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.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There ie evidence of a mass lesion within the epidural space posteriorly and more to the left over the D8 to D11 vertebral levels. It is of intermediate signal intensity on all the pulse sequences. The cord is compressed and displaced anteriorly and to the right. The cord is hyperintense on the T2 Weighted images over these levels and would suggest cord edema/ischemia/myelitis.
There is involvement of the D9 and D10 pedicles on the left side with encroachment into the left D9-D10 neural foramen. Also seen is involvement of the left costo-vertebral joints and head and neck of the rib at this level. A small left paravertebral soft tissue component is seen at the D9 and D10 levels.
The rest of the visualized dorsal vertebral bodies show normal signal intensity. The visualized dorsal intervertebral discs show loss of water content.
IMPRESSION :
The MRI features are suggestive of a pathologic process within the posterior epidural space, more to the left over the D8 to D11 vertebral levels as described with cord compression and cord edema/ischemia/myelitis.
The differential diagnosis would include :
1. Infective process like tuberculosis.
2. Neoplasia like small cell tumors or secondaries.
Date : 00.00.00
Name of the Patient : Abc Xyzhai lmn / M / 81 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O weakness of BLE with acute onset of bladder/bowel incontinence.
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.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There ie evidence of a mass lesion within the epidural space posteriorly and more to the left over the D8 to D11 vertebral levels. It is of intermediate signal intensity on all the pulse sequences. The cord is compressed and displaced anteriorly and to the right. The cord is hyperintense on the T2 Weighted images over these levels and would suggest cord edema/ischemia/myelitis.
There is involvement of the D9 and D10 pedicles on the left side with encroachment into the left D9-D10 neural foramen. Also seen is involvement of the left costo-vertebral joints and head and neck of the rib at this level. A small left paravertebral soft tissue component is seen at the D9 and D10 levels.
The rest of the visualized dorsal vertebral bodies show normal signal intensity. The visualized dorsal intervertebral discs show loss of water content.
IMPRESSION :
The MRI features are suggestive of a pathologic process within the posterior epidural space, more to the left over the D8 to D11 vertebral levels as described with cord compression and cord edema/ischemia/myelitis.
The differential diagnosis would include :
1. Infective process like tuberculosis.
2. Neoplasia like small cell tumors or secondaries.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12776
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Prajalmn / M / 42 yrs.
Referred by : Dr. Abc Xyzchale / Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O ? Miller-Fisher syndrome since 15 days.
C/O severe backache since 1 1/2 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.
4 mm thick FLAIR and STIR coronal images.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and 6 mm thick T2 Weighted axial images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
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.
The optic nerves show normal signal on either side.
The clivus and the petrous apices show a relatively hypointense signal when compared to normal fatty marrow.
Screening images of the lumbo-sacral spine reveal a diffuse hypointense signal on the T1 Weighted images involving the visualized lumbo-sacral vertebrae and the pelvic bones. This signal appears heterogeneously hyperintense on the T2 Weighted images. Probable presacral and epidural soft tissue extension of the lesion is noted at the L5 level and the sacral region.
Incidentally noted is hepatosplenomegaly.
IMPRESSION :
1. Normal study of the Brain.
2. Diffuse altered signal in the clivus, petrous apices, lumbar and sacral vertebrae and in the pelvic bones is not specific for a single etiology. Myeloproliferative disorders or small cell tumors should be ruled out.
Date : 00.00.00
Name of the Patient : Abc Xyz Prajalmn / M / 42 yrs.
Referred by : Dr. Abc Xyzchale / Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O ? Miller-Fisher syndrome since 15 days.
C/O severe backache since 1 1/2 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.
4 mm thick FLAIR and STIR coronal images.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and 6 mm thick T2 Weighted axial images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
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.
The optic nerves show normal signal on either side.
The clivus and the petrous apices show a relatively hypointense signal when compared to normal fatty marrow.
Screening images of the lumbo-sacral spine reveal a diffuse hypointense signal on the T1 Weighted images involving the visualized lumbo-sacral vertebrae and the pelvic bones. This signal appears heterogeneously hyperintense on the T2 Weighted images. Probable presacral and epidural soft tissue extension of the lesion is noted at the L5 level and the sacral region.
Incidentally noted is hepatosplenomegaly.
IMPRESSION :
1. Normal study of the Brain.
2. Diffuse altered signal in the clivus, petrous apices, lumbar and sacral vertebrae and in the pelvic bones is not specific for a single etiology. Myeloproliferative disorders or small cell tumors should be ruled out.
Published in
MRI Reports