Regular User
Sunday, 27 December 2015 16:48
12523
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in both the hip joints since 7-8 months with limp.
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 axial images.
5 mm thick Proton density sagittal images.
OBSERVATION :
There is seen a well demarcated, hypointense signal on all the pulse sequences in the anterior and superior quadrant of the femoral heads on either side. A perilesional hypointense rim on all the pulse sequences is noted around these lesions. The visualized neck of the femur on either side and the acetabulae are unremarkable. Minimal fluid is noted in the hip joints on either side, more on the right side.
The femoral heads on either side show normal contour. The overlying articular cartilage are also unremarkable.
Slight decrease in the bulk of the right gluteal muscles is noted as compared to the left.
IMPRESSION :
The MRI features suggest Class D avascular necrosis of the femoral heads on either side.
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in both the hip joints since 7-8 months with limp.
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 axial images.
5 mm thick Proton density sagittal images.
OBSERVATION :
There is seen a well demarcated, hypointense signal on all the pulse sequences in the anterior and superior quadrant of the femoral heads on either side. A perilesional hypointense rim on all the pulse sequences is noted around these lesions. The visualized neck of the femur on either side and the acetabulae are unremarkable. Minimal fluid is noted in the hip joints on either side, more on the right side.
The femoral heads on either side show normal contour. The overlying articular cartilage are also unremarkable.
Slight decrease in the bulk of the right gluteal muscles is noted as compared to the left.
IMPRESSION :
The MRI features suggest Class D avascular necrosis of the femoral heads on either side.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12522
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzi A. Mlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O laminectomy of L4-L5 and discoidectomy on 00.00.00 for backache.
Now C/O backache radiating to BLE (left more than right) since 2 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 :
There is sacralization of the L5 vertebra and the L3 vertebral body is as marked on the film.
There is evidence of laminectomy of L4 and L5 vertebrae with post-operative changes in the soft tissues in the posterior lumbar region at these levels.
Probable fusion of L4 and L5 vertebrae is noted. The L4-L5 intervertebral disc is not well identified. The rest of the intervertebral discs show loss of water content.
Small posterior disc bulge with peridiscal osteophytes is noted at the L3-L4 level.
Scan-00002
Right far lateral disc bulges with peridiscal osteophytes are noted at the L2-L3 and L1-L2 levels.
Slight facetal hypertrophy is noted in the lumbar region.
The L3, L4 and L5 vertebral bodies show spotty fatty marrow changes.
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
18.0 mm at L2-L3
14.0 mm at L3-L4
IMPRESSION :
1. Post-operative status with probable fusion of the L4 and L5 vertebral bodies and non-visualization of the L4-L5 disc.
2. Small posterior disc bulge with peridiscal osteophytes at the L3-L4 level.
3. Right far lateral disc bulges with peridiscal osteophytes at the L2-L3 and L1-L2 levels.
4. Slight facetal hypertrophy in the lumbar region.
Date : 00.00.00
Name of the Patient : Abc Xyzi A. Mlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O laminectomy of L4-L5 and discoidectomy on 00.00.00 for backache.
Now C/O backache radiating to BLE (left more than right) since 2 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 :
There is sacralization of the L5 vertebra and the L3 vertebral body is as marked on the film.
There is evidence of laminectomy of L4 and L5 vertebrae with post-operative changes in the soft tissues in the posterior lumbar region at these levels.
Probable fusion of L4 and L5 vertebrae is noted. The L4-L5 intervertebral disc is not well identified. The rest of the intervertebral discs show loss of water content.
Small posterior disc bulge with peridiscal osteophytes is noted at the L3-L4 level.
Scan-00002
Right far lateral disc bulges with peridiscal osteophytes are noted at the L2-L3 and L1-L2 levels.
Slight facetal hypertrophy is noted in the lumbar region.
The L3, L4 and L5 vertebral bodies show spotty fatty marrow changes.
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
18.0 mm at L2-L3
14.0 mm at L3-L4
IMPRESSION :
1. Post-operative status with probable fusion of the L4 and L5 vertebral bodies and non-visualization of the L4-L5 disc.
2. Small posterior disc bulge with peridiscal osteophytes at the L3-L4 level.
3. Right far lateral disc bulges with peridiscal osteophytes at the L2-L3 and L1-L2 levels.
4. Slight facetal hypertrophy in the lumbar region.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12521
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz B. Palmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
Alleged H/O head injury in February 0000.
H/O left parietal burrhole for a subdural hematoma in September 0000.
C/O headaches with vomiting and giddiness since 7-8 days.
Known hypertensive.
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.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Site of previous burrhole is noted in the left parietal bone (scan 102.15).
INTRACRANIAL MRA :
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized 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 left vertebral artery is seen to arise from the aortic arch.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Mild cerebral and cerebellar atrophy.
2. The left vertebral artery is seen to arise from the aortic arch.
No other significant abnormality is detected on the intracranial and neck MRA on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz B. Palmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
Alleged H/O head injury in February 0000.
H/O left parietal burrhole for a subdural hematoma in September 0000.
C/O headaches with vomiting and giddiness since 7-8 days.
Known hypertensive.
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.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Site of previous burrhole is noted in the left parietal bone (scan 102.15).
INTRACRANIAL MRA :
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized 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 left vertebral artery is seen to arise from the aortic arch.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Mild cerebral and cerebellar atrophy.
2. The left vertebral artery is seen to arise from the aortic arch.
No other significant abnormality is detected on the intracranial and neck MRA on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12520
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzar V. Plmn / F / 26 days.
Referred by : Dr. Abc Xyz. Parmar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O myoclonic jerks since 7 days.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
4 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 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 is unremarkable on either side.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The myelination pattern is normal for the patients age.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyzar V. Plmn / F / 26 days.
Referred by : Dr. Abc Xyz. Parmar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O myoclonic jerks since 7 days.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
4 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 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 is unremarkable on either side.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The myelination pattern is normal for the patients age.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12519
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz F. Shlmn / F / 26 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neckpain radiating to the LUE with paresthesias since 2 months.
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 :
There is loss of normal lumbar lordosis and slight loss of water content of the C3-C4 and C6-C7 intervertebral discs.
There is a fairly large, left paracentral and left postero-lateral extruded disc at the C6-C7 level with mild indentation on the cervical spinal cord and impingement of the left C7 nerve root. Slight superior migration of the disc fragment is noted. Minimal posterior disc bulge is noted at the C5-C6 level.
The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord shows normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
A fairly large, left paracentral and left postero-lateral (foraminal) extruded disc at the C6-C7 level with impingement of the left C7 nerve root.
Date : 00.00.00
Name of the Patient : Abc Xyz F. Shlmn / F / 26 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neckpain radiating to the LUE with paresthesias since 2 months.
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 :
There is loss of normal lumbar lordosis and slight loss of water content of the C3-C4 and C6-C7 intervertebral discs.
There is a fairly large, left paracentral and left postero-lateral extruded disc at the C6-C7 level with mild indentation on the cervical spinal cord and impingement of the left C7 nerve root. Slight superior migration of the disc fragment is noted. Minimal posterior disc bulge is noted at the C5-C6 level.
The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord shows normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
A fairly large, left paracentral and left postero-lateral (foraminal) extruded disc at the C6-C7 level with impingement of the left C7 nerve root.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12516
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzChatalmn / F / 9 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O inability to move neck since birth.
EXAMINATION :
M.R.I of the cervico-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.
4 mm thick T1 Weighted coronal images.
OBSERVATION :
There is scoliosis of the cervico-dorsal spine with convexity to the right. Segmentation anomalies of the cervico-dorsal vertebrae is noted. Resultant clockwise and anti-clockwise rotational anomalies of the cervico-dorsal vertebrae is noted. The spinal cord at the cervico-dorsal junction is placed to the left in the spinal canal. The upper dorsal spinal cord is placed to the right of the midline in the spinal canal. There is evidence of a right sided aortic arch and a right sided descending thoracic aorta.
Lobulated soft tissue lesions are noted at the left apex, in the subcarinal and para-aortic regions and in the right hemithorax, laterally.
The visualized cervico-dorsal vertebral bodies show normal signal.
The visualized cervico-dorsal spinal cord reveals normal signal intensity.
Probable occipitalization of the C1 vertebra is noted.
The cervico-medullary junction is unremarkable.
Screening, T1 Weighted sagittal images of the dorso-lumbar region do not reveal any significant feature of note.
IMPRESSION :
1. Scoliosis of the cervico-dorsal spine with convexity to the right, with segmentation anomalies of the cervico-dorsal vertebrae.
2. Probable occipitalization of the C1 vertebra.
3. Lobulated lesions at the apex of the right lung, in the right hemithorax, laterally and in the subcarinal and para-aortic regions are not specific for a single etiology. These lesions may represent enlarged lymphnodes, pleural thickening or may represent multiple neurofibromas.
4. Right sided aortic arch with a right sided descending thoracic aorta.
Date : 00.00.00
Name of the Patient : Abc XyzChatalmn / F / 9 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O inability to move neck since birth.
EXAMINATION :
M.R.I of the cervico-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.
4 mm thick T1 Weighted coronal images.
OBSERVATION :
There is scoliosis of the cervico-dorsal spine with convexity to the right. Segmentation anomalies of the cervico-dorsal vertebrae is noted. Resultant clockwise and anti-clockwise rotational anomalies of the cervico-dorsal vertebrae is noted. The spinal cord at the cervico-dorsal junction is placed to the left in the spinal canal. The upper dorsal spinal cord is placed to the right of the midline in the spinal canal. There is evidence of a right sided aortic arch and a right sided descending thoracic aorta.
Lobulated soft tissue lesions are noted at the left apex, in the subcarinal and para-aortic regions and in the right hemithorax, laterally.
The visualized cervico-dorsal vertebral bodies show normal signal.
The visualized cervico-dorsal spinal cord reveals normal signal intensity.
Probable occipitalization of the C1 vertebra is noted.
The cervico-medullary junction is unremarkable.
Screening, T1 Weighted sagittal images of the dorso-lumbar region do not reveal any significant feature of note.
IMPRESSION :
1. Scoliosis of the cervico-dorsal spine with convexity to the right, with segmentation anomalies of the cervico-dorsal vertebrae.
2. Probable occipitalization of the C1 vertebra.
3. Lobulated lesions at the apex of the right lung, in the right hemithorax, laterally and in the subcarinal and para-aortic regions are not specific for a single etiology. These lesions may represent enlarged lymphnodes, pleural thickening or may represent multiple neurofibromas.
4. Right sided aortic arch with a right sided descending thoracic aorta.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12515
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzB. Gorilmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided weakness with speech disturbances since 4 days.
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 are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons, anteriorly and to the left of the midline, right lentiform nucleus, left corona radiata and in the subcortical white matter in the posterior parietal regions bilaterally and left frontal region. These lesions appear isointense to normal white matter on the T1 Weighted images.
Lacunar infarcts (iso to hyperintense to CSF) are noted in the left lentiform nucleus and in the left corona radiata.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
There is a hyperintense signal on all the pulse sequences within the transverse and sigmoid sinuses and proximal internal jugular vein on the left side may represent slow flow.
Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells bilaterally.
IMPRESSION :
1. Altered signal in the pons, anteriorly and to the left of the midline, right lentiform nucleus, left corona radiata and in the subcortical white matter in the posterior parietal regions bilaterally and left frontal region most likely represents ischemic changes.
2. Lacunar infarcts in the left lentiform nucleus and in the left corona radiata.
Date : 00.00.00
Name of the Patient : Abc XyzB. Gorilmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided weakness with speech disturbances since 4 days.
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 are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons, anteriorly and to the left of the midline, right lentiform nucleus, left corona radiata and in the subcortical white matter in the posterior parietal regions bilaterally and left frontal region. These lesions appear isointense to normal white matter on the T1 Weighted images.
Lacunar infarcts (iso to hyperintense to CSF) are noted in the left lentiform nucleus and in the left corona radiata.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
There is a hyperintense signal on all the pulse sequences within the transverse and sigmoid sinuses and proximal internal jugular vein on the left side may represent slow flow.
Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells bilaterally.
IMPRESSION :
1. Altered signal in the pons, anteriorly and to the left of the midline, right lentiform nucleus, left corona radiata and in the subcortical white matter in the posterior parietal regions bilaterally and left frontal region most likely represents ischemic changes.
2. Lacunar infarcts in the left lentiform nucleus and in the left corona radiata.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12513
hs/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 35 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O fall 15 days back with backache radiating to the RLE since then.
Past H/O lumbar spine surgery 2 years ago.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is evidence of laminectomy of the L5 vertebra with post-operative changes in the posterior soft tissues.
There is Grade III spondylolisthesis of the L5 vertebra over the S1 vertebra. There appears to be a break of the pars interarticularis of the L5 vertebra bilaterally. A pseudoposterior disc herniation is noted at the L5-S1 level. Also seen is an anterior disc herniation at this level.
There is anterior wedging of the D12 vertebral body. Linear hypointensities on all the pulse sequences within it may represent compressed trabeculae. Diffuse hypointense signal on the T1 Weighted images which turns hyperintense on the T2 Weighted images is seen within the D12 vertebral body, which may represent bone edema.
Scan-00003
A posterior disc bulge is noted at the L4-L5 level.
There is dilatation of the abdominal aorta from the D12-L1 level downwards with dilatation of the proximal left common iliac artery.
The lumbar intervertebral discs show loss of water content.
Extensive Type II degenerative changes are seen within the L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc.
The rest of the lumbar vertebral bodies 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 S2 level.
IMPRESSION :
1. Post-operative status.
2. Grade III spondylolisthesis of the L5 vertebra over the S1 vertebra with probable spondylolysis of the L5 vertebra bilaterally.
3. Compression fracture of the D12 vertebral body, especially in the given clinical setting of a fall.
4. Aneurysmal dilatation of the abdominal aorta from the D12-L1 disc level upto the proximal iliac vessels.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 35 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O fall 15 days back with backache radiating to the RLE since then.
Past H/O lumbar spine surgery 2 years ago.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is evidence of laminectomy of the L5 vertebra with post-operative changes in the posterior soft tissues.
There is Grade III spondylolisthesis of the L5 vertebra over the S1 vertebra. There appears to be a break of the pars interarticularis of the L5 vertebra bilaterally. A pseudoposterior disc herniation is noted at the L5-S1 level. Also seen is an anterior disc herniation at this level.
There is anterior wedging of the D12 vertebral body. Linear hypointensities on all the pulse sequences within it may represent compressed trabeculae. Diffuse hypointense signal on the T1 Weighted images which turns hyperintense on the T2 Weighted images is seen within the D12 vertebral body, which may represent bone edema.
Scan-00003
A posterior disc bulge is noted at the L4-L5 level.
There is dilatation of the abdominal aorta from the D12-L1 level downwards with dilatation of the proximal left common iliac artery.
The lumbar intervertebral discs show loss of water content.
Extensive Type II degenerative changes are seen within the L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc.
The rest of the lumbar vertebral bodies 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 S2 level.
IMPRESSION :
1. Post-operative status.
2. Grade III spondylolisthesis of the L5 vertebra over the S1 vertebra with probable spondylolysis of the L5 vertebra bilaterally.
3. Compression fracture of the D12 vertebral body, especially in the given clinical setting of a fall.
4. Aneurysmal dilatation of the abdominal aorta from the D12-L1 disc level upto the proximal iliac vessels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12512
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xylmn / F / 27 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Pelvis.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 8 days.
EXAMINATION :
M.R.I of the pelvis was performed using the following parameters:
7 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
4 mm thick T1 Weighted and STIR coronal images.
7 mm thick T2 Weighted (with fat saturation) sagittal images.
OBSERVATION :
There is an ill-defined, hypointense signal on the T1 Weighted images involving the sacrum on the right and the bodies of the first three sacral segments. This lesion appears hyperintense on the T2 Weighted images and STIR images. Minimal extension of the lesion into the presacral soft tissues is noted on the right. Effacement of the second sacral foramen on the right is noted with encasement of the nerve root at this level. The right sacro-iliac joint per se is not involved. The visualized left sacro iliac joint and the hip joints on either side are unremarkable.
Also seen is a fairly large, approximately 7.0 x 5.0 x 8.0 cms well-defined, intermediate signal intensity mass lesion on the T1 Weighted images in the pelvis between the uterus and the rectum, slightly more to the left of the midline. This lesion appears relatively hyperintense as compared to normal muscle on the T2 Weighted and STIR images. Few cystic/necrotic foci are noted within this lesion. The lesion appears to be separate from the uterus, rectum and the bony pelvis. It is seen to indent the uterus and rectum. The right adnexal region is unremarkable. Minimal fluid is noted around the lesion.
..2/.
The urinary bladder shows normal wall thickness. The left iliac vessels are in close relation to the pelvic mass lesion.
IMPRESSION :
1. Altered signal in the sacrum on the right as described is not specific for a single etiology. Such changes may be seen in :
a. Infective processes like tuberculous osteitis.
b. Neoplasia like round cell tumors.
2. A fairly large 7.0 x 5.0 x 8.0 cms sized mass lesion in the pelvis in the utero-rectal pouch, to the left of the midline as described, is not specific for a single etiology. The differential diagnosis would include :
a. Pedunculated fibroid.
b. Lymphnodal mass.
c. Less likely to represent an ovarian lesion.
d. Desmoid.
Date : 00.00.00
Name of the Patient : Abc Xylmn / F / 27 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Pelvis.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 8 days.
EXAMINATION :
M.R.I of the pelvis was performed using the following parameters:
7 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
4 mm thick T1 Weighted and STIR coronal images.
7 mm thick T2 Weighted (with fat saturation) sagittal images.
OBSERVATION :
There is an ill-defined, hypointense signal on the T1 Weighted images involving the sacrum on the right and the bodies of the first three sacral segments. This lesion appears hyperintense on the T2 Weighted images and STIR images. Minimal extension of the lesion into the presacral soft tissues is noted on the right. Effacement of the second sacral foramen on the right is noted with encasement of the nerve root at this level. The right sacro-iliac joint per se is not involved. The visualized left sacro iliac joint and the hip joints on either side are unremarkable.
Also seen is a fairly large, approximately 7.0 x 5.0 x 8.0 cms well-defined, intermediate signal intensity mass lesion on the T1 Weighted images in the pelvis between the uterus and the rectum, slightly more to the left of the midline. This lesion appears relatively hyperintense as compared to normal muscle on the T2 Weighted and STIR images. Few cystic/necrotic foci are noted within this lesion. The lesion appears to be separate from the uterus, rectum and the bony pelvis. It is seen to indent the uterus and rectum. The right adnexal region is unremarkable. Minimal fluid is noted around the lesion.
..2/.
The urinary bladder shows normal wall thickness. The left iliac vessels are in close relation to the pelvic mass lesion.
IMPRESSION :
1. Altered signal in the sacrum on the right as described is not specific for a single etiology. Such changes may be seen in :
a. Infective processes like tuberculous osteitis.
b. Neoplasia like round cell tumors.
2. A fairly large 7.0 x 5.0 x 8.0 cms sized mass lesion in the pelvis in the utero-rectal pouch, to the left of the midline as described, is not specific for a single etiology. The differential diagnosis would include :
a. Pedunculated fibroid.
b. Lymphnodal mass.
c. Less likely to represent an ovarian lesion.
d. Desmoid.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12511
hs/sb/nl/nl/
Date : 00.00.00
Name of the Patient : Abc XyzDabholmn / F / 45 yrs.
Referred by : Dr. Abc Xyzesai.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
C/O left knee joint pain with clicking and limitation of movement.
Alleged H/O fall 3 months ago.
EXAMINATION :
M.R.I of the left knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick GRASS axial images.
OBSERVATION :
Menisci
Linear hyperintense signal on all the pulse sequences, not reaching upto the articular surface is noted within the posterior horns of the medial and lateral menisci. This would suggest Grade II signal (meniscal degeneration).
The anterior horns of the lateral and medial menisci reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
Hyperintense signal on the T2 Weighted and GRASS images is noted within the soft tissues adjacent to the medial collateral ligament. This would represent soft tissue edema/contusions the result of fall.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
The articular cartilage overlying the patella, tibia and femur appears normal.
Hypointense signal on the T1 Weighted images which turn hyperintense on the T2 Weighted and GRASS images is seen within the lateral femoral condyle and would represent bone edema/contusion.
IMPRESSION :
In the given setting of trauma, the MRI features are suggestive of bone edema/contusions within the lateral femoral condyle on the left side. Altered signal in the soft tissues of the left knee joint medially suggests soft tissue injury.
Date : 00.00.00
Name of the Patient : Abc XyzDabholmn / F / 45 yrs.
Referred by : Dr. Abc Xyzesai.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
C/O left knee joint pain with clicking and limitation of movement.
Alleged H/O fall 3 months ago.
EXAMINATION :
M.R.I of the left knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick GRASS axial images.
OBSERVATION :
Menisci
Linear hyperintense signal on all the pulse sequences, not reaching upto the articular surface is noted within the posterior horns of the medial and lateral menisci. This would suggest Grade II signal (meniscal degeneration).
The anterior horns of the lateral and medial menisci reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
Hyperintense signal on the T2 Weighted and GRASS images is noted within the soft tissues adjacent to the medial collateral ligament. This would represent soft tissue edema/contusions the result of fall.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
The articular cartilage overlying the patella, tibia and femur appears normal.
Hypointense signal on the T1 Weighted images which turn hyperintense on the T2 Weighted and GRASS images is seen within the lateral femoral condyle and would represent bone edema/contusion.
IMPRESSION :
In the given setting of trauma, the MRI features are suggestive of bone edema/contusions within the lateral femoral condyle on the left side. Altered signal in the soft tissues of the left knee joint medially suggests soft tissue injury.
Published in
MRI Reports