Regular User
Sunday, 27 December 2015 16:48
12754
sb/bv/nl/rg.
0000 Date : 00.00.00
Name of the Patient : Abc Xyzissa Salmn / F / 30 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 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.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of water content of the L3-L4, L4-L5 and L5-S1 intervertebral discs.
Postero-central disc herniations are noted at the L3-L4 and L5-S1 levels. Minimal indentation on the traversing right S1 nerve root is noted at the L5-S1 level.
There is a fairly large, posteriorly extruded disc at the L4-L5 level, with thecal sac compression. A sequestered disc fragment is noted in the right lateral epidural space at the L5 vertebral level, indenting the traversing right L5 nerve root.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
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
14.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. A fairly large, posteriorly extruded disc at the L4-L5 level, with a sequestered disc fragment in the right lateral epidural space at the L5 vertebral level, indenting the traversing right L5 nerve root.
2. Postero-central disc herniations at the L3-L4 and L5-S1 levels with minimal indentation on the traversing right S1 nerve root at the L5-S1 level.
0000 Date : 00.00.00
Name of the Patient : Abc Xyzissa Salmn / F / 30 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 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.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of water content of the L3-L4, L4-L5 and L5-S1 intervertebral discs.
Postero-central disc herniations are noted at the L3-L4 and L5-S1 levels. Minimal indentation on the traversing right S1 nerve root is noted at the L5-S1 level.
There is a fairly large, posteriorly extruded disc at the L4-L5 level, with thecal sac compression. A sequestered disc fragment is noted in the right lateral epidural space at the L5 vertebral level, indenting the traversing right L5 nerve root.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
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
14.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. A fairly large, posteriorly extruded disc at the L4-L5 level, with a sequestered disc fragment in the right lateral epidural space at the L5 vertebral level, indenting the traversing right L5 nerve root.
2. Postero-central disc herniations at the L3-L4 and L5-S1 levels with minimal indentation on the traversing right S1 nerve root at the L5-S1 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12753
hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzBharlmn / F / 18 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches since 3-4 days.
C/O left LMN facial palsy since 1 day.
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 T1 Weighted and T2 Weighted (with fat saturation) coronal images.
5 mm thick T1 Weighted sagittal images.
After administration of contrast, the following parameters were used :
5 mm thick T1 Weighted axial images with magnetization transfer.
5 mm thick T1 Weighted coronal and sagittal images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There are diffuse, irregularly defined areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton and T2 Weighted images within the left petrous bone. It is also seen to involve the middle ear, mastoid air cells and internal ear on the left side. There is erosion of the bone with extension into the left temporal fossa with involvement of the meninges along the postero-inferior and medial aspect of the left temporal bone. There is thickening of the seventh and eighth cranial nerve complex within the left internal auditory canal. After contrast administration, the bulk of this lesion shows fairly homogeneous enhancement.
There is no focal area of abnormal enhancement within the brain parenchyma per se on this scan.
Both the lateral, third and the fourth ventricles are normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted within the maxillary sinuses bilaterally, sphenoid sinus and ethmoidal air cells.
IMPRESSION :
The MRI features are suggestive of a pathologic process involving the petrous temporal bone on the left side with intracranial extensions as described. This most likely represents an infective process (less likely to represent a neoplastic process).
Date : 00.00.00
Name of the Patient : Abc XyzBharlmn / F / 18 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches since 3-4 days.
C/O left LMN facial palsy since 1 day.
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 T1 Weighted and T2 Weighted (with fat saturation) coronal images.
5 mm thick T1 Weighted sagittal images.
After administration of contrast, the following parameters were used :
5 mm thick T1 Weighted axial images with magnetization transfer.
5 mm thick T1 Weighted coronal and sagittal images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There are diffuse, irregularly defined areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton and T2 Weighted images within the left petrous bone. It is also seen to involve the middle ear, mastoid air cells and internal ear on the left side. There is erosion of the bone with extension into the left temporal fossa with involvement of the meninges along the postero-inferior and medial aspect of the left temporal bone. There is thickening of the seventh and eighth cranial nerve complex within the left internal auditory canal. After contrast administration, the bulk of this lesion shows fairly homogeneous enhancement.
There is no focal area of abnormal enhancement within the brain parenchyma per se on this scan.
Both the lateral, third and the fourth ventricles are normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted within the maxillary sinuses bilaterally, sphenoid sinus and ethmoidal air cells.
IMPRESSION :
The MRI features are suggestive of a pathologic process involving the petrous temporal bone on the left side with intracranial extensions as described. This most likely represents an infective process (less likely to represent a neoplastic process).
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12752
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzsha Shlmn / F / 56 yrs.
Referred by : Dr. Abc Xyzndesha.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) since 2 years which has increased 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 loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is a postero-central disc herniation at the L5-S1 level with slight superior migration of the disc fragment with ventral displacement of the thecal sac.
Small posterior disc bulge with peridiscal osteophyte is noted at the L4-L5 level with probable slight indentation on the traversing left L5 nerve root.
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 S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A postero-central disc herniation at the L5-S1 level with slight superior migration of the disc fragment.
2. Small posterior disc bulge with peridiscal osteophytes at the L4-L5 level with probable slight indentation on the traversing left L5 nerve root.
Date : 00.00.00
Name of the Patient : Abc Xyzsha Shlmn / F / 56 yrs.
Referred by : Dr. Abc Xyzndesha.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) since 2 years which has increased 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 loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is a postero-central disc herniation at the L5-S1 level with slight superior migration of the disc fragment with ventral displacement of the thecal sac.
Small posterior disc bulge with peridiscal osteophyte is noted at the L4-L5 level with probable slight indentation on the traversing left L5 nerve root.
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 S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A postero-central disc herniation at the L5-S1 level with slight superior migration of the disc fragment.
2. Small posterior disc bulge with peridiscal osteophytes at the L4-L5 level with probable slight indentation on the traversing left L5 nerve root.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12751
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz N. Nathlmn / F / 74 yrs.
Referred by : Dr. Abc Xyzlal.
Examination : M.R.I. of the Abdomen, Liver and Pelvis.
CLINICAL PROFILE :
Operated C/O Ca ovary in April 0000. Received chemotherapy.
C/O pain in the abdomen and vomiting.
EXAMINATION :
M.R.I of the abdomen was performed using the following parameters:
8 mm thick T1 Weighted and T2 Weighted axial images.
7 mm thick STIR axial images through the liver.
7 mm thick T2 Weighted coronal images.
M.R.I of the pelvis was performed using the following parameters:
8 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
6 mm thick T2 Weighted (with fat saturation) sagittal images.
8 mm thick T1 Weighted coronal images.
OBSERVATION :
ABDOMEN :
The liver and spleen are slightly enlarged. There is no focal or diffuse area of altered signal intensity. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architecture is normal.
The gall bladder shows evidence of multiple gall stones.
The left kidney is enlarged.
The pancreas is normal in size bulk and signal characteristics.
Both adrenal glands are unremarkable.
..2/.
The right kidney is normal in size and signal characteristics.
No obvious lymphadenopathy is detected. There is no evidence of free fluid within the abdomen.
Susceptibility artifacts noted in the left hypochondrium, is probably due to the chemotherapy port.
Bilateral small, pleural effusions are noted with probable basal atelectasis bilaterally.
Focal fatty marrow changes/hemangiomas with fat content are noted in some of the dorsal and lumbar vertebral bodies.
PELVIS :
Scar of previous surgery is noted in the lower anterior abdominal wall, in the midline. The uterus and its adnexae are not visualized, the sequelae of previous surgery. A distended rectum with probable fecal material is noted in the pelvis.
The urinary bladder shows normal wall thickness.
The ischio-rectal fossae on either side appear normal.
There are no abnormally enlarged pelvic lymph nodes identified. No obvious vascular anomaly is noted. There is no free fluid in the pelvis.
IMPRESSION :
1. Post-operative status.
2. Multiple gall bladder calculi.
3. Bilateral pleural effusion with probable basal atelectasis.
4. Mild hepatosplenomegaly.
5. Enlarged left kidney (? hydronephrosis).
Date : 00.00.00
Name of the Patient : Abc Xyz N. Nathlmn / F / 74 yrs.
Referred by : Dr. Abc Xyzlal.
Examination : M.R.I. of the Abdomen, Liver and Pelvis.
CLINICAL PROFILE :
Operated C/O Ca ovary in April 0000. Received chemotherapy.
C/O pain in the abdomen and vomiting.
EXAMINATION :
M.R.I of the abdomen was performed using the following parameters:
8 mm thick T1 Weighted and T2 Weighted axial images.
7 mm thick STIR axial images through the liver.
7 mm thick T2 Weighted coronal images.
M.R.I of the pelvis was performed using the following parameters:
8 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
6 mm thick T2 Weighted (with fat saturation) sagittal images.
8 mm thick T1 Weighted coronal images.
OBSERVATION :
ABDOMEN :
The liver and spleen are slightly enlarged. There is no focal or diffuse area of altered signal intensity. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architecture is normal.
The gall bladder shows evidence of multiple gall stones.
The left kidney is enlarged.
The pancreas is normal in size bulk and signal characteristics.
Both adrenal glands are unremarkable.
..2/.
The right kidney is normal in size and signal characteristics.
No obvious lymphadenopathy is detected. There is no evidence of free fluid within the abdomen.
Susceptibility artifacts noted in the left hypochondrium, is probably due to the chemotherapy port.
Bilateral small, pleural effusions are noted with probable basal atelectasis bilaterally.
Focal fatty marrow changes/hemangiomas with fat content are noted in some of the dorsal and lumbar vertebral bodies.
PELVIS :
Scar of previous surgery is noted in the lower anterior abdominal wall, in the midline. The uterus and its adnexae are not visualized, the sequelae of previous surgery. A distended rectum with probable fecal material is noted in the pelvis.
The urinary bladder shows normal wall thickness.
The ischio-rectal fossae on either side appear normal.
There are no abnormally enlarged pelvic lymph nodes identified. No obvious vascular anomaly is noted. There is no free fluid in the pelvis.
IMPRESSION :
1. Post-operative status.
2. Multiple gall bladder calculi.
3. Bilateral pleural effusion with probable basal atelectasis.
4. Mild hepatosplenomegaly.
5. Enlarged left kidney (? hydronephrosis).
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12750
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz G. Khalmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O abnormal movements of the LUE since 2 years.
C/O dystonia posture of the whole body since December 0000.
H/O alcoholism since 3 years.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
There is mild fullness of both the lateral ventricles.
The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
A hyperintense signal on FLAIR and Fast Scan (T2 *) images is noted in the subgaleal soft tissues at the vertex, which is ? due to a soft tissue injury.
IMPRESSION :
No significant abnormality is detected within the brain parenchyma per se.
Altered signal in the subgaleal soft tissues at the vertex is ? due to injury.
Date : 00.00.00
Name of the Patient : Abc Xyz G. Khalmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O abnormal movements of the LUE since 2 years.
C/O dystonia posture of the whole body since December 0000.
H/O alcoholism since 3 years.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
There is mild fullness of both the lateral ventricles.
The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
A hyperintense signal on FLAIR and Fast Scan (T2 *) images is noted in the subgaleal soft tissues at the vertex, which is ? due to a soft tissue injury.
IMPRESSION :
No significant abnormality is detected within the brain parenchyma per se.
Altered signal in the subgaleal soft tissues at the vertex is ? due to injury.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12749
MRV and MRA to be done as requested by Dr. Abc XyzSARKAR
Date : 00.00.00
Name of the Patient : Abc Xyz Kalmn / F / 30 yrs.
Referred by : Dr. Abc Xyzengsarkar.
Examination : M.R.I. of Both Thighs.
CLINICAL PROFILE :
C/O pain with swelling in the left 1/3 rd femur since 6 months.
Operated for a ? removal of lipoma from the same region in 0000.
EXAMINATION :
M.R.I. of both thighs was performed using the following parameters :
7 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick T1 Weighted and STIR coronal images.
7 mm thick GRASS sagittal images.
OBSERVATION :
There is seen fatty replacement in the bulk of the left vastus lateralis muscle and the biceps femoris muscle, distally. These changes are seen from a distance of about 18.0 cms proximal to the left knee joint.
There is seen multiple, serpingenous lesions in the bulk of the left vastus lateralis muscle, biceps femoris muscles and in the intermuscular fat plane between these muscles in the anterior and posterior compartments of the distal left thigh, laterally. These lesions are of intermediate signal intensity on the T1 Weighted images and appear hyperintense on the T2 Weighted and STIR images and extend about 18.0 cms supero-inferiorly, proximal to the left knee joint. The is no bone erosion or destruction noted. The subcutaneous tissue around this lesion is unremarkable. There is no extension of this lesion in the left knee space per se.
The rest of the visualized muscles in the distal left thigh and visualized right thigh are unremarkable.
Scar of previous surgery along the antero-lateral margin of the distal left thigh is noted.
IMPRESSION :
1. Post-operative/post-biopsy status.
2. Serpingenous lesions in the bulk of the left vastus lateralis muscle, left biceps femoris muscle and in the intermuscular fat plane between these muscles in the anterior and posterior compartments of the distal left thigh, laterally, as described, are not specific for a single etiology. This lesion most likely represents an intermuscular/intramuscular hemangioma.
As compared to the previous MRI dated 00.00.00, there is no significant change noted.
Date : 00.00.00
Name of the Patient : Abc Xyz Kalmn / F / 30 yrs.
Referred by : Dr. Abc Xyzengsarkar.
Examination : M.R.I. of Both Thighs.
CLINICAL PROFILE :
C/O pain with swelling in the left 1/3 rd femur since 6 months.
Operated for a ? removal of lipoma from the same region in 0000.
EXAMINATION :
M.R.I. of both thighs was performed using the following parameters :
7 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick T1 Weighted and STIR coronal images.
7 mm thick GRASS sagittal images.
OBSERVATION :
There is seen fatty replacement in the bulk of the left vastus lateralis muscle and the biceps femoris muscle, distally. These changes are seen from a distance of about 18.0 cms proximal to the left knee joint.
There is seen multiple, serpingenous lesions in the bulk of the left vastus lateralis muscle, biceps femoris muscles and in the intermuscular fat plane between these muscles in the anterior and posterior compartments of the distal left thigh, laterally. These lesions are of intermediate signal intensity on the T1 Weighted images and appear hyperintense on the T2 Weighted and STIR images and extend about 18.0 cms supero-inferiorly, proximal to the left knee joint. The is no bone erosion or destruction noted. The subcutaneous tissue around this lesion is unremarkable. There is no extension of this lesion in the left knee space per se.
The rest of the visualized muscles in the distal left thigh and visualized right thigh are unremarkable.
Scar of previous surgery along the antero-lateral margin of the distal left thigh is noted.
IMPRESSION :
1. Post-operative/post-biopsy status.
2. Serpingenous lesions in the bulk of the left vastus lateralis muscle, left biceps femoris muscle and in the intermuscular fat plane between these muscles in the anterior and posterior compartments of the distal left thigh, laterally, as described, are not specific for a single etiology. This lesion most likely represents an intermuscular/intramuscular hemangioma.
As compared to the previous MRI dated 00.00.00, there is no significant change noted.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12748
hs/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzDarlmn / M / 42 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to the RLE.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is mild forward listhesis of the L5 vertebra over the S1 vertebra. Also seen is spondylolysis of the L5 vertebra bilaterally.
There is a right paracentral extrusion indenting the thecal sac and the traversing right L5 nerve root at the L4-L5 level. A disc portion is seen to lie within the right anterior epidural space at the L5 vertebral level.
A small postero-central disc herniation is noted at the L5-S1 level. A small right paracentral disc herniation is seen to indent the thecal sac at the L3-L4 level.
There is an increased amount of fat within the epidural space at the L5 and S1 vertebral levels. The thecal sac shows a trifoiliate appearance and this may suggest epidural lipomatosis.
The L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.
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 S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
18.0 mm at L4-L5
23.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Mild forward listhesis of the L5 vertebra over the S1 vertebra with spondylolysis of the L5 vertebra bilaterally.
2. A right paracentral disc extrusion indenting the traversing right L5 nerve root at the L4-L5 level.
3. Epidural lipomatosis at the L5 and S1 vertebral levels.
4. A small postero-central disc herniation at the L5-S1 level.
5. A small right paracentral disc herniation at the L3-L4 level.
Date : 00.00.00
Name of the Patient : Abc XyzDarlmn / M / 42 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to the RLE.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is mild forward listhesis of the L5 vertebra over the S1 vertebra. Also seen is spondylolysis of the L5 vertebra bilaterally.
There is a right paracentral extrusion indenting the thecal sac and the traversing right L5 nerve root at the L4-L5 level. A disc portion is seen to lie within the right anterior epidural space at the L5 vertebral level.
A small postero-central disc herniation is noted at the L5-S1 level. A small right paracentral disc herniation is seen to indent the thecal sac at the L3-L4 level.
There is an increased amount of fat within the epidural space at the L5 and S1 vertebral levels. The thecal sac shows a trifoiliate appearance and this may suggest epidural lipomatosis.
The L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.
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 S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
18.0 mm at L4-L5
23.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Mild forward listhesis of the L5 vertebra over the S1 vertebra with spondylolysis of the L5 vertebra bilaterally.
2. A right paracentral disc extrusion indenting the traversing right L5 nerve root at the L4-L5 level.
3. Epidural lipomatosis at the L5 and S1 vertebral levels.
4. A small postero-central disc herniation at the L5-S1 level.
5. A small right paracentral disc herniation at the L3-L4 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12747
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Glmn / F / 39 yrs.
Referred by : Dr. Abc Xyz Chavan.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O occipital headaches radiating anteriorly since 3 years which has increased since 7-8 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.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal 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. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidentally noted is a prominent retrocerebellar arachnoid pouch/mega cisterna magna.
An empty sella is noted. Inflammatory changes are noted in the maxillary antra bilaterally and in the sphenoid sinus. The cranio-vertebral junction is unremarkable.
IMPRESSION :
1. No abnormality is detected within the brain parenchyma per se.
2. A prominent retrocerebellar arachnoid pouch/mega cisterna magna.
3. Empty sella.
Date : 00.00.00
Name of the Patient : Abc Xyz Glmn / F / 39 yrs.
Referred by : Dr. Abc Xyz Chavan.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O occipital headaches radiating anteriorly since 3 years which has increased since 7-8 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.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal 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. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidentally noted is a prominent retrocerebellar arachnoid pouch/mega cisterna magna.
An empty sella is noted. Inflammatory changes are noted in the maxillary antra bilaterally and in the sphenoid sinus. The cranio-vertebral junction is unremarkable.
IMPRESSION :
1. No abnormality is detected within the brain parenchyma per se.
2. A prominent retrocerebellar arachnoid pouch/mega cisterna magna.
3. Empty sella.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12746
hs/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzet Chlmn / M / 8 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since the age of 7 months.
H/O fall 3-4 years ago.
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 within the brain parenchyma.
The hippocampal complex on either side is unremarkable.
The right lateral ventricle is a little larger than the one on the left side and may be a normal variant. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The right lateral ventricle appears little larger than the one on the left side and may be a normal variant.
Date : 00.00.00
Name of the Patient : Abc Xyzet Chlmn / M / 8 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since the age of 7 months.
H/O fall 3-4 years ago.
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 within the brain parenchyma.
The hippocampal complex on either side is unremarkable.
The right lateral ventricle is a little larger than the one on the left side and may be a normal variant. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The right lateral ventricle appears little larger than the one on the left side and may be a normal variant.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12745
hs/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzelmn / M / 13 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
H/O hairy patch on the back since birth. Patient has difficulty in walking.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
4 mm thick T1 Weighted coronal images.
OBSERVATION :
There is evidence of an expansile intramedullary mass lesion at the L2 and L3 vertebral levels. It is slightly hyperintense to CSF on all the pulse sequences. A solid component which is near isointense to normal cord is also noted. The thecal sac is seen to bulge posteriorly into the defect (due to spina bifida at the L2 and L3 vertebral levels). Also seen is slight scalloping of the posterior aspect of the L2 and L3 vertebral bodies.
The spinal cord is low lying and the conus medullaris is seen at the L3-L4 level.
An area which is isointense to CSF is seen within the cord over the D12 to L2 levels and most likely represents a syrinx.
A linear tract is seen to extend from the surface of the back upto the spinal cord at the L3 level.
Scan-00005
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity.
IMPRESSION :
The MRI features are suggestive of :
1. An expansile intramedullary lesion within the cord at the
the L2 and L3 vertebral levels as described may represent an epidermoid/dermoid cyst, especially in view of the dorsal dermal sinus.
2. Low lying spinal cord.
3. Syrinx over the D12 to L2 vertebral levels.
4. Dorsal dermal sinus at the L3 vertebral level.
Date : 00.00.00
Name of the Patient : Abc Xyzelmn / M / 13 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
H/O hairy patch on the back since birth. Patient has difficulty in walking.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
4 mm thick T1 Weighted coronal images.
OBSERVATION :
There is evidence of an expansile intramedullary mass lesion at the L2 and L3 vertebral levels. It is slightly hyperintense to CSF on all the pulse sequences. A solid component which is near isointense to normal cord is also noted. The thecal sac is seen to bulge posteriorly into the defect (due to spina bifida at the L2 and L3 vertebral levels). Also seen is slight scalloping of the posterior aspect of the L2 and L3 vertebral bodies.
The spinal cord is low lying and the conus medullaris is seen at the L3-L4 level.
An area which is isointense to CSF is seen within the cord over the D12 to L2 levels and most likely represents a syrinx.
A linear tract is seen to extend from the surface of the back upto the spinal cord at the L3 level.
Scan-00005
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity.
IMPRESSION :
The MRI features are suggestive of :
1. An expansile intramedullary lesion within the cord at the
the L2 and L3 vertebral levels as described may represent an epidermoid/dermoid cyst, especially in view of the dorsal dermal sinus.
2. Low lying spinal cord.
3. Syrinx over the D12 to L2 vertebral levels.
4. Dorsal dermal sinus at the L3 vertebral level.
Published in
MRI Reports