Regular User
Sunday, 27 December 2015 16:48
12499
Date : 00.00.00
Name of the Patient : Abc Xyzik Jarilmn / M / 14 yrs.
Referred by : Dr. Abc Xyzoshi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O vehicular accident 2 months back.
C/O myoclonic jerks since 1 month.
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.
3 mm thick T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are diffuse, irregularly defined areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the fronto-parietal lobes on the right side and left parietal lobe. There is involvement of the grey as well as the white matter.
There appears to be occipitalization of the atlas with atlanto-dens subluxation. The tip of the odontoid process is seen to indent the cervico-medullary junction.
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.
Scan-00009
Inflammatory changes are noted in the left maxillary sinus.
IMPRESSION :
The MRI features are suggestive of diffuse, irregularly defined lesion within the fronto-parietal lobes on the right side and left parietal lobe as described. These lesions are not specific for a single etiology. The differential diagnosis would include:
a. Infiltrative glioma.
b. Lymphoma.
c. Encephalitis.
d. Demyelination.
Name of the Patient : Abc Xyzik Jarilmn / M / 14 yrs.
Referred by : Dr. Abc Xyzoshi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O vehicular accident 2 months back.
C/O myoclonic jerks since 1 month.
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.
3 mm thick T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are diffuse, irregularly defined areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the fronto-parietal lobes on the right side and left parietal lobe. There is involvement of the grey as well as the white matter.
There appears to be occipitalization of the atlas with atlanto-dens subluxation. The tip of the odontoid process is seen to indent the cervico-medullary junction.
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.
Scan-00009
Inflammatory changes are noted in the left maxillary sinus.
IMPRESSION :
The MRI features are suggestive of diffuse, irregularly defined lesion within the fronto-parietal lobes on the right side and left parietal lobe as described. These lesions are not specific for a single etiology. The differential diagnosis would include:
a. Infiltrative glioma.
b. Lymphoma.
c. Encephalitis.
d. Demyelination.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12498
ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzevi Chalmn / F / 28 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neck pain radiating to the LUE with numbness in the LUE and on the left side of the head since 4-5 days.
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 a small posterior disc bulge at the C5-C6 level. This intervertebral disc shows loss of water content.
Minimal, posterior peridiscal osteophyte is noted at the C3-C4 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 :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzevi Chalmn / F / 28 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neck pain radiating to the LUE with numbness in the LUE and on the left side of the head since 4-5 days.
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 a small posterior disc bulge at the C5-C6 level. This intervertebral disc shows loss of water content.
Minimal, posterior peridiscal osteophyte is noted at the C3-C4 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 :
No significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12497
ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzal Maklmn / M / 72 yrs.
Referred by : Dr. Abc Xyzthod.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 6-8 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 L1 vertebral body is as marked on the film.
There is a small posterior and bilateral far lateral disc herniations with peridiscal osteophytes at the L4-L5 level with anterior indentation of the thecal sac. Mild indentation upon the extraforaminal portion of the L4 nerve roots is noted. The L4-L5 facet joints show mild degenerative change.
A small posterior disc bulge is noted at the L3-L4 level. The L3-L4 facet joints show mild degenerative changes. Anterior disc herniations are noted in the dorso-lumbar region with anterior peridiscal osteophytes. The lumbar intervertebral discs show loss of water content.
Minimal, posterior peridiscal osteophyte is noted at the L2-L3 level.
Fat is noted in the filum terminale over the L1-L2 to the S1 levels which would be a normal variant.
The lumbar vertebral bodies show diffuse fatty marrow changes.
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 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
16.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
7.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. A small posterior and bilateral far lateral disc herniations with peridiscal osteophytes at the L4-L5 level with mild indentation upon the extraforaminal portion of the L4 nerve roots and mild facetal arthropathy at this level.
3. A small posterior disc bulge at the L3-L4 level with mild facetal arthropathy at this level.
Date : 00.00.00
Name of the Patient : Abc Xyzal Maklmn / M / 72 yrs.
Referred by : Dr. Abc Xyzthod.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 6-8 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 L1 vertebral body is as marked on the film.
There is a small posterior and bilateral far lateral disc herniations with peridiscal osteophytes at the L4-L5 level with anterior indentation of the thecal sac. Mild indentation upon the extraforaminal portion of the L4 nerve roots is noted. The L4-L5 facet joints show mild degenerative change.
A small posterior disc bulge is noted at the L3-L4 level. The L3-L4 facet joints show mild degenerative changes. Anterior disc herniations are noted in the dorso-lumbar region with anterior peridiscal osteophytes. The lumbar intervertebral discs show loss of water content.
Minimal, posterior peridiscal osteophyte is noted at the L2-L3 level.
Fat is noted in the filum terminale over the L1-L2 to the S1 levels which would be a normal variant.
The lumbar vertebral bodies show diffuse fatty marrow changes.
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 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
16.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
7.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. A small posterior and bilateral far lateral disc herniations with peridiscal osteophytes at the L4-L5 level with mild indentation upon the extraforaminal portion of the L4 nerve roots and mild facetal arthropathy at this level.
3. A small posterior disc bulge at the L3-L4 level with mild facetal arthropathy at this level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12496
ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
Previous MRI s/o tuberculous spine involving the C5, C6 and C7 vertebrae. On AKT since February 0000.
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.
5 mm thick T1 Weighted and STIR coronal images.
OBSERVATION :
Areas of hypointensity on the T1 Weighted images are still seen to involve the C5, C6 and C7 vertebral bodies and these vertebral bodies are seen to turn hyperintense on the T2 Weighted images.
There is extension of this pathologic process into the anterior and right lateral epidural space over the C4 to C7 vertebral levels with resultant indentation upon the spinal cord. The cord over these levels shows a subtle hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia/myelitis. Also seen is encroachment into the neural foramina bilaterally at the C5-C6 and C6-C7 levels and on the right side at the C4-C5 and C7-D1 levels with encasement of the corresponding exiting nerve roots. The right pedicles of the C5, C6 and C7 vertebrae are involved.
The pathologic process is also seen to extend into the prevertebral, right paravertebral and right posterior paraspinal soft tissues over the C2 to C7 levels. There is partial encasement of the right vertebral artery over the C5 to C7 levels which however shows normal flow void signal. This soft tissue lesion is hypointense with a hyperintense rim on the T1 Weighted images and turns hyperintense with a hypointense rim on the Fast Scan (T2 *) images and this may represent an abscess (which appears to be loculated).
The C2-C3 to C5-C6 intervertebral discs show loss of water content. The C6-C7 intervertebral disc is hyperintense on the T2 Weighted images (? involved by the pathologic process).
The rest of cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Mucosal thickening is noted in the sphenoid sinus.
IMPRESSION :
In a known C/O tuberculous spine, the MRI features are suggestive of altered signal of the C5, C6 and C7 vertebrae with soft tissue extensions and cord compression with cord edema/ischemia/myelitis over the C4 to C7 vertebral levels as described.
As compared to the previous MRI (study no.00004) dated 00.00.00, there is reduction in the pre and paravertebral soft tissue component as well as the epidural lesion and the degree of cord compression.
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
Previous MRI s/o tuberculous spine involving the C5, C6 and C7 vertebrae. On AKT since February 0000.
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.
5 mm thick T1 Weighted and STIR coronal images.
OBSERVATION :
Areas of hypointensity on the T1 Weighted images are still seen to involve the C5, C6 and C7 vertebral bodies and these vertebral bodies are seen to turn hyperintense on the T2 Weighted images.
There is extension of this pathologic process into the anterior and right lateral epidural space over the C4 to C7 vertebral levels with resultant indentation upon the spinal cord. The cord over these levels shows a subtle hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia/myelitis. Also seen is encroachment into the neural foramina bilaterally at the C5-C6 and C6-C7 levels and on the right side at the C4-C5 and C7-D1 levels with encasement of the corresponding exiting nerve roots. The right pedicles of the C5, C6 and C7 vertebrae are involved.
The pathologic process is also seen to extend into the prevertebral, right paravertebral and right posterior paraspinal soft tissues over the C2 to C7 levels. There is partial encasement of the right vertebral artery over the C5 to C7 levels which however shows normal flow void signal. This soft tissue lesion is hypointense with a hyperintense rim on the T1 Weighted images and turns hyperintense with a hypointense rim on the Fast Scan (T2 *) images and this may represent an abscess (which appears to be loculated).
The C2-C3 to C5-C6 intervertebral discs show loss of water content. The C6-C7 intervertebral disc is hyperintense on the T2 Weighted images (? involved by the pathologic process).
The rest of cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Mucosal thickening is noted in the sphenoid sinus.
IMPRESSION :
In a known C/O tuberculous spine, the MRI features are suggestive of altered signal of the C5, C6 and C7 vertebrae with soft tissue extensions and cord compression with cord edema/ischemia/myelitis over the C4 to C7 vertebral levels as described.
As compared to the previous MRI (study no.00004) dated 00.00.00, there is reduction in the pre and paravertebral soft tissue component as well as the epidural lesion and the degree of cord compression.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12494
ke/sb/rg/nl
/5 Date : 00.00.00
Name of the Patient : Abc Xyz Bhattachlmn / M / 27 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 0000. On anti-epileptics.
Now C/O headaches and heaviness on the right side.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
5 mm thick FLAIR coronal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and 3 mm thick T1 Weighted coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is an ill-defined hypointense area in the right parieto-occipital region involving the subcortical white matter on the T1 Weighted images. This is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. There is no significant mass effect. This most likely represents perilesional edema.
After administration of contrast, there is a small, well-circumscribed ring enhancing lesion measuring approximately 4.0 mms in diameter (se/im 102.15, 103.2) in right posterior parietal cortex.
Scan-00004
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.
Incidental note is made of bilateral mastoiditis, left maxillary and frontal sinusitis and inflammatory changes in the ethmoidal air cells.
IMPRESSION :
A 4.0 mms diameter sized ring-enhancing lesion in the right posterior parietal cortex with perilesional edema, is not specific for a single etiology. It is difficult to characterize this lesion on the T1 Weighted and T2 Weighted images. This lesion, however, most likely represents a cysticercus in the granular-nodular stage.
/5 Date : 00.00.00
Name of the Patient : Abc Xyz Bhattachlmn / M / 27 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 0000. On anti-epileptics.
Now C/O headaches and heaviness on the right side.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
5 mm thick FLAIR coronal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and 3 mm thick T1 Weighted coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is an ill-defined hypointense area in the right parieto-occipital region involving the subcortical white matter on the T1 Weighted images. This is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. There is no significant mass effect. This most likely represents perilesional edema.
After administration of contrast, there is a small, well-circumscribed ring enhancing lesion measuring approximately 4.0 mms in diameter (se/im 102.15, 103.2) in right posterior parietal cortex.
Scan-00004
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.
Incidental note is made of bilateral mastoiditis, left maxillary and frontal sinusitis and inflammatory changes in the ethmoidal air cells.
IMPRESSION :
A 4.0 mms diameter sized ring-enhancing lesion in the right posterior parietal cortex with perilesional edema, is not specific for a single etiology. It is difficult to characterize this lesion on the T1 Weighted and T2 Weighted images. This lesion, however, most likely represents a cysticercus in the granular-nodular stage.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12493
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Achlmn / M / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O visual defect on the right side with pain in the right eye since 2 1/2 months.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick T1 Weighted and STIR coronal images through the optic nerves.
OBSERVATION :
There is volume loss in the right posterior parietal region. There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the right posterior parietal region, right periatrial region and in the right centrum semiovale. This lesion appears iso to hypointense to normal white matter on the T1 Weighted images and represent gliotic/encephalomalacic changes, most likely the sequelae of previous vascular insult. Resultant minimal fullness of the posterior body, atrium and occipital horn of the right lateral ventricle is noted.
There is slight increase in the perioptic CSF around the right optic nerve which may suggest right optic nerve atrophy.
There is loss of normal flow void signal in the petrous and cavernous segments of the right internal carotid artery which suggest slow flow/thrombus.
The left lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
IMPRESSION :
1. Volume loss in the right posterior parietal region with altered signal in the subcortical white matter in the right posterior parietal region, right periatrial region and in the right centrum semiovale most likely represent gliotic/ encephalomalacic changes, probably the sequelae of previous vascular insult.
2. Right optic nerve atrophy.
3. Loss of normal flow void signal in the petrous and segments of the right internal carotid artery suggest slow flow/thrombus.
Date : 00.00.00
Name of the Patient : Abc Xyz Achlmn / M / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O visual defect on the right side with pain in the right eye since 2 1/2 months.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick T1 Weighted and STIR coronal images through the optic nerves.
OBSERVATION :
There is volume loss in the right posterior parietal region. There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the right posterior parietal region, right periatrial region and in the right centrum semiovale. This lesion appears iso to hypointense to normal white matter on the T1 Weighted images and represent gliotic/encephalomalacic changes, most likely the sequelae of previous vascular insult. Resultant minimal fullness of the posterior body, atrium and occipital horn of the right lateral ventricle is noted.
There is slight increase in the perioptic CSF around the right optic nerve which may suggest right optic nerve atrophy.
There is loss of normal flow void signal in the petrous and cavernous segments of the right internal carotid artery which suggest slow flow/thrombus.
The left lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
IMPRESSION :
1. Volume loss in the right posterior parietal region with altered signal in the subcortical white matter in the right posterior parietal region, right periatrial region and in the right centrum semiovale most likely represent gliotic/ encephalomalacic changes, probably the sequelae of previous vascular insult.
2. Right optic nerve atrophy.
3. Loss of normal flow void signal in the petrous and segments of the right internal carotid artery suggest slow flow/thrombus.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12492
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzralmn / M / 70 yrs.
Referred by : Dr. Abc Xyzidhwa.
Examination : M.R.I. of the Right Shoulder.
CLINICAL PROFILE :
C/O pain in the right shoulder since 1 year.
H/O cervical spondylosis.
EXAMINATION :
M.R.I of the right shoulder was performed using the following parameters :
4 mm thick T1 Weighted and GRASS axial images.
4 mm thick T2 Weighted sagittal images.
4 mm thick T1 Weighted, Proton and T2 Weighted coronal images.
OBSERVATION :
There is a discontinuity of the tendinous insertion of the supraspinatous muscle with a complete tear of the tendon approximately 1.5 cms distal to the greater tuberosity of the right humerus. Slight retraction of the supraspinatous muscle is noted.
A hyperintense signal on the T2 Weighted images is noted along the course of the supraspinatous tendon which may represent fluid. Fluid is also noted in the subacromial bursa, gleno-humeral joint and in the subdeltoid bursa.
There is an ill-defined hyperintense signal on the T2 Weighted and GRASS images along the tendon of the subscapularis muscle. This may suggest a partial tear/strain of the tendon. Fluid is also noted around subscapularis tendon.
Scan-00002
Slight decrease in the bulk of the supraspinatous muscle is noted.
The head of the right humerus shows normal contour and the head and upper shaft of the right humerus show normal signal intensity. The visualized scapula appears normal. The glenoid labrum is unremarkable. The biceps tendon in the biciptical groove shows normal signal intensity.
The articular cartilage of the head of the right humerus appears normal.
There is no bone erosion or destruction seen.
The acromio-clavicular joint is normal. The acromion process is oriented horizontally.
The visualized axilla is unremarkable.
IMPRESSION :
1. A complete tear of the tendon of the supraspinatous muscle about 1.5 cms distal to its insertion at the greater tuberosity of the right humerus.
2. Fluid in the subacromial and subdeltoid bursae and in the gleno-humeral joint.
3. Partial tear/strain in the subscapularis tendon.
Date : 00.00.00
Name of the Patient : Abc Xyzralmn / M / 70 yrs.
Referred by : Dr. Abc Xyzidhwa.
Examination : M.R.I. of the Right Shoulder.
CLINICAL PROFILE :
C/O pain in the right shoulder since 1 year.
H/O cervical spondylosis.
EXAMINATION :
M.R.I of the right shoulder was performed using the following parameters :
4 mm thick T1 Weighted and GRASS axial images.
4 mm thick T2 Weighted sagittal images.
4 mm thick T1 Weighted, Proton and T2 Weighted coronal images.
OBSERVATION :
There is a discontinuity of the tendinous insertion of the supraspinatous muscle with a complete tear of the tendon approximately 1.5 cms distal to the greater tuberosity of the right humerus. Slight retraction of the supraspinatous muscle is noted.
A hyperintense signal on the T2 Weighted images is noted along the course of the supraspinatous tendon which may represent fluid. Fluid is also noted in the subacromial bursa, gleno-humeral joint and in the subdeltoid bursa.
There is an ill-defined hyperintense signal on the T2 Weighted and GRASS images along the tendon of the subscapularis muscle. This may suggest a partial tear/strain of the tendon. Fluid is also noted around subscapularis tendon.
Scan-00002
Slight decrease in the bulk of the supraspinatous muscle is noted.
The head of the right humerus shows normal contour and the head and upper shaft of the right humerus show normal signal intensity. The visualized scapula appears normal. The glenoid labrum is unremarkable. The biceps tendon in the biciptical groove shows normal signal intensity.
The articular cartilage of the head of the right humerus appears normal.
There is no bone erosion or destruction seen.
The acromio-clavicular joint is normal. The acromion process is oriented horizontally.
The visualized axilla is unremarkable.
IMPRESSION :
1. A complete tear of the tendon of the supraspinatous muscle about 1.5 cms distal to its insertion at the greater tuberosity of the right humerus.
2. Fluid in the subacromial and subdeltoid bursae and in the gleno-humeral joint.
3. Partial tear/strain in the subscapularis tendon.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12491
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzk Plmn / M / 6 1/2 yrs.
Referred by : Dr. Abc Xyzgla.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O recurrent discharging lesion in the low back. L1 laminectomy with L2 to L4 laminoplasty with excision of intradural epidermoid done on 00.00.00.
For follow-up.
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 operative intervention in the soft tissues in the posterior lumbar region.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The lower dorsal spinal cord shows normal signal intensity. The intrathecal nerve roots show normal distribution. No obvious mass lesion is identified in the visualized spinal canal.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
A nodular, soft tissue lesion is noted on the surface of the skin in the posterior lumbar region at the lumbo-sacral junction.
IMPRESSION :
Post-operative status.
As compared to the previous MRI dated 00.00.00, the previously identified intradural mass lesion in the lumbar region is not identified on the present study.
Date : 00.00.00
Name of the Patient : Abc Xyzk Plmn / M / 6 1/2 yrs.
Referred by : Dr. Abc Xyzgla.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O recurrent discharging lesion in the low back. L1 laminectomy with L2 to L4 laminoplasty with excision of intradural epidermoid done on 00.00.00.
For follow-up.
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 operative intervention in the soft tissues in the posterior lumbar region.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The lower dorsal spinal cord shows normal signal intensity. The intrathecal nerve roots show normal distribution. No obvious mass lesion is identified in the visualized spinal canal.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
A nodular, soft tissue lesion is noted on the surface of the skin in the posterior lumbar region at the lumbo-sacral junction.
IMPRESSION :
Post-operative status.
As compared to the previous MRI dated 00.00.00, the previously identified intradural mass lesion in the lumbar region is not identified on the present study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12489
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Kelulmn / M / 26 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache since 6-7 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 :
There is slight hypertrophy of the ligamentum flavum at the D10-D11 level on the left (scan 111.9).
The visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the D12 level.
Screening, T1 Weighted sagittal images of the lumbar spine do not reveal any significant feature of note.
IMPRESSION :
Slight hypertrophy of the ligamentum flavum at the D10-D11 level on the left
No other abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz Kelulmn / M / 26 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache since 6-7 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 :
There is slight hypertrophy of the ligamentum flavum at the D10-D11 level on the left (scan 111.9).
The visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the D12 level.
Screening, T1 Weighted sagittal images of the lumbar spine do not reveal any significant feature of note.
IMPRESSION :
Slight hypertrophy of the ligamentum flavum at the D10-D11 level on the left
No other abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12488
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzi Choulmn / F / 43 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in the RLE with paresthesias since 15 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is a small posterior disc herniation at the L5-S1 level.
A postero-central and right paracentral disc herniation with peridiscal osteophytes is noted at the L4-L5 level indenting the traversing right L5 nerve root.
Minimal posterior disc bulge is noted at the L3-L4 level.
A small posterior peridiscal osteophyte is noted at the L1-L2 level.
Slight facetal hypertrophy is noted at the L4-L5 and L5-S1 levels with a tight lumbar canal 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.
..2/.
The conus medullaris terminates at the D12-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
14.0 mm at L2-L3
13.0 mm at L3-L4
9.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. A small posterior disc herniation at the L5-S1 level.
2. A postero-central and right paracentral disc herniation with peridiscal osteophytes at the L4-L5 level indenting the traversing right L5 nerve root.
3. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels with a tight lumbar canal at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyzi Choulmn / F / 43 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in the RLE with paresthesias since 15 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is a small posterior disc herniation at the L5-S1 level.
A postero-central and right paracentral disc herniation with peridiscal osteophytes is noted at the L4-L5 level indenting the traversing right L5 nerve root.
Minimal posterior disc bulge is noted at the L3-L4 level.
A small posterior peridiscal osteophyte is noted at the L1-L2 level.
Slight facetal hypertrophy is noted at the L4-L5 and L5-S1 levels with a tight lumbar canal 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.
..2/.
The conus medullaris terminates at the D12-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
14.0 mm at L2-L3
13.0 mm at L3-L4
9.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. A small posterior disc herniation at the L5-S1 level.
2. A postero-central and right paracentral disc herniation with peridiscal osteophytes at the L4-L5 level indenting the traversing right L5 nerve root.
3. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels with a tight lumbar canal at the L4-L5 level.
Published in
MRI Reports