Regular User
Sunday, 27 December 2015 16:48
12533
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzPilwalmn / F / 45 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O weakness of BLE since 15 days.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The D3 vertebral body is as marked on the film.
There is near complete collapse of the D5 vertebral body. The D4, D5 and D6 vertebral bodies appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. Probable involvement of the D5-D6 disc on the left side is noted (scan 104.5). There is erosion of the right pedicle of D5.
There is seen a multiloculated, intermediate signal intensity, soft tissue mass lesion on the T1 Weighted images in the pre and paravertebral soft tissues, extending over the D4 to D8 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. Extension of the soft tissue lesion into the anterior epidural space over the D4 to D6 levels is noted, with resultant cord compression. The dorsal spinal cord at the D5 and D6 levels shows a hyperintense signal on the T2 Weighted images, suggesting cord edema/ischemia.
There is involvement of the costo-vertebral joints at the D4, D5 and D6 vertebral levels.
Extension of the soft tissue lesion into the neural foramen at the D4-D5 and D5-D6 levels is also noted.
The rest of the visualized dorsal vertebral bodies and remaining intervertebral discs reveal normal signal intensity.
The conus medullaris terminates at the L1 level.
Screening, T1 Weighted sagittal images of the cervico-dorsal region shows central wedging of the C7 body, without change in signal intensity.
IMPRESSION :
Near complete collapse of the D5 body with altered signal of the D4 to D6 vertebral bodies and probable involvement of the D5-D6 disc as described, most likely represents osteitis with discitis, probably tuberculous in etiology. Prevertebral, paravertebral and anterior epidural soft tissue lesion may represent abscess/granulation tissue. There is cord compression and cord signal alteration suggesting cord edema/ischemia.
The possibility of the above described lesion representing a neoplasm seems less likely.
Date : 00.00.00
Name of the Patient : Abc XyzPilwalmn / F / 45 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O weakness of BLE since 15 days.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The D3 vertebral body is as marked on the film.
There is near complete collapse of the D5 vertebral body. The D4, D5 and D6 vertebral bodies appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. Probable involvement of the D5-D6 disc on the left side is noted (scan 104.5). There is erosion of the right pedicle of D5.
There is seen a multiloculated, intermediate signal intensity, soft tissue mass lesion on the T1 Weighted images in the pre and paravertebral soft tissues, extending over the D4 to D8 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. Extension of the soft tissue lesion into the anterior epidural space over the D4 to D6 levels is noted, with resultant cord compression. The dorsal spinal cord at the D5 and D6 levels shows a hyperintense signal on the T2 Weighted images, suggesting cord edema/ischemia.
There is involvement of the costo-vertebral joints at the D4, D5 and D6 vertebral levels.
Extension of the soft tissue lesion into the neural foramen at the D4-D5 and D5-D6 levels is also noted.
The rest of the visualized dorsal vertebral bodies and remaining intervertebral discs reveal normal signal intensity.
The conus medullaris terminates at the L1 level.
Screening, T1 Weighted sagittal images of the cervico-dorsal region shows central wedging of the C7 body, without change in signal intensity.
IMPRESSION :
Near complete collapse of the D5 body with altered signal of the D4 to D6 vertebral bodies and probable involvement of the D5-D6 disc as described, most likely represents osteitis with discitis, probably tuberculous in etiology. Prevertebral, paravertebral and anterior epidural soft tissue lesion may represent abscess/granulation tissue. There is cord compression and cord signal alteration suggesting cord edema/ischemia.
The possibility of the above described lesion representing a neoplasm seems less likely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12532
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz. Mhlmn / F / 52 yrs.w
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE since paresthesias since 1 1/2 years.
Alleged H/O fall 2 years back.
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 sacralization of the L5 vertebra and which is as marked on the film.
There is loss of water content of all the lumbar intervertebral discs except the L5-S1 disc.
There is Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra without obvious spondylolysis. A posterior disc herniation is noted at the L4-L5 level with thecal sac compression. There is also severe hypertrophic facetal arthropathy and ligamentum flavum hypertrophy and resultant lateral recess and central canal stenosis at the L4-L5 level. Also seen is bilateral neural foraminal narrowing at this level.
A posterior disc bulge is noted at the L3-L4 level. The facet joints at this level show hypertrophic degenerative changes.
Bilateral far lateral (extraforaminal) disc herniatins are seen at the L3-L4 and L4-L5 levels. ..2/.
A minimal posterior disc bulge is noted at the L2-L3 level.
Hemangiomas with fat content (hyperintense on all pulse sequences) are noted in the L2 and L4 vertebral bodies.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 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
14.0 mm at L2-L3
13.0 mm at L3-L4
8.0 mm at L4-L5
7.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra without obvious spondylolysis.
3. A posterior disc herniation at the L4-L5 level with severe hypertrophic facetal arthropathy and ligamentum flavum hypertrophy and resultant lateral recess and central canal stenosis at this level.
4. A posterior disc bulge at the L3-L4 level with hypertrophic facetal arthropathy at this level.
Date : 00.00.00
Name of the Patient : Abc Xyz. Mhlmn / F / 52 yrs.w
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE since paresthesias since 1 1/2 years.
Alleged H/O fall 2 years back.
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 sacralization of the L5 vertebra and which is as marked on the film.
There is loss of water content of all the lumbar intervertebral discs except the L5-S1 disc.
There is Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra without obvious spondylolysis. A posterior disc herniation is noted at the L4-L5 level with thecal sac compression. There is also severe hypertrophic facetal arthropathy and ligamentum flavum hypertrophy and resultant lateral recess and central canal stenosis at the L4-L5 level. Also seen is bilateral neural foraminal narrowing at this level.
A posterior disc bulge is noted at the L3-L4 level. The facet joints at this level show hypertrophic degenerative changes.
Bilateral far lateral (extraforaminal) disc herniatins are seen at the L3-L4 and L4-L5 levels. ..2/.
A minimal posterior disc bulge is noted at the L2-L3 level.
Hemangiomas with fat content (hyperintense on all pulse sequences) are noted in the L2 and L4 vertebral bodies.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 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
14.0 mm at L2-L3
13.0 mm at L3-L4
8.0 mm at L4-L5
7.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra without obvious spondylolysis.
3. A posterior disc herniation at the L4-L5 level with severe hypertrophic facetal arthropathy and ligamentum flavum hypertrophy and resultant lateral recess and central canal stenosis at this level.
4. A posterior disc bulge at the L3-L4 level with hypertrophic facetal arthropathy at this level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12531
Date : 00.00.00
Name of the Patient : Abc Xyzarmlmn / F / 41 yrs.
Referred by : Dr. Abc Xyzpta.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches on and off and speech disturbances since 3 months.
Known diabetic.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
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.
Inflammatory changes are seen within the mastoid air cells, maxillary sinuses and sphenoid sinus.
INTRACRANIAL MRA :
The A1 segment of the right anterior cerebral artery is hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The right vertebral artery is formed by two vessels arising from the right subclavian artery and uniting approximately 2.0 cms proximal to the right common carotid bifurcation.
The right common carotid artery and its extracranial branches appear normal.
There is flattening of the bulb of the left common carotid artery. A filling defect is noted along the medial wall of the distal left common carotid artery and the proximal left internal carotid artery. Mild stenosis of the origin of the left internal and external carotid arteries is noted.
IMPRESSION :
The MRA features are suggestive of :
1. An anomalous origin of the right vertebral artery as described.
2. Flattening of the bulb of the left common carotid artery with a probable atherosclerotic plaque along the medial wall of the distal left common carotid artery and the proximal left internal carotid artery with resultant mild stenosis of the vessels as described.
3. No focal parenchymal lesion is identified in the brain.
As compared to the previous MRI (study no:00003) dated 00.00.00, there is no significant change noted.
Name of the Patient : Abc Xyzarmlmn / F / 41 yrs.
Referred by : Dr. Abc Xyzpta.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches on and off and speech disturbances since 3 months.
Known diabetic.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
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.
Inflammatory changes are seen within the mastoid air cells, maxillary sinuses and sphenoid sinus.
INTRACRANIAL MRA :
The A1 segment of the right anterior cerebral artery is hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The right vertebral artery is formed by two vessels arising from the right subclavian artery and uniting approximately 2.0 cms proximal to the right common carotid bifurcation.
The right common carotid artery and its extracranial branches appear normal.
There is flattening of the bulb of the left common carotid artery. A filling defect is noted along the medial wall of the distal left common carotid artery and the proximal left internal carotid artery. Mild stenosis of the origin of the left internal and external carotid arteries is noted.
IMPRESSION :
The MRA features are suggestive of :
1. An anomalous origin of the right vertebral artery as described.
2. Flattening of the bulb of the left common carotid artery with a probable atherosclerotic plaque along the medial wall of the distal left common carotid artery and the proximal left internal carotid artery with resultant mild stenosis of the vessels as described.
3. No focal parenchymal lesion is identified in the brain.
As compared to the previous MRI (study no:00003) dated 00.00.00, there is no significant change noted.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12530
ke/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Plmn / M / 48 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O injury to back by heavy object 15 days back.
C/O backache with slight radiation of pain to BLE since then.
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.
A postero-central disc herniation with peridiscal osteophytes, more to the right of the midline is seen at the L5-S1 level with anterior indentation of the thecal sac and the traversing right S1 nerve root. The L5-S1 facet joints show degenerative changes.
A small postero-central disc herniation is noted at the L4-L5 level with anterior indentation of the thecal sac. A small left far lateral disc herniation is also noted at this level with mild indentation upon the extraforaminal portion of the exiting left L4 nerve root. The L4-L5 facet joints show degenerative changes.
A postero-central and left far lateral (extraforaminal) disc herniation is seen at the L3-L4 level with anterior indentation of the thecal sac and upon the extraforaminal portion of the exiting left L3 nerve root. Facetal arthropathy is also noted at this level. A small left postero-lateral (foraminal) disc herniation is seen to narrow the left neural foramen at the L3-L4 level.
Schmorls nodes are seen in the dorso-lumbar region. The D12-L1, L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.
Small posterior peridiscal osteophytes are also seen at the L3-L4 and L4-L5 levels.
Type II degenerative changes are seen in the antero-superior portion of the L1 and L4 vertebral bodies.
The rest of 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 :
21.0 mm at L1-L2
22.0 mm at L2-L3
19.0 mm at L3-L4
16.0 mm at L4-L5
5.0 mm at L5-S1.
..3/.
- 3 - Scan-00000
IMPRESSION :
The MRI features are suggestive of :
1. Mild forward listhesis of the L5 vertebra over the S1 vertebra.
2. A postero-central disc herniation with peridiscal osteophytes, more to the right of the midline at the L5-S1 level with indentation upon the traversing right S1 nerve root.
3. A postero-central disc herniation and a small left far lateral (extraforaminal) disc herniation with mild indentation upon the extraforaminal portion of the exiting left L4 nerve root at the L4-L5 level.
4. A postero-central, small left postero-lateral (foraminal) and left far lateral (extraforaminal) disc herniation at the L3-L4 level with indentation upon the extraforaminal portion of the exiting left L3 nerve root.
5. Facetal arthropathy at the L3-L4, L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz Plmn / M / 48 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O injury to back by heavy object 15 days back.
C/O backache with slight radiation of pain to BLE since then.
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.
A postero-central disc herniation with peridiscal osteophytes, more to the right of the midline is seen at the L5-S1 level with anterior indentation of the thecal sac and the traversing right S1 nerve root. The L5-S1 facet joints show degenerative changes.
A small postero-central disc herniation is noted at the L4-L5 level with anterior indentation of the thecal sac. A small left far lateral disc herniation is also noted at this level with mild indentation upon the extraforaminal portion of the exiting left L4 nerve root. The L4-L5 facet joints show degenerative changes.
A postero-central and left far lateral (extraforaminal) disc herniation is seen at the L3-L4 level with anterior indentation of the thecal sac and upon the extraforaminal portion of the exiting left L3 nerve root. Facetal arthropathy is also noted at this level. A small left postero-lateral (foraminal) disc herniation is seen to narrow the left neural foramen at the L3-L4 level.
Schmorls nodes are seen in the dorso-lumbar region. The D12-L1, L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.
Small posterior peridiscal osteophytes are also seen at the L3-L4 and L4-L5 levels.
Type II degenerative changes are seen in the antero-superior portion of the L1 and L4 vertebral bodies.
The rest of 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 :
21.0 mm at L1-L2
22.0 mm at L2-L3
19.0 mm at L3-L4
16.0 mm at L4-L5
5.0 mm at L5-S1.
..3/.
- 3 - Scan-00000
IMPRESSION :
The MRI features are suggestive of :
1. Mild forward listhesis of the L5 vertebra over the S1 vertebra.
2. A postero-central disc herniation with peridiscal osteophytes, more to the right of the midline at the L5-S1 level with indentation upon the traversing right S1 nerve root.
3. A postero-central disc herniation and a small left far lateral (extraforaminal) disc herniation with mild indentation upon the extraforaminal portion of the exiting left L4 nerve root at the L4-L5 level.
4. A postero-central, small left postero-lateral (foraminal) and left far lateral (extraforaminal) disc herniation at the L3-L4 level with indentation upon the extraforaminal portion of the exiting left L3 nerve root.
5. Facetal arthropathy at the L3-L4, L4-L5 and L5-S1 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12529
ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzAlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neck pain radiating to BUE since 6 months.
On AKT for ? tuberculous spine.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
The tip of the odontoid process appears deficient but smooth in outline. There is atlanto-axial dislocation with atlanto-dens interval measuring approximately 1.8 cms. There is resultant indentation and compression of the cervico-medullary junction which shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images (isointense to normal cord on the T1 Weighted images) suggestive of cord edema/ischemia.
The left occipital condyle appears hypointense on all the pulse sequences suggesting sclerosis.
Small posterior disc protrusions with peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels.
The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
Incidental note is made of enlarged lymphnodes in the deep cervical region.
IMPRESSION :
The MRI features are suggestive of :
1. Smooth surface of the tip of the odontoid process which could be post-traumatic/post-infective. Sclerosis of the left occipital condyle may suggest previous infection.
2. Atlanto-axial dislocation with atlanto-dens interval measuring approximately 1.8 cms.
3. Cord compression with altered signal of the cervico-medullary junction suggestive of cord edema/ischemia.
Date : 00.00.00
Name of the Patient : Abc XyzAlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neck pain radiating to BUE since 6 months.
On AKT for ? tuberculous spine.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
The tip of the odontoid process appears deficient but smooth in outline. There is atlanto-axial dislocation with atlanto-dens interval measuring approximately 1.8 cms. There is resultant indentation and compression of the cervico-medullary junction which shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images (isointense to normal cord on the T1 Weighted images) suggestive of cord edema/ischemia.
The left occipital condyle appears hypointense on all the pulse sequences suggesting sclerosis.
Small posterior disc protrusions with peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels.
The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
Incidental note is made of enlarged lymphnodes in the deep cervical region.
IMPRESSION :
The MRI features are suggestive of :
1. Smooth surface of the tip of the odontoid process which could be post-traumatic/post-infective. Sclerosis of the left occipital condyle may suggest previous infection.
2. Atlanto-axial dislocation with atlanto-dens interval measuring approximately 1.8 cms.
3. Cord compression with altered signal of the cervico-medullary junction suggestive of cord edema/ischemia.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12528
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzlodhar Ylmn / M / 65 yrs.
Referred by : Dr. Abc Xyzosle.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) with tingling since 7-8 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebra and the L3 vertebral body is marked on the film. Please correlate with plain radiographs.
The L4, L5 and S1 vertebral bodies show an ill-defined hypointense signal on the T1 Weighted images which turns heterogeneously hyperintense on the T2 Weighted images. The L4 and L5 vertebral bodies and the L4-L5 disc space are reduced in height with irregularity of the cortical endplates adjacent to the L4-L5 intervertebral disc. The L4 and L5 pedicles are also involved.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the prevertebral soft tissues, along the left psoas muscle extending from about the L3 vertebral level upto the left lateral pelvic wall, in the right paravertebral
Scan-00008
region in the pelvis and in the epidural space on the right (with compression of the thecal sac) over the L4 to S2 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. The lesion along the left psoas muscle most likely represents a psoas abscess. Lesion along the right lateral pelvic wall, prevertebral region and in the epidural space may represent granulation tissue/abscess.
A small posterior disc bulge is noted at the L3-L4 level.
The facet joints at the L3-L4 and L4-L5 levels show mild hypertrophic degenerative changes.
The rest of the lumbar vertebral bodies reveal normal signal intensity.
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 :
20.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
13.0 mm at L4-L5
13.0 mm at L5-S1.
Incidentally noted is a fairly large left sided cortical renal cyst.
Screening, T1 Weighted sagittal images of the cervico-dorsal region reveals a congenital block D3/D4 vertebra.
..3/.
- 3 - Scan-00008
IMPRESSION :
1. Altered signal of the L4, L5 and S1 vertebral bodies and the L4-L5 intervertebral disc most likely represents osteitis with discitis, probably tuberculous in etiology. Soft tissue lesion along the left psoas muscle represents a psoas abscess. Soft tissue lesion along the right lateral pelvic wall, prevertebral region and in the right lateral epidural space may represent an abscess/granulation tissue.
The possibility of this lesion representing a neoplasm seems less likely.
2. Sacralization of the L5 vertebra. Please correlate with plain radiographs.
Date : 00.00.00
Name of the Patient : Abc Xyzlodhar Ylmn / M / 65 yrs.
Referred by : Dr. Abc Xyzosle.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) with tingling since 7-8 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebra and the L3 vertebral body is marked on the film. Please correlate with plain radiographs.
The L4, L5 and S1 vertebral bodies show an ill-defined hypointense signal on the T1 Weighted images which turns heterogeneously hyperintense on the T2 Weighted images. The L4 and L5 vertebral bodies and the L4-L5 disc space are reduced in height with irregularity of the cortical endplates adjacent to the L4-L5 intervertebral disc. The L4 and L5 pedicles are also involved.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the prevertebral soft tissues, along the left psoas muscle extending from about the L3 vertebral level upto the left lateral pelvic wall, in the right paravertebral
Scan-00008
region in the pelvis and in the epidural space on the right (with compression of the thecal sac) over the L4 to S2 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. The lesion along the left psoas muscle most likely represents a psoas abscess. Lesion along the right lateral pelvic wall, prevertebral region and in the epidural space may represent granulation tissue/abscess.
A small posterior disc bulge is noted at the L3-L4 level.
The facet joints at the L3-L4 and L4-L5 levels show mild hypertrophic degenerative changes.
The rest of the lumbar vertebral bodies reveal normal signal intensity.
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 :
20.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
13.0 mm at L4-L5
13.0 mm at L5-S1.
Incidentally noted is a fairly large left sided cortical renal cyst.
Screening, T1 Weighted sagittal images of the cervico-dorsal region reveals a congenital block D3/D4 vertebra.
..3/.
- 3 - Scan-00008
IMPRESSION :
1. Altered signal of the L4, L5 and S1 vertebral bodies and the L4-L5 intervertebral disc most likely represents osteitis with discitis, probably tuberculous in etiology. Soft tissue lesion along the left psoas muscle represents a psoas abscess. Soft tissue lesion along the right lateral pelvic wall, prevertebral region and in the right lateral epidural space may represent an abscess/granulation tissue.
The possibility of this lesion representing a neoplasm seems less likely.
2. Sacralization of the L5 vertebra. Please correlate with plain radiographs.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12527
hs/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz. lmn / F / 58 yrs.
Referred by : Dr. Abc XyzVani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness since 1 month.
Known hypertensive. On Rx.
H/O left facial palsy 2 years back which has recovered.
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 coronal images.
5 mm thick T1 Weighted sagittal images.
An MR Cisternogram was obtained in the coronal plane.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
There is fullness of both the lateral and the third ventricles.
The fourth ventricle is normal.
There is slight prominence of the cerebral cortical sulcal spaces and cerebellar folia bilaterally.
The seventh and eighth cranial nerve complex on either side are unremarkable.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the left mastoid air cells, ethmoidal air cells and both maxillary sinuses.
- 2 - scan-00007
IMPRESSION :
The MRI features are suggestive of :
1. Mild cerebral and cerebellar atrophy which may be age related.
2. Inflammatory changes in the left mastoid air cells, ethmoidal air cells and both maxillary sinuses.
Date : 00.00.00
Name of the Patient : Abc Xyz. lmn / F / 58 yrs.
Referred by : Dr. Abc XyzVani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness since 1 month.
Known hypertensive. On Rx.
H/O left facial palsy 2 years back which has recovered.
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 coronal images.
5 mm thick T1 Weighted sagittal images.
An MR Cisternogram was obtained in the coronal plane.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
There is fullness of both the lateral and the third ventricles.
The fourth ventricle is normal.
There is slight prominence of the cerebral cortical sulcal spaces and cerebellar folia bilaterally.
The seventh and eighth cranial nerve complex on either side are unremarkable.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the left mastoid air cells, ethmoidal air cells and both maxillary sinuses.
- 2 - scan-00007
IMPRESSION :
The MRI features are suggestive of :
1. Mild cerebral and cerebellar atrophy which may be age related.
2. Inflammatory changes in the left mastoid air cells, ethmoidal air cells and both maxillary sinuses.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12526
ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzkumar lmn / M / 28 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 1 year.
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 seventh and eighth cranial nerve complex on either side, the cervico-medullary junction and atlanto-axial region are unremarkable.
There is slight fullness of both the lateral, third and the fourth ventricles. There is prominence of the cerebral cortical sulcal spaces and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Mild cerebral cortical and cerebellar atrophy.
No other significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzkumar lmn / M / 28 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 1 year.
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 seventh and eighth cranial nerve complex on either side, the cervico-medullary junction and atlanto-axial region are unremarkable.
There is slight fullness of both the lateral, third and the fourth ventricles. There is prominence of the cerebral cortical sulcal spaces and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Mild cerebral cortical and cerebellar atrophy.
No other significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12525
hs/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlal Boghalmn / M / 38 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in the LLE.
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 L5 vertebra appears to be as marked on the film. Please correlate with plain radiographs.
There is evidence of a large postero-central disc herniation with peridiscal osteophytes compressing upon the thecal sac at the L4-L5 level. The facet joints at this level show degenerative changes. There is ligamentum flavum hypertrophy at the L4-L5 and L5 levels.
There are posterior disc bulges at the L3-L4 and L5-S1 levels.
A right far lateral (extraforaminal) disc bulge is noted at the L2-L3 level. Bilateral far lateral (extraforaminal) disc bulges are seen at the L4-L5 and L5-S1 levels.
There appears to be a conjoint nerve root sleeve at the L4 and L4-L5 levels on the left side.
The D12-L1 and L4-L5 intervertebral discs show loss of water content.
..2/.
- 2 - scan-00005
A small posterior disc bulge with peridiscal osteophyte is noted at the D12-L1 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 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
15.0 mm at L2-L3
14.0 mm at L3-L4
9.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc herniation with peridiscal osteophytes at the L4-L5 level.
2. Facetal arthropathy at the L4-L5 level.
3. Ligamentum flavum hypertrophy at the L4-L5 and L5 levels.
4. Canal stenosis at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyzlal Boghalmn / M / 38 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in the LLE.
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 L5 vertebra appears to be as marked on the film. Please correlate with plain radiographs.
There is evidence of a large postero-central disc herniation with peridiscal osteophytes compressing upon the thecal sac at the L4-L5 level. The facet joints at this level show degenerative changes. There is ligamentum flavum hypertrophy at the L4-L5 and L5 levels.
There are posterior disc bulges at the L3-L4 and L5-S1 levels.
A right far lateral (extraforaminal) disc bulge is noted at the L2-L3 level. Bilateral far lateral (extraforaminal) disc bulges are seen at the L4-L5 and L5-S1 levels.
There appears to be a conjoint nerve root sleeve at the L4 and L4-L5 levels on the left side.
The D12-L1 and L4-L5 intervertebral discs show loss of water content.
..2/.
- 2 - scan-00005
A small posterior disc bulge with peridiscal osteophyte is noted at the D12-L1 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 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
15.0 mm at L2-L3
14.0 mm at L3-L4
9.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc herniation with peridiscal osteophytes at the L4-L5 level.
2. Facetal arthropathy at the L4-L5 level.
3. Ligamentum flavum hypertrophy at the L4-L5 and L5 levels.
4. Canal stenosis at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12524
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz S. Bhlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : M.R.I. of the Brain & I.A.M.
CLINICAL PROFILE :
C/O tingling on the left side of the body since 00.00.00.
Known diabetic/hypertensive.
EXAMINATION :
M.R.I of the brain and I.A.M. was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted coronal images.
MR cisternogram was obtained in the coronal plane.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is seen an approximately 1.0 x 1.0 x 1.0 cms sized well-defined, intermediate signal intensity mass lesion on the T1 Weighted images in the left cerebello-pontine angle cistern. This lesion appears relatively hypointense on the T2 Weighted images and is seen to extend into the left internal auditory canal along the left seventh and eighth cranial nerve complex.
There are ill-defined, hyperintense areas on the proton and T2 Weighted images in the posterior parietal, paraventricular white matter bilaterally and in the subcortical and frontal deep white matter bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
A lacunar infarct is noted in the left lentiform nucleus.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the sphenoid sinus.
IMPRESSION :
1. An approximately 1.0 x 1.0 x 1.0 cms sized mass lesion in the left cerebello-pontine angle cistern extending into the left internal auditory canal, most likely represents an acoustic neurinoma.
2. Altered signal in the posterior parietal, paraventricular white matter bilaterally and in the subcortical and frontal deep white matter bilaterally represent ischemic changes.
3. Mild age related cerebral cortical and cerebellar atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyz S. Bhlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : M.R.I. of the Brain & I.A.M.
CLINICAL PROFILE :
C/O tingling on the left side of the body since 00.00.00.
Known diabetic/hypertensive.
EXAMINATION :
M.R.I of the brain and I.A.M. was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted coronal images.
MR cisternogram was obtained in the coronal plane.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is seen an approximately 1.0 x 1.0 x 1.0 cms sized well-defined, intermediate signal intensity mass lesion on the T1 Weighted images in the left cerebello-pontine angle cistern. This lesion appears relatively hypointense on the T2 Weighted images and is seen to extend into the left internal auditory canal along the left seventh and eighth cranial nerve complex.
There are ill-defined, hyperintense areas on the proton and T2 Weighted images in the posterior parietal, paraventricular white matter bilaterally and in the subcortical and frontal deep white matter bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
A lacunar infarct is noted in the left lentiform nucleus.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the sphenoid sinus.
IMPRESSION :
1. An approximately 1.0 x 1.0 x 1.0 cms sized mass lesion in the left cerebello-pontine angle cistern extending into the left internal auditory canal, most likely represents an acoustic neurinoma.
2. Altered signal in the posterior parietal, paraventricular white matter bilaterally and in the subcortical and frontal deep white matter bilaterally represent ischemic changes.
3. Mild age related cerebral cortical and cerebellar atrophy.
Published in
MRI Reports