Regular User
Sunday, 27 December 2015 16:48
12398
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzi Chandravalmn / F / 8 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
C/O pain in the left knee with limp.
H/O fall 1 year ago with swelling.
EXAMINATION :
M.R.I of the left knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick GRASS axial images.
OBSERVATION :
Menisci
There is blunting of the horns of the lateral menisci of the left knee joint. A part of the meniscus is seen to be displaced medially in the left knee joint, suggesting a bucket handle tear.
The anterior and posterior horns of the medial menisci reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
There is seen slight depression of the epiphysis of the medial condyle of the proximal left tibia without change in signal intensity. The epiphysis of the lateral tibial condyle is unremarkable.
The articular cartilage overlying the patella and femur appears normal.
There is no left knee joint effusion.
IMPRESSION :
1. Blunting of the horns of the lateral meniscus of the left knee joint with medial displacement of a part of the lateral meniscus suggests a bucket handle tear.
2. Slight depression of the epiphysis of the medial condyle of the proximal left tibia without change in signal intensity may be the sequelae of previous trauma. The overlying articular cartilage is unremarkable.
Date : 00.00.00
Name of the Patient : Abc Xyzi Chandravalmn / F / 8 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
C/O pain in the left knee with limp.
H/O fall 1 year ago with swelling.
EXAMINATION :
M.R.I of the left knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick GRASS axial images.
OBSERVATION :
Menisci
There is blunting of the horns of the lateral menisci of the left knee joint. A part of the meniscus is seen to be displaced medially in the left knee joint, suggesting a bucket handle tear.
The anterior and posterior horns of the medial menisci reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
There is seen slight depression of the epiphysis of the medial condyle of the proximal left tibia without change in signal intensity. The epiphysis of the lateral tibial condyle is unremarkable.
The articular cartilage overlying the patella and femur appears normal.
There is no left knee joint effusion.
IMPRESSION :
1. Blunting of the horns of the lateral meniscus of the left knee joint with medial displacement of a part of the lateral meniscus suggests a bucket handle tear.
2. Slight depression of the epiphysis of the medial condyle of the proximal left tibia without change in signal intensity may be the sequelae of previous trauma. The overlying articular cartilage is unremarkable.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12397
hs/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzndra Avsalmn / M / 70 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden onset of aphasia at 10.30 am on 00.00.00 wtih MI.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
SOME IMAGES SHOW PATIENT MOTION.
PATIENT DID NOT ALLOW COMPLETION OF THE STUDY.
OBSERVATION :
There is evidence of an area of hyperintensity on the proton and T2 Weighted images along the gyri in the left frontal lobe. This is most likely suggestive of ischemia/infarction. (scans 203.11 - 203.17). This area is hypointense on the T1 Weighted images. There is no evidence of haemorrhage.
There is fullness of the third and both the lateral ventricles. Also seen is prominence of the basal cisternal spaces and cerebral cortical sulci bilaterally.
The fourth ventricle is normal. 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 recent area of ischemia/infarction in the left frontal lobe as described.
Date : 00.00.00
Name of the Patient : Abc Xyzndra Avsalmn / M / 70 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden onset of aphasia at 10.30 am on 00.00.00 wtih MI.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
SOME IMAGES SHOW PATIENT MOTION.
PATIENT DID NOT ALLOW COMPLETION OF THE STUDY.
OBSERVATION :
There is evidence of an area of hyperintensity on the proton and T2 Weighted images along the gyri in the left frontal lobe. This is most likely suggestive of ischemia/infarction. (scans 203.11 - 203.17). This area is hypointense on the T1 Weighted images. There is no evidence of haemorrhage.
There is fullness of the third and both the lateral ventricles. Also seen is prominence of the basal cisternal spaces and cerebral cortical sulci bilaterally.
The fourth ventricle is normal. 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 recent area of ischemia/infarction in the left frontal lobe as described.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12396
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzd Sanlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O cervical spondylosis 6 months back.
Also C/O backache radiating to the RLE.
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 :
A small postero-central disc herniation with a peridiscal osteophyte is seen to indent the thecal sac at the C3-C4 level.
Postero-central disc protrusions are noted at the C4-C5 and C5-C6 levels. A posterior disc bulge is seen at the C6-C7 level.
Irregularly defined areas of hypointensity on all the pulse sequences are seen in the region of the odontoid process and may represent degenerative changes/pannus (? rheumatoid arthritis).
The cervical intervertebral discs show loss of water content.
Scan-00006
The left C2-C3 facet joint shows degenerative changes.
The left lobe of the thyroid gland is seen to be enlarged.
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 cervico-medullary junction is unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. A small postero-central disc herniation with a peridiscal osteophyte at the C3-C4 level.
2. Postero-central disc protrusions at the C4-C5 and C5-C6 levels.
3. Degenerative changes/pannus (? rheumatoid arthritis) in the region of the odontoid process.
4. An enlarged left lobe of the thyroid gland which requires further evaluation.
Date : 00.00.00
Name of the Patient : Abc Xyzd Sanlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O cervical spondylosis 6 months back.
Also C/O backache radiating to the RLE.
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 :
A small postero-central disc herniation with a peridiscal osteophyte is seen to indent the thecal sac at the C3-C4 level.
Postero-central disc protrusions are noted at the C4-C5 and C5-C6 levels. A posterior disc bulge is seen at the C6-C7 level.
Irregularly defined areas of hypointensity on all the pulse sequences are seen in the region of the odontoid process and may represent degenerative changes/pannus (? rheumatoid arthritis).
The cervical intervertebral discs show loss of water content.
Scan-00006
The left C2-C3 facet joint shows degenerative changes.
The left lobe of the thyroid gland is seen to be enlarged.
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 cervico-medullary junction is unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. A small postero-central disc herniation with a peridiscal osteophyte at the C3-C4 level.
2. Postero-central disc protrusions at the C4-C5 and C5-C6 levels.
3. Degenerative changes/pannus (? rheumatoid arthritis) in the region of the odontoid process.
4. An enlarged left lobe of the thyroid gland which requires further evaluation.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12395
bv/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzd Sanlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 4-5 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of all the lumbar intervertebral discs.
There is a postero-central disc protrusion at the L5-S1 level with ventral indentation upon the thecal sac. Far lateral disc bulges are also seen at this level.
There is a right far lateral (extraforaminal) disc herniation at the L4-L5 level with indentation upon the foraminal and extraforaminal portion of the right L4 nerve root.
A posterior disc bulge is seen at the L3-L4 level.
A right paracentral disc herniation with posterior peridiscal osteophyte is seen at the L2-L3 level with ventral indentation of the thecal sac. A right postero-lateral (foraminal) disc herniation is also seen at this level narrowing the right neural foramen.
A right posterior peridiscal osteophyte with a disc herniation is seen at the L1-L2 level with ventral indentation of the thecal sac.
..2/.
Small posterior peridiscal osteophytes are noted at the L3-L4, L4-L5 and L5-S1 levels.
The facet joint at the L5-S1, L4-L5, L3-L4 and L1-L2 level on the left side shows hypertrophic degenerative changes.
Anterior disc herniations are noted in the lumbar region at the L1-L2, L2-L3 and L3-L4 levels.
Schmorls nodes are seen in the L3 and L4 vertebrae inferiorly.
Focal hypointense areas on the T1 Weighted images which are seen to turn hyperintense on the T2 Weighted images in the L3, L4, L5 vertebrae are of ? significance.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
A probable conjoint nerve root is noted at the L5-S1 level on the left.
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 :
13.0 mm at L1-L2
13.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A right far lateral (extraforaminal) disc herniation at the L4-L5 level with indentation upon the foraminal and extraforaminal portion of the right L4 nerve root.
..3/.
- 3 - scan-00005
2. A right paracentral disc herniation with posterior peridiscal osteophyte at the L2-L3 level with a right postero-lateral (foraminal) disc herniation at this level.
3. A right posterior peridiscal osteophyte with a disc herniation at the L1-L2 level.
4. Small posterior peridiscal osteophytes at the L3-L4, L4-L5 and L5-S1 levels.
5. Hypertrophic facetal arthropathy at the L5-S1, L4-L5, L3-L4 and L1-L2 levels on the left side.
Date : 00.00.00
Name of the Patient : Abc Xyzd Sanlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 4-5 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of all the lumbar intervertebral discs.
There is a postero-central disc protrusion at the L5-S1 level with ventral indentation upon the thecal sac. Far lateral disc bulges are also seen at this level.
There is a right far lateral (extraforaminal) disc herniation at the L4-L5 level with indentation upon the foraminal and extraforaminal portion of the right L4 nerve root.
A posterior disc bulge is seen at the L3-L4 level.
A right paracentral disc herniation with posterior peridiscal osteophyte is seen at the L2-L3 level with ventral indentation of the thecal sac. A right postero-lateral (foraminal) disc herniation is also seen at this level narrowing the right neural foramen.
A right posterior peridiscal osteophyte with a disc herniation is seen at the L1-L2 level with ventral indentation of the thecal sac.
..2/.
Small posterior peridiscal osteophytes are noted at the L3-L4, L4-L5 and L5-S1 levels.
The facet joint at the L5-S1, L4-L5, L3-L4 and L1-L2 level on the left side shows hypertrophic degenerative changes.
Anterior disc herniations are noted in the lumbar region at the L1-L2, L2-L3 and L3-L4 levels.
Schmorls nodes are seen in the L3 and L4 vertebrae inferiorly.
Focal hypointense areas on the T1 Weighted images which are seen to turn hyperintense on the T2 Weighted images in the L3, L4, L5 vertebrae are of ? significance.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
A probable conjoint nerve root is noted at the L5-S1 level on the left.
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 :
13.0 mm at L1-L2
13.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A right far lateral (extraforaminal) disc herniation at the L4-L5 level with indentation upon the foraminal and extraforaminal portion of the right L4 nerve root.
..3/.
- 3 - scan-00005
2. A right paracentral disc herniation with posterior peridiscal osteophyte at the L2-L3 level with a right postero-lateral (foraminal) disc herniation at this level.
3. A right posterior peridiscal osteophyte with a disc herniation at the L1-L2 level.
4. Small posterior peridiscal osteophytes at the L3-L4, L4-L5 and L5-S1 levels.
5. Hypertrophic facetal arthropathy at the L5-S1, L4-L5, L3-L4 and L1-L2 levels on the left side.
Published in
MRI Reports
Tagged under
Sunday, 27 December 2015 16:48
12394
bv/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzi Shlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to RUE and RLE with paresthesias since 2 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 partial sacralization of the L5 vertebra on the left side.
There is Grade II spondylolisthesis of L4 over the L5 vertebra with spondylolysis at the L4 level bilaterally.
Type II (fatty changes)/ Type III (sclerosis) degenerative marrow changes are seen adjacent to the L4-L5 disc in the L4 and L5 vertebral bodies, respectively.
A pseudo-posterior disc herniation is seen at the L4-L5 level with narrowing of the right neural foramen. The facet joints at the L4-L5 level show gross hypertrophic changes.
A posterior peridiscal osteophyte is seen to arise from the posterior superior margin of L5 vertebra with ventral indentation upon the thecal sac.
A small posterior disc bulge is identified at the L5-S1 level.
..2/.
The right facet joint at the L3-L4 level appears slightly hypertrophied.
The rest of the lumbar vertebral bodies and the 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 level and the thecal sac terminates at the L5-S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
10.0 mm at L5-S1.
Screening of the dorsal spine shows no significant feature of note. Early degenerative changes are seen in the cervical spine over the C3-C4 to C6-C7 levels.
IMPRESSION :
The MRI features are suggestive of :
1. Partial sacralization of the L5 vertebra on the left side.
2. Grade II spondylolisthesis of L4 over the L5 vertebra with spondylolysis at the L4 level bilaterally.
3. A pseudo-posterior disc herniation at the L4-L5 level with
gross facetal hypertrophy at this level.
4. A posterior peridiscal osteophyte arising from the posterior superior margin of L5.
5. A small posterior disc bulge at the L5-S1 level.
Date : 00.00.00
Name of the Patient : Abc Xyzi Shlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to RUE and RLE with paresthesias since 2 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 partial sacralization of the L5 vertebra on the left side.
There is Grade II spondylolisthesis of L4 over the L5 vertebra with spondylolysis at the L4 level bilaterally.
Type II (fatty changes)/ Type III (sclerosis) degenerative marrow changes are seen adjacent to the L4-L5 disc in the L4 and L5 vertebral bodies, respectively.
A pseudo-posterior disc herniation is seen at the L4-L5 level with narrowing of the right neural foramen. The facet joints at the L4-L5 level show gross hypertrophic changes.
A posterior peridiscal osteophyte is seen to arise from the posterior superior margin of L5 vertebra with ventral indentation upon the thecal sac.
A small posterior disc bulge is identified at the L5-S1 level.
..2/.
The right facet joint at the L3-L4 level appears slightly hypertrophied.
The rest of the lumbar vertebral bodies and the 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 level and the thecal sac terminates at the L5-S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
10.0 mm at L5-S1.
Screening of the dorsal spine shows no significant feature of note. Early degenerative changes are seen in the cervical spine over the C3-C4 to C6-C7 levels.
IMPRESSION :
The MRI features are suggestive of :
1. Partial sacralization of the L5 vertebra on the left side.
2. Grade II spondylolisthesis of L4 over the L5 vertebra with spondylolysis at the L4 level bilaterally.
3. A pseudo-posterior disc herniation at the L4-L5 level with
gross facetal hypertrophy at this level.
4. A posterior peridiscal osteophyte arising from the posterior superior margin of L5.
5. A small posterior disc bulge at the L5-S1 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12393
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz V. Hlmn / M / 54 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache on the left side since 1 year.
Known C/O renal cell carcinoma for which left radical nephrectomy was done in 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 Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with spondylolysis of the L5 vertebra bilaterally.
A posterior disc herniation with peridiscal osteophytes is seen to indent the thecal sac and narrow both neural foramina with indentation upon the foraminal portion of the exiting L5 nerve roots at the L5-S1 level. Bilateral far lateral (extraforaminal) disc herniations are seen to indent the extraforaminal portion of the exiting nerve L5 roots at this level.
A small posterior disc herniation with peridiscal osteophytes is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. Bilateral far lateral (extraforaminal) disc herniations are seen at this level.
Scan-00003
The L4-L5 and L5-S1 facet joints show hypertrophic degenerative changes.
A left far lateral (extraforaminal) disc bulge is noted at the L1-L2 level. The L4-L5 and L5-S1 intervertebral discs show loss of water content.
Spina bifida of the S1 vertebra is noted.
The left kidney is not visualized, the result of previous surgery. Hyperintense signal on the T2 Weighted images seen in the left paraspinal muscles at the L1 and L2 levels may represent post-operative/inflammatory 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 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 :
16.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
7.0 mm at L5-S1.
..3/.
- 3 - Scan-00003
IMPRESSION :
1. Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with spondylolysis of the L5 vertebra bilaterally.
2. A posterior disc herniation with peridiscal osteophytes indenting the foraminal portion of the exiting L5 nerve roots at the L5-S1 level.
3. Bilateral far lateral (extraforaminal) disc herniations at the L5-S1 level indenting the extraforaminal portion of the exiting L5 nerve roots at this level.
4. A small posterior disc herniation with peridiscal osteophytes at the L4-L5 level with bilateral far lateral (extraforaminal) disc herniations at this level.
5. Hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels.
6. Canal stenosis at the L5-S1 level.
Date : 00.00.00
Name of the Patient : Abc Xyz V. Hlmn / M / 54 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache on the left side since 1 year.
Known C/O renal cell carcinoma for which left radical nephrectomy was done in 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 Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with spondylolysis of the L5 vertebra bilaterally.
A posterior disc herniation with peridiscal osteophytes is seen to indent the thecal sac and narrow both neural foramina with indentation upon the foraminal portion of the exiting L5 nerve roots at the L5-S1 level. Bilateral far lateral (extraforaminal) disc herniations are seen to indent the extraforaminal portion of the exiting nerve L5 roots at this level.
A small posterior disc herniation with peridiscal osteophytes is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. Bilateral far lateral (extraforaminal) disc herniations are seen at this level.
Scan-00003
The L4-L5 and L5-S1 facet joints show hypertrophic degenerative changes.
A left far lateral (extraforaminal) disc bulge is noted at the L1-L2 level. The L4-L5 and L5-S1 intervertebral discs show loss of water content.
Spina bifida of the S1 vertebra is noted.
The left kidney is not visualized, the result of previous surgery. Hyperintense signal on the T2 Weighted images seen in the left paraspinal muscles at the L1 and L2 levels may represent post-operative/inflammatory 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 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 :
16.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
7.0 mm at L5-S1.
..3/.
- 3 - Scan-00003
IMPRESSION :
1. Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with spondylolysis of the L5 vertebra bilaterally.
2. A posterior disc herniation with peridiscal osteophytes indenting the foraminal portion of the exiting L5 nerve roots at the L5-S1 level.
3. Bilateral far lateral (extraforaminal) disc herniations at the L5-S1 level indenting the extraforaminal portion of the exiting L5 nerve roots at this level.
4. A small posterior disc herniation with peridiscal osteophytes at the L4-L5 level with bilateral far lateral (extraforaminal) disc herniations at this level.
5. Hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels.
6. Canal stenosis at the L5-S1 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12392
sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzd Bhanlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. - Brain (Post-contrast Study).
CLINICAL PROFILE :
C/O seizures since 00.00.00 with fever.
EXAMINATION :
After administration of contrast, the following parameters were used.
5 mm thick T1 Weighted coronal and axial images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
After administration of contrast, there is patchy enhancement of the lesions in the left posterior parietal parafalcine region, left high frontal region and in the right frontal region. There is no significant enhancement of the lesion along the left medial temporal cortex.
There is no other focal area of abnormal enhancement in the brain parenchyma or along the meninges.
The ventricular system is unremarkable. There is no midline shift.
- 2 - scan-00002
IMPRESSION :
Enhancing lesions in the left posterior parietal parafalcine region, left high frontal region and in the right frontal region and a non-enhancing lesion along the left medial temporal
cortex (? post-ictal) as described are not specific for a single etiology.
The differential diagnosis would include,
1. Neoplastic lesion like a multicentric glial cell tumor.
2. Multiple metastasis.
3. Less likely to represent vascular or demyelinating lesions.
Date : 00.00.00
Name of the Patient : Abc Xyzd Bhanlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. - Brain (Post-contrast Study).
CLINICAL PROFILE :
C/O seizures since 00.00.00 with fever.
EXAMINATION :
After administration of contrast, the following parameters were used.
5 mm thick T1 Weighted coronal and axial images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
After administration of contrast, there is patchy enhancement of the lesions in the left posterior parietal parafalcine region, left high frontal region and in the right frontal region. There is no significant enhancement of the lesion along the left medial temporal cortex.
There is no other focal area of abnormal enhancement in the brain parenchyma or along the meninges.
The ventricular system is unremarkable. There is no midline shift.
- 2 - scan-00002
IMPRESSION :
Enhancing lesions in the left posterior parietal parafalcine region, left high frontal region and in the right frontal region and a non-enhancing lesion along the left medial temporal
cortex (? post-ictal) as described are not specific for a single etiology.
The differential diagnosis would include,
1. Neoplastic lesion like a multicentric glial cell tumor.
2. Multiple metastasis.
3. Less likely to represent vascular or demyelinating lesions.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12391
bv/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzanabanu Almn / F / 2 1/2 months
Referred by : Dr. Abc Xyzthure.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O meningomyelocele since birth.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
4 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is an open spinal canal posteriorly at the L3 vertebral level.
There is a soft tissue intermediate signal intensity lesion measuring approximately 3.5 x 1.5 x 1.2 cms located over the surface of the posterior back and extending over the D12 to the L4 vertebral levels. This mass is seen to follow CSF signal intensity on all the pulse sequences and represents a meningocele. There is a continuation of this mass with the thecal sac at the L3 vertebral level. The spinal cord is seen to be low lying with the spinal cord ending at the S1 to S3 vertebral levels. There is tethering of the spinal cord to a lipoma at this level. The spinal cord is divided at the L3 vertebral level into two segments (bar) and this is suggestive of diastematomyelia. A lipoma is also seen within the thecal sac at the S2/S3 vertebral levels.
The visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity. There is no extrinsic cord compression.
..2/.
- 2 - scan-00001
IMPRESSION :
The MRI features are suggestive of spinal dysraphism with a meningocele with tethering of the spinal cord into a lipoma with diastematomyelia as described.
Date : 00.00.00
Name of the Patient : Abc Xyzanabanu Almn / F / 2 1/2 months
Referred by : Dr. Abc Xyzthure.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O meningomyelocele since birth.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
4 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is an open spinal canal posteriorly at the L3 vertebral level.
There is a soft tissue intermediate signal intensity lesion measuring approximately 3.5 x 1.5 x 1.2 cms located over the surface of the posterior back and extending over the D12 to the L4 vertebral levels. This mass is seen to follow CSF signal intensity on all the pulse sequences and represents a meningocele. There is a continuation of this mass with the thecal sac at the L3 vertebral level. The spinal cord is seen to be low lying with the spinal cord ending at the S1 to S3 vertebral levels. There is tethering of the spinal cord to a lipoma at this level. The spinal cord is divided at the L3 vertebral level into two segments (bar) and this is suggestive of diastematomyelia. A lipoma is also seen within the thecal sac at the S2/S3 vertebral levels.
The visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity. There is no extrinsic cord compression.
..2/.
- 2 - scan-00001
IMPRESSION :
The MRI features are suggestive of spinal dysraphism with a meningocele with tethering of the spinal cord into a lipoma with diastematomyelia as described.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12390
hs/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzhan Llmn / M / 1 1/2 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O pilonidal sinus since birth. No complaints at present.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The pilonidal sinus is visualized at the L4-L5 level and is marked by a white arrow on the T2 Weighted sagittal images. It is not seen to extend into the spinal canal.
The visualized dorso-lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
IMPRESSION :
No abnormality detected within the dorso-lumbar spine per se on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzhan Llmn / M / 1 1/2 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O pilonidal sinus since birth. No complaints at present.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The pilonidal sinus is visualized at the L4-L5 level and is marked by a white arrow on the T2 Weighted sagittal images. It is not seen to extend into the spinal canal.
The visualized dorso-lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
IMPRESSION :
No abnormality detected within the dorso-lumbar spine per se on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12389
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzl Palmn / M / 38 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain radiating to the RLE since 15 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of normal lumbar lordosis and loss of water content of the L4-L5 intervertebral disc.
There is a fairly large postero-central and right paracentral extruded disc with peridiscal osteophytes at the L4-L5 level with thecal sac compression and indentation on the traversing L5 nerve roots bilaterally. Slight inferior migration of the disc fragment is noted. Mild facetal hypertrophy is noted at the L4-L5 level.
A small posterior disc bulge is noted at the L3-L4 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
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 :
17.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
2.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
A fairly large, postero-central and right paracentral extruded disc with peridiscal osteophytes at the L4-L5 level indenting the traversing L5 nerve roots bilaterally with severe canal stenosis at this level.
Date : 00.00.00
Name of the Patient : Abc Xyzl Palmn / M / 38 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain radiating to the RLE since 15 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of normal lumbar lordosis and loss of water content of the L4-L5 intervertebral disc.
There is a fairly large postero-central and right paracentral extruded disc with peridiscal osteophytes at the L4-L5 level with thecal sac compression and indentation on the traversing L5 nerve roots bilaterally. Slight inferior migration of the disc fragment is noted. Mild facetal hypertrophy is noted at the L4-L5 level.
A small posterior disc bulge is noted at the L3-L4 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
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 :
17.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
2.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
A fairly large, postero-central and right paracentral extruded disc with peridiscal osteophytes at the L4-L5 level indenting the traversing L5 nerve roots bilaterally with severe canal stenosis at this level.
Published in
MRI Reports