Regular User
Sunday, 27 December 2015 16:48
12466
sb/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 32 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 0000.
H/O left temporal craniotomy with excision of ganglioglioma on 00.00.00.
For follow up.
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.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted and 3 mm thick coronal images (with magnetization transfer).
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is evidence of a left temporo-parietal craniotomy. There is reduction in the volume of the left temporal lobe, the result of previous surgery.
There is seen a CSF signal intensity lesion on all the pulse sequences in the left inferior temporal lobe. Perilesional white matter hyperintense signal on the proton, T2 Weighted and FLAIR images may represent gliotic changes. Mild fullness of the temporal horn of the left lateral ventricle is noted.
After administration of contrast, dural enhancement is noted at the craniotomy site. There is however, no parenchymal enhancement noted.
The right 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 :
1. Post-operative status.
2. Altered signal in the left inferior temporal lobe represents gliotic/encephalomalacic changes, the sequelae of previous surgery.
As compared to the previous MRI dated 00.00.00 (study no:00005), the previously identified lesion is not seen on the present study.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 32 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 0000.
H/O left temporal craniotomy with excision of ganglioglioma on 00.00.00.
For follow up.
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.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted and 3 mm thick coronal images (with magnetization transfer).
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is evidence of a left temporo-parietal craniotomy. There is reduction in the volume of the left temporal lobe, the result of previous surgery.
There is seen a CSF signal intensity lesion on all the pulse sequences in the left inferior temporal lobe. Perilesional white matter hyperintense signal on the proton, T2 Weighted and FLAIR images may represent gliotic changes. Mild fullness of the temporal horn of the left lateral ventricle is noted.
After administration of contrast, dural enhancement is noted at the craniotomy site. There is however, no parenchymal enhancement noted.
The right 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 :
1. Post-operative status.
2. Altered signal in the left inferior temporal lobe represents gliotic/encephalomalacic changes, the sequelae of previous surgery.
As compared to the previous MRI dated 00.00.00 (study no:00005), the previously identified lesion is not seen on the present study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12465
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzbi Shlmn / F / 48 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain, radiating to BLE (RLE more than the LLE) since 6 months with paresthesias.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L3-L4, L4-L5 and L5-S1 intervertebral discs.
There is a posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level with bilateral neural foraminal narrowing. A sequestered disc fragment is noted in the right lateral recess of the L5 vertebra, indenting the traversing right L5 nerve root.
A small posterior disc bulge is noted at the L5-S1 level.
A small, right postero-lateral disc herniation is noted at the L3-L4 level with resultant mild neural foraminal narrowing.
Slight facetal hypertrophy is noted at the L4-L5 and L5-S1 levels.
Bilateral far lateral (extraforaminal) disc bulges are noted at the L3-L4, L4-L5 and L5-S1 levels.
Hemangiomas with fat content are noted in the L2 and L4 vertebral bodies.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 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
14.0 mm at L2-L3
14.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level with a sequestered disc fragment in the right lateral recess of the L5 vertebra, indenting the traversing right L5 nerve root.
2. A small, right postero-lateral herniated disc at the L3-L4 level.
3. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels.
4. Canal stenosis at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyzbi Shlmn / F / 48 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain, radiating to BLE (RLE more than the LLE) since 6 months with paresthesias.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L3-L4, L4-L5 and L5-S1 intervertebral discs.
There is a posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level with bilateral neural foraminal narrowing. A sequestered disc fragment is noted in the right lateral recess of the L5 vertebra, indenting the traversing right L5 nerve root.
A small posterior disc bulge is noted at the L5-S1 level.
A small, right postero-lateral disc herniation is noted at the L3-L4 level with resultant mild neural foraminal narrowing.
Slight facetal hypertrophy is noted at the L4-L5 and L5-S1 levels.
Bilateral far lateral (extraforaminal) disc bulges are noted at the L3-L4, L4-L5 and L5-S1 levels.
Hemangiomas with fat content are noted in the L2 and L4 vertebral bodies.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 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
14.0 mm at L2-L3
14.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level with a sequestered disc fragment in the right lateral recess of the L5 vertebra, indenting the traversing right L5 nerve root.
2. A small, right postero-lateral herniated disc at the L3-L4 level.
3. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels.
4. Canal stenosis at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12464
sb/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz C. Trilmn / M / 47 yrs.
Referred by : Dr. Abc Xyz Vasavada.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in both hips with inability to squat and difficulty in walking since 1 year.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick GRASS sagittal images.
OBSERVATION :
There is loss of normal contour of the right femoral head. There is an ill-marginated, hypointense signal on all pulse sequences in the superior half of the right femoral head. This lesion remains hypointense on the T2 Weighted and STIR images and is demarcated from the rest of the femoral head by a hypointense rim on all the pulse sequences. Ill-defined hyperintense signal on the T1 Weighted and STIR images in the neck of the right femur may represent bone edema. Slight irregularity of the articular cartilage over the right femoral head is noted. There is small, right hip joint effusion. The visualized right acetabulum is unremarkable.
There is seen a geographical area following fat signal characteristics on all pulse sequences in the head of the left femur. This lesion is demarcated from the rest of the femoral head by a hypointense rim on all pulse sequences. Hyperintense signal on T2 Weighted and STIR images in the neck of the left femur may represent bone edema. The articular cartilage overlying the left femoral head appears unremarkable. There is a small left hip joint effusion. The visualized left acetabulum is unremarkable.
..2/.
>
IMPRESSION :
The MRI features are suggestive of :
1. Class D avascular necrosis of the right femoral head.
2. Class A avascular necrosis of the left femoral head.
Date : 00.00.00
Name of the Patient : Abc Xyz C. Trilmn / M / 47 yrs.
Referred by : Dr. Abc Xyz Vasavada.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in both hips with inability to squat and difficulty in walking since 1 year.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick GRASS sagittal images.
OBSERVATION :
There is loss of normal contour of the right femoral head. There is an ill-marginated, hypointense signal on all pulse sequences in the superior half of the right femoral head. This lesion remains hypointense on the T2 Weighted and STIR images and is demarcated from the rest of the femoral head by a hypointense rim on all the pulse sequences. Ill-defined hyperintense signal on the T1 Weighted and STIR images in the neck of the right femur may represent bone edema. Slight irregularity of the articular cartilage over the right femoral head is noted. There is small, right hip joint effusion. The visualized right acetabulum is unremarkable.
There is seen a geographical area following fat signal characteristics on all pulse sequences in the head of the left femur. This lesion is demarcated from the rest of the femoral head by a hypointense rim on all pulse sequences. Hyperintense signal on T2 Weighted and STIR images in the neck of the left femur may represent bone edema. The articular cartilage overlying the left femoral head appears unremarkable. There is a small left hip joint effusion. The visualized left acetabulum is unremarkable.
..2/.
>
IMPRESSION :
The MRI features are suggestive of :
1. Class D avascular necrosis of the right femoral head.
2. Class A avascular necrosis of the left femoral head.
Published in
MRI Reports
Tagged under
Sunday, 27 December 2015 16:48
12463
ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzvade.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 10-12 years which has increased since 2-4 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 a posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The L4-L5 facet joints and the ligamentum flavum appear hypertrophied with resultant canal stenosis.
A posterior and left postero-lateral disc herniation is seen at the L5-S1 level with antero-lateral indentation of the thecal sac and bilateral neural foraminal narrowing. The L5-S1 facet joints also show mild degenerative changes.
Small right paracentral disc herniation is seen at the L2-L3 level and a small posterior disc bulge at the L3-L4 level.
There is slight anterior wedging of the L3 and L4 vertebrae without any signal change.
Schmorls nodes are seen in the lumbar region.
- 2 - scan-00003
The lumbar intervertebral discs except for the L1-L2 disc show loss of water content.
The pedicles of the lumbar vertebrae are congenitally short in their antero-posterior dimensions.
The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
11.0 mm at L1-L2
8.0 mm at L2-L3
9.0 mm at L3-L4
6.0 mm at L4-L5
7.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A posterior disc herniation at the L4-L5 level with facetal arthropathy and resultant canal stenosis.
2. A posterior and left postero-lateral disc herniation at the L5-S1 level with mild facetal arthropathy at this level.
3. Small right paracentral disc herniation at the L2-L3 level and a small posterior disc bulge at the L3-L4 level.
4. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions with lumbar canal stenosis.
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzvade.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 10-12 years which has increased since 2-4 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 a posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The L4-L5 facet joints and the ligamentum flavum appear hypertrophied with resultant canal stenosis.
A posterior and left postero-lateral disc herniation is seen at the L5-S1 level with antero-lateral indentation of the thecal sac and bilateral neural foraminal narrowing. The L5-S1 facet joints also show mild degenerative changes.
Small right paracentral disc herniation is seen at the L2-L3 level and a small posterior disc bulge at the L3-L4 level.
There is slight anterior wedging of the L3 and L4 vertebrae without any signal change.
Schmorls nodes are seen in the lumbar region.
- 2 - scan-00003
The lumbar intervertebral discs except for the L1-L2 disc show loss of water content.
The pedicles of the lumbar vertebrae are congenitally short in their antero-posterior dimensions.
The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
11.0 mm at L1-L2
8.0 mm at L2-L3
9.0 mm at L3-L4
6.0 mm at L4-L5
7.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A posterior disc herniation at the L4-L5 level with facetal arthropathy and resultant canal stenosis.
2. A posterior and left postero-lateral disc herniation at the L5-S1 level with mild facetal arthropathy at this level.
3. Small right paracentral disc herniation at the L2-L3 level and a small posterior disc bulge at the L3-L4 level.
4. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions with lumbar canal stenosis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12462
ke/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with seizures, vomiting and high B.P. 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 T1 Weighted sagittal images.
3 mm thick T1 Weighted, T2 Weighted and 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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is a small well-circumscribed hypointense area within the right temporal region on the T1 Weighted images. This lesion is seen to turn heterogeneously hyperintense on the proton, T2 Weighted and FLAIR images. The adjacent gyri appear thick and are hypointense to normal gray matter on the T1 Weighted images and turn hyperintense on the proton, T2 Weighted and FLAIR images. There is slight effacement of the adjacent sulci.
On administration of contrast, a well-circumscribed 7.0 mm sized lesion is seen in the right temporal sulcus, better appreciated on the post-contrast sagittal image (se/im 111.18). There is suggestion of a small eccentric punctate speck within this lesion which may represent a scolex.
..2/.
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 :
The MRI features are suggestive of a well-circumscribed 7.0 mm sized lesion in the right temporal lobe and most probably represents a granulomatous infective lesion like a cysticercus.
A follow up scan would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with seizures, vomiting and high B.P. 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 T1 Weighted sagittal images.
3 mm thick T1 Weighted, T2 Weighted and 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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is a small well-circumscribed hypointense area within the right temporal region on the T1 Weighted images. This lesion is seen to turn heterogeneously hyperintense on the proton, T2 Weighted and FLAIR images. The adjacent gyri appear thick and are hypointense to normal gray matter on the T1 Weighted images and turn hyperintense on the proton, T2 Weighted and FLAIR images. There is slight effacement of the adjacent sulci.
On administration of contrast, a well-circumscribed 7.0 mm sized lesion is seen in the right temporal sulcus, better appreciated on the post-contrast sagittal image (se/im 111.18). There is suggestion of a small eccentric punctate speck within this lesion which may represent a scolex.
..2/.
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 :
The MRI features are suggestive of a well-circumscribed 7.0 mm sized lesion in the right temporal lobe and most probably represents a granulomatous infective lesion like a cysticercus.
A follow up scan would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12460
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Borlmn / M / 36 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fever since 2-3 days.
C/O vomiting and altered sensorium since morning of 00.00.00.
Known alcoholic.
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.
5 mm thick T1 Weighted sagittal images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
There is mild fullness of the ventricular system. There is prominence of the cerebral cortical sulcal spaces and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of cerebral and cerebellar atrophy with mild fullness of the ventricular system.
Date : 00.00.00
Name of the Patient : Abc Xyz Borlmn / M / 36 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fever since 2-3 days.
C/O vomiting and altered sensorium since morning of 00.00.00.
Known alcoholic.
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.
5 mm thick T1 Weighted sagittal images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
There is mild fullness of the ventricular system. There is prominence of the cerebral cortical sulcal spaces and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of cerebral and cerebellar atrophy with mild fullness of the ventricular system.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12459
sb/bv/rg.
Date : 00.00.00
Name of the Patient : Abc XyzV. Bandlmn / M / 39 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O uncontrolled diabetes with nausea, change in voice, altered behaviour 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 and Fast Scan (T2 *) coronal images.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
The gyri in the left temporo-parietal region appear slightly thickened and appear relatively hypointense to normal gray matter on the T1 Weighted images and appear slightly hyperintense on the proton, T2 Weighted and FLAIR images. Perilesional white matter hyperintense signal on the T2 Weighted and FLAIR images is noted. There is resultant effacement of the sulcal spaces in the left temporo-parietal region.
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. There is no evidence of haemorrhage.
IMPRESSION :
The MRI features suggests a recent cortical infarct in the left temporo-parietal region.
Date : 00.00.00
Name of the Patient : Abc XyzV. Bandlmn / M / 39 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O uncontrolled diabetes with nausea, change in voice, altered behaviour 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 and Fast Scan (T2 *) coronal images.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
The gyri in the left temporo-parietal region appear slightly thickened and appear relatively hypointense to normal gray matter on the T1 Weighted images and appear slightly hyperintense on the proton, T2 Weighted and FLAIR images. Perilesional white matter hyperintense signal on the T2 Weighted and FLAIR images is noted. There is resultant effacement of the sulcal spaces in the left temporo-parietal region.
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. There is no evidence of haemorrhage.
IMPRESSION :
The MRI features suggests a recent cortical infarct in the left temporo-parietal region.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12458
ke/hs/nl.
Date : 00.00.00
Name of the Patient : Abc Xyzang lmn / M / 53 yrs.
Referred by : Dr. Abc Xyzrekh.
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.
6 mm thick T1 Weighted coronal images.
5 mm thick STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a posterior disc herniation at the L5-S1 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The L5-S1 facet joints show slight degenerative changes with resultant canal stenosis at this level. Bilateral far lateral (extraforaminal) disc herniations are noted at this level.
A large postero-central and bilateral postero-lateral disc herniations are seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. Mild facetal arthropathy is noted at this level with resultant canal stenosis. Bilateral far lateral (extraforaminal) disc bulges are seen at this level.
Scan-00008
Small posterior disc bulges are seen at the L2-L3 and L3-L4 levels. A right postero-lateral disc protrusion is noted at the L2-L3 level with right neural foraminal narrowing.
The lumbar intervertebral discs show loss of water content.
A large well circumscribed lesion is seen along the right S1 nerve sheath which measures approximately 2.0 x 1.8 cms and which is seen to expand the right neural foramen at that level. This lesion is slightly hyperintense to CSF on the T1 Weighted images and turns more hyperintense on the T2 Weighted images.
The lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 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 :
11.0 mm at L1-L2
10.0 mm at L2-L3
10.0 mm at L3-L4
8.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A posterior disc herniation at the L5-S1 level with degenerative changes of the L5-S1 facet joints with resultant canal stenosis.
..3/.
- 3 - Scan-00008
2. A large postero-central and bilateral postero-lateral disc herniations at the L4-L5 level with mild facetal arthropathy at this level with resultant canal stenosis.
3. Small posterior disc bulges at the L2-L3 and L3-L4 levels.
4. A right postero-lateral disc protrusion at the L2-L3 level.
5. A Tarlovs/perineural cyst along the right S1 nerve sheath in the right S1-S2 neural foramen.
Date : 00.00.00
Name of the Patient : Abc Xyzang lmn / M / 53 yrs.
Referred by : Dr. Abc Xyzrekh.
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.
6 mm thick T1 Weighted coronal images.
5 mm thick STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a posterior disc herniation at the L5-S1 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The L5-S1 facet joints show slight degenerative changes with resultant canal stenosis at this level. Bilateral far lateral (extraforaminal) disc herniations are noted at this level.
A large postero-central and bilateral postero-lateral disc herniations are seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. Mild facetal arthropathy is noted at this level with resultant canal stenosis. Bilateral far lateral (extraforaminal) disc bulges are seen at this level.
Scan-00008
Small posterior disc bulges are seen at the L2-L3 and L3-L4 levels. A right postero-lateral disc protrusion is noted at the L2-L3 level with right neural foraminal narrowing.
The lumbar intervertebral discs show loss of water content.
A large well circumscribed lesion is seen along the right S1 nerve sheath which measures approximately 2.0 x 1.8 cms and which is seen to expand the right neural foramen at that level. This lesion is slightly hyperintense to CSF on the T1 Weighted images and turns more hyperintense on the T2 Weighted images.
The lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 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 :
11.0 mm at L1-L2
10.0 mm at L2-L3
10.0 mm at L3-L4
8.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A posterior disc herniation at the L5-S1 level with degenerative changes of the L5-S1 facet joints with resultant canal stenosis.
..3/.
- 3 - Scan-00008
2. A large postero-central and bilateral postero-lateral disc herniations at the L4-L5 level with mild facetal arthropathy at this level with resultant canal stenosis.
3. Small posterior disc bulges at the L2-L3 and L3-L4 levels.
4. A right postero-lateral disc protrusion at the L2-L3 level.
5. A Tarlovs/perineural cyst along the right S1 nerve sheath in the right S1-S2 neural foramen.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12457
ke/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 26 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O weakness of BLE since 3 months.
Known C/O TB arachnoiditis since 2 months. On AKT.
EXAMINATION :
M.R.I of the dorsal 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 spinal cord over the D3 level downwards upto the conus medullaris appears to be swollen and shows irregular outline. This shows hyperintense signal on the T2 Weighted images predominantly in the centre with skip lesions (isointense to normal cord on the T1 Weighted images) over D5 to D10 vertebral levels. The CSF space appears effaced and shows intermediate signal on the T1 Weighted images.
The visualized dorsal vertebral bodies and 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 L1 level.
IMPRESSION :
In a known C/O tuberculous arachnoiditis the MRI features are suggestive of altered signal in the spinal cord over the D3 level downwards upto D10 level. This may suggest myelitis or ischemic changes (due to arachnoiditis).
A contrast enhanced scan would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 26 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O weakness of BLE since 3 months.
Known C/O TB arachnoiditis since 2 months. On AKT.
EXAMINATION :
M.R.I of the dorsal 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 spinal cord over the D3 level downwards upto the conus medullaris appears to be swollen and shows irregular outline. This shows hyperintense signal on the T2 Weighted images predominantly in the centre with skip lesions (isointense to normal cord on the T1 Weighted images) over D5 to D10 vertebral levels. The CSF space appears effaced and shows intermediate signal on the T1 Weighted images.
The visualized dorsal vertebral bodies and 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 L1 level.
IMPRESSION :
In a known C/O tuberculous arachnoiditis the MRI features are suggestive of altered signal in the spinal cord over the D3 level downwards upto D10 level. This may suggest myelitis or ischemic changes (due to arachnoiditis).
A contrast enhanced scan would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12456
ke/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 9 yrs.
Referred by : Dr. Abc Xyzhiri.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures with altered sensorium.
Operated for ? ureteric calculus, ? intestinal obstruction.
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, hypointense areas on T1 Weighted images
in the right frontal, temporal and posterior parietal cortex and the subcortical white matter and also along the right insular cortex. These lesions turn hyperintense on the proton, T2 Weighted and FLAIR images. Similar areas are also noted in the left frontal, parafalcine region and left temporo-parietal region.
There is moderate dilatation of both the lateral ventricles especially the occipital horns. Moderate dilatation of third and fourth ventricles is also noted. The basal cisterns are prominent.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of pthysis bulbi on the right side and inflammatory changes are noted in the ethmoidal air cells and maxillary sinuses.
IMPRESSION :
1. Altered signal in the right frontal, temporal and posterior parietal cortex and the subcortical white matter and also along the right insular cortex, in the left frontal parafalcine region and left temporo-parietal region may be due to past hypoxic-ischemic insult. The possibility of these lesions representing post-encephalitic changes seems less likely.
2. Moderate dilatation of both the lateral ventricles especially the occipital horns and of the third and fourth ventricles.
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 9 yrs.
Referred by : Dr. Abc Xyzhiri.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures with altered sensorium.
Operated for ? ureteric calculus, ? intestinal obstruction.
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, hypointense areas on T1 Weighted images
in the right frontal, temporal and posterior parietal cortex and the subcortical white matter and also along the right insular cortex. These lesions turn hyperintense on the proton, T2 Weighted and FLAIR images. Similar areas are also noted in the left frontal, parafalcine region and left temporo-parietal region.
There is moderate dilatation of both the lateral ventricles especially the occipital horns. Moderate dilatation of third and fourth ventricles is also noted. The basal cisterns are prominent.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of pthysis bulbi on the right side and inflammatory changes are noted in the ethmoidal air cells and maxillary sinuses.
IMPRESSION :
1. Altered signal in the right frontal, temporal and posterior parietal cortex and the subcortical white matter and also along the right insular cortex, in the left frontal parafalcine region and left temporo-parietal region may be due to past hypoxic-ischemic insult. The possibility of these lesions representing post-encephalitic changes seems less likely.
2. Moderate dilatation of both the lateral ventricles especially the occipital horns and of the third and fourth ventricles.
Published in
MRI Reports