Regular User
Sunday, 27 December 2015 16:48
12618
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzee Blmn / F / 29 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O backache radiating to the LLE (left hip painful) since 1 year.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick GRASS sagittal images.
OBSERVATION :
There is an ill-defined, hyperintense signal on the T2 Weighted and STIR images involving the head and neck of the left femur.
This lesion appears hypointense to normal marrow on the T1 Weighted images. A suspicious linear hypointense signal is visualized in the subcapital region (scans 102.10, 105.10. 105.9, 104.10, 104.9). The head of the left femur shows normal contour The proximal shaft of the left femur shows normal signal intensity. The left acetabulum and the articular cartilage overlying the left femoral head are unremarkable. Minimal fluid is noted in the left hip joint.
The visualized right hip joint is unremarkable.
There is atrophy of the muscles around the right hip joint and in the proximal right thigh and of the left gluteal muscles.
- 2 - scan-00008
IMPRESSION :
1. Altered signal in the head and neck of the left femur as described is not specific for a single etiology. This most likely represents a stress fracture.
The possibility of transient osteoporosis of the left hip or early AVN seems less likely.
2. Atrophy of the muscles around the right hip joint and in the proximal right thigh and of the left gluteal muscles.
Date : 00.00.00
Name of the Patient : Abc Xyzee Blmn / F / 29 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O backache radiating to the LLE (left hip painful) since 1 year.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick GRASS sagittal images.
OBSERVATION :
There is an ill-defined, hyperintense signal on the T2 Weighted and STIR images involving the head and neck of the left femur.
This lesion appears hypointense to normal marrow on the T1 Weighted images. A suspicious linear hypointense signal is visualized in the subcapital region (scans 102.10, 105.10. 105.9, 104.10, 104.9). The head of the left femur shows normal contour The proximal shaft of the left femur shows normal signal intensity. The left acetabulum and the articular cartilage overlying the left femoral head are unremarkable. Minimal fluid is noted in the left hip joint.
The visualized right hip joint is unremarkable.
There is atrophy of the muscles around the right hip joint and in the proximal right thigh and of the left gluteal muscles.
- 2 - scan-00008
IMPRESSION :
1. Altered signal in the head and neck of the left femur as described is not specific for a single etiology. This most likely represents a stress fracture.
The possibility of transient osteoporosis of the left hip or early AVN seems less likely.
2. Atrophy of the muscles around the right hip joint and in the proximal right thigh and of the left gluteal muscles.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12617
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzn Shlmn / M / 85 yrs.
Referred by : Dr. Abc Xyzmpat / Dr. Abc Xyzporia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures on 00.00.00 with altered sensorium since then.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is seen a CSF intensity lesion on all the pulse sequences in the left cerebellar hemisphere, inferiorly. This lesion represents an area of cystic encephalomalacia, most likely the sequelae of a previous vascular insult. Perilesional hyperintense signal on the T2 Weighted and FLAIR images may represent gliotic changes.
There are small bright foci on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and in the right centrum semiovale. These lesions appear isointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci, left cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Scan-00007
The right eye is aphakic.
IMPRESSION :
1. An area of cystic encephalomalacia in the left cerebellar hemisphere, inferiorly, most likely the sequelae of a previous vascular insult.
2. Altered signal in the posterior parietal periventricular white matter bilaterally and in the right centrum semiovale most likely represent ischemic changes.
3. Mild cerebral and cerebellar atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyzn Shlmn / M / 85 yrs.
Referred by : Dr. Abc Xyzmpat / Dr. Abc Xyzporia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures on 00.00.00 with altered sensorium since then.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is seen a CSF intensity lesion on all the pulse sequences in the left cerebellar hemisphere, inferiorly. This lesion represents an area of cystic encephalomalacia, most likely the sequelae of a previous vascular insult. Perilesional hyperintense signal on the T2 Weighted and FLAIR images may represent gliotic changes.
There are small bright foci on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and in the right centrum semiovale. These lesions appear isointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci, left cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Scan-00007
The right eye is aphakic.
IMPRESSION :
1. An area of cystic encephalomalacia in the left cerebellar hemisphere, inferiorly, most likely the sequelae of a previous vascular insult.
2. Altered signal in the posterior parietal periventricular white matter bilaterally and in the right centrum semiovale most likely represent ischemic changes.
3. Mild cerebral and cerebellar atrophy.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12616
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzJlmn / F / 51 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O high grade fever with chills, loose motions and vomiting on 00.00.00.
H/O similar complaints 5 days back.
H/O DM.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is 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.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc XyzJlmn / F / 51 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O high grade fever with chills, loose motions and vomiting on 00.00.00.
H/O similar complaints 5 days back.
H/O DM.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is 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.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12615
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzo C. Malulmn / M / 50 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiating pain to the RLE and paresthesias since 1 month.
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 L3-L4, L4-L5 and L5-S1 intervertebral discs.
There is slight retrolisthesis of the L5 over the S1 vertebra.
There is a posteriorly herniated disc with peridiscal osteophytes at the L5-S1 level with bilateral neural foraminal narrowing and indentation on the traversing left S1 nerve root. A sequestered disc fragment is noted in the right lateral recess of S1 indenting the thecal sac and traversing right S1 nerve root. Bilateral far lateral disc bulges are also noted at this level.
A posteriorly bulging disc is seen at the L4-L5 level with bilateral neural foraminal narrowing. A sequestered disc fragment is noted in the right lateral recess of L5 indenting the traversing right L5 nerve root. Slight facetal hypertrophy is noted at this level.
A small posterior disc bulge is noted at the L3-L4 level.
A hemangioma with fat content is noted in the S1 vertebral body.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
16.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Slight retrolisthesis of the L5 over the S1 vertebra.
2. A posteriorly herniated disc with peridiscal osteophytes at the L5-S1 level with indentation on the traversing left S1 nerve root with a sequestered disc fragment in the right lateral recess of S1 indenting the traversing right S1 nerve root.
3. A posteriorly bulging disc at the L4-L5 level with a sequestered disc fragment in the right lateral recess of L5 indenting the traversing right L5 nerve root.
Date : 00.00.00
Name of the Patient : Abc Xyzo C. Malulmn / M / 50 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiating pain to the RLE and paresthesias since 1 month.
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 L3-L4, L4-L5 and L5-S1 intervertebral discs.
There is slight retrolisthesis of the L5 over the S1 vertebra.
There is a posteriorly herniated disc with peridiscal osteophytes at the L5-S1 level with bilateral neural foraminal narrowing and indentation on the traversing left S1 nerve root. A sequestered disc fragment is noted in the right lateral recess of S1 indenting the thecal sac and traversing right S1 nerve root. Bilateral far lateral disc bulges are also noted at this level.
A posteriorly bulging disc is seen at the L4-L5 level with bilateral neural foraminal narrowing. A sequestered disc fragment is noted in the right lateral recess of L5 indenting the traversing right L5 nerve root. Slight facetal hypertrophy is noted at this level.
A small posterior disc bulge is noted at the L3-L4 level.
A hemangioma with fat content is noted in the S1 vertebral body.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
16.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Slight retrolisthesis of the L5 over the S1 vertebra.
2. A posteriorly herniated disc with peridiscal osteophytes at the L5-S1 level with indentation on the traversing left S1 nerve root with a sequestered disc fragment in the right lateral recess of S1 indenting the traversing right S1 nerve root.
3. A posteriorly bulging disc at the L4-L5 level with a sequestered disc fragment in the right lateral recess of L5 indenting the traversing right L5 nerve root.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12614
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzi R. lmn / M / 72 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O giddiness with mild gait imbalance since 3 weeks.
Known hypertensive.
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.
MR Cisternogram was obtained in the coronal plane.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
BRAIN :
There are small bright foci on the proton, T2 Weighted and FLAIR images in the left lentiform nucleus and in the left posterior parietal deep white matter. These lesions appear hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic lesions.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
..2/.
INTRACRANIAL MRA :
The right vertebral artery is hypoplastic. The right posterior cerebral artery arises directly from the right internal carotid artery. Slight tortuousity of the intracranial vessels is noted. There is slight irregularity of the anterior cerebral arteries and the distal segment of the left middle cerebral artery.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized right middle cerebral, basilar, left vertebral and left posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The right vertebral artery in the neck also appears hypoplastic.
Tortuousity of the internal and external carotid arteries bilaterally and the left vertebral artery in the neck is noted.
There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Altered signal in the left lentiform nucleus and in the left posterior parietal deep white matter most likely represent ischemic lesions.
2. The right posterior cerebral artery is seen to arise directly from the right internal carotid artery.
3. Slight irregularity of the anterior cerebral arteries and the distal segment of the left middle cerebral artery may represent atherosclerotic changes.
Date : 00.00.00
Name of the Patient : Abc Xyzi R. lmn / M / 72 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O giddiness with mild gait imbalance since 3 weeks.
Known hypertensive.
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.
MR Cisternogram was obtained in the coronal plane.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
BRAIN :
There are small bright foci on the proton, T2 Weighted and FLAIR images in the left lentiform nucleus and in the left posterior parietal deep white matter. These lesions appear hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic lesions.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
..2/.
INTRACRANIAL MRA :
The right vertebral artery is hypoplastic. The right posterior cerebral artery arises directly from the right internal carotid artery. Slight tortuousity of the intracranial vessels is noted. There is slight irregularity of the anterior cerebral arteries and the distal segment of the left middle cerebral artery.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized right middle cerebral, basilar, left vertebral and left posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The right vertebral artery in the neck also appears hypoplastic.
Tortuousity of the internal and external carotid arteries bilaterally and the left vertebral artery in the neck is noted.
There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Altered signal in the left lentiform nucleus and in the left posterior parietal deep white matter most likely represent ischemic lesions.
2. The right posterior cerebral artery is seen to arise directly from the right internal carotid artery.
3. Slight irregularity of the anterior cerebral arteries and the distal segment of the left middle cerebral artery may represent atherosclerotic changes.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12613
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzarayan Jalmn / M / 53 yrs.
Referred by : Dr. Abc Xyzgaonkar Dr. Abc Xyzhan.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden onset of vision loss since 1 week.
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.
3 mm thick STIR coronal images through the optic nerves.
OBSERVATION :
There are hyperintense areas in the occipital lobes bilaterally and the right cerebellar hemisphere on the proton, T2 Weighted and FLAIR images. These are isointense to the grey matter on the T1 Weighted images. There is involvement of the cortex as well as the subcortical white matter. Subtle hyperintense signal is seen on the T1 Weighted images which is seen to remain hyperintense on the T2 Weighted images and would represent extracellular methemoglobin/paramagnetic substances (better appreciated on the sagittal images).
The right vertebral artery appears narrow (se/im 102/4, 103/11, 104/4, 105/4) and does not show its normal flow void signal suggestive of slow flow/thrombus.
Dilated perivascular spaces are seen in the centrum semiovale bilaterally.
The optic nerves bilaterally show normal signal intensity.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
IMPRESSION :
1. Infarcts in the occipital lobes bilaterally with a haemorrhagic component and in the right cerebellar hemisphere.
2. Slow flow/thrombus in the right vertebral artery.
A MRA/DSA would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyzarayan Jalmn / M / 53 yrs.
Referred by : Dr. Abc Xyzgaonkar Dr. Abc Xyzhan.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden onset of vision loss since 1 week.
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.
3 mm thick STIR coronal images through the optic nerves.
OBSERVATION :
There are hyperintense areas in the occipital lobes bilaterally and the right cerebellar hemisphere on the proton, T2 Weighted and FLAIR images. These are isointense to the grey matter on the T1 Weighted images. There is involvement of the cortex as well as the subcortical white matter. Subtle hyperintense signal is seen on the T1 Weighted images which is seen to remain hyperintense on the T2 Weighted images and would represent extracellular methemoglobin/paramagnetic substances (better appreciated on the sagittal images).
The right vertebral artery appears narrow (se/im 102/4, 103/11, 104/4, 105/4) and does not show its normal flow void signal suggestive of slow flow/thrombus.
Dilated perivascular spaces are seen in the centrum semiovale bilaterally.
The optic nerves bilaterally show normal signal intensity.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
IMPRESSION :
1. Infarcts in the occipital lobes bilaterally with a haemorrhagic component and in the right cerebellar hemisphere.
2. Slow flow/thrombus in the right vertebral artery.
A MRA/DSA would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12612
ke/hs-bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fall 1 week back with giddiness since then.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
Small hypointense focus is seen in the right lentiform nucleus posteriorly on the T1 Weighted images which is seen to turn hyperintense on the proton and T2 Weighted images and would represent trapped CSF within the tip of a sulcus.
Prominent perivascular spaces are noted in the lentiform nulcei bilaterally.
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.
No evidence of extracerebral collection is noted on this study.
The cervical spine was screened with 5 mm thick T1 Weighted sagittal images and which shows a posteriorly bulging disc at the C3-C4 level.
IMPRESSION :
No significant abnormality is detected within the brain on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fall 1 week back with giddiness since then.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
Small hypointense focus is seen in the right lentiform nucleus posteriorly on the T1 Weighted images which is seen to turn hyperintense on the proton and T2 Weighted images and would represent trapped CSF within the tip of a sulcus.
Prominent perivascular spaces are noted in the lentiform nulcei bilaterally.
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.
No evidence of extracerebral collection is noted on this study.
The cervical spine was screened with 5 mm thick T1 Weighted sagittal images and which shows a posteriorly bulging disc at the C3-C4 level.
IMPRESSION :
No significant abnormality is detected within the brain on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12611
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Blmn / M / 45 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE 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 appears to be sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film. Please correlate with plain radiographs.
There is mild retroplacement of the L4 vertebra over the L5 vertebra.
There is a postero-central disc herniation, more to the left of the midline with peridiscal osteophytes at the L4-L5 level and indenting the thecal sac and the traversing left L5 nerve root. This disc shows loss of water content. Mild facetal hypertrophy is noted at the L4-L5 level.
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 D12-L1 level and the thecal sac terminates at the S1-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
21.0 mm at L3-L4
16.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra. Please correlate with plain radiographs.
2. A postero-central disc herniation, more to the left of the midline with peridiscal osteophytes at the L4-L5 level with indentation upon the traversing left L5 nerve root.
Date : 00.00.00
Name of the Patient : Abc Xyz Blmn / M / 45 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE 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 appears to be sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film. Please correlate with plain radiographs.
There is mild retroplacement of the L4 vertebra over the L5 vertebra.
There is a postero-central disc herniation, more to the left of the midline with peridiscal osteophytes at the L4-L5 level and indenting the thecal sac and the traversing left L5 nerve root. This disc shows loss of water content. Mild facetal hypertrophy is noted at the L4-L5 level.
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 D12-L1 level and the thecal sac terminates at the S1-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
21.0 mm at L3-L4
16.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra. Please correlate with plain radiographs.
2. A postero-central disc herniation, more to the left of the midline with peridiscal osteophytes at the L4-L5 level with indentation upon the traversing left L5 nerve root.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12610
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyznnisha Shlmn / F / 40 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 4 years which has increased since 1 month.
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 :
The L3-L4 and L2-L3 intervertebral discs show slight loss of water content.
There is a right paracentral disc extrusion at the L4-L5 level with anterior indentation of the thecal sac and mild right neural foraminal narrowing. There is inferior migration of the disc portion which is seen to lie in the right lateral recess of the L5 vertebra and resultant impingement of the traversing right L5 nerve root. This disc appears dessicated (scans 102.4, 102.5, 103.4, 103.5, 105.2, 106.4 to 106.6).
Small posterior disc bulges are seen at the L2-L3 and L3-L4 levels. A small posterior disc herniation is noted at the D12-L1 level.
Type II degenerative changes are noted in the antero-superior portion of the L3 and L4 vertebral bodies.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
13.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
A right paracentral disc extrusion at the L4-L5 level with inferior migration of the disc portion, lying in the right lateral recess of the L5 vertebra and resultant impingement of the traversing right L5 nerve root.
Date : 00.00.00
Name of the Patient : Abc Xyznnisha Shlmn / F / 40 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 4 years which has increased since 1 month.
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 :
The L3-L4 and L2-L3 intervertebral discs show slight loss of water content.
There is a right paracentral disc extrusion at the L4-L5 level with anterior indentation of the thecal sac and mild right neural foraminal narrowing. There is inferior migration of the disc portion which is seen to lie in the right lateral recess of the L5 vertebra and resultant impingement of the traversing right L5 nerve root. This disc appears dessicated (scans 102.4, 102.5, 103.4, 103.5, 105.2, 106.4 to 106.6).
Small posterior disc bulges are seen at the L2-L3 and L3-L4 levels. A small posterior disc herniation is noted at the D12-L1 level.
Type II degenerative changes are noted in the antero-superior portion of the L3 and L4 vertebral bodies.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
13.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
A right paracentral disc extrusion at the L4-L5 level with inferior migration of the disc portion, lying in the right lateral recess of the L5 vertebra and resultant impingement of the traversing right L5 nerve root.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12609
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzedIlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O weakness of BLE with paresthesias since 2 months.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
Hyperintense signal is seen within the dorsal spinal cord, centrally, from the D11 level upto the C3 vertebral level. This is iso to hypointense to normal cord on the T1 Weighted images with a definite hypointense punctate area over the D4 to D7 vertebral levels. The CSF space is unremarkable.
Facetal arthropathy/capsular ligament hypertrophy is noted at the D7-D8, D9-D10, D10-D11 levels with indentation upon the posterior and postero-lateral aspect of the thecal sac.
The visualized dorso-lumbar intervertebral discs show loss of water content.
Few dorsal vertebral bodies show focal fatty change.
The rest of the visualized dorso-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 S1 level.
IMPRESSION :
Altered signal within the dorsal spinal cord, centrally, from the D11 level upto the C3 vertebral level is not specific for a single etiology. The differential diagnosis would include :
1. Myelitis (most likely).
2. Demyelination (less likely).
The possibility of cord ischemia seems unlikely.
Hypointense signal from the D4 to D7 levels may represent myelomalacic changes.
Date : 00.00.00
Name of the Patient : Abc XyzedIlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O weakness of BLE with paresthesias since 2 months.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
Hyperintense signal is seen within the dorsal spinal cord, centrally, from the D11 level upto the C3 vertebral level. This is iso to hypointense to normal cord on the T1 Weighted images with a definite hypointense punctate area over the D4 to D7 vertebral levels. The CSF space is unremarkable.
Facetal arthropathy/capsular ligament hypertrophy is noted at the D7-D8, D9-D10, D10-D11 levels with indentation upon the posterior and postero-lateral aspect of the thecal sac.
The visualized dorso-lumbar intervertebral discs show loss of water content.
Few dorsal vertebral bodies show focal fatty change.
The rest of the visualized dorso-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 S1 level.
IMPRESSION :
Altered signal within the dorsal spinal cord, centrally, from the D11 level upto the C3 vertebral level is not specific for a single etiology. The differential diagnosis would include :
1. Myelitis (most likely).
2. Demyelination (less likely).
The possibility of cord ischemia seems unlikely.
Hypointense signal from the D4 to D7 levels may represent myelomalacic changes.
Published in
MRI Reports