Regular User
Sunday, 27 December 2015 16:48
12352
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzra Khlmn / M / 57 yrs.
Referred by : Dr. Abc Xyzoshi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to BLE since 10-15 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L3-L4 and L5-S1 intervertebral discs.
There is a small, left paracentral protruded disc at the L5-S1 level.
A minimal posterior disc bulge is noted at the L4-L5 level.
There is a right paracentral disc herniation with peridiscal osteophyte at the L3-L4 level, minimally indenting the traversing right L4 nerve root. A left far lateral disc herniation is also noted at this level indenting the extraforaminal segment of the left L3 nerve root.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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 :
18.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
16.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A small, left paracentral protruded disc at the L5-S1 level.
2. A right paracentral disc herniation with peridiscal osteophyte at the L3-L4 level, minimally indenting the traversing right L4 nerve root and a left far lateral disc herniation at this level indenting the extraforaminal segment of the left L3 nerve root.
Date : 00.00.00
Name of the Patient : Abc Xyzra Khlmn / M / 57 yrs.
Referred by : Dr. Abc Xyzoshi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to BLE since 10-15 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L3-L4 and L5-S1 intervertebral discs.
There is a small, left paracentral protruded disc at the L5-S1 level.
A minimal posterior disc bulge is noted at the L4-L5 level.
There is a right paracentral disc herniation with peridiscal osteophyte at the L3-L4 level, minimally indenting the traversing right L4 nerve root. A left far lateral disc herniation is also noted at this level indenting the extraforaminal segment of the left L3 nerve root.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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 :
18.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
16.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A small, left paracentral protruded disc at the L5-S1 level.
2. A right paracentral disc herniation with peridiscal osteophyte at the L3-L4 level, minimally indenting the traversing right L4 nerve root and a left far lateral disc herniation at this level indenting the extraforaminal segment of the left L3 nerve root.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12351
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, vomiting and fever since 4-5 days.
H/O disorientation and neck rigidity.
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.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is seen an approximately 0.9 cms diameter sized well-marginated, iso to hypointense lesion on the T1 Weighted images in the left cerebellar hemisphere, just adjacent to the midline. This lesion appears relatively hypointense on the proton, T2 Weighted and FLAIR images. Perilesional hyperintense signal on the T2 Weighted and FLAIR images may represent edema. Similar signal intensity lesions are noted in the left cerebellar hemisphere adjacent to the left perimedullary cistern.
There is a small bright focus on the proton and T2 Weighted images in the left parietal deep white matter which is most likely partial volume averaging with the tip of a sulcus (? ischemic focus ? small granuloma).
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the maxillary sinuses, sphenoid sinus and ethmoidal air cells bilaterally.
IMPRESSION :
Altered signal intensity lesions in the left cerebellar hemisphere, just adjacent to the midline and along the left perimedullary cistern as described, most likely represents granulomas following the signal characteristics of tuberculomas.
A contrast enhanced scan would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, vomiting and fever since 4-5 days.
H/O disorientation and neck rigidity.
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.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is seen an approximately 0.9 cms diameter sized well-marginated, iso to hypointense lesion on the T1 Weighted images in the left cerebellar hemisphere, just adjacent to the midline. This lesion appears relatively hypointense on the proton, T2 Weighted and FLAIR images. Perilesional hyperintense signal on the T2 Weighted and FLAIR images may represent edema. Similar signal intensity lesions are noted in the left cerebellar hemisphere adjacent to the left perimedullary cistern.
There is a small bright focus on the proton and T2 Weighted images in the left parietal deep white matter which is most likely partial volume averaging with the tip of a sulcus (? ischemic focus ? small granuloma).
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the maxillary sinuses, sphenoid sinus and ethmoidal air cells bilaterally.
IMPRESSION :
Altered signal intensity lesions in the left cerebellar hemisphere, just adjacent to the midline and along the left perimedullary cistern as described, most likely represents granulomas following the signal characteristics of tuberculomas.
A contrast enhanced scan would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12346
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzi Karhalmn / F / 75 yrs.
Referred by : Dr. Abc Xyzzzare.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait imbalance with giddiness 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.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally and in the subcortical and deep white matter in the fronto-parietal regions bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represents ischemic changes. Similar changes are noted in the pons, centrally.
There is mild to moderate dilatation of both the lateral and third ventricles and mild dilatation of the fourth ventricle. There is mild prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Both eyes are aphakic.
Incidentally noted is an empty sella.
IMPRESSION :
1. Altered signal in the periventricular white matter bilaterally, pons centrally and in the subcortical and deep white matter in the fronto-parietal regions bilaterally most likely represents ischemic changes.
2. Mild to moderate dilatation of the ventricular system with mild cerebral cortical and cerebellar atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyzi Karhalmn / F / 75 yrs.
Referred by : Dr. Abc Xyzzzare.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait imbalance with giddiness 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.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally and in the subcortical and deep white matter in the fronto-parietal regions bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represents ischemic changes. Similar changes are noted in the pons, centrally.
There is mild to moderate dilatation of both the lateral and third ventricles and mild dilatation of the fourth ventricle. There is mild prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Both eyes are aphakic.
Incidentally noted is an empty sella.
IMPRESSION :
1. Altered signal in the periventricular white matter bilaterally, pons centrally and in the subcortical and deep white matter in the fronto-parietal regions bilaterally most likely represents ischemic changes.
2. Mild to moderate dilatation of the ventricular system with mild cerebral cortical and cerebellar atrophy.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12344
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzn lmn / F / 73 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O right sided hemiplegia with aphasia since 00.00.00.
Known hypertensive.
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.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
BRAIN :
There is still seen an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images along the cortex in the left fronto-parietal, parafalcine region. This lesion appears hypointense on the T1 Weighted images and most likely represents an ischemic lesion. Resultant indentation is noted on the frontal horn of the left lateral ventricle. Involvement of the left half of the corpus callosum is also noted.
Lacunar infarcts are noted in the lentiform nuclei bilaterally, left thalamus, corona radiata and left centrum semiovale.
- 2 - Scan-00004
There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
There is no evidence of haemorrhage on this study.
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.
NECK MRA :
Motion artifacts are noted.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no obvious vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Altered signal along the left fronto-parietal, parafalcine cortex represents a recent ischemic insult along the distribution of the left anterior cerebral artery.
2. Lacunar infarcts in the lentiform nuclei bilaterally, left thalamus, corona radiata and left centrum semiovale.
3. No significant abnormality is detected within the brain parenchyma or on the intracranial and neck MRA on this study.
As compared to the previous MRI (study no:00000) dated 00.00.00, the previously identified ischemic lesion now seems better defined. There is no evidence of haemorrhage on the present study.
Date : 00.00.00
Name of the Patient : Abc Xyzn lmn / F / 73 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O right sided hemiplegia with aphasia since 00.00.00.
Known hypertensive.
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.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
BRAIN :
There is still seen an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images along the cortex in the left fronto-parietal, parafalcine region. This lesion appears hypointense on the T1 Weighted images and most likely represents an ischemic lesion. Resultant indentation is noted on the frontal horn of the left lateral ventricle. Involvement of the left half of the corpus callosum is also noted.
Lacunar infarcts are noted in the lentiform nuclei bilaterally, left thalamus, corona radiata and left centrum semiovale.
- 2 - Scan-00004
There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
There is no evidence of haemorrhage on this study.
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.
NECK MRA :
Motion artifacts are noted.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no obvious vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Altered signal along the left fronto-parietal, parafalcine cortex represents a recent ischemic insult along the distribution of the left anterior cerebral artery.
2. Lacunar infarcts in the lentiform nuclei bilaterally, left thalamus, corona radiata and left centrum semiovale.
3. No significant abnormality is detected within the brain parenchyma or on the intracranial and neck MRA on this study.
As compared to the previous MRI (study no:00000) dated 00.00.00, the previously identified ischemic lesion now seems better defined. There is no evidence of haemorrhage on the present study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12343
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzMlmn / M / 36 yrs.
Referred by : Dr. Abc Xyzhatt.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness, tremors and slurred speech since 3-4 days.
Known C/O alcoholism.
H/O drug addiction 7-8 years back.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images predominantly in the high parietal cortex, bilaterally and to some extent in the subcortical white matter in that region and in the pons. These lesions appear hypointense to normal white matter on the T1 Weighted images.
There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces 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 maxillary antrum.
IMPRESSION :
Altered signal predominantly in the high parietal cortex, bilaterally and to some extent in the subcortical white matter in that region and in the pons as described, is not specific for a single etiology. These changes may suggest ischemic changes or may be due to encephalitis.
Date : 00.00.00
Name of the Patient : Abc XyzMlmn / M / 36 yrs.
Referred by : Dr. Abc Xyzhatt.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness, tremors and slurred speech since 3-4 days.
Known C/O alcoholism.
H/O drug addiction 7-8 years back.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images predominantly in the high parietal cortex, bilaterally and to some extent in the subcortical white matter in that region and in the pons. These lesions appear hypointense to normal white matter on the T1 Weighted images.
There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces 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 maxillary antrum.
IMPRESSION :
Altered signal predominantly in the high parietal cortex, bilaterally and to some extent in the subcortical white matter in that region and in the pons as described, is not specific for a single etiology. These changes may suggest ischemic changes or may be due to encephalitis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12342
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Anlmn / M 1 year.
Referred by : Dr. Abc Xyzsbekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 3 months.
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 is no focal area of altered signal intensity within the brain parenchyma.
The hippocampal complex is unremarkable on either side.
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 Anlmn / M 1 year.
Referred by : Dr. Abc Xyzsbekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 3 months.
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 is no focal area of altered signal intensity within the brain parenchyma.
The hippocampal complex is unremarkable on either side.
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
12341
hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzr Kalmn / M / 42 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neckpain radiating to the RUE since 2-3 weeks.
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.
5 mm thick T2 Weighted coronal images.
OBSERVATION :
There is a small left paracentral disc herniation with peridiscal osteophytes indenting the cord at the C5-C6 level.
A posterior disc bulge with peridiscal osteophytes is seen to indent the thecal sac at the C6-C7 level.
Small posterior disc bulges are noted at the C3-C4 and C4-C5 levels.
The cervical intervertebral discs show loss of water content. The cervical vertebral bodies appear more hypointense to normal marrow on the T1 Weighted images and this may be suggestive of preponderance of hematopoietic marrow (? anemic).
Scan-00001
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.
No significant abnormality is detected on the screening T2 Weighted coronal images through the brachial plexus.
IMPRESSION :
1. A small left paracentral disc herniation with peridiscal osteophytes at the C5-C6 level.
2. A posterior disc bulge with peridiscal osteophytes at the C6-C7 level.
3. Small posterior disc bulges at the C3-C4 and C4-C5 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzr Kalmn / M / 42 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neckpain radiating to the RUE since 2-3 weeks.
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.
5 mm thick T2 Weighted coronal images.
OBSERVATION :
There is a small left paracentral disc herniation with peridiscal osteophytes indenting the cord at the C5-C6 level.
A posterior disc bulge with peridiscal osteophytes is seen to indent the thecal sac at the C6-C7 level.
Small posterior disc bulges are noted at the C3-C4 and C4-C5 levels.
The cervical intervertebral discs show loss of water content. The cervical vertebral bodies appear more hypointense to normal marrow on the T1 Weighted images and this may be suggestive of preponderance of hematopoietic marrow (? anemic).
Scan-00001
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.
No significant abnormality is detected on the screening T2 Weighted coronal images through the brachial plexus.
IMPRESSION :
1. A small left paracentral disc herniation with peridiscal osteophytes at the C5-C6 level.
2. A posterior disc bulge with peridiscal osteophytes at the C6-C7 level.
3. Small posterior disc bulges at the C3-C4 and C4-C5 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12338
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / M / 57 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in BLE (left more than right) with paresthesias 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 mild retrolisthesis of the L5 vertebra over the S1 vertebra.
There is a large posterior disc extrusion compressing upon the thecal sac and narrowing both the neural foramina at the L4-L5 level. A disc portion is seen to lie within the spinal canal at the L5 vertebral level with resultant impingement of the traversing left L5 nerve root. Also seen is compression and displacement of the thecal sac to the right side at this level.
A small postero-central disc herniation with peridiscal osteophytes is noted at the L5-S1 level.
Anterior disc herniations are noted at the L4-L5 and L5-S1 levels. The intervertebral discs at these levels show loss of water content. Type II degenerative changes are noted in the L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
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 :
16.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
4.0 mm at L4-L5
8.0 mm at L5-S1.
Screening of the hip joints reveal no feature of note.
IMPRESSION :
1. A large posterior disc extrusion compressing upon the thecal sac and severe canal stenosis at the L4-L5 level with a disc portion lying within the spinal canal at the L5 vertebral level with resultant impingement of the traversing left L5 nerve root.
2. A small postero-central disc herniation with peridiscal osteophytes at the L5-S1 level.
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / M / 57 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in BLE (left more than right) with paresthesias 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 mild retrolisthesis of the L5 vertebra over the S1 vertebra.
There is a large posterior disc extrusion compressing upon the thecal sac and narrowing both the neural foramina at the L4-L5 level. A disc portion is seen to lie within the spinal canal at the L5 vertebral level with resultant impingement of the traversing left L5 nerve root. Also seen is compression and displacement of the thecal sac to the right side at this level.
A small postero-central disc herniation with peridiscal osteophytes is noted at the L5-S1 level.
Anterior disc herniations are noted at the L4-L5 and L5-S1 levels. The intervertebral discs at these levels show loss of water content. Type II degenerative changes are noted in the L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
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 :
16.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
4.0 mm at L4-L5
8.0 mm at L5-S1.
Screening of the hip joints reveal no feature of note.
IMPRESSION :
1. A large posterior disc extrusion compressing upon the thecal sac and severe canal stenosis at the L4-L5 level with a disc portion lying within the spinal canal at the L5 vertebral level with resultant impingement of the traversing left L5 nerve root.
2. A small postero-central disc herniation with peridiscal osteophytes at the L5-S1 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12337
Date : 00.00.00
Name of the Patient : Abc Xyzath Talmn / M / 51 yrs.
Referred by : Dr. Abc Xyzlankar.
Examination : M.R.I. of the Brain with optic.
CLINICAL PROFILE :
H/O left sided mucormycosis since 10 days with tooth extraction on 00.00.00.
C/O ptosis, proptosis and progressive diminished vision since last 3 days. Also C/O headaches and tinnitus (left sided) since 10 years.
Known hypertensive/diabetic. On Rx.
EXAMINATION :
M.R.I of the brain and orbits 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 and STIR coronal images.
OBSERVATION :
Areas of intermediate signal intensity on the T1 Weighted and STIR images are noted within the superior orbital fissure and optic canal on the left side. The extraoccular muscles of the left orbit are seen to be bulky and slightly hyperintense on the STIR imags as compared to the opposite side. Note is made of proptosis on the left side.
Areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted and STIR images are seen within the left maxillary sinus and the ethmoidal air cells and sphenoid sinus on the left side. Areas of similar signal intensity are seen to involve the left infratemporal fossa. Mild inflammatory changes are noted in the frontal sinus and the mastoid air cells bilaterally.
..2/.
There is no focal area of altered signal intensity in the brain parenchyma on this scan.
There is mild prominence of the cerebral cortical sulci bilaterally. Also seen is slight fullness of the third and both the lateral ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of :
1. A lesion within the left superior orbital fissure and optic canal with bulky extraoccular muscles on the left side as described most likely represents an infective pathology.
2. Inflammatory changes within the left maxillary sinus and the ethmoidal air cells and sphenoid sinus on the left side and
in the left infratemporal fossa and mild inflammatory changes in the frontal sinus and the mastoid air cells bilaterally.
In the given clinical setting of diabetis, a fungal infective etiology like mucormycosis should be excluded.
Name of the Patient : Abc Xyzath Talmn / M / 51 yrs.
Referred by : Dr. Abc Xyzlankar.
Examination : M.R.I. of the Brain with optic.
CLINICAL PROFILE :
H/O left sided mucormycosis since 10 days with tooth extraction on 00.00.00.
C/O ptosis, proptosis and progressive diminished vision since last 3 days. Also C/O headaches and tinnitus (left sided) since 10 years.
Known hypertensive/diabetic. On Rx.
EXAMINATION :
M.R.I of the brain and orbits 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 and STIR coronal images.
OBSERVATION :
Areas of intermediate signal intensity on the T1 Weighted and STIR images are noted within the superior orbital fissure and optic canal on the left side. The extraoccular muscles of the left orbit are seen to be bulky and slightly hyperintense on the STIR imags as compared to the opposite side. Note is made of proptosis on the left side.
Areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted and STIR images are seen within the left maxillary sinus and the ethmoidal air cells and sphenoid sinus on the left side. Areas of similar signal intensity are seen to involve the left infratemporal fossa. Mild inflammatory changes are noted in the frontal sinus and the mastoid air cells bilaterally.
..2/.
There is no focal area of altered signal intensity in the brain parenchyma on this scan.
There is mild prominence of the cerebral cortical sulci bilaterally. Also seen is slight fullness of the third and both the lateral ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of :
1. A lesion within the left superior orbital fissure and optic canal with bulky extraoccular muscles on the left side as described most likely represents an infective pathology.
2. Inflammatory changes within the left maxillary sinus and the ethmoidal air cells and sphenoid sinus on the left side and
in the left infratemporal fossa and mild inflammatory changes in the frontal sinus and the mastoid air cells bilaterally.
In the given clinical setting of diabetis, a fungal infective etiology like mucormycosis should be excluded.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12336
hs/sb/rg/nl.
Date :00.00.00
Name of the Patient : Abc XyzHuslmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neck pain radiating to the RUE with wasting of the right shoulder since 2 months.
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 mild loss of normal cervical lordotic curve.
There is evidence of a soft tissue lesion within the posterior and right lateral epidural space over the C2 to C7 vertebral levels. This lesion is hyperintense to muscle but hypointense to fat on the T1 Weighted images and turns hyperintense to both on the T2 Weighted and Fast Scan (T2 *) images.
There is erosion of the right lamina and spinous processes of the C4 vertebra with altered signal of the C3, C5 and C6 vertebrae and extension into the right paraspinal soft tissues over these levels. Also seen is encroachment into the right neural foramina at the C3-C4, C4-C5 and C5-C6 levels with encasement of the right vertebral artery (within the foramen transversorium) at the C3 level.
This lesion is seen to compress and displace the cord anteriorly and to the left over the C3 to C6 levels. The cord over these levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggestive of cord edema/ischemia/myelitis.
Note is made of enlarged lymphnodes within the visualized mediastinum and deep to the sternocleidomastoid muscles, bilaterally.
The cervical intervertebral discs show normal signal intensity. The joints of Luschka are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of a soft tissue lesion within the posterior and right lateral epidural space over the C2 to the C7 vertebral levels with cord compression and cord edema/ischemia/myelitis over the C3 to C6 vertebral levels and erosion of the right lamina and spinous process of C4. The differential diagnosis may include,
1. Infective processes like tuberculosis.
2. Neoplasia like small cell tumors.
Date :00.00.00
Name of the Patient : Abc XyzHuslmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neck pain radiating to the RUE with wasting of the right shoulder since 2 months.
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 mild loss of normal cervical lordotic curve.
There is evidence of a soft tissue lesion within the posterior and right lateral epidural space over the C2 to C7 vertebral levels. This lesion is hyperintense to muscle but hypointense to fat on the T1 Weighted images and turns hyperintense to both on the T2 Weighted and Fast Scan (T2 *) images.
There is erosion of the right lamina and spinous processes of the C4 vertebra with altered signal of the C3, C5 and C6 vertebrae and extension into the right paraspinal soft tissues over these levels. Also seen is encroachment into the right neural foramina at the C3-C4, C4-C5 and C5-C6 levels with encasement of the right vertebral artery (within the foramen transversorium) at the C3 level.
This lesion is seen to compress and displace the cord anteriorly and to the left over the C3 to C6 levels. The cord over these levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggestive of cord edema/ischemia/myelitis.
Note is made of enlarged lymphnodes within the visualized mediastinum and deep to the sternocleidomastoid muscles, bilaterally.
The cervical intervertebral discs show normal signal intensity. The joints of Luschka are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of a soft tissue lesion within the posterior and right lateral epidural space over the C2 to the C7 vertebral levels with cord compression and cord edema/ischemia/myelitis over the C3 to C6 vertebral levels and erosion of the right lamina and spinous process of C4. The differential diagnosis may include,
1. Infective processes like tuberculosis.
2. Neoplasia like small cell tumors.
Published in
MRI Reports