Regular User
Sunday, 27 December 2015 16:48
14785a
sb/hs/nl/nl
A Date : 00.00.00
Name of the Patient : Abc Xyz Dlmn / F / 72 yrs.
Referred by : Dr. Abc Xyznghal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to BLE (left more than right) with paresthesias in the LLE.
Alleged H/O fall 2 months back with retention of urine for 3 days.
C/O gait imbalance and loss of sensation of the LLE since then.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is slight scoliosis of the lumbar spine with convexity to the left.
There is loss of water content of the lumbar intervertebral discs.
There is a left postero-lateral and left far disc herniation at the L4-L5 level with left neural foraminal narrowing. There is also slight facetal and ligamentum flavum hypertrophy at the L4-L5 level on the left, with impingement of the foraminal segment of the exiting left L4 nerve root.
A posteriorly herniated disc with peridiscal osteophytes is noted at the L3-L4 level, with slight bilateral neural foraminal narrowing. Facetal hypertrophy is seen at this level.
..2/.
- 2 - Scan-00005A
Far lateral (extraforaminal) disc bulges are seen bilaterally at the L2-L3 and L3-L4 levels and on the right side at the L4-L5 level.
A small posterior disc bulge with peridiscal osteophytes is noted at the L2-L3 level. The facet joints at this level appear slightly hypertrophied with facet joint effusion on the right.
Facetal hypertrophy is noted at the D9-D10 and D10-D11 levels bilaterally and on the left side at the D11-D12 level.
The lumbar vertebral bodies reveal normal signal intensity. 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 :
17.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. A left postero-lateral and left far disc herniation at the L4-L5 level with slight facetal and ligamentum flavum hypertrophy at the L4-L5 level on the left, with impingement of the foraminal segment of the exiting left L4 nerve root.
..3/.
- 3 - Scan-00005A
2. A posteriorly herniated disc with peridiscal osteophytes and facetal hypertrophy at the L3-L4 level.
3. A small posterior disc bulge with peridiscal osteophytes at the L2-L3 level with slight facetal hypertrophy and facet joint effusion on the right at this level.
4. Facetal hypertrophy at the D9-D10 and D10-D11 levels bilaterally and on the left side at the D11-D12 level.
A Date : 00.00.00
Name of the Patient : Abc Xyz Dlmn / F / 72 yrs.
Referred by : Dr. Abc Xyznghal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to BLE (left more than right) with paresthesias in the LLE.
Alleged H/O fall 2 months back with retention of urine for 3 days.
C/O gait imbalance and loss of sensation of the LLE since then.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is slight scoliosis of the lumbar spine with convexity to the left.
There is loss of water content of the lumbar intervertebral discs.
There is a left postero-lateral and left far disc herniation at the L4-L5 level with left neural foraminal narrowing. There is also slight facetal and ligamentum flavum hypertrophy at the L4-L5 level on the left, with impingement of the foraminal segment of the exiting left L4 nerve root.
A posteriorly herniated disc with peridiscal osteophytes is noted at the L3-L4 level, with slight bilateral neural foraminal narrowing. Facetal hypertrophy is seen at this level.
..2/.
- 2 - Scan-00005A
Far lateral (extraforaminal) disc bulges are seen bilaterally at the L2-L3 and L3-L4 levels and on the right side at the L4-L5 level.
A small posterior disc bulge with peridiscal osteophytes is noted at the L2-L3 level. The facet joints at this level appear slightly hypertrophied with facet joint effusion on the right.
Facetal hypertrophy is noted at the D9-D10 and D10-D11 levels bilaterally and on the left side at the D11-D12 level.
The lumbar vertebral bodies reveal normal signal intensity. 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 :
17.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. A left postero-lateral and left far disc herniation at the L4-L5 level with slight facetal and ligamentum flavum hypertrophy at the L4-L5 level on the left, with impingement of the foraminal segment of the exiting left L4 nerve root.
..3/.
- 3 - Scan-00005A
2. A posteriorly herniated disc with peridiscal osteophytes and facetal hypertrophy at the L3-L4 level.
3. A small posterior disc bulge with peridiscal osteophytes at the L2-L3 level with slight facetal hypertrophy and facet joint effusion on the right at this level.
4. Facetal hypertrophy at the D9-D10 and D10-D11 levels bilaterally and on the left side at the D11-D12 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14785
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Dlmn / F / 72 yrs.
Referred by : Dr. Abc Xyznghal.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O radicular pain and paresthesias in the LLE, slipping off of chappals from the left leg with gait imbalance and loss of sensations in the LLE.
Alleged H/O fall 2 months back.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs. Slight retroplacement of the C5 over the C6 vertebra is noted. The C5-C6 intervertebral disc is decreased in height.
Postero-central disc herniations with peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels, indenting the cervical spinal cord anteriorly.
A small postero-central protruded disc is noted at the C3-C4 level.
Slight facetal hypertrophy is noted at the C4-C5, C5-C6 and D1-D2 levels with ligamentum flavum prominence at the C4-C5 and C5-C6 levels.
Scan-00005
Spotty fatty marrow changes are noted in the upper cervical vertebral bodies.
The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Incidentally noted is an empty sella which is enlarged.
IMPRESSION :
1. Postero-central disc herniations with peridiscal osteophytes at the C4-C5 and C5-C6 levels, indenting the cervical spinal cord anteriorly.
2. A small postero-central protruded disc at the C3-C4 level.
3. Slight facetal hypertrophy at the C4-C5, C5-C6 and D1-D2 levels with ligamentum flavum prominence at the C4-C5 and C5-C6 levels.
4. Canal stenosis at the C4-C5 level and a tight canal at the C5-C6 level.
Date : 00.00.00
Name of the Patient : Abc Xyz Dlmn / F / 72 yrs.
Referred by : Dr. Abc Xyznghal.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O radicular pain and paresthesias in the LLE, slipping off of chappals from the left leg with gait imbalance and loss of sensations in the LLE.
Alleged H/O fall 2 months back.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs. Slight retroplacement of the C5 over the C6 vertebra is noted. The C5-C6 intervertebral disc is decreased in height.
Postero-central disc herniations with peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels, indenting the cervical spinal cord anteriorly.
A small postero-central protruded disc is noted at the C3-C4 level.
Slight facetal hypertrophy is noted at the C4-C5, C5-C6 and D1-D2 levels with ligamentum flavum prominence at the C4-C5 and C5-C6 levels.
Scan-00005
Spotty fatty marrow changes are noted in the upper cervical vertebral bodies.
The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Incidentally noted is an empty sella which is enlarged.
IMPRESSION :
1. Postero-central disc herniations with peridiscal osteophytes at the C4-C5 and C5-C6 levels, indenting the cervical spinal cord anteriorly.
2. A small postero-central protruded disc at the C3-C4 level.
3. Slight facetal hypertrophy at the C4-C5, C5-C6 and D1-D2 levels with ligamentum flavum prominence at the C4-C5 and C5-C6 levels.
4. Canal stenosis at the C4-C5 level and a tight canal at the C5-C6 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14784
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzWaghlmn / M / 34 yrs.
Referred by : Dr. Abc Xyzosale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 17-18 years.
H/O Pulmonary Kochs in 0000 & 0000. Received AKT.
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 D12-L1, L3-L4 and L4-L5 intervertebral discs. Hypointense areas in the D12-L1 intervertebral disc on all the pulse sequences would represent calcification/vacuum phenomena.
Small postero-central protruded discs are noted at the L3-L4 and L4-L5 levels.
The facet joints in the lumbar region appear slightly hypertrophied.
Schmorls nodes are noted in the upper lumbar region.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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 :
17.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
13.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Small postero-central protruded discs at the L3-L4 and L4-L5 levels.
2. Slight facetal hypertrophy in the lumbar region.
Date : 00.00.00
Name of the Patient : Abc XyzWaghlmn / M / 34 yrs.
Referred by : Dr. Abc Xyzosale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 17-18 years.
H/O Pulmonary Kochs in 0000 & 0000. Received AKT.
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 D12-L1, L3-L4 and L4-L5 intervertebral discs. Hypointense areas in the D12-L1 intervertebral disc on all the pulse sequences would represent calcification/vacuum phenomena.
Small postero-central protruded discs are noted at the L3-L4 and L4-L5 levels.
The facet joints in the lumbar region appear slightly hypertrophied.
Schmorls nodes are noted in the upper lumbar region.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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 :
17.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
13.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Small postero-central protruded discs at the L3-L4 and L4-L5 levels.
2. Slight facetal hypertrophy in the lumbar region.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14783
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz D. Plmn / M / 55 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
Alleged H/O fall from the bed with loss of consciousness for 1 day on 00.00.00.
C/O gait imbalance with mild weakness of BUE and BLE since then.
Chronic alcoholic.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
The cervical intervertebral discs show loss of water content.
There is a posterior disc herniation at the C3-C4 level with anterior indentation of the cord.
Small posterior disc bulges are noted at the C4-C5, C5-C6 levels.
Posterior peridiscal osteophytes are seen at the C3-C4, C4-C5 and C5-C6 levels.
Hyperintense signal on the T1 Weighted and T2 Weighted images in the C6-C7 intervertebral disc may represent calcification.
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 reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick FLAIR coronal images which shows hyperintense areas in the periatrial deep white matter. Mild cerebral and cerebellar atrophy and left maxillary sinusitis is noted. Fullness of both the lateral and the third ventricles is noted. The fourth ventricle is normal. Left mastoiditis is noted.
IMPRESSION :
1. A posterior disc herniation at the C3-C4 level.
2. Posterior peridiscal osteophytes at the C3-C4, C4-C5 and C5-C6 levels with posterior disc bulges at the C4-C5 and C5-C6 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz D. Plmn / M / 55 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
Alleged H/O fall from the bed with loss of consciousness for 1 day on 00.00.00.
C/O gait imbalance with mild weakness of BUE and BLE since then.
Chronic alcoholic.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
The cervical intervertebral discs show loss of water content.
There is a posterior disc herniation at the C3-C4 level with anterior indentation of the cord.
Small posterior disc bulges are noted at the C4-C5, C5-C6 levels.
Posterior peridiscal osteophytes are seen at the C3-C4, C4-C5 and C5-C6 levels.
Hyperintense signal on the T1 Weighted and T2 Weighted images in the C6-C7 intervertebral disc may represent calcification.
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 reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick FLAIR coronal images which shows hyperintense areas in the periatrial deep white matter. Mild cerebral and cerebellar atrophy and left maxillary sinusitis is noted. Fullness of both the lateral and the third ventricles is noted. The fourth ventricle is normal. Left mastoiditis is noted.
IMPRESSION :
1. A posterior disc herniation at the C3-C4 level.
2. Posterior peridiscal osteophytes at the C3-C4, C4-C5 and C5-C6 levels with posterior disc bulges at the C4-C5 and C5-C6 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14782
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzChalmn / M / 71 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O gait imbalance, towards the left side since the morning of 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 coronal images.
5 mm thick T1 Weighted sagittal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
BRAIN :
There is no focal area of altered signal intensity within the brain parenchyma.
There is slight fullness of both the lateral ventricles with mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of mucosal thickening in the maxillary sinuses bilaterally.
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 :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
No significant abnormality is detected within the brain parenchyma or on the intracranial and neck MRA on this study.
Date : 00.00.00
Name of the Patient : Abc XyzChalmn / M / 71 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O gait imbalance, towards the left side since the morning of 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 coronal images.
5 mm thick T1 Weighted sagittal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
BRAIN :
There is no focal area of altered signal intensity within the brain parenchyma.
There is slight fullness of both the lateral ventricles with mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of mucosal thickening in the maxillary sinuses bilaterally.
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 :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
No significant abnormality is detected within the brain parenchyma or on the intracranial and neck MRA on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14781
ke/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzJilmn / M / 35 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain and
Intracranial M.R.A.
CLINICAL PROFILE :
C/O headaches with ptosis of the left eye since 5 years.
C/O diplopia on the left side.
EXAMINATION :
M.R.I. of the brain was performed using the following parameters:
5 mm thick T2 Weighted axial images.
4 mm thick FLAIR and 3 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
Intracranial MRA was performed with 3D TOF sequence.
OBSERVATION :
BRAIN :
There is no focal area of altered signal intensity within the brain parenchyma. (Small hyperintense signal on the T2 Weighted images in the pons anteriorly is artifactual).
There is prominence of the cerebral cortical sulci with mild fullness of both the lateral ventricles.
The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
The cavernous sinuses bilaterally are unremarkable.
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.
IMPRESSION :
Mild cerebral atrophy.
No other significant abnormality is detected within the brain parenchyma or on the intracranial MRA on this study.
Date : 00.00.00
Name of the Patient : Abc XyzJilmn / M / 35 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain and
Intracranial M.R.A.
CLINICAL PROFILE :
C/O headaches with ptosis of the left eye since 5 years.
C/O diplopia on the left side.
EXAMINATION :
M.R.I. of the brain was performed using the following parameters:
5 mm thick T2 Weighted axial images.
4 mm thick FLAIR and 3 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
Intracranial MRA was performed with 3D TOF sequence.
OBSERVATION :
BRAIN :
There is no focal area of altered signal intensity within the brain parenchyma. (Small hyperintense signal on the T2 Weighted images in the pons anteriorly is artifactual).
There is prominence of the cerebral cortical sulci with mild fullness of both the lateral ventricles.
The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
The cavernous sinuses bilaterally are unremarkable.
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.
IMPRESSION :
Mild cerebral atrophy.
No other significant abnormality is detected within the brain parenchyma or on the intracranial MRA on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14780
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzh B. Khedlmn / M / 16 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the dorso-lumbar Spine.
CLINICAL PROFILE :
C/O wasting and pain in the LLE with tingling since 3 years.
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.
10 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
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 visualized dorsal spinal cord shows normal signal intensity. However it is smaller in diameter as compared to the normal.
The conus medullaris terminates at the L1 level.
IMPRESSION :
The MRI features are suggestive of atrophy of the dorsal cord without any change in signal intensity.
Date : 00.00.00
Name of the Patient : Abc Xyzh B. Khedlmn / M / 16 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the dorso-lumbar Spine.
CLINICAL PROFILE :
C/O wasting and pain in the LLE with tingling since 3 years.
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.
10 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
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 visualized dorsal spinal cord shows normal signal intensity. However it is smaller in diameter as compared to the normal.
The conus medullaris terminates at the L1 level.
IMPRESSION :
The MRI features are suggestive of atrophy of the dorsal cord without any change in signal intensity.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14779
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzr Almn / M / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weakness of BUE (left more than right) and BLE with dragging of the LLE since 6 months.
Alleged H/O vehicular accident 2 years back with loss of consciousness for an hour.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is partial occipitalization of the atlas.
The tip of the odontoid process is seen to lie at the level of the foramen magnum. There is atlanto-dens subluxation with the atlanto-dens interval measuring approximately 5 mms. The postero-superior aspect of the odontoid process is seen to compress upon the cervico-medullary junction which shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images and is isointense to cord on the T1 Weighted images. This would represent cord edema/gliosis. The clivus is placed more horizontally as compared to normal.
Posterior disc herniations are noted at the C2-C3, C4-C5 and C5-C6 levels with anterior indentation of the thecal sac.
The cervical intervertebral discs show loss of water content.
..2/.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The brain was screened with 5 mm thick T2 Weighted axial images and shows mild fullness of both the lateral ventricles and inflammatory changes in the maxillary sinuses bilaterally (right more than left) and sphenoid sinus.
IMPRESSION :
1. Partial occipitalization of the atlas with the tip of the odontoid process seen to lie at the level of the foramen magnum with atlanto-axial dislocation and atlanto-dens subluxation with atlanto-dens interval measuring 5 mms.
2. Altered signal at the cervico-medullary junction
represents cord edema/gliosis.
Date : 00.00.00
Name of the Patient : Abc Xyzr Almn / M / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weakness of BUE (left more than right) and BLE with dragging of the LLE since 6 months.
Alleged H/O vehicular accident 2 years back with loss of consciousness for an hour.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is partial occipitalization of the atlas.
The tip of the odontoid process is seen to lie at the level of the foramen magnum. There is atlanto-dens subluxation with the atlanto-dens interval measuring approximately 5 mms. The postero-superior aspect of the odontoid process is seen to compress upon the cervico-medullary junction which shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images and is isointense to cord on the T1 Weighted images. This would represent cord edema/gliosis. The clivus is placed more horizontally as compared to normal.
Posterior disc herniations are noted at the C2-C3, C4-C5 and C5-C6 levels with anterior indentation of the thecal sac.
The cervical intervertebral discs show loss of water content.
..2/.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The brain was screened with 5 mm thick T2 Weighted axial images and shows mild fullness of both the lateral ventricles and inflammatory changes in the maxillary sinuses bilaterally (right more than left) and sphenoid sinus.
IMPRESSION :
1. Partial occipitalization of the atlas with the tip of the odontoid process seen to lie at the level of the foramen magnum with atlanto-axial dislocation and atlanto-dens subluxation with atlanto-dens interval measuring 5 mms.
2. Altered signal at the cervico-medullary junction
represents cord edema/gliosis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14778
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzh Plmn / M / 55 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O tremors in all four extremities with neckpain and forgetfullness since 15 days.
Chronic alcoholic.
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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a hyperintense signal on the T1 Weighted images in the globus pallidus bilaterally. This is isointense to grey matter on the proton and T2 Weighted images and may represent paramagnetic substance deposition (scans 104.9, 102.9).
Prominent perivascular spaces are seen in cerebral hemispheres bilaterally.
There is mild to moderate dilatation of the ventricular system with prominence of the cerebral cortical sulci (more marked in the temporal lobes) 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.
R>
IMPRESSION :
1. Altered signal in the globus pallidus bilaterally may represent paramagnetic substance deposition.
The diagnosis of hepatolenticular degeneration should be considered.
2. Cerebral and cerebellar atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyzh Plmn / M / 55 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O tremors in all four extremities with neckpain and forgetfullness since 15 days.
Chronic alcoholic.
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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a hyperintense signal on the T1 Weighted images in the globus pallidus bilaterally. This is isointense to grey matter on the proton and T2 Weighted images and may represent paramagnetic substance deposition (scans 104.9, 102.9).
Prominent perivascular spaces are seen in cerebral hemispheres bilaterally.
There is mild to moderate dilatation of the ventricular system with prominence of the cerebral cortical sulci (more marked in the temporal lobes) 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.
R>
IMPRESSION :
1. Altered signal in the globus pallidus bilaterally may represent paramagnetic substance deposition.
The diagnosis of hepatolenticular degeneration should be considered.
2. Cerebral and cerebellar atrophy.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14777
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyze Shlmn / F / 42 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE with paresthesias.
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.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is mild retroplacement of the L4 over the L5 and L5 over the S1 vertebral bodies.
A posterior disc herniation is seen at the L5-S1 level with slight inferior migration of the disc and indentation upon the S1 nerve roots bilaterally. A right far lateral disc bulge is also noted at this level.
A diffuse posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
The facet joints show mild degenerative changes at the L3-L4, L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
..2/.
The conus medullaris terminates at the L1-L2 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 :
11.0 mm at L1-L2
16.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. Mild retroplacement of the L4 over the L5 and L5 over the S1 vertebral bodies.
2. A posterior disc herniation at the L5-S1 level with slight inferior migration of the disc and a right far lateral disc bulge at this level.
3. A diffuse posterior disc herniation at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyze Shlmn / F / 42 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE with paresthesias.
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.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is mild retroplacement of the L4 over the L5 and L5 over the S1 vertebral bodies.
A posterior disc herniation is seen at the L5-S1 level with slight inferior migration of the disc and indentation upon the S1 nerve roots bilaterally. A right far lateral disc bulge is also noted at this level.
A diffuse posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
The facet joints show mild degenerative changes at the L3-L4, L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
..2/.
The conus medullaris terminates at the L1-L2 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 :
11.0 mm at L1-L2
16.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. Mild retroplacement of the L4 over the L5 and L5 over the S1 vertebral bodies.
2. A posterior disc herniation at the L5-S1 level with slight inferior migration of the disc and a right far lateral disc bulge at this level.
3. A diffuse posterior disc herniation at the L4-L5 level.
Published in
MRI Reports