Regular User
Sunday, 27 December 2015 16:48
12431
sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc XyzK. Pachglmn / F / 48 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O paresthesias in the LLE since 2 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebra which is as marked on the film. Please correlate with plain radiographs.
There is loss of water content of the L4-L5 intervertebral disc.
There is a small postero-central and right far lateral (extraforaminal) disc herniation at the L4-L5 level with slight right neural foraminal narrowing. The L4-L5 facet joints show mild degenerative changes.
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 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 :
19.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. Degenerated L4-L5 disc with a small postero-central and right far lateral (extraforaminal) disc herniation at this level.
Date : 00.00.00
Name of the Patient : Abc XyzK. Pachglmn / F / 48 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O paresthesias in the LLE since 2 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebra which is as marked on the film. Please correlate with plain radiographs.
There is loss of water content of the L4-L5 intervertebral disc.
There is a small postero-central and right far lateral (extraforaminal) disc herniation at the L4-L5 level with slight right neural foraminal narrowing. The L4-L5 facet joints show mild degenerative changes.
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 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 :
19.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. Degenerated L4-L5 disc with a small postero-central and right far lateral (extraforaminal) disc herniation at this level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12430
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Chandravalmn / M / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 1 1/2 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 scoliosis of the lumbar spine with convexity to the left. Minimal forward translation of the L5 over the S1 vertebra is noted.
There is a congenital anomaly of the L5 vertebra with an absent left pedicle of L5 and spina bifida at that level.
Right far lateral disc herniations are noted at the L4-L5 and L5-S1 levels indenting the extraforaminal segment of the right L4 and L5 nerve roots respectively.
Small left and right far lateral disc herniations are noted at the L3-L4 level indenting the extraforaminal segments of the left L3 nerve root.
The facet joints at the L4-L5 and L5-S1 levels appear slightly hypertrophied.
The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
The conus medullaris terminates at the D12 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
12.0 mm at L2-L3
11.0 mm at L3-L4
9.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Slight forward translation of the L5 over the S1 vertebra.
2. Congenital anomaly of the L5 vertebra with an absent left pedicle of L5 and spina bifida at that level.
3. Right far lateral disc herniations at the L4-L5 and L5-S1 levels indenting the extraforaminal segments of the right L4 and L5 nerve roots respectively.
4. Small left and right far lateral disc herniations at the L3-L4 level indenting the extraforaminal segment of the left L3 nerve root.
5. Slight hypertrophy of the facet joints at the L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz Chandravalmn / M / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 1 1/2 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 scoliosis of the lumbar spine with convexity to the left. Minimal forward translation of the L5 over the S1 vertebra is noted.
There is a congenital anomaly of the L5 vertebra with an absent left pedicle of L5 and spina bifida at that level.
Right far lateral disc herniations are noted at the L4-L5 and L5-S1 levels indenting the extraforaminal segment of the right L4 and L5 nerve roots respectively.
Small left and right far lateral disc herniations are noted at the L3-L4 level indenting the extraforaminal segments of the left L3 nerve root.
The facet joints at the L4-L5 and L5-S1 levels appear slightly hypertrophied.
The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
The conus medullaris terminates at the D12 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
12.0 mm at L2-L3
11.0 mm at L3-L4
9.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Slight forward translation of the L5 over the S1 vertebra.
2. Congenital anomaly of the L5 vertebra with an absent left pedicle of L5 and spina bifida at that level.
3. Right far lateral disc herniations at the L4-L5 and L5-S1 levels indenting the extraforaminal segments of the right L4 and L5 nerve roots respectively.
4. Small left and right far lateral disc herniations at the L3-L4 level indenting the extraforaminal segment of the left L3 nerve root.
5. Slight hypertrophy of the facet joints at the L4-L5 and L5-S1 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12429k
ke/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza Anlmn / F / 46 yrs.
Referred by : Dr. Abc Xyzhlani.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O polydypsia and poly urea and hypertension.
Clinically - central diabetes insipidus.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T1 Weighted and T2 Weighted axial images.
An MR Cisternogram was obtained in the sagittal plane.
Patient refused contrast study.
OBSERVATION :
The normal hyperintense signal of the posterior pituitary gland on the T1 Weighted images is not visualized.
There is thickening of the pituitary stalk. The region around the optic chiasma appears ill-defined incontinuity of the pituitary stalk. This is of intermediate signal intensity on the T1 Weighted images. A small punctate hyperintense focus is seen in the pituitary stalk on the T1 Weighted images just below the optic chiasma (105.5) and is seen to remain hyperintense on the T2 Weighted images. The pituitary stalk however is in midline.
The pituitary gland is seen along the floor of the sella. The anterior pituitary gland measures approximately 2.0 mm in height.
The hypothalamus and the cavernous sinuses are unremarkable on either side.
..2/.
- 2 - scan-00009
Screening, T2 Weighted axial images of the brain show a small hypointense focus in the left lentiform nucleus which may represent prominent perivascular space. The ventricular system is unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. Non-visualization of the hyperintense signal of the posterior pituitary gland can be seen with diabetes insipidus.
2. Thickened pituitary stalk and ill-defined area along the optic chiasma is suggestive of hypophysitis. Eosinophilic granuloma/sarcoidosis should be ruled out.
3. An empty sella.
If clinically indicated a contrast enhanced scan would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyza Anlmn / F / 46 yrs.
Referred by : Dr. Abc Xyzhlani.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O polydypsia and poly urea and hypertension.
Clinically - central diabetes insipidus.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T1 Weighted and T2 Weighted axial images.
An MR Cisternogram was obtained in the sagittal plane.
Patient refused contrast study.
OBSERVATION :
The normal hyperintense signal of the posterior pituitary gland on the T1 Weighted images is not visualized.
There is thickening of the pituitary stalk. The region around the optic chiasma appears ill-defined incontinuity of the pituitary stalk. This is of intermediate signal intensity on the T1 Weighted images. A small punctate hyperintense focus is seen in the pituitary stalk on the T1 Weighted images just below the optic chiasma (105.5) and is seen to remain hyperintense on the T2 Weighted images. The pituitary stalk however is in midline.
The pituitary gland is seen along the floor of the sella. The anterior pituitary gland measures approximately 2.0 mm in height.
The hypothalamus and the cavernous sinuses are unremarkable on either side.
..2/.
- 2 - scan-00009
Screening, T2 Weighted axial images of the brain show a small hypointense focus in the left lentiform nucleus which may represent prominent perivascular space. The ventricular system is unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. Non-visualization of the hyperintense signal of the posterior pituitary gland can be seen with diabetes insipidus.
2. Thickened pituitary stalk and ill-defined area along the optic chiasma is suggestive of hypophysitis. Eosinophilic granuloma/sarcoidosis should be ruled out.
3. An empty sella.
If clinically indicated a contrast enhanced scan would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12429
ke/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza Anlmn / F / 46 yrs.
Referred by : Dr. Abc Xyzhlani.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O polydypsia and poly urea and hypertension.
Clinically - central diabetes insipidus.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T1 Weighted and T2 Weighted axial images.
An MR Cisternogram was obtained in the sagittal plane.
Patient refused contrast study.
OBSERVATION :
The normal hyperintense signal of the posterior pituitary gland on the T1 Weighted images is not visualized.
There is thickening of the pituitary stalk. The region around the optic chiasma appears ill-defined incontinuity of the pituitary stalk. This is of intermediate signal intensity on the T1 Weighted images. A small punctate hyperintense focus is seen in the pituitary stalk on the T1 Weighted images just below the optic chiasma (105.5) and is seen to remain hyperintense on the T2 Weighted images. The pituitary stalk however is in midline.
The pituitary gland is seen along the floor of the sella. The anterior pituitary gland measures approximately 2.0 mm in height.
The hypothalamus and the cavernous sinuses are unremarkable on either side.
..2/.
- 2 - scan-00009
Screening, T2 Weighted axial images of the brain show a small hypointense focus in the left lentiform nucleus which may represent prominent perivascular space. The ventricular system is unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. Non-visualization of the hyperintense signal of the posterior pituitary gland can be seen with diabetes insipidus.
2. Thickened pituitary stalk and ill-defined area along the optic chiasma is suggestive of hypophysitis. Eosinophilic granuloma/sarcoidosis should be ruled out.
3. An empty sella.
If clinically indicated a contrast enhanced scan would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyza Anlmn / F / 46 yrs.
Referred by : Dr. Abc Xyzhlani.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O polydypsia and poly urea and hypertension.
Clinically - central diabetes insipidus.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T1 Weighted and T2 Weighted axial images.
An MR Cisternogram was obtained in the sagittal plane.
Patient refused contrast study.
OBSERVATION :
The normal hyperintense signal of the posterior pituitary gland on the T1 Weighted images is not visualized.
There is thickening of the pituitary stalk. The region around the optic chiasma appears ill-defined incontinuity of the pituitary stalk. This is of intermediate signal intensity on the T1 Weighted images. A small punctate hyperintense focus is seen in the pituitary stalk on the T1 Weighted images just below the optic chiasma (105.5) and is seen to remain hyperintense on the T2 Weighted images. The pituitary stalk however is in midline.
The pituitary gland is seen along the floor of the sella. The anterior pituitary gland measures approximately 2.0 mm in height.
The hypothalamus and the cavernous sinuses are unremarkable on either side.
..2/.
- 2 - scan-00009
Screening, T2 Weighted axial images of the brain show a small hypointense focus in the left lentiform nucleus which may represent prominent perivascular space. The ventricular system is unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. Non-visualization of the hyperintense signal of the posterior pituitary gland can be seen with diabetes insipidus.
2. Thickened pituitary stalk and ill-defined area along the optic chiasma is suggestive of hypophysitis. Eosinophilic granuloma/sarcoidosis should be ruled out.
3. An empty sella.
If clinically indicated a contrast enhanced scan would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12428
sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz M. Waghlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzle.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with vertigo, hearing loss and tinnitus in the left ear since 1 month with slight diminished vision of both eyes.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick FLAIR coronal images.
MR Cisternogram was obtained in the coronal plane.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
The seventh and eighth cranial nerve complex on either side are unremarkable.
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 :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyz M. Waghlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzle.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with vertigo, hearing loss and tinnitus in the left ear since 1 month with slight diminished vision of both eyes.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick FLAIR coronal images.
MR Cisternogram was obtained in the coronal plane.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
The seventh and eighth cranial nerve complex on either side are unremarkable.
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 :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12427
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzand Palmn / M / 35 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the RLE with swelling over the right knee since 20 days and limp.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick GRASS sagittal images.
OBSERVATION :
There is slight loss of normal contour of the left femoral head. There are multiple well-demarcated geographical areas following fat signal intensity characteristics on all the pulse sequences in the left femoral head. These areas represents areas of avascular necrosis (Class A). Ill-defined, hyperintense signal on the T2 Weighted and STIR images in the neck of the left femur may represent bone edema. A small left hip joint effusion is noted. Slight reduction in the left hip-joint space is also noted. The left acetabulum and the articular cartilage overlying the left femoral head are unremarkable.
Similar signal intensity changes are noted in the head and neck of the right femur. A small right hip joint effusion is noted. The right femoral head however shows normal contour. The right acetabulum and the articular cartilage overlying the right femoral head are unremarkable.
Slight decrease in bulk of the muscles around the left hip joint is noted when compared to the right. Ill-defined, hyperintense signal on the T2 Weighted and STIR images in the soft tissue in the right gluteal region is the sequelae of an intramuscular injection at that site.
Susceptibility artifacts are noted in the region of the left iliac bone, superiorly which may be the sequelae of previous bone grafting.
The rest of the visualized bones of the pelvis and the femora shows spotty fatty marrow changes suggesting osteoporosis.
IMPRESSION :
The MRI features are suggestive of Class A avascular necrosis of the femoral heads on either side with small hip joint effusions bilaterally.
Susceptibility artifacts in the region of the left iliac bone may be the sequelae of previous bone grafting.
Date : 00.00.00
Name of the Patient : Abc Xyzand Palmn / M / 35 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the RLE with swelling over the right knee since 20 days and limp.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick GRASS sagittal images.
OBSERVATION :
There is slight loss of normal contour of the left femoral head. There are multiple well-demarcated geographical areas following fat signal intensity characteristics on all the pulse sequences in the left femoral head. These areas represents areas of avascular necrosis (Class A). Ill-defined, hyperintense signal on the T2 Weighted and STIR images in the neck of the left femur may represent bone edema. A small left hip joint effusion is noted. Slight reduction in the left hip-joint space is also noted. The left acetabulum and the articular cartilage overlying the left femoral head are unremarkable.
Similar signal intensity changes are noted in the head and neck of the right femur. A small right hip joint effusion is noted. The right femoral head however shows normal contour. The right acetabulum and the articular cartilage overlying the right femoral head are unremarkable.
Slight decrease in bulk of the muscles around the left hip joint is noted when compared to the right. Ill-defined, hyperintense signal on the T2 Weighted and STIR images in the soft tissue in the right gluteal region is the sequelae of an intramuscular injection at that site.
Susceptibility artifacts are noted in the region of the left iliac bone, superiorly which may be the sequelae of previous bone grafting.
The rest of the visualized bones of the pelvis and the femora shows spotty fatty marrow changes suggesting osteoporosis.
IMPRESSION :
The MRI features are suggestive of Class A avascular necrosis of the femoral heads on either side with small hip joint effusions bilaterally.
Susceptibility artifacts in the region of the left iliac bone may be the sequelae of previous bone grafting.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12426
hs/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzant S. Mhlmn / M / 51 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neck pain with paresthesias in BUE and BLE with weakness and gait imbalance since 6 months with weak grip.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is flattening of the spinal cord on the left side at the C4 and C5 vertebral levels. A hyperintense focus on the Fast Scan (T2 *) images is seen in the region of the anterior horn cells on the left side within the spinal cord over the C4-C5 to the C5-C6 levels and on the right side at the C5-C6 level. Such changes may be seen with motor neuron disease.
A postero-central disc herniation is seen to indent the thecal sac at the C6-C7 level.
Postero-central disc protrusions are seen at the C4-C5 and C5-C6 levels.
A posterior disc bulge is noted at the C3-C4 level.
Small posterior peridiscal osteophytes are noted over the C3-C4 to the C6-C7 levels.
The cervical intervertebral discs show loss of water content.
..2/.
There is evidence of a lesion which is hyperintense to muscle but hypointense to fat on the T1 Weighted images and turns hyperintense to both on Fast Scan (T2 *) images and is located lateral to the right carotid sheath over the C2-C3 to C3-C4 level. This may represent a portion of an enlarged right parotid gland or enlarged lymphnode.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. Motor neuron disease involving the cervical spinal cord as described.
2. A postero-central disc herniation at the C6-C7 level.
3. Postero-central disc protrusions at the C4-C5 and C5- C6 levels.
4. A lesion located lateral to the right carotid sheath over the C2-C3 to C3-C4 level may represent a portion of an enlarged right parotid gland or enlarged lymphnode. Further evaluation of the same would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyzant S. Mhlmn / M / 51 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neck pain with paresthesias in BUE and BLE with weakness and gait imbalance since 6 months with weak grip.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is flattening of the spinal cord on the left side at the C4 and C5 vertebral levels. A hyperintense focus on the Fast Scan (T2 *) images is seen in the region of the anterior horn cells on the left side within the spinal cord over the C4-C5 to the C5-C6 levels and on the right side at the C5-C6 level. Such changes may be seen with motor neuron disease.
A postero-central disc herniation is seen to indent the thecal sac at the C6-C7 level.
Postero-central disc protrusions are seen at the C4-C5 and C5-C6 levels.
A posterior disc bulge is noted at the C3-C4 level.
Small posterior peridiscal osteophytes are noted over the C3-C4 to the C6-C7 levels.
The cervical intervertebral discs show loss of water content.
..2/.
There is evidence of a lesion which is hyperintense to muscle but hypointense to fat on the T1 Weighted images and turns hyperintense to both on Fast Scan (T2 *) images and is located lateral to the right carotid sheath over the C2-C3 to C3-C4 level. This may represent a portion of an enlarged right parotid gland or enlarged lymphnode.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. Motor neuron disease involving the cervical spinal cord as described.
2. A postero-central disc herniation at the C6-C7 level.
3. Postero-central disc protrusions at the C4-C5 and C5- C6 levels.
4. A lesion located lateral to the right carotid sheath over the C2-C3 to C3-C4 level may represent a portion of an enlarged right parotid gland or enlarged lymphnode. Further evaluation of the same would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12425
sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / M / 21 yrs.
Referred by : Dr. Abc XyzShah.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches, giddiness and nausea since 2 years which has increased since 15 days. Also C/O fever.
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.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
BRAIN :
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 no shift of the midline structures.
Inflammatory changes are noted in the left maxillary sinus and ethmoidal air cells.
INTRACRANIAL MRA :
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
..2/.
- 2 - scan-00005
NECK MRA :
The left vertebral artery is seen to arise from the origin of the aortic arch.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
The left vertebral artery is seen to originate from the aortic arch.
No other significant abnormality is detected within the brain parenchyma or on the intracranial and neck MRA on this study.
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / M / 21 yrs.
Referred by : Dr. Abc XyzShah.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches, giddiness and nausea since 2 years which has increased since 15 days. Also C/O fever.
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.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
BRAIN :
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 no shift of the midline structures.
Inflammatory changes are noted in the left maxillary sinus and ethmoidal air cells.
INTRACRANIAL MRA :
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
..2/.
- 2 - scan-00005
NECK MRA :
The left vertebral artery is seen to arise from the origin of the aortic arch.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
The left vertebral artery is seen to originate from the aortic arch.
No other significant abnormality is detected within the brain parenchyma or on the intracranial and neck MRA on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12424
hs/sb/rg.
Date : 00.00.00
Name of the Patient : Abc XyzKalmn / F / 9 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since the age of 3 months. On anti-epileptics.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There are few areas of hypointensity on the T1 Weighted images which turn slightly hyperintense to CSF on the proton and T2 Weighted images within the subcortical white matter in the right parieto-temporal lobes. Also seen is prominence of the cortical sulci in the right fronto-temporo-parietal lobes with fullness of the third and the right lateral ventricles.
The hippocampal complex on either side is unremarkable.
The left lateral 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 :
Slight loss of volume of the right cerebral hemisphere with areas of encephalomalacia as described, may be the sequelae of previous vascular insult.
Date : 00.00.00
Name of the Patient : Abc XyzKalmn / F / 9 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since the age of 3 months. On anti-epileptics.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There are few areas of hypointensity on the T1 Weighted images which turn slightly hyperintense to CSF on the proton and T2 Weighted images within the subcortical white matter in the right parieto-temporal lobes. Also seen is prominence of the cortical sulci in the right fronto-temporo-parietal lobes with fullness of the third and the right lateral ventricles.
The hippocampal complex on either side is unremarkable.
The left lateral 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 :
Slight loss of volume of the right cerebral hemisphere with areas of encephalomalacia as described, may be the sequelae of previous vascular insult.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12423
hs/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Slmn / M / 70 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) with paresthesias since January 0000.
H/O pleural effusion on the right side for which patient received AKT for 6 months (6 years ago).
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the lumbar intervertebral discs except the L2-L3 disc.
There is Grade I spondylolisthesis of the L5 over the S1 vertebra with spondylolysis of the L5 vertebra, bilaterally. A resultant pseudo-posterior disc bulge is noted at the L5-S1 level. The L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc show Type II degenerative marrow changes.
There is a diffuse hypointense signal on the T1 Weighted images in the L2 and L3 vertebral bodies. This lesion appears hyperintense on the T2 Weighted images. Erosion of the inferior cortical margin of L2 and superior cortical margin of L3 vertebrae is noted with involvement of the L2-L3 disc. There is minimal prevertebral and paravertebral soft tissue lesion at the L2 and L3 vertebral levels and which is of intermediate signal on T1 Weighted images and hyperintense on T2 Weighted images.
A small posterior disc bulge is noted at the L2-L3 level. There is mild retroplacement of the L2 vertebra over the L3 vertebra.
..2/.
- 2 - scan-00003
Hemangioma with fat content (hyperintense on all the pulse sequences) is noted in the D12 vertebral body.
Facet joints at the L5-S1 level show slight degenerative changes bilaterally. Bilatreral far lateral (extraforaminal) disc bulges are noted at the L5-S1 levels.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints 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
13.0 mm at L2-L3
16.0 mm at L3-L4
15.0 mm at L4-L5
13.0 mm at L5-S1.
Incidentally noted is a cortical renal cyst in the right kidney.
IMPRESSION :
1. Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with spondylolysis of the L5 vertebra bilaterally. A resultant pseudo-posterior disc bulge is noted at the L5-S1 level.
2. Altered signal of the L2 and L3 vertebral bodies and L2-L3 intervertebral disc suggests osteitis with discitis probably tuberculous in etiology. Minimal prevertebral and paravertebral soft tissue lesion may represent granulation tissue.
The possibility of this lesion representing a neoplasm seems likely.
3. Slight facetal arthropathy at the L5-S1 level.
Date : 00.00.00
Name of the Patient : Abc Xyz Slmn / M / 70 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) with paresthesias since January 0000.
H/O pleural effusion on the right side for which patient received AKT for 6 months (6 years ago).
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the lumbar intervertebral discs except the L2-L3 disc.
There is Grade I spondylolisthesis of the L5 over the S1 vertebra with spondylolysis of the L5 vertebra, bilaterally. A resultant pseudo-posterior disc bulge is noted at the L5-S1 level. The L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc show Type II degenerative marrow changes.
There is a diffuse hypointense signal on the T1 Weighted images in the L2 and L3 vertebral bodies. This lesion appears hyperintense on the T2 Weighted images. Erosion of the inferior cortical margin of L2 and superior cortical margin of L3 vertebrae is noted with involvement of the L2-L3 disc. There is minimal prevertebral and paravertebral soft tissue lesion at the L2 and L3 vertebral levels and which is of intermediate signal on T1 Weighted images and hyperintense on T2 Weighted images.
A small posterior disc bulge is noted at the L2-L3 level. There is mild retroplacement of the L2 vertebra over the L3 vertebra.
..2/.
- 2 - scan-00003
Hemangioma with fat content (hyperintense on all the pulse sequences) is noted in the D12 vertebral body.
Facet joints at the L5-S1 level show slight degenerative changes bilaterally. Bilatreral far lateral (extraforaminal) disc bulges are noted at the L5-S1 levels.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints 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
13.0 mm at L2-L3
16.0 mm at L3-L4
15.0 mm at L4-L5
13.0 mm at L5-S1.
Incidentally noted is a cortical renal cyst in the right kidney.
IMPRESSION :
1. Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with spondylolysis of the L5 vertebra bilaterally. A resultant pseudo-posterior disc bulge is noted at the L5-S1 level.
2. Altered signal of the L2 and L3 vertebral bodies and L2-L3 intervertebral disc suggests osteitis with discitis probably tuberculous in etiology. Minimal prevertebral and paravertebral soft tissue lesion may represent granulation tissue.
The possibility of this lesion representing a neoplasm seems likely.
3. Slight facetal arthropathy at the L5-S1 level.
Published in
MRI Reports