Regular User
Sunday, 27 December 2015 16:48
12487
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzdin Chlmn / M / 41 yrs.
Referred by : Dr. Abc Xyzirza.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) since 1 year.
H/O laminectomy and foraminotomy at the L3, L4, L5 and S1 levels done in September 0000.
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 slight loss of water content of the L1-L2 intervertebral disc.
There is evidence of laminectomy at the L4, L5 and S1 levels with post-operative changes in the soft tissues in the posterior lumbar region over these levels.
Slight retroplacement of the thecal sac is noted at the laminectomy site.
Minimal posterior disc bulge is noted at the L4-L5 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
IMPRESSION :
Post-operative status.
No other significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzdin Chlmn / M / 41 yrs.
Referred by : Dr. Abc Xyzirza.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) since 1 year.
H/O laminectomy and foraminotomy at the L3, L4, L5 and S1 levels done in September 0000.
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 slight loss of water content of the L1-L2 intervertebral disc.
There is evidence of laminectomy at the L4, L5 and S1 levels with post-operative changes in the soft tissues in the posterior lumbar region over these levels.
Slight retroplacement of the thecal sac is noted at the laminectomy site.
Minimal posterior disc bulge is noted at the L4-L5 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
IMPRESSION :
Post-operative status.
No other significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12486
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Obelmn / F / 55 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 6-7 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 loss of water content of the lumbar intervertebral discs.
There is Grade I spondylolisthesis of the L3 over the L4 vertebra with suspicious spondylolysis of L3 bilaterally. A resultant pseudo-posterior disc herniation is noted at the L3-L4 level with thecal sac compression and bilateral neural foraminal narrowing. The L3 nerve roots are impinged in their corresponding neural foramen. There is also hypertrophic facetal arthropathy and canal stenosis at the L3-L4 level. Effusion is also noted within the right facet joint at this level.
A posteriorly herniated disc is noted at the L4-L5 level with thecal sac compression and bilateral neural foraminal narrowing. Slight facetal and ligamentum flavum hypertrophy is noted at this level.
A small postero-central disc herniation is noted at the L5-S1 level.
A right far lateral disc herniation is noted at the L1-L2 and L2-L3 levels with slight right neural foraminal narrowing.
Slight facet joint effusion is noted at the L3-L4 level.
Type I degenerative marrow changes are noted adjacent to the L3-L4 disc and Type II degenerative marrow changes are noted adjacent to the rest of the intervertebral discs.
Anterior disc herniations are noted at the L2-L3 and L3-L4 levels.
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. The CSF in the lower lumbar canal (below L5 vertebra) appears significantly brighter than the CSF above on the T2 Weighted images (? xanthochromic).
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
13.0 mm at L1-L2
13.0 mm at L2-L3
7.0 mm at L3-L4
8.0 mm at L4-L5
8.0 mm at L5-S1.
Screening of the dorsal spine reveals no feature of note.
..3/.
- 3 - Scan-00006
IMPRESSION :
1. Grade I spondylolisthesis of the L3 over the L4 vertebra with suspicious spondylolysis.
2. A pseudo-posterior disc herniation at the L3-L4 level with bilateral neural foraminal narrowing with impingement of the L3 nerve roots in their corresponding neural foramen with hypertrophic facetal arthropathy and canal stenosis at this level.
3. Posteriorly herniated disc at the L4-L5 level with bilateral neural foraminal narrowing and slight facetal hypertrophy at this level.
4. A small postero-central disc herniation at the L5-S1 level.
5. A right far lateral disc herniation at the L1-L2 and L2-L3 levels with slight right neural foraminal narrowing.
6. Slight facet joint effusion at the L4-L5 level bilaterally and on the right at the L3-L4 level.
7. Lumbar canal stenosis at the L3-L4 and L4-L5 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz Obelmn / F / 55 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 6-7 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 loss of water content of the lumbar intervertebral discs.
There is Grade I spondylolisthesis of the L3 over the L4 vertebra with suspicious spondylolysis of L3 bilaterally. A resultant pseudo-posterior disc herniation is noted at the L3-L4 level with thecal sac compression and bilateral neural foraminal narrowing. The L3 nerve roots are impinged in their corresponding neural foramen. There is also hypertrophic facetal arthropathy and canal stenosis at the L3-L4 level. Effusion is also noted within the right facet joint at this level.
A posteriorly herniated disc is noted at the L4-L5 level with thecal sac compression and bilateral neural foraminal narrowing. Slight facetal and ligamentum flavum hypertrophy is noted at this level.
A small postero-central disc herniation is noted at the L5-S1 level.
A right far lateral disc herniation is noted at the L1-L2 and L2-L3 levels with slight right neural foraminal narrowing.
Slight facet joint effusion is noted at the L3-L4 level.
Type I degenerative marrow changes are noted adjacent to the L3-L4 disc and Type II degenerative marrow changes are noted adjacent to the rest of the intervertebral discs.
Anterior disc herniations are noted at the L2-L3 and L3-L4 levels.
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. The CSF in the lower lumbar canal (below L5 vertebra) appears significantly brighter than the CSF above on the T2 Weighted images (? xanthochromic).
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
13.0 mm at L1-L2
13.0 mm at L2-L3
7.0 mm at L3-L4
8.0 mm at L4-L5
8.0 mm at L5-S1.
Screening of the dorsal spine reveals no feature of note.
..3/.
- 3 - Scan-00006
IMPRESSION :
1. Grade I spondylolisthesis of the L3 over the L4 vertebra with suspicious spondylolysis.
2. A pseudo-posterior disc herniation at the L3-L4 level with bilateral neural foraminal narrowing with impingement of the L3 nerve roots in their corresponding neural foramen with hypertrophic facetal arthropathy and canal stenosis at this level.
3. Posteriorly herniated disc at the L4-L5 level with bilateral neural foraminal narrowing and slight facetal hypertrophy at this level.
4. A small postero-central disc herniation at the L5-S1 level.
5. A right far lateral disc herniation at the L1-L2 and L2-L3 levels with slight right neural foraminal narrowing.
6. Slight facet joint effusion at the L4-L5 level bilaterally and on the right at the L3-L4 level.
7. Lumbar canal stenosis at the L3-L4 and L4-L5 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12485
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzaji Slmn / M / 72 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headache and giddiness since 2 years.
Known hypertensive. On Rx.
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 periventricular white matter bilaterally and in the subcortical and deep white matter in the temporo-parietal regions bilaterally. These lesions are iso to hypointense to normal white matter on the T1 Weighted images.
Similar signal intensity lesions are noted in the pons.
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.
Inflammatory changes are noted in the right maxillary antrum.
IMPRESSION :
Altered signal in the periventricular white matter bilaterally and in the subcortical and deep white matter in the temporo-parietal regions bilaterally and in the pons, most likely represents ischemic changes. Binswangers disease should be ruled out.
Date : 00.00.00
Name of the Patient : Abc Xyzaji Slmn / M / 72 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headache and giddiness since 2 years.
Known hypertensive. On Rx.
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 periventricular white matter bilaterally and in the subcortical and deep white matter in the temporo-parietal regions bilaterally. These lesions are iso to hypointense to normal white matter on the T1 Weighted images.
Similar signal intensity lesions are noted in the pons.
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.
Inflammatory changes are noted in the right maxillary antrum.
IMPRESSION :
Altered signal in the periventricular white matter bilaterally and in the subcortical and deep white matter in the temporo-parietal regions bilaterally and in the pons, most likely represents ischemic changes. Binswangers disease should be ruled out.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12484
sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc XyzR. Plmn / F / 47 yrs.
Referred by : Dr. Abc Xyzsai.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O sudden onset of weakness of BLE since 00.00.00 with paresthesias.
H/O low grade fever since 2-3 years.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and Fast Scan (T2 *) Weighted axial images.
5 mm thick T2 Weighted axial images.
OBSERVATION :
There is seen a diffuse, ill-defined, hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images in the dorsal spinal cord, centrally extending over atleast the D4 to L1 vertebral levels. This lesion appears near isointense to normal cord on the T1 Weighted images.
There is slight loss of water content of the D7-D8 and D8-D9 intervertebral discs.
The visualized dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
There is no extrensic cord compression.
The conus medullaris terminates at the L2 level.
..2/.
- 2 - scan-00004
IMPRESSION :
Altered signal in the dorsal spinal cord, centrally extending over atleast the D4 to L1 vertebral levels as described, most likely represents myelitis in the given clinical setting.
The possibility of a demyelinating lesion though less likely, cannot be entirely excluded.
Date : 00.00.00
Name of the Patient : Abc XyzR. Plmn / F / 47 yrs.
Referred by : Dr. Abc Xyzsai.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O sudden onset of weakness of BLE since 00.00.00 with paresthesias.
H/O low grade fever since 2-3 years.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and Fast Scan (T2 *) Weighted axial images.
5 mm thick T2 Weighted axial images.
OBSERVATION :
There is seen a diffuse, ill-defined, hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images in the dorsal spinal cord, centrally extending over atleast the D4 to L1 vertebral levels. This lesion appears near isointense to normal cord on the T1 Weighted images.
There is slight loss of water content of the D7-D8 and D8-D9 intervertebral discs.
The visualized dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
There is no extrensic cord compression.
The conus medullaris terminates at the L2 level.
..2/.
- 2 - scan-00004
IMPRESSION :
Altered signal in the dorsal spinal cord, centrally extending over atleast the D4 to L1 vertebral levels as described, most likely represents myelitis in the given clinical setting.
The possibility of a demyelinating lesion though less likely, cannot be entirely excluded.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12483
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzBartlmn / M / 28 yrs.
Referred by : Dr. Abc Xyzhok.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait imbalance with speech disturbances since 1 1/2 months.
H/O right facial palsy 2 years ago.
To r/o demyelinating disorder.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the right thalamus, extending into the right internal capsular region superiorly and into the subthalamic region, right cerebral peduncle and in the pons on the right, inferiorly. This lesion appears hypointense to normal white matter on the T1 Weighted images.
A similar signal intensity lesion is noted in the left cerebral peduncle and in the left parietal deep white matter.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Altered signal in the right thalamus, extending into the right internal capsular region superiorly and into the subthalamic region, both cerebral peduncles, in the pons on the right, inferiorly and in the left parietal deep white matter is not specific for a single etiology. These lesions most likely represent ischemic lesions.
The possibility of demyelinating lesions is less likely.
Date : 00.00.00
Name of the Patient : Abc XyzBartlmn / M / 28 yrs.
Referred by : Dr. Abc Xyzhok.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait imbalance with speech disturbances since 1 1/2 months.
H/O right facial palsy 2 years ago.
To r/o demyelinating disorder.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the right thalamus, extending into the right internal capsular region superiorly and into the subthalamic region, right cerebral peduncle and in the pons on the right, inferiorly. This lesion appears hypointense to normal white matter on the T1 Weighted images.
A similar signal intensity lesion is noted in the left cerebral peduncle and in the left parietal deep white matter.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Altered signal in the right thalamus, extending into the right internal capsular region superiorly and into the subthalamic region, both cerebral peduncles, in the pons on the right, inferiorly and in the left parietal deep white matter is not specific for a single etiology. These lesions most likely represent ischemic lesions.
The possibility of demyelinating lesions is less likely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12482
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzSalmn / M / 85 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 5 years.
H/O fall with loss of consciousness on 00.00.00.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is seen a small hypointense focus on the T1 Weighted images in the left cerebellar hemisphere, along the left lateral margin of the fourth ventricle. This lesion appears hyperintense with a hypointense rim on the proton and T2 Weighted images but is significantly hypointense on the Fast Scan (T2 *) images.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the left fronto-parietal region, periventricular white matter bilaterally and in the subcortical white matter in the right posterior parietal region. These lesoins appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represents ischemic changes.
Lacunar infarcts are noted in the right cerebellar hemisphere and right external capsular region.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal.
- 2 - Scan-00002
There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. There is no shift of the midline structures. Ectasia of the vertebro-basilar and carotid vessels is noted.
Ill-defined, hyperintense signal seen on the T2 Weighted and Fast Scan (T2 *) images in the subgaleal soft tissues in the right fronto-parietal region and in the left high parietal region may represent subgaleal contusions in the given clinical setting.
Inflammatory changes are noted in the ethmoidal air cells bilaterally.
IMPRESSION :
1. Altered signal intensity lesion in the left cerebellar hemisphere, along the left lateral margin of the fourth ventricle follows the signal characteristics of hemosiderin and may be the sequelae of a previous hematoma.
2. Altered signal in the subcortical white matter in the left fronto-parietal region, periventricular white matter bilaterally and in the subcortical white matter in the right posterior parietal region most likely represent ischemic lesions.
3. Lacunar infarcts in the right cerebellar hemisphere and right external capsular region.
4. Altered signal in the subgaleal soft tissues in the right fronto-parietal region and in the left high parietal region may represent subgaleal contusions in the given clinical setting.
5. Cerebral cortical and cerebellar atrophy.
As compared to the previous MRI dated 00.00.00 (scan nos.0000/5), except for the subgaleal contusions as described, there is no other significant change noted.
Date : 00.00.00
Name of the Patient : Abc XyzSalmn / M / 85 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 5 years.
H/O fall with loss of consciousness on 00.00.00.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is seen a small hypointense focus on the T1 Weighted images in the left cerebellar hemisphere, along the left lateral margin of the fourth ventricle. This lesion appears hyperintense with a hypointense rim on the proton and T2 Weighted images but is significantly hypointense on the Fast Scan (T2 *) images.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the left fronto-parietal region, periventricular white matter bilaterally and in the subcortical white matter in the right posterior parietal region. These lesoins appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represents ischemic changes.
Lacunar infarcts are noted in the right cerebellar hemisphere and right external capsular region.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal.
- 2 - Scan-00002
There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. There is no shift of the midline structures. Ectasia of the vertebro-basilar and carotid vessels is noted.
Ill-defined, hyperintense signal seen on the T2 Weighted and Fast Scan (T2 *) images in the subgaleal soft tissues in the right fronto-parietal region and in the left high parietal region may represent subgaleal contusions in the given clinical setting.
Inflammatory changes are noted in the ethmoidal air cells bilaterally.
IMPRESSION :
1. Altered signal intensity lesion in the left cerebellar hemisphere, along the left lateral margin of the fourth ventricle follows the signal characteristics of hemosiderin and may be the sequelae of a previous hematoma.
2. Altered signal in the subcortical white matter in the left fronto-parietal region, periventricular white matter bilaterally and in the subcortical white matter in the right posterior parietal region most likely represent ischemic lesions.
3. Lacunar infarcts in the right cerebellar hemisphere and right external capsular region.
4. Altered signal in the subgaleal soft tissues in the right fronto-parietal region and in the left high parietal region may represent subgaleal contusions in the given clinical setting.
5. Cerebral cortical and cerebellar atrophy.
As compared to the previous MRI dated 00.00.00 (scan nos.0000/5), except for the subgaleal contusions as described, there is no other significant change noted.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12481
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Jalmn / F / 30 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 1 year with pain radiating to the RLE with paresthesias since 2 months.
Alleged H/O fall in childhood. Operated in 0000 (Details not available).
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There appears to be a fenestration defect of the right lamina of the S1 vertebra.
There is loss of water content of the L2-L3 to L5-S1 intervertebral discs.
There is a small, right paracentral disc herniation at the L5-S1 level, indenting the traversing right S1 nerve root. A sequestered disc fragment is noted in the right neural foramen at the L5-S1 level and right lateral recess of the S1 vertebra.
A fairly large, posteriorly herniated disc is noted at the L4-L5 level with thecal sac compression and indentation on the traversing L5 nerve roots bilaterally.
Scan-00001
A fairly large left paracentral disc herniation is noted at the L3-L4 level indenting the traversing left L4 nerve root.
A small, right paracentral disc herniation is seen at the L2-L3 level.
The facet joints at the L4-L5 and L5-S1 levels appear slightly hypertrophied. Bilateral far lateral (extraforaminal) disc bulges are noted at this level.
Fat is noted in the filum terminale at the L2 and L3 vertebral levels.
The marrow of the visualized lumbar and sacral vertebrae appears relatively hypointense when compared to the normal fatty marrow on the T1 Weighted images, but is isointense on the T2 Weighted images suggesting preponderance of red marrow.
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 :
17.0 mm at L1-L2
12.0 mm at L2-L3
6.0 mm at L3-L4
8.0 mm at L4-L5
8.0 mm at L5-S1.
..3/.
- 3 - Scan-00001
IMPRESSION :
1. Post-operative status.
2. A small, right paracentral herniated disc at the L5-S1 level, indenting the traversing right S1 nerve root with a sequestered disc fragment in the right neural foramen at the L5-S1 level and in the right lateral recess of the S1 vertebra.
3. A fairly large, posteriorly herniated disc at the L4-L5 level indenting the traversing L5 nerve roots bilaterally.
4. A fairly large left paracentral disc herniation at the L3-L4 level indenting the traversing left L4 nerve root.
5. A small, right paracentral disc herniation at the L2-L3 level.
6. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels.
7. Lumbar canal stenosis at the L3-L4 and L4-L5 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz Jalmn / F / 30 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 1 year with pain radiating to the RLE with paresthesias since 2 months.
Alleged H/O fall in childhood. Operated in 0000 (Details not available).
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There appears to be a fenestration defect of the right lamina of the S1 vertebra.
There is loss of water content of the L2-L3 to L5-S1 intervertebral discs.
There is a small, right paracentral disc herniation at the L5-S1 level, indenting the traversing right S1 nerve root. A sequestered disc fragment is noted in the right neural foramen at the L5-S1 level and right lateral recess of the S1 vertebra.
A fairly large, posteriorly herniated disc is noted at the L4-L5 level with thecal sac compression and indentation on the traversing L5 nerve roots bilaterally.
Scan-00001
A fairly large left paracentral disc herniation is noted at the L3-L4 level indenting the traversing left L4 nerve root.
A small, right paracentral disc herniation is seen at the L2-L3 level.
The facet joints at the L4-L5 and L5-S1 levels appear slightly hypertrophied. Bilateral far lateral (extraforaminal) disc bulges are noted at this level.
Fat is noted in the filum terminale at the L2 and L3 vertebral levels.
The marrow of the visualized lumbar and sacral vertebrae appears relatively hypointense when compared to the normal fatty marrow on the T1 Weighted images, but is isointense on the T2 Weighted images suggesting preponderance of red marrow.
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 :
17.0 mm at L1-L2
12.0 mm at L2-L3
6.0 mm at L3-L4
8.0 mm at L4-L5
8.0 mm at L5-S1.
..3/.
- 3 - Scan-00001
IMPRESSION :
1. Post-operative status.
2. A small, right paracentral herniated disc at the L5-S1 level, indenting the traversing right S1 nerve root with a sequestered disc fragment in the right neural foramen at the L5-S1 level and in the right lateral recess of the S1 vertebra.
3. A fairly large, posteriorly herniated disc at the L4-L5 level indenting the traversing L5 nerve roots bilaterally.
4. A fairly large left paracentral disc herniation at the L3-L4 level indenting the traversing left L4 nerve root.
5. A small, right paracentral disc herniation at the L2-L3 level.
6. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels.
7. Lumbar canal stenosis at the L3-L4 and L4-L5 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12480
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Jlmn / M / 42 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE 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 L3-L4 intervertebral disc.
Small posterior disc bulges are noted at the L3-L4 and L4-L5 levels with slight bilateral neural foraminal narrowing at the L4-L5 level. An anterior disc herniation is seen at the L3-L4 level.
Small posterior peridiscal osteophytes are noted at the D12-L1 and L3-L4 levels.
An ill-defined hypointense signal on all the pulse sequences is noted in the ala of the sacrum on the left adjacent to the left L5-S1 facet joint. This may represent sclerosis. There is suspicious lysis of the L5 vertebra on the left side.
Focal hypointense lesions on all the pulse sequences in the L3 and L4 vertebral bodies most likely represent bone islands.
The pedicles of the lumbar vertebrae are congenitally short in their antero-posterior dimensions.
The articular facets at L3-L4, L4-L5 and L5-S1 levels appear slightly hypertrophied.
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-L2 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Small posterior disc bulges at the L3-L4 and L4-L5 levels with slight bilateral neural foraminal narrowing at the L4-L5 level.
..3/.
- 3 - Scan-00000
2. Small posterior peridiscal osteophytes at the D12-L1 and L3-L4 levels.
3. Altered signal in the ala of the sacrum on the left, adjacent to the left L5-S1 facet joint may represent sclerosis. Suspicious lysis of the L5 vertebra on the left side. Please correlate with plain radiographs.
4. Bone islands in the L3 and L4 vertebral bodies.
5. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
6. Slight facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz Jlmn / M / 42 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE 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 L3-L4 intervertebral disc.
Small posterior disc bulges are noted at the L3-L4 and L4-L5 levels with slight bilateral neural foraminal narrowing at the L4-L5 level. An anterior disc herniation is seen at the L3-L4 level.
Small posterior peridiscal osteophytes are noted at the D12-L1 and L3-L4 levels.
An ill-defined hypointense signal on all the pulse sequences is noted in the ala of the sacrum on the left adjacent to the left L5-S1 facet joint. This may represent sclerosis. There is suspicious lysis of the L5 vertebra on the left side.
Focal hypointense lesions on all the pulse sequences in the L3 and L4 vertebral bodies most likely represent bone islands.
The pedicles of the lumbar vertebrae are congenitally short in their antero-posterior dimensions.
The articular facets at L3-L4, L4-L5 and L5-S1 levels appear slightly hypertrophied.
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-L2 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Small posterior disc bulges at the L3-L4 and L4-L5 levels with slight bilateral neural foraminal narrowing at the L4-L5 level.
..3/.
- 3 - Scan-00000
2. Small posterior peridiscal osteophytes at the D12-L1 and L3-L4 levels.
3. Altered signal in the ala of the sacrum on the left, adjacent to the left L5-S1 facet joint may represent sclerosis. Suspicious lysis of the L5 vertebra on the left side. Please correlate with plain radiographs.
4. Bone islands in the L3 and L4 vertebral bodies.
5. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
6. Slight facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12479
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 53 yrs.
Referred by : Dr. Abc Xyzroff.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness since 8-10 days.
Known hypertensive. On Rx.
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 small bright foci on the FLAIR images in the subcortical white matter in the frontal regions bilaterally. These lesions appear isointense on the T1 Weighted images.
Dilated perivascular spaces are seen in the centrum semiovale bilaterally.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci bilaterally.
There is no shift of the midline structures.
Inflammatory changes are noted in the right maxillary antrum.
The right vertebral artery is not well visualized on this study ? hypoplastic.
IMPRESSION :
Small bright foci on the FLAIR images in the subcortical white matter in the frontal regions bilaterally most likely represents ischemic foci.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 53 yrs.
Referred by : Dr. Abc Xyzroff.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness since 8-10 days.
Known hypertensive. On Rx.
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 small bright foci on the FLAIR images in the subcortical white matter in the frontal regions bilaterally. These lesions appear isointense on the T1 Weighted images.
Dilated perivascular spaces are seen in the centrum semiovale bilaterally.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci bilaterally.
There is no shift of the midline structures.
Inflammatory changes are noted in the right maxillary antrum.
The right vertebral artery is not well visualized on this study ? hypoplastic.
IMPRESSION :
Small bright foci on the FLAIR images in the subcortical white matter in the frontal regions bilaterally most likely represents ischemic foci.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12478
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Plmn / M / 29 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 1 month.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The L5 vertebral body appears hypointense on the T1 Weighted images and heterogeneously hyperintense on the T2 Weighted images. Erosion of the right lateral margin of the L5 vertebral body is noted. There is also erosion of the inferior cortical endplate of the L5 vertebral body with involvement of the L5-S1 intervertebral disc.
There is seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the right paravertebral and anterior epidural space at the L5 and S1 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. Extension of the soft tissue lesion into the right neural foramen at the L5-S1 level is noted with probable extension of the soft tissue lesion along the left L5 nerve root in the left neural foramen at the L5-S1 level. Subtle hypointense signal on the T1 Weighted images is also noted in the S1 vertebral body adjacent to the L5-S1 disc.
A minimal posterior disc bulge is noted at the L4-L5 level.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
A lesion is seen to arise from the lateral aspect of the right kidney. This may require further evaluation (eg.Sonography).
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 :
15.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
13.0 mm at L4-L5
6.0 mm at L5-S1.
IMPRESSION :
Altered signal of the L5 and S1 vertebral bodies and the L5-S1 disc most likely represents osteitis with discitis, probably tuberculous in etiology. Right paravertebral and anterior epidural soft tissue lesion may represent granulation tissue/abscess.
The possibility of this lesion representing a neoplasm seems less likely.
Date : 00.00.00
Name of the Patient : Abc Xyz Plmn / M / 29 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 1 month.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The L5 vertebral body appears hypointense on the T1 Weighted images and heterogeneously hyperintense on the T2 Weighted images. Erosion of the right lateral margin of the L5 vertebral body is noted. There is also erosion of the inferior cortical endplate of the L5 vertebral body with involvement of the L5-S1 intervertebral disc.
There is seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the right paravertebral and anterior epidural space at the L5 and S1 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. Extension of the soft tissue lesion into the right neural foramen at the L5-S1 level is noted with probable extension of the soft tissue lesion along the left L5 nerve root in the left neural foramen at the L5-S1 level. Subtle hypointense signal on the T1 Weighted images is also noted in the S1 vertebral body adjacent to the L5-S1 disc.
A minimal posterior disc bulge is noted at the L4-L5 level.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
A lesion is seen to arise from the lateral aspect of the right kidney. This may require further evaluation (eg.Sonography).
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 :
15.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
13.0 mm at L4-L5
6.0 mm at L5-S1.
IMPRESSION :
Altered signal of the L5 and S1 vertebral bodies and the L5-S1 disc most likely represents osteitis with discitis, probably tuberculous in etiology. Right paravertebral and anterior epidural soft tissue lesion may represent granulation tissue/abscess.
The possibility of this lesion representing a neoplasm seems less likely.
Published in
MRI Reports