Regular User
Sunday, 27 December 2015 16:48
12271
sb/ke/nl
Date : 00.00.00
Name of the Patient : Abc XyzDlmn / M / 72 yrs.
Referred by : Dr. Abc Xyzsai.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O involuntary movements of head since 1 month.
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 coronal images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
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 cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The ventral pontine and olivary bulges are well identified.
Inflammatory changes are noted in the left maxillary antrum.
Denture artifacts are noted in the oral cavity.
IMPRESSION :
Mild cerebral cortical and cerebellar atrophy.
No other significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc XyzDlmn / M / 72 yrs.
Referred by : Dr. Abc Xyzsai.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O involuntary movements of head since 1 month.
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 coronal images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
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 cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The ventral pontine and olivary bulges are well identified.
Inflammatory changes are noted in the left maxillary antrum.
Denture artifacts are noted in the oral cavity.
IMPRESSION :
Mild cerebral cortical and cerebellar atrophy.
No other significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12270
Date : 00.00.00
Name of the Patient : Abc Xyzn S. lmn / F / 73 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided hemiplegia with aphasia since 4.30 pm on 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.
OBSERVATION :
There is seen an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images along the cortex in the left frontal, parafalcine region. This lesion appears hypointense on the T1 Weighted images and most likely represents a recent ischemic insult. Resultant mild indentation on the frontal horn of the left lateral ventricle is noted.
Lacunar infarcts are noted in the lentiform nuclei bilaterally, left thalamus, corona radiata and left centrum semiovale.
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.
IMPRESSION :
1. Altered signal along the left frontal, parafalcine cortex represents a recent ischemic insult.
2. Lacunar infarcts in the lentiform nuclei bilaterally, left thalamus, corona radiata and left centrum semiovale.
Name of the Patient : Abc Xyzn S. lmn / F / 73 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided hemiplegia with aphasia since 4.30 pm on 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.
OBSERVATION :
There is seen an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images along the cortex in the left frontal, parafalcine region. This lesion appears hypointense on the T1 Weighted images and most likely represents a recent ischemic insult. Resultant mild indentation on the frontal horn of the left lateral ventricle is noted.
Lacunar infarcts are noted in the lentiform nuclei bilaterally, left thalamus, corona radiata and left centrum semiovale.
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.
IMPRESSION :
1. Altered signal along the left frontal, parafalcine cortex represents a recent ischemic insult.
2. Lacunar infarcts in the lentiform nuclei bilaterally, left thalamus, corona radiata and left centrum semiovale.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12269
sb/ke/nl
Date : 00.00.00
Name of the Patient : Abc Xyz P. Dlmn / M / 42 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain with slight swelling in the right knee joint since 1 1/2 months.
C/O Click +.
EXAMINATION :
M.R.I of the right 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 an irregular hyperintense signal on all the pulse sequences along the inferior surface of the posterior horn of the medial meniscus of the right knee joint. This represents a complex tear.
The anterior horn of the medial meniscus and anterior and posterior horns of the lateral meniscus reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior cruciate ligament appears slightly ill-defined and shows a hyperintense signal on the T2 Weighted and GRASS images, more towards its tibial attachment which suggests a strain/partial tear of the anterior cruciate ligament.
The posterior cruciate ligament shows 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 :
The articular cartilage overlying the patella, tibia and femur appears normal.
Fluid is noted in the right knee joint and in the popliteal bursa.
IMPRESSION :
1. A complex tear of the posterior horn of the medial meniscus of the right knee joint.
2. Partial tear/strain of the anterior cruciate ligament.
3. Fluid in the right knee joint and in the popliteal bursa.
Date : 00.00.00
Name of the Patient : Abc Xyz P. Dlmn / M / 42 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain with slight swelling in the right knee joint since 1 1/2 months.
C/O Click +.
EXAMINATION :
M.R.I of the right 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 an irregular hyperintense signal on all the pulse sequences along the inferior surface of the posterior horn of the medial meniscus of the right knee joint. This represents a complex tear.
The anterior horn of the medial meniscus and anterior and posterior horns of the lateral meniscus reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior cruciate ligament appears slightly ill-defined and shows a hyperintense signal on the T2 Weighted and GRASS images, more towards its tibial attachment which suggests a strain/partial tear of the anterior cruciate ligament.
The posterior cruciate ligament shows 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 :
The articular cartilage overlying the patella, tibia and femur appears normal.
Fluid is noted in the right knee joint and in the popliteal bursa.
IMPRESSION :
1. A complex tear of the posterior horn of the medial meniscus of the right knee joint.
2. Partial tear/strain of the anterior cruciate ligament.
3. Fluid in the right knee joint and in the popliteal bursa.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12267
sb/ke/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Palmn / F / 22 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O seizures since 8 years.
H/O seizure and subsequent fall from a height of 1st floor, 10 days back.
H/O bifrontal craniotomy with drainage of large extradural hematoma done on 00.00.00.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and 6 mm thick T1 Weighted coronal images.
OBSERVATION :
There is evidence of a bifrontal craniotomy with post-operative changes in the subgaleal soft tissues in that region.
There is still seen an epidural hematoma overlying the left cerebral hemisphere with a maximum width of about 5.0 mms. This lesion is hyperintense on the T1 Weighted images but relatively hypointense on the T2 Weighted images suggesting early subacute blood. At the vertex, this epidural hematoma is seen to extend slightly to the right of the midline and lies between the skull vault and the superior sagittal sinus. The superior sagittal sinus however shows normal flow void signal on the spin-echo pulse sequences. Slight effacement of the cortical sulcal spaces in the left cerebral convexity is noted. Minimal haemorrhage is seen to extend into the anterior interhemispheric fissure.
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images along the left temporal cortex. This lesion appears relatively hypointense to normal grey matter on the T1 Weighted images. Ill-defined, hyperintense signal on all the pulse sequences is also noted within this lesion which suggest late subacute haemorrhage.
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.
An undisplaced fracture of the left parietal bone is noted.
Inflammatory changes are noted in the left mastoid air cells.
IMPRESSION :
1. Post-operative status.
2. An epidural hematoma overlying the left cerebral hemisphere with a maximum width of about 5.0 mms.
3. A left temporal cortical haemorrhagic contusion.
4. Fracture of the left parietal bone.
As compared to the previous CT Scan dated 00.00.00, there is decrease in the size of the frontal epidural hematoma and decrease in the mass effect.
Date : 00.00.00
Name of the Patient : Abc Xyz Palmn / F / 22 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O seizures since 8 years.
H/O seizure and subsequent fall from a height of 1st floor, 10 days back.
H/O bifrontal craniotomy with drainage of large extradural hematoma done on 00.00.00.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and 6 mm thick T1 Weighted coronal images.
OBSERVATION :
There is evidence of a bifrontal craniotomy with post-operative changes in the subgaleal soft tissues in that region.
There is still seen an epidural hematoma overlying the left cerebral hemisphere with a maximum width of about 5.0 mms. This lesion is hyperintense on the T1 Weighted images but relatively hypointense on the T2 Weighted images suggesting early subacute blood. At the vertex, this epidural hematoma is seen to extend slightly to the right of the midline and lies between the skull vault and the superior sagittal sinus. The superior sagittal sinus however shows normal flow void signal on the spin-echo pulse sequences. Slight effacement of the cortical sulcal spaces in the left cerebral convexity is noted. Minimal haemorrhage is seen to extend into the anterior interhemispheric fissure.
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images along the left temporal cortex. This lesion appears relatively hypointense to normal grey matter on the T1 Weighted images. Ill-defined, hyperintense signal on all the pulse sequences is also noted within this lesion which suggest late subacute haemorrhage.
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.
An undisplaced fracture of the left parietal bone is noted.
Inflammatory changes are noted in the left mastoid air cells.
IMPRESSION :
1. Post-operative status.
2. An epidural hematoma overlying the left cerebral hemisphere with a maximum width of about 5.0 mms.
3. A left temporal cortical haemorrhagic contusion.
4. Fracture of the left parietal bone.
As compared to the previous CT Scan dated 00.00.00, there is decrease in the size of the frontal epidural hematoma and decrease in the mass effect.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12266
sb/hs/nl
Date : 00.00.00
Name of the Patient : Abc Xyz L. lmn / M / 50 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O giddiness since 1 month.
C/O hearing loss bilaterally since 2 years.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
SOME IMAGES SHOW PATIENT MOTION.
Previous CT Scan of the patient was unavailable.
OBSERVATION :
There is seen an approximately 2.2 x 2.0 x 1.2 cms sized well-defined, hyperintense lesion on the T2 Weighted images in the cerebellar vermis. This lesion also appears hyperintense on the T1 Weighted images and represents extracellular methemoglobin, suggesting a subacute haemorrhage. There is no significant perilesional edema.
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 bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
There is hypoplasia of the intracranial segment of the left vertebral artery and the A1 segment of the right anterior cerebral artery.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, middle cerebral, basilar, right vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The left vertebral artery in the neck also appears hypoplastic.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
An approximately 2.2 x 2.0 x 1.2 cms sized well-defined, lesion in the cerebellar vermis as described represents extracellular methemoglobin, suggesting a subacute haemorrhage.
No significant abnormality is detected on the intracranial and neck MRA on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz L. lmn / M / 50 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O giddiness since 1 month.
C/O hearing loss bilaterally since 2 years.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
SOME IMAGES SHOW PATIENT MOTION.
Previous CT Scan of the patient was unavailable.
OBSERVATION :
There is seen an approximately 2.2 x 2.0 x 1.2 cms sized well-defined, hyperintense lesion on the T2 Weighted images in the cerebellar vermis. This lesion also appears hyperintense on the T1 Weighted images and represents extracellular methemoglobin, suggesting a subacute haemorrhage. There is no significant perilesional edema.
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 bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
There is hypoplasia of the intracranial segment of the left vertebral artery and the A1 segment of the right anterior cerebral artery.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, middle cerebral, basilar, right vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The left vertebral artery in the neck also appears hypoplastic.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
An approximately 2.2 x 2.0 x 1.2 cms sized well-defined, lesion in the cerebellar vermis as described represents extracellular methemoglobin, suggesting a subacute haemorrhage.
No significant abnormality is detected on the intracranial and neck MRA on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12265
sb/ke/nl
Date : 00.00.00
Name of the Patient : Abc Xyz G. Vedpalmn / F / 54 yrs.
Referred by : Dr. Abc Xyziram.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered sensorium since 2 1/2 months.
H/O fever prior to this.
Diagnosed C/O TB meningitis. On AKT since 2 1/2 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.
5 mm thick FLAIR coronal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images (with magnetization transfer)
5 mm thick T1 Weighted sagittal images.
Limited MRV was obtained using 2D TOF sequence in the coronal plane.
OBSERVATION :
There is seen an intermediate signal intensity mass lesion on the T1 Weighted images in the region of the atrium and posterior body of the left lateral ventricle, involving the choroid plexus in this region. This lesion appears relatively hypointense on the proton, T2 Weighted and FLAIR images. The ependymal lining in that region appears slightly thickened and is also relatively hypointense on the proton, T2 Weighted and FLAIR images. Perilesional edema is noted in the left temporo-parieto-occipital lobe.
The left temporal horn is significantly dilated with resultant indentation on the left cerebral peduncle and effacement of the left ambient cistern. Hyperintense signal on the proton, T2 Weighted and FLAIR images is noted in the left cerebral peduncle. There is compression of the left lateral and third ventricles with shift of the midlline to the right. Effacement of the sulcal spaces and the left cerebral hemisphere is noted.
Mild fullness of the right lateral ventricle is also noted.
The fourth ventricle is normal. The rest of the basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
After administration of contrast, the lesion in the atrium and posterior body of the left lateral ventricle appears as a conglomeration of multiple ring enhancing lesion. Enhancement of the wall of the left lateral ventricle including the left temporal horn is also noted. No significant meningeal enhancement is identified. There are no obvious basal exudates noted.
The limited venogram study shows normal flow signal in the dural venous sinuses.
IMPRESSION :
1. Conglomeration of multiple ring enhancing lesions in the atrium and posterior body of the left lateral ventricle involving the choroid plexus as described most likely represent multiple granulomas following the signal characteristics of tuberculomas. There is resultant mass effect as described.
..3/.
- 3 - Scan-00005
2. Trapped temporal horn of the left lateral ventricle.
3. Enhancement of the wall of the left lateral ventricle suggest ventriculitis.
As compared to the previous CT Scan dated 00.00.00, there is an increase in the ring enhancing lesions, the perilesional edema, size of the left temporal horn and the resultant mass effect.
Date : 00.00.00
Name of the Patient : Abc Xyz G. Vedpalmn / F / 54 yrs.
Referred by : Dr. Abc Xyziram.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered sensorium since 2 1/2 months.
H/O fever prior to this.
Diagnosed C/O TB meningitis. On AKT since 2 1/2 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.
5 mm thick FLAIR coronal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images (with magnetization transfer)
5 mm thick T1 Weighted sagittal images.
Limited MRV was obtained using 2D TOF sequence in the coronal plane.
OBSERVATION :
There is seen an intermediate signal intensity mass lesion on the T1 Weighted images in the region of the atrium and posterior body of the left lateral ventricle, involving the choroid plexus in this region. This lesion appears relatively hypointense on the proton, T2 Weighted and FLAIR images. The ependymal lining in that region appears slightly thickened and is also relatively hypointense on the proton, T2 Weighted and FLAIR images. Perilesional edema is noted in the left temporo-parieto-occipital lobe.
The left temporal horn is significantly dilated with resultant indentation on the left cerebral peduncle and effacement of the left ambient cistern. Hyperintense signal on the proton, T2 Weighted and FLAIR images is noted in the left cerebral peduncle. There is compression of the left lateral and third ventricles with shift of the midlline to the right. Effacement of the sulcal spaces and the left cerebral hemisphere is noted.
Mild fullness of the right lateral ventricle is also noted.
The fourth ventricle is normal. The rest of the basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
After administration of contrast, the lesion in the atrium and posterior body of the left lateral ventricle appears as a conglomeration of multiple ring enhancing lesion. Enhancement of the wall of the left lateral ventricle including the left temporal horn is also noted. No significant meningeal enhancement is identified. There are no obvious basal exudates noted.
The limited venogram study shows normal flow signal in the dural venous sinuses.
IMPRESSION :
1. Conglomeration of multiple ring enhancing lesions in the atrium and posterior body of the left lateral ventricle involving the choroid plexus as described most likely represent multiple granulomas following the signal characteristics of tuberculomas. There is resultant mass effect as described.
..3/.
- 3 - Scan-00005
2. Trapped temporal horn of the left lateral ventricle.
3. Enhancement of the wall of the left lateral ventricle suggest ventriculitis.
As compared to the previous CT Scan dated 00.00.00, there is an increase in the ring enhancing lesions, the perilesional edema, size of the left temporal horn and the resultant mass effect.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12264
sb/hs/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Panlmn / M / 33 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE since 3 years.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is evidence of spondylolysis of the L5 vertebra bilaterally without significant spondylolisthesis. A minimal right paracentral disc bulge is noted at the L5-S1 level.
A minimal posterior disc bulge is noted at the L4-L5 level.
There is slight anterior wedging of the L1 vertebral body with focal fatty change adjacent to the inferior cortical endplate anteriorly.
The rest of the 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 D12-L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
18.0 mm at L5-S1.
The T2 Weighted sagittal images of the dorsal spine do not reveal any significant feature of note.
IMPRESSION :
1. Spondylolysis of the L5 vertebra without significant spondylolisthesis.
2. Slight anterior wedging of the L1 vertebral body may be the sequelae of previous trauma.
Date : 00.00.00
Name of the Patient : Abc Xyz Panlmn / M / 33 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE since 3 years.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is evidence of spondylolysis of the L5 vertebra bilaterally without significant spondylolisthesis. A minimal right paracentral disc bulge is noted at the L5-S1 level.
A minimal posterior disc bulge is noted at the L4-L5 level.
There is slight anterior wedging of the L1 vertebral body with focal fatty change adjacent to the inferior cortical endplate anteriorly.
The rest of the 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 D12-L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
18.0 mm at L5-S1.
The T2 Weighted sagittal images of the dorsal spine do not reveal any significant feature of note.
IMPRESSION :
1. Spondylolysis of the L5 vertebra without significant spondylolisthesis.
2. Slight anterior wedging of the L1 vertebral body may be the sequelae of previous trauma.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12263
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzThlmn / M / 22 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O numbness in BUE and BLE since 2 years.
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 slight loss of water content of the cervical intervertebral discs.
There are postero-central disc herniations at the C3-C4 and C4-C5 levels indenting the cord anteriorly.
Small postero-central disc herniations are noted at the C5-C6 and C6-C7 levels.
The cervical spinal cord over the C4 and C5 vertebral levels appears slightly smaller in diameter and shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord ischemia/gliosis.
The pedicles of the cervical vertebrae appear congenitally short in their antero-posterior dimensions.
The facet joints at the C3-C4, C4-C5 and C5-C6 levels appear slightly hypertrophied.
The right lobe of the thyroid gland appears slightly larger than the one on the left side.
The C3, C4, C5 and C6 vertebral bodies show a decrease in their height.
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.
Screening T2 Weighted sagittal images of the dorsal spine reveal postero-central protruded discs in the mid-dorsal region.
IMPRESSION :
1. Postero-central disc herniations at the C3-C4 and C4-C5 levels.
2. Small postero-central disc herniations at the C5-C6 and C6-C7 levels.
3. Altered signal of the cervical cord over C4 and C5
with slight decrease in diameter suggests cord atrophy with cord ischemia/gliosis.
4. Congenitally short pedicles of the cervical vertebrae in their antero-posterior dimensions with cervical canal stenosis at the C3-C4 and C4-C5 levels.
5. Facetal hypertrophy at the C3-C4, C4-C5 and C5-C6 levels.
Date : 00.00.00
Name of the Patient : Abc XyzThlmn / M / 22 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O numbness in BUE and BLE since 2 years.
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 slight loss of water content of the cervical intervertebral discs.
There are postero-central disc herniations at the C3-C4 and C4-C5 levels indenting the cord anteriorly.
Small postero-central disc herniations are noted at the C5-C6 and C6-C7 levels.
The cervical spinal cord over the C4 and C5 vertebral levels appears slightly smaller in diameter and shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord ischemia/gliosis.
The pedicles of the cervical vertebrae appear congenitally short in their antero-posterior dimensions.
The facet joints at the C3-C4, C4-C5 and C5-C6 levels appear slightly hypertrophied.
The right lobe of the thyroid gland appears slightly larger than the one on the left side.
The C3, C4, C5 and C6 vertebral bodies show a decrease in their height.
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.
Screening T2 Weighted sagittal images of the dorsal spine reveal postero-central protruded discs in the mid-dorsal region.
IMPRESSION :
1. Postero-central disc herniations at the C3-C4 and C4-C5 levels.
2. Small postero-central disc herniations at the C5-C6 and C6-C7 levels.
3. Altered signal of the cervical cord over C4 and C5
with slight decrease in diameter suggests cord atrophy with cord ischemia/gliosis.
4. Congenitally short pedicles of the cervical vertebrae in their antero-posterior dimensions with cervical canal stenosis at the C3-C4 and C4-C5 levels.
5. Facetal hypertrophy at the C3-C4, C4-C5 and C5-C6 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12261
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Nanlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzehta.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE with numbness in BLE (left more than right) since 20 years.
H/O laminectomy with spinal fusion, at the L4-L5-S1 levels in 0000. Revision surgery in May 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 appears to be sacralization of the L5 vertebra and it is as marked on the film.
There is loss of water content of the L4-L5 intervertebral disc and it is reduced in height.
There is evidence of laminectomy at the L4, L5 and S1 vertebrae with post-operative changes in the soft tissues in the posterior lumbar region at these levels. Slight posterior bulging of the thecal sac at the laminectomy site is noted.
There is a posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level with slight bilateral neural foraminal narrowing. Bilateral far lateral (extraforaminal) disc bulges are seen at this level.
Intermediate signal intensity lesion on the T1 Weighted images is noted in the anterior epidural space to the right of the midline in the right lateral recess of the L5 vertebra with probable encasement of the traversing right L5 nerve root. This lesion is slightly hypointense on the T2 Weighted images. There is no deformation of the thecal sac.
The articular facets at the L3-L4 and L5-S1 levels appear hypertrophied. Mild hypertrophic degenerative changes of the facet joints are noted at the L4-L5 level.
The intrathecal nerve roots over the L4 and L5 vertebral levels are placed slightly anteriorly, when compared to normal. They are however not clumped.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
20.0 mm at L2-L3
19.0 mm at L3-L4
..3/.
- 3 - Scan-00001
IMPRESSION :
1. Post-operative status.
2. Sacralization of the L5 vertebra.
3. A posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level.
4. Scar tissue in the right lateral recess of the L5 vertebra.
5. Facetal hypertrophy at the L3-L4 and L5-S1 levels.
6. Mild hypertrophic facetal arthropathy at the L4-L5 level.
No previous scans were available for review/comparison.
Date : 00.00.00
Name of the Patient : Abc Xyz Nanlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzehta.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE with numbness in BLE (left more than right) since 20 years.
H/O laminectomy with spinal fusion, at the L4-L5-S1 levels in 0000. Revision surgery in May 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 appears to be sacralization of the L5 vertebra and it is as marked on the film.
There is loss of water content of the L4-L5 intervertebral disc and it is reduced in height.
There is evidence of laminectomy at the L4, L5 and S1 vertebrae with post-operative changes in the soft tissues in the posterior lumbar region at these levels. Slight posterior bulging of the thecal sac at the laminectomy site is noted.
There is a posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level with slight bilateral neural foraminal narrowing. Bilateral far lateral (extraforaminal) disc bulges are seen at this level.
Intermediate signal intensity lesion on the T1 Weighted images is noted in the anterior epidural space to the right of the midline in the right lateral recess of the L5 vertebra with probable encasement of the traversing right L5 nerve root. This lesion is slightly hypointense on the T2 Weighted images. There is no deformation of the thecal sac.
The articular facets at the L3-L4 and L5-S1 levels appear hypertrophied. Mild hypertrophic degenerative changes of the facet joints are noted at the L4-L5 level.
The intrathecal nerve roots over the L4 and L5 vertebral levels are placed slightly anteriorly, when compared to normal. They are however not clumped.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
20.0 mm at L2-L3
19.0 mm at L3-L4
..3/.
- 3 - Scan-00001
IMPRESSION :
1. Post-operative status.
2. Sacralization of the L5 vertebra.
3. A posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level.
4. Scar tissue in the right lateral recess of the L5 vertebra.
5. Facetal hypertrophy at the L3-L4 and L5-S1 levels.
6. Mild hypertrophic facetal arthropathy at the L4-L5 level.
No previous scans were available for review/comparison.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12260
sb/hs/nl
/62 Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 31 yrs.
Referred by : Dr. Abc Xyz Kasbekar.
Examination : M.R.I. of the Right Parotid Gland.
CLINICAL PROFILE :
C/O swelling in the region of the right parotid gland since 10 years.
FNAC s/o salivary gland neoplasm favouring mixed salivary gland tumor (Pleomorphic Adenoma).
EXAMINATION :
M.R.I of the right parotid gland was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
4 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is seen a well-defined, approximately 2.1 x 2.8 x 3.1 cms sized intermediate signal intensity mass lesion on the T1 Weighted images in the superficial lobe of the right parotid gland, anteriorly, anterior to the posterior margin of the ramus of the mandible. This lesion appears hyperintense on the T2 Weighted and STIR images. Resultant slight indentation on the postero-lateral margin of the right masseter muscle is noted with effacement of the retro-mandibular vein.
There is seen another, approximately 0.9 x 2.0 x 1.1 cms sized hyperintense lesion on the T2 Weighted and STIR images in the right medial pterygoid muscle. This lesion is isointense to normal muscle on the T1 Weighted images and is separate from the deep lobe of the right parotid gland. This lesion is also outside the right parapharyngeal space.
Small, subcentimeter lymph nodes are noted deep to the sternocleidomastoid muscles on either side.
Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells bilaterally.
The submandibular glands, left parotid gland and the visualized lobes of the thyroid gland are unremarkable. The parapharyngeal spaces and the prevertebral space also appear normal. The visualized carotid sheaths also appear unremarkable. No obvious bone erosion or destruction is seen.
IMPRESSION :
1. An approximately 2.1 x 2.8 x 3.1 cms sized mass lesion in the superficial lobe of the right parotid gland, anteriorly, anterior to the posterior margin of the ramus of the mandible as described represents a parotid gland tumor (HP s/o Pleomorphic adenoma).
2. Another, approximately 0.9 x 2.0 x 1.1 cms sized mass lesion in the right medial pterygoid muscle which is separate from the deep lobe of the right parotid gland is not specific for a single etiology. This most likely represents a hematoma/inflammatory lesion due to previous biopsy. The possibility of another salivary gland tumor arising from cell-rests seems less likely.
3. Inflammatory changes in the maxillary sinuses and ethmoidal air cells bilaterally.
/62 Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 31 yrs.
Referred by : Dr. Abc Xyz Kasbekar.
Examination : M.R.I. of the Right Parotid Gland.
CLINICAL PROFILE :
C/O swelling in the region of the right parotid gland since 10 years.
FNAC s/o salivary gland neoplasm favouring mixed salivary gland tumor (Pleomorphic Adenoma).
EXAMINATION :
M.R.I of the right parotid gland was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
4 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is seen a well-defined, approximately 2.1 x 2.8 x 3.1 cms sized intermediate signal intensity mass lesion on the T1 Weighted images in the superficial lobe of the right parotid gland, anteriorly, anterior to the posterior margin of the ramus of the mandible. This lesion appears hyperintense on the T2 Weighted and STIR images. Resultant slight indentation on the postero-lateral margin of the right masseter muscle is noted with effacement of the retro-mandibular vein.
There is seen another, approximately 0.9 x 2.0 x 1.1 cms sized hyperintense lesion on the T2 Weighted and STIR images in the right medial pterygoid muscle. This lesion is isointense to normal muscle on the T1 Weighted images and is separate from the deep lobe of the right parotid gland. This lesion is also outside the right parapharyngeal space.
Small, subcentimeter lymph nodes are noted deep to the sternocleidomastoid muscles on either side.
Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells bilaterally.
The submandibular glands, left parotid gland and the visualized lobes of the thyroid gland are unremarkable. The parapharyngeal spaces and the prevertebral space also appear normal. The visualized carotid sheaths also appear unremarkable. No obvious bone erosion or destruction is seen.
IMPRESSION :
1. An approximately 2.1 x 2.8 x 3.1 cms sized mass lesion in the superficial lobe of the right parotid gland, anteriorly, anterior to the posterior margin of the ramus of the mandible as described represents a parotid gland tumor (HP s/o Pleomorphic adenoma).
2. Another, approximately 0.9 x 2.0 x 1.1 cms sized mass lesion in the right medial pterygoid muscle which is separate from the deep lobe of the right parotid gland is not specific for a single etiology. This most likely represents a hematoma/inflammatory lesion due to previous biopsy. The possibility of another salivary gland tumor arising from cell-rests seems less likely.
3. Inflammatory changes in the maxillary sinuses and ethmoidal air cells bilaterally.
Published in
MRI Reports