Regular User
Sunday, 27 December 2015 16:48
12441
ke/hs/rg.
Date : 00.00.00
Name of the Patient : Abc XyzDwarlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE (left more than right) with paresthesias since December 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 retrolisthesis of the L2 vertebra over the L3 vertebra. A posterior disc herniation, more to the right of the midline is seen at the L2-L3 level with anterior indentation upon the thecal sac and slight neural foraminal narrowing, bilaterally.
A posterior disc bulge and a left far lateral disc herniation is seen at the L3-L4 level with anterior indentation of the thecal sac and mild left neural foraminal narrowing with indentation upon the exiting left L3 nerve root.
Small posterior disc herniations are noted at the L1-L2 and L5-S1 levels with mild bilateral neural foraminal narrowing at these levels. A posterior disc bulge is seen at the L4-L5 level.
The L1-L2, L2-L3, L3-L4 and L5-S1 intervertebral discs show loss of water content.
The L4-L5 and L5-S1 facet joints show degenerative changes. Bilateral far lateral (extraforaminal) disc bulges are seen at the L2-L3, L4-L5 and L5-S1 levels.
Focal fatty changes are noted in the lumbar vertebrae.
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 :
14.0 mm at L1-L2
10.0 mm at L2-L3
11.0 mm at L3-L4
11.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. Slight retrolisthesis of the L2 vertebra over the L3 vertebra.
2. A posterior disc herniation, more to the right of the midline at the L2-L3 level.
3. A posterior disc bulge and a left far lateral disc herniation at the L3-L4 level.
4. Small posterior disc herniations at the L1-L2 and L5-S1 levels.
5. A tight spinal canal in the lumbar region.
Date : 00.00.00
Name of the Patient : Abc XyzDwarlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE (left more than right) with paresthesias since December 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 retrolisthesis of the L2 vertebra over the L3 vertebra. A posterior disc herniation, more to the right of the midline is seen at the L2-L3 level with anterior indentation upon the thecal sac and slight neural foraminal narrowing, bilaterally.
A posterior disc bulge and a left far lateral disc herniation is seen at the L3-L4 level with anterior indentation of the thecal sac and mild left neural foraminal narrowing with indentation upon the exiting left L3 nerve root.
Small posterior disc herniations are noted at the L1-L2 and L5-S1 levels with mild bilateral neural foraminal narrowing at these levels. A posterior disc bulge is seen at the L4-L5 level.
The L1-L2, L2-L3, L3-L4 and L5-S1 intervertebral discs show loss of water content.
The L4-L5 and L5-S1 facet joints show degenerative changes. Bilateral far lateral (extraforaminal) disc bulges are seen at the L2-L3, L4-L5 and L5-S1 levels.
Focal fatty changes are noted in the lumbar vertebrae.
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 :
14.0 mm at L1-L2
10.0 mm at L2-L3
11.0 mm at L3-L4
11.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. Slight retrolisthesis of the L2 vertebra over the L3 vertebra.
2. A posterior disc herniation, more to the right of the midline at the L2-L3 level.
3. A posterior disc bulge and a left far lateral disc herniation at the L3-L4 level.
4. Small posterior disc herniations at the L1-L2 and L5-S1 levels.
5. A tight spinal canal in the lumbar region.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12440
ke/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Faglmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with numbness since 3-4 years.
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 sacralization of the L5 vertebra and the L1 vertebra is as marked on the film. There is loss of normal lumbar lordosis.
The lumbar vertebrae are more hypointense than normal marrow
on the T1 Weighted images. These are isointense to marrow on the T2 Weighted images and this may be suggestive of a preponderance of haematopoietic marrow (? anemic).
There is retrolisthesis of the L4 vertebra over the L5 vertebra with a posterior disc herniation at the L4-L5 level and anterior indentation of the thecal sac. There is slight inferior migration of a disc portion posterior to the L5 vertebral body.
Ligamentum flavum hypertrophy is also noted at this level.
The L4-L5 intervertebral disc shows loss of water content. The L4-L5 facet joints show mild degenerative changes.
Fat is noted in the filum terminale at the L2 and L3 vertebral levels.
..2/.
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 :
18.0 mm at D12-L1
18.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra. Please correlate with plain radiographs.
2. Altered signal of the lumbar vertebrae may be suggestive of a preponderance of haematopoietic marrow (? anemic).
3. Retrolisthesis of the L4 vertebra over the L5 vertebra with a posterior disc herniation at the L4-L5 level and slight inferior migration of a disc portion posterior to the L5 vertebral body and ligamentum flavum hypertrophy and mild facetal arthropathy at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyz Faglmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with numbness since 3-4 years.
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 sacralization of the L5 vertebra and the L1 vertebra is as marked on the film. There is loss of normal lumbar lordosis.
The lumbar vertebrae are more hypointense than normal marrow
on the T1 Weighted images. These are isointense to marrow on the T2 Weighted images and this may be suggestive of a preponderance of haematopoietic marrow (? anemic).
There is retrolisthesis of the L4 vertebra over the L5 vertebra with a posterior disc herniation at the L4-L5 level and anterior indentation of the thecal sac. There is slight inferior migration of a disc portion posterior to the L5 vertebral body.
Ligamentum flavum hypertrophy is also noted at this level.
The L4-L5 intervertebral disc shows loss of water content. The L4-L5 facet joints show mild degenerative changes.
Fat is noted in the filum terminale at the L2 and L3 vertebral levels.
..2/.
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 :
18.0 mm at D12-L1
18.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra. Please correlate with plain radiographs.
2. Altered signal of the lumbar vertebrae may be suggestive of a preponderance of haematopoietic marrow (? anemic).
3. Retrolisthesis of the L4 vertebra over the L5 vertebra with a posterior disc herniation at the L4-L5 level and slight inferior migration of a disc portion posterior to the L5 vertebral body and ligamentum flavum hypertrophy and mild facetal arthropathy at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12439
ke/hs/rg.
Date : 00.00.00
Name of the Patient : Abc XyzJ. Almn / F / 5 1/2 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O difficulty in speaking with breath holding spells.
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.
4 mm thick T1 Weighted coronal images.
OBSERVATION :
There are small hypointense areas in the frontal region bilaterally on the T1 Weighted images and are near isointense to
CSF on all the pulse sequences. Adjacent to these are hyperintense areas on the proton, T2 Weighted and FLAIR images and would represent areas of gliosis.
Subtle hyperintense areas on the FLAIR images are also seen in the right high parietal and bilateral posterior parietal region.
There is slight thinning of the corpus callosum.
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 enlarged adenoids.
- 2 - scan-00009
IMPRESSION :
1. Areas of encephalomalacia in the frontal region bilaterally (probably the result of hypoxic-ischemic changes).
2. Altered signal in the right high parietal and bilateral posterior parietal region could be due to previous hypoxia/ischemia.
Date : 00.00.00
Name of the Patient : Abc XyzJ. Almn / F / 5 1/2 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O difficulty in speaking with breath holding spells.
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.
4 mm thick T1 Weighted coronal images.
OBSERVATION :
There are small hypointense areas in the frontal region bilaterally on the T1 Weighted images and are near isointense to
CSF on all the pulse sequences. Adjacent to these are hyperintense areas on the proton, T2 Weighted and FLAIR images and would represent areas of gliosis.
Subtle hyperintense areas on the FLAIR images are also seen in the right high parietal and bilateral posterior parietal region.
There is slight thinning of the corpus callosum.
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 enlarged adenoids.
- 2 - scan-00009
IMPRESSION :
1. Areas of encephalomalacia in the frontal region bilaterally (probably the result of hypoxic-ischemic changes).
2. Altered signal in the right high parietal and bilateral posterior parietal region could be due to previous hypoxia/ischemia.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12438
ke/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 29 yrs.
Referred by : Dr. Abc Xyzehta.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with paresthesias in the RLE since 1 1/2 months and paresthesias in the LLE since 2-3 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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is a large postero-central disc extrusion at the L4-L5 level with severe compression of the thecal sac and resultant canal stenosis. There is slight inferior migration of the disc with suggestion of mild inflammation of the traversing left L5 nerve root.
A small right postero-lateral disc herniation is seen at the L5-S1 level with mild indentation upon the traversing right S1 nerve root and mild right neural foraminal narrowing at this level.
The L4-L5 facet joints show mild degenerative changes.
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
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/.
- 2 - scan-00008
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
15.0 mm at L2-L3
15.0 mm at L3-L4
4.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc extrusion at the L4-L5 level with resultant severe canal stenosis.
2. A small right postero-lateral disc herniation at the L5-S1 level with mild indentation upon the traversing right
S1 nerve root.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 29 yrs.
Referred by : Dr. Abc Xyzehta.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with paresthesias in the RLE since 1 1/2 months and paresthesias in the LLE since 2-3 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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is a large postero-central disc extrusion at the L4-L5 level with severe compression of the thecal sac and resultant canal stenosis. There is slight inferior migration of the disc with suggestion of mild inflammation of the traversing left L5 nerve root.
A small right postero-lateral disc herniation is seen at the L5-S1 level with mild indentation upon the traversing right S1 nerve root and mild right neural foraminal narrowing at this level.
The L4-L5 facet joints show mild degenerative changes.
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
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/.
- 2 - scan-00008
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
15.0 mm at L2-L3
15.0 mm at L3-L4
4.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc extrusion at the L4-L5 level with resultant severe canal stenosis.
2. A small right postero-lateral disc herniation at the L5-S1 level with mild indentation upon the traversing right
S1 nerve root.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12437
ke/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzni lmn / F / 33 yrs.
Referred by : Dr. Abc Xyzagwati / Dr. Abc Xyztil.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches and right sided diplopia with ptosis.
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.
3 mm thick STIR axial images.
3 mm thick oblique sagittal images.
OBSERVATION :
There is no focal area of abnormal signal intensity within the brain parenchyma.
Ill-defined hypointense signal on the T1 Weighted images which turns heterogenously hyperintense on the STIR images is seen within the right superior orbital fissure (se/im. 105.7 & 106.7).
Both the lateral, third and the fourth ventricles show fullness.
There is mild prominence of the cerebral cortical sulci 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.
Incidental note is made of bilateral maxillary sinusitis and inflammatory changes in the ethmoidal air cells.
- 2 - scan-00007
IMPRESSION :
The MRI features are suggestive of areas of altered signal intensity within the right superior orbital fissure and is not specific for a single diagnosis. Inflammatory lesion like a pseudotumor may be considered.
A contrast enhanced scan would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyzni lmn / F / 33 yrs.
Referred by : Dr. Abc Xyzagwati / Dr. Abc Xyztil.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches and right sided diplopia with ptosis.
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.
3 mm thick STIR axial images.
3 mm thick oblique sagittal images.
OBSERVATION :
There is no focal area of abnormal signal intensity within the brain parenchyma.
Ill-defined hypointense signal on the T1 Weighted images which turns heterogenously hyperintense on the STIR images is seen within the right superior orbital fissure (se/im. 105.7 & 106.7).
Both the lateral, third and the fourth ventricles show fullness.
There is mild prominence of the cerebral cortical sulci 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.
Incidental note is made of bilateral maxillary sinusitis and inflammatory changes in the ethmoidal air cells.
- 2 - scan-00007
IMPRESSION :
The MRI features are suggestive of areas of altered signal intensity within the right superior orbital fissure and is not specific for a single diagnosis. Inflammatory lesion like a pseudotumor may be considered.
A contrast enhanced scan would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12436
hs/bv/rg.
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / F / 65 yrs.
Referred by : Dr. Abc Xyzoshi.
Examination : M.R.I. of the Right Sterno-clavicular joint.
CLINICAL PROFILE :
C/O swelling over the right sterno-clavicular joint since 1 week.
Known hypertensive. On Rx.
EXAMINATION :
M.R.I of the right sterno-clavicular joint was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted (with fat saturation)
axial images.
5 mm thick T1 Weighted sagittal images.
4 mm thick T1 Weighted, T2 Weighted (with fat saturation) and STIR coronal images.
OBSERVATION :
There are areas of hypointensity on the T1 Weighted which turn hyperintense on the T2 Weighted images within the right sterno-clavicular joint space per se and most likely represents fluid. The medial end of the right clavicle and the adjacent sternum do not show any marrow changes (scans 105.10, 108.10, 107.13, 109.9)
The left sterno-clavicular joint is unremarkable.
The visualized soft tissues around the sterno-clavicular joints are unremarkable (Artifactual bright signal is seen on the T2 Weighted axial images in the subcutaneous tissues because of uneven supression of fat).
IMPRESSION :
The MRI features are suggestive of fluid within the right sterno-clavicular joint space per se as described.
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / F / 65 yrs.
Referred by : Dr. Abc Xyzoshi.
Examination : M.R.I. of the Right Sterno-clavicular joint.
CLINICAL PROFILE :
C/O swelling over the right sterno-clavicular joint since 1 week.
Known hypertensive. On Rx.
EXAMINATION :
M.R.I of the right sterno-clavicular joint was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted (with fat saturation)
axial images.
5 mm thick T1 Weighted sagittal images.
4 mm thick T1 Weighted, T2 Weighted (with fat saturation) and STIR coronal images.
OBSERVATION :
There are areas of hypointensity on the T1 Weighted which turn hyperintense on the T2 Weighted images within the right sterno-clavicular joint space per se and most likely represents fluid. The medial end of the right clavicle and the adjacent sternum do not show any marrow changes (scans 105.10, 108.10, 107.13, 109.9)
The left sterno-clavicular joint is unremarkable.
The visualized soft tissues around the sterno-clavicular joints are unremarkable (Artifactual bright signal is seen on the T2 Weighted axial images in the subcutaneous tissues because of uneven supression of fat).
IMPRESSION :
The MRI features are suggestive of fluid within the right sterno-clavicular joint space per se as described.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12435
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzdevi Ylmn / F / 48 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O tremors in BUE, jaw and the LLE since 5 years.
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.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the right mastoid air cells.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzdevi Ylmn / F / 48 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O tremors in BUE, jaw and the LLE since 5 years.
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.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the right mastoid air cells.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12434
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / M / 77 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in the LLE with paresthesias since 3-4 years.
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.
A small, posterior disc protrusion is noted at the L5-S1 level. A sequestered disc fragment is noted in the right antero-lateral epidural space at the L5-S1 level indenting the traversing right S1 nerve root.
Small posterior disc herniations are noted at the L3-L4 and L4-L5 levels with slight bilateral neural foraminal narrowing.
A small left and right postero-lateral disc bulge is seen at the L2-L3 level.
The facet joints at the L3-L4, L4-L5 and L5-S1 levels appear hypertrophied with slight ligamentum flavum hypertrophy at the L4-L5 level.
The lumbar vertebral bodies reveal normal signal intensity. 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
13.0 mm at L2-L3
13.0 mm at L3-L4
13.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
1. A small, posterior disc protrusion at the L5-S1 level with a sequestered disc fragment in the right antero-lateral epidural space at the L5-S1 level indenting the traversing right S1 nerve root.
2. Small posterior disc herniations at the L3-L4 and L4-L5 levels with slight bilateral neural foraminal narrowing.
3. A small left and right postero-lateral disc bulge at the L2-L3 level.
4. Facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels with slight ligamentum flavum hypertrophy at the L4-L5 level.
5. Canal stenosis at the L2-L3, L3-L4 and L4-L5 levels.
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / M / 77 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in the LLE with paresthesias since 3-4 years.
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.
A small, posterior disc protrusion is noted at the L5-S1 level. A sequestered disc fragment is noted in the right antero-lateral epidural space at the L5-S1 level indenting the traversing right S1 nerve root.
Small posterior disc herniations are noted at the L3-L4 and L4-L5 levels with slight bilateral neural foraminal narrowing.
A small left and right postero-lateral disc bulge is seen at the L2-L3 level.
The facet joints at the L3-L4, L4-L5 and L5-S1 levels appear hypertrophied with slight ligamentum flavum hypertrophy at the L4-L5 level.
The lumbar vertebral bodies reveal normal signal intensity. 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
13.0 mm at L2-L3
13.0 mm at L3-L4
13.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
1. A small, posterior disc protrusion at the L5-S1 level with a sequestered disc fragment in the right antero-lateral epidural space at the L5-S1 level indenting the traversing right S1 nerve root.
2. Small posterior disc herniations at the L3-L4 and L4-L5 levels with slight bilateral neural foraminal narrowing.
3. A small left and right postero-lateral disc bulge at the L2-L3 level.
4. Facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels with slight ligamentum flavum hypertrophy at the L4-L5 level.
5. Canal stenosis at the L2-L3, L3-L4 and L4-L5 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12433
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 31 yrs.
Referred by : Dr. Abc Xyzporia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with nausea since 2 years.
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.
4 mm T1 Weighted sagittal images and 3 mm thick T1 Weighted coronal images.
An MR Cisternogram was obtained in the sagittal plane.
OBSERVATION :
There is still seen a well-marginated, approximately 2.0 x 1.0 x 2.2 cms sized hypointense mass lesion on the T1 Weighted images involving the clivus, more in the midline. This lesion appears hyperintense on the proton and T2 Weighted images. The mass lesion appears slightly expansile with extension into the prepontine cistern with minimal indentation on the basilar artery. Extension of the lesion into the dorsum sella and floor of the sphenoid sinus, posteriorly is noted. It is difficult to estimate the erosion of the cortical margins of the clivus.
There is no focal area of abnormal signal in the brain parenchyma per se.
Both the lateral, third and the fourth ventricles are normal. The rest of the basal cisternal spaces are unremarkable. There is no shift of the midline structures.
- 2 - scan-00003
Inflammatory changes are noted in the mastoid air cells bilaterally.
Screening, T1 Weighted sagittal images of the cervical spine reveal replacement of the normal fatty marrow of the cervical vertebrae by a predominantly haematopoietic marrow.
IMPRESSION :
1. A well-marginated, approximately 2.0 x 1.0 x 2.2 cms sized expansile mass lesion involving the clivus, more in the midline as described is not specific for a single etiology.
The differential diagnosis would include,
a. Tuberculous osteitis.
b. Small cell tumors.
c. Metastasis.
d. Fibrous dysplasia.
As compared to the previous MRI dated 00.00.00 (scan no.00001), there is no significant change in the size of the lesion.
2. Altered marrow signal of the visualized cervical vertebrae may suggests preponderance of the haematopoietic marrow.
A contrast enhanced scan would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 31 yrs.
Referred by : Dr. Abc Xyzporia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with nausea since 2 years.
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.
4 mm T1 Weighted sagittal images and 3 mm thick T1 Weighted coronal images.
An MR Cisternogram was obtained in the sagittal plane.
OBSERVATION :
There is still seen a well-marginated, approximately 2.0 x 1.0 x 2.2 cms sized hypointense mass lesion on the T1 Weighted images involving the clivus, more in the midline. This lesion appears hyperintense on the proton and T2 Weighted images. The mass lesion appears slightly expansile with extension into the prepontine cistern with minimal indentation on the basilar artery. Extension of the lesion into the dorsum sella and floor of the sphenoid sinus, posteriorly is noted. It is difficult to estimate the erosion of the cortical margins of the clivus.
There is no focal area of abnormal signal in the brain parenchyma per se.
Both the lateral, third and the fourth ventricles are normal. The rest of the basal cisternal spaces are unremarkable. There is no shift of the midline structures.
- 2 - scan-00003
Inflammatory changes are noted in the mastoid air cells bilaterally.
Screening, T1 Weighted sagittal images of the cervical spine reveal replacement of the normal fatty marrow of the cervical vertebrae by a predominantly haematopoietic marrow.
IMPRESSION :
1. A well-marginated, approximately 2.0 x 1.0 x 2.2 cms sized expansile mass lesion involving the clivus, more in the midline as described is not specific for a single etiology.
The differential diagnosis would include,
a. Tuberculous osteitis.
b. Small cell tumors.
c. Metastasis.
d. Fibrous dysplasia.
As compared to the previous MRI dated 00.00.00 (scan no.00001), there is no significant change in the size of the lesion.
2. Altered marrow signal of the visualized cervical vertebrae may suggests preponderance of the haematopoietic marrow.
A contrast enhanced scan would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12432
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzina Vilmn / F / 55 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neck pain radiating to the RUE with numbness since 00.00.00 with dislocation of the right shoulder.
H/O vehicular accident prior to this.
EMG s/o C7-8-T1 lesion at the proximal level at the root or brachial plexus level.
EXAMINATION :
M.R.I of the cervical spine and brachial plexus 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.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is loss of water content of the cervical intervertebral discs.
Small posterior peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels.
The cervical vertebral bodies 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.
- 2 - scan-00002
The study of the brachial plexus reveals no obvious signal change along the course of the brachial plexus on the either side. No obvious nerve root avulsions or pseudomeningoceles are identified.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzina Vilmn / F / 55 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neck pain radiating to the RUE with numbness since 00.00.00 with dislocation of the right shoulder.
H/O vehicular accident prior to this.
EMG s/o C7-8-T1 lesion at the proximal level at the root or brachial plexus level.
EXAMINATION :
M.R.I of the cervical spine and brachial plexus 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.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is loss of water content of the cervical intervertebral discs.
Small posterior peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels.
The cervical vertebral bodies 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.
- 2 - scan-00002
The study of the brachial plexus reveals no obvious signal change along the course of the brachial plexus on the either side. No obvious nerve root avulsions or pseudomeningoceles are identified.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports