Regular User
Sunday, 27 December 2015 16:48
12218
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzal Palmn / M / 85 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain (on bending) and swelling over the right knee joint since 3 months.
H/O fall 3-4 months back.
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 a linear hyperintense signal on all the pulse sequences in the anterior and posterior horns of the medial and lateral menisci, not reaching upto the articular margin. This represents Grade II meniscal signal (meniscal degeneration).
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
- 2 - scan-00008
Collateral Ligaments and the Patellar Tendon :
The medial and latearl collateral ligaments are normal. There is slight buckling of the quadriceps tendon.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
There is slight irregularity of the articular cartilage overlying the lateral condyle of the patellae. Underlying cystic changes (hyperintense on the GRASS images) are seen. This would represent chondromalacic patellae.
The articular cartilage overlying the tibia and femur appears normal.
There is moderate sized, right knee joint effusion. Ill-defined, hyperintense signal on the T2 Weighted and GRASS images is noted in the subcutaneous fat around the right knee joint which may represent soft tissue injury/cellulitis.
IMPRESSION :
1. Grade II meniscal signal (meniscal degeneration)
in the anterior and posterior horns of the medial and lateral menisci.
2. Moderate sized, right knee joint effusion.
3. Altered signal in the subcutaneous fat around the right knee joint may represent soft tissue injury/cellulitis.
4. Chondromalacia patellae.
Date : 00.00.00
Name of the Patient : Abc Xyzal Palmn / M / 85 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain (on bending) and swelling over the right knee joint since 3 months.
H/O fall 3-4 months back.
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 a linear hyperintense signal on all the pulse sequences in the anterior and posterior horns of the medial and lateral menisci, not reaching upto the articular margin. This represents Grade II meniscal signal (meniscal degeneration).
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
- 2 - scan-00008
Collateral Ligaments and the Patellar Tendon :
The medial and latearl collateral ligaments are normal. There is slight buckling of the quadriceps tendon.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
There is slight irregularity of the articular cartilage overlying the lateral condyle of the patellae. Underlying cystic changes (hyperintense on the GRASS images) are seen. This would represent chondromalacic patellae.
The articular cartilage overlying the tibia and femur appears normal.
There is moderate sized, right knee joint effusion. Ill-defined, hyperintense signal on the T2 Weighted and GRASS images is noted in the subcutaneous fat around the right knee joint which may represent soft tissue injury/cellulitis.
IMPRESSION :
1. Grade II meniscal signal (meniscal degeneration)
in the anterior and posterior horns of the medial and lateral menisci.
2. Moderate sized, right knee joint effusion.
3. Altered signal in the subcutaneous fat around the right knee joint may represent soft tissue injury/cellulitis.
4. Chondromalacia patellae.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12217
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyz Pandey.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neck pain radiating to the LUE and LLE with paresthesias since 15 days.
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 loss of normal cervical lordosis and slight loss of water content of the cervical intervertebral discs.
Small postero-central protruded discs are noted at the C2-C3 and C3-C4 levels.
A posterior peridiscal osteophyte is noted at the C4-C5 level indenting the dural theca anteriorly, more to the right of the midline.
A left postero-lateral disc herniation is noted at the C5-C6 level with left neural foraminal narrowing and indentation on the spinal cord and left C6 nerve root.
Minimal posterior disc bulge is noted at the C6-C7 level.
Degenerative changes of the joints of Luschka are noted at the C3-C4 level on the left and on the right at C4-C5 level. Slight right neural foraminal narrowing is noted at the C4-C5 level.
..2/.
- 2 - Scan-00007
The cervical vertebral bodies show normal signal intensity. The rest of 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.
The right lobe of the thyroid gland appears slightly larger than the left.
IMPRESSION :
1. A left postero-lateral disc herniation at the C5-C6 level with indentation on the left C6 nerve root and spinal cord.
2. Posterior peridiscal osteophytes at the C4-C5 level.
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyz Pandey.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neck pain radiating to the LUE and LLE with paresthesias since 15 days.
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 loss of normal cervical lordosis and slight loss of water content of the cervical intervertebral discs.
Small postero-central protruded discs are noted at the C2-C3 and C3-C4 levels.
A posterior peridiscal osteophyte is noted at the C4-C5 level indenting the dural theca anteriorly, more to the right of the midline.
A left postero-lateral disc herniation is noted at the C5-C6 level with left neural foraminal narrowing and indentation on the spinal cord and left C6 nerve root.
Minimal posterior disc bulge is noted at the C6-C7 level.
Degenerative changes of the joints of Luschka are noted at the C3-C4 level on the left and on the right at C4-C5 level. Slight right neural foraminal narrowing is noted at the C4-C5 level.
..2/.
- 2 - Scan-00007
The cervical vertebral bodies show normal signal intensity. The rest of 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.
The right lobe of the thyroid gland appears slightly larger than the left.
IMPRESSION :
1. A left postero-lateral disc herniation at the C5-C6 level with indentation on the left C6 nerve root and spinal cord.
2. Posterior peridiscal osteophytes at the C4-C5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12216
ke/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 66 yrs.
Referred by : Dr. Abc Xyzansali.
Examination : M.R.I. of the Pelvis.
CLINICAL PROFILE :
H/O APR done on 00.00.00 for Ca rectum. Received 6 cycles of chemotherapy and radiotherapy for 5 weeks.
Histopathology s/o adenocarcinoma (Dukes Class C1)
At present mild pain in the abdomen.
For follow-up.
EXAMINATION :
M.R.I of the pelvis was performed using the following parameters:
7 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
6 mm thick T1 Weighted and STIR coronal images.
6 mm thick T2 Weighted (with fat saturation) sagittal images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
An intermediate signal intensity lesion is seen in the region of the rectum and anal canal on the T1 Weighted images. This lesion is also noted in the presacral region with anterior extension in the region of seminal vesicles. There is slight indentation on the posterior aspect of the bladder and the posterior aspect of the prostate. The fat planes in the region of the prostate/urinary bladder are ill-defined. Slight streaking is noted in the ischio-rectal fossa bilaterally.
There is slight dilatation of the visualized left ureter.
The sacral vertebrae show fatty changes the result of previous radiotherapy.
A colostomy is noted in the lower abdomen on the left side and a right paramedia scar with post-operative changes.
A small posterior disc herniation is seen at the L5-S1 level.
Note is made of bilateral hydrocele.
There are no abnormally enlarged pelvic lymph nodes identified. No obvious vascular anomaly is noted. There is no free fluid in the pelvis.
IMPRESSION :
1. Post-operative status.
2. A lesion in the region of the rectum, anal canal and presacral region with extensions as described most probably represents residual/recurrent lesion.
3. Marrow changes in the sacrum is most likely the result of previous radiotherapy.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 66 yrs.
Referred by : Dr. Abc Xyzansali.
Examination : M.R.I. of the Pelvis.
CLINICAL PROFILE :
H/O APR done on 00.00.00 for Ca rectum. Received 6 cycles of chemotherapy and radiotherapy for 5 weeks.
Histopathology s/o adenocarcinoma (Dukes Class C1)
At present mild pain in the abdomen.
For follow-up.
EXAMINATION :
M.R.I of the pelvis was performed using the following parameters:
7 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
6 mm thick T1 Weighted and STIR coronal images.
6 mm thick T2 Weighted (with fat saturation) sagittal images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
An intermediate signal intensity lesion is seen in the region of the rectum and anal canal on the T1 Weighted images. This lesion is also noted in the presacral region with anterior extension in the region of seminal vesicles. There is slight indentation on the posterior aspect of the bladder and the posterior aspect of the prostate. The fat planes in the region of the prostate/urinary bladder are ill-defined. Slight streaking is noted in the ischio-rectal fossa bilaterally.
There is slight dilatation of the visualized left ureter.
The sacral vertebrae show fatty changes the result of previous radiotherapy.
A colostomy is noted in the lower abdomen on the left side and a right paramedia scar with post-operative changes.
A small posterior disc herniation is seen at the L5-S1 level.
Note is made of bilateral hydrocele.
There are no abnormally enlarged pelvic lymph nodes identified. No obvious vascular anomaly is noted. There is no free fluid in the pelvis.
IMPRESSION :
1. Post-operative status.
2. A lesion in the region of the rectum, anal canal and presacral region with extensions as described most probably represents residual/recurrent lesion.
3. Marrow changes in the sacrum is most likely the result of previous radiotherapy.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12215
ke/bv/rg
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 89 yrs.
Referred by : Dr. Abc Xyzthe.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O blurring of vision bilaterally (momentarily) while reading since 2 months.
Opthalmic examination s/o pallor of optic discs.
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 STIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
Small bright foci on the proton and T2 Weighted images in the frontal deep white matter and corona radiata bilaterally are probably ischemic in etiology. These appears isointense to hypointense on the T1 Weighted images.
The optic nerves on either side appear smaller in size without any change in signal with slight increase in the perioptic CSF suggestive of optic atrophy, bilaterally, more marked on the left side.
There is slight 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 vertebro-basilar system is ectatic with indentation upon the left antero-lateral aspect of the lower pons and medulla.
Incidental note is made of mild inflammatory changes in the right mastoid air cells.
IMPRESSION :
Small size of the optic nerves, bilaterally, more marked on the left side is suggestive of bilateral optic atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 89 yrs.
Referred by : Dr. Abc Xyzthe.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O blurring of vision bilaterally (momentarily) while reading since 2 months.
Opthalmic examination s/o pallor of optic discs.
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 STIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
Small bright foci on the proton and T2 Weighted images in the frontal deep white matter and corona radiata bilaterally are probably ischemic in etiology. These appears isointense to hypointense on the T1 Weighted images.
The optic nerves on either side appear smaller in size without any change in signal with slight increase in the perioptic CSF suggestive of optic atrophy, bilaterally, more marked on the left side.
There is slight 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 vertebro-basilar system is ectatic with indentation upon the left antero-lateral aspect of the lower pons and medulla.
Incidental note is made of mild inflammatory changes in the right mastoid air cells.
IMPRESSION :
Small size of the optic nerves, bilaterally, more marked on the left side is suggestive of bilateral optic atrophy.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12214
ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Dalmn / M / 38 yrs.
Referred by : Dr. Abc Xyz Vyas.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 10-12 years which has increased 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 :
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
There is a postero-central disc herniation at the L5-S1 level (contained by the posterior longitudinal ligament) with anterior indentation of the thecal sac.
A posterior disc bulge is noted at the L4-L5 level.
Anterior peridiscal osteophytes are seen at the D12-L1 and L1-L2 levels.
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-L2 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
17.0 mm at L2-L3
16.0 mm at L3-L4
16.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A postero-central disc herniation at the L5-S1 level.
2. A posterior disc bulge at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyz Dalmn / M / 38 yrs.
Referred by : Dr. Abc Xyz Vyas.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 10-12 years which has increased 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 :
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
There is a postero-central disc herniation at the L5-S1 level (contained by the posterior longitudinal ligament) with anterior indentation of the thecal sac.
A posterior disc bulge is noted at the L4-L5 level.
Anterior peridiscal osteophytes are seen at the D12-L1 and L1-L2 levels.
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-L2 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
17.0 mm at L2-L3
16.0 mm at L3-L4
16.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A postero-central disc herniation at the L5-S1 level.
2. A posterior disc bulge at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12213
ke/sb/nl/rg
Date : 00.00.00
Name of the Patient : Abc Xyzh H. Kalmn / M / 20 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzarikh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O pain in the left paraspinal region following lifting of heavy weight in gym.
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 a large, left paracentral disc extrusion at the L5-S1 level with antero-lateral compression of the thecal sac and indentation upon the left S1 nerve root. There is slight inferior migration of the disc into the left lateral recess of S1 vertebra. Posterior peridiscal osteophytes are also noted at this level. This disc shows loss of water content.
Small posterior peridiscal osteophytes are noted at the D12-L1 level. Schmorls nodes are seen in the dorso-lumbar region.
The L4-L5 facet joints bilaterally show mild degenerative change.
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.
Scan-00003
The conus medullaris terminates at the L2 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 :
14.0 mm at L1-L2
14.0 mm at L2-L3
16.0 mm at L3-L4
16.0 mm at L4-L5
7.0 mm at L5-S1.
IMPRESSION :
A large, left paracentral disc extrusion with posterior peridiscal osteophytes at the L5-S1 level with indentation upon the left S1 nerve root. There is slight inferior migration of the disc into the left lateral recess of S1 vertebra.
Date : 00.00.00
Name of the Patient : Abc Xyzh H. Kalmn / M / 20 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzarikh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O pain in the left paraspinal region following lifting of heavy weight in gym.
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 a large, left paracentral disc extrusion at the L5-S1 level with antero-lateral compression of the thecal sac and indentation upon the left S1 nerve root. There is slight inferior migration of the disc into the left lateral recess of S1 vertebra. Posterior peridiscal osteophytes are also noted at this level. This disc shows loss of water content.
Small posterior peridiscal osteophytes are noted at the D12-L1 level. Schmorls nodes are seen in the dorso-lumbar region.
The L4-L5 facet joints bilaterally show mild degenerative change.
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.
Scan-00003
The conus medullaris terminates at the L2 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 :
14.0 mm at L1-L2
14.0 mm at L2-L3
16.0 mm at L3-L4
16.0 mm at L4-L5
7.0 mm at L5-S1.
IMPRESSION :
A large, left paracentral disc extrusion with posterior peridiscal osteophytes at the L5-S1 level with indentation upon the left S1 nerve root. There is slight inferior migration of the disc into the left lateral recess of S1 vertebra.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12212
ke/sb/nl/rg
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 60 yrs.
Referred by : Dr. Abc Xyzra.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) with tingling in the RLE since 5-6 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 forward translation of the L3 over the L4 and L4 over the L5 vertebra (kindly correlate with plain radiographs to R/o spondylolysis).
There is a posterior and left far lateral disc herniation at the L5-S1 level with anterior indentation of the thecal sac and indentation on the extraforaminal segment of the left L5 nerve root. The L5-S1 facet joint on the left side shows slight degenerative changes.
A large pseudoposterior disc herniation is seen at the L4-L5 level with anterior compression of the thecal sac and resultant canal stenosis. Hypertrophic facetal arthropathy is also noted at this level. The right L4 nerve root is impinged in the right neural foramen at the L4-L5 level.
Scan-00002
Posterior and a left far lateral disc herniation is noted at the L3-L4 level with anterior indentation of the thecal sac and mild left neural foraminal narrowing. The L3-L4 facet joints also show mild degenerative change.
Small posterior disc bulges with peridiscal osteophytes are seen at the L1-L2 and L2-L3 levels. Anterior disc herniations are noted at the L3-L4, L4-L5 and L5-S1 levels. The lumbar intervertebral discs show loss of water content. The D11-D12, L1-L2, L3-L4, L4-L5 and L5-S1 intervertebral discs are reduced in height.
Type II degenerative change is seen in the L5 and S1 vertebral bodies adjacent to the L5-S1 disc. Similar change is noted in the antero-superior portion of the L2 vertebral body as well as the D11 and D12 vertebrae.
A hemangioma with fat content is seen in the L3 vertebral body.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining 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 :
15.0 mm at L1-L2
16.0 mm at L2-L3
9.0 mm at L3-L4
16.0 mm at L4-L5
9.0 mm at L5-S1.
..3/.
- 3 - Scan-00002
IMPRESSION :
1. Forward translation of the L3 over the L4 and L4 over the L5 vertebra.
2. A posterior and left far lateral disc herniation at the L5-S1 level with indentation upon the extraforaminal portion of the left L5 nerve root and degenerative changes of the L5-S1 facet joint on the left side.
3. A large pseudoposterior disc herniation at the L4-L5 level with resultant canal stenosis and hypertrophic facetal arthropathy at this level. The right L4 nerve root is impinged in the right neural foramen at the L4-L5 level.
4. Posterior and a left far lateral disc herniation at the L3-L4 level with mild degenerative changes of the L3-L4 facet joints.
5. Small posterior disc bulges with peridiscal osteophytes at the L1-L2 and L2-L3 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 60 yrs.
Referred by : Dr. Abc Xyzra.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) with tingling in the RLE since 5-6 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 forward translation of the L3 over the L4 and L4 over the L5 vertebra (kindly correlate with plain radiographs to R/o spondylolysis).
There is a posterior and left far lateral disc herniation at the L5-S1 level with anterior indentation of the thecal sac and indentation on the extraforaminal segment of the left L5 nerve root. The L5-S1 facet joint on the left side shows slight degenerative changes.
A large pseudoposterior disc herniation is seen at the L4-L5 level with anterior compression of the thecal sac and resultant canal stenosis. Hypertrophic facetal arthropathy is also noted at this level. The right L4 nerve root is impinged in the right neural foramen at the L4-L5 level.
Scan-00002
Posterior and a left far lateral disc herniation is noted at the L3-L4 level with anterior indentation of the thecal sac and mild left neural foraminal narrowing. The L3-L4 facet joints also show mild degenerative change.
Small posterior disc bulges with peridiscal osteophytes are seen at the L1-L2 and L2-L3 levels. Anterior disc herniations are noted at the L3-L4, L4-L5 and L5-S1 levels. The lumbar intervertebral discs show loss of water content. The D11-D12, L1-L2, L3-L4, L4-L5 and L5-S1 intervertebral discs are reduced in height.
Type II degenerative change is seen in the L5 and S1 vertebral bodies adjacent to the L5-S1 disc. Similar change is noted in the antero-superior portion of the L2 vertebral body as well as the D11 and D12 vertebrae.
A hemangioma with fat content is seen in the L3 vertebral body.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining 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 :
15.0 mm at L1-L2
16.0 mm at L2-L3
9.0 mm at L3-L4
16.0 mm at L4-L5
9.0 mm at L5-S1.
..3/.
- 3 - Scan-00002
IMPRESSION :
1. Forward translation of the L3 over the L4 and L4 over the L5 vertebra.
2. A posterior and left far lateral disc herniation at the L5-S1 level with indentation upon the extraforaminal portion of the left L5 nerve root and degenerative changes of the L5-S1 facet joint on the left side.
3. A large pseudoposterior disc herniation at the L4-L5 level with resultant canal stenosis and hypertrophic facetal arthropathy at this level. The right L4 nerve root is impinged in the right neural foramen at the L4-L5 level.
4. Posterior and a left far lateral disc herniation at the L3-L4 level with mild degenerative changes of the L3-L4 facet joints.
5. Small posterior disc bulges with peridiscal osteophytes at the L1-L2 and L2-L3 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12211
ke/sb/nl/rg
Date : 00.00.00
Name of the Patient : Abc Xyzh A. lmn / M / 26 yrs.
Referred by : Dr. Abc Xyzathak.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with tingling since 1 year.
H/O fall 1 year ago.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a posterior and right paracentral disc extrusion at the L4-L5 level with anterior compression of the thecal sac and slight right neural foraminal narrowing. There is inferior migration of the disc which is seen to lie in the right lateral recess of the L5 vertebra with indentation upon the right L5 nerve root.
A postero-central disc herniation is seen at the L5-S1 level. There is slight inferior migration of the disc which is seen to lie posterior to the S1 vertebral body. The L5-S1 facet joints show degenerative changes.
The L4-L5 and L3-L4 facet joints show mild degenerative changes.
The L4-L5 and L5-S1 intervertebral discs show loss of water content. Posterior peridiscal osteophytes are noted at these levels.
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 L2 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 :
16.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
7.0 mm at L4-L5
7.0 mm at L5-S1.
IMPRESSION :
1. A posterior and right paracentral disc extrusion at the L4-L5 level with inferior migration of the disc in the right lateral recess of the L5 vertebra with indentation upon the right L5 nerve root.
2. A postero-central disc herniation at the L5-S1 level with slight inferior migration of the disc.
3. Posterior peridiscal osteophytes at the L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzh A. lmn / M / 26 yrs.
Referred by : Dr. Abc Xyzathak.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with tingling since 1 year.
H/O fall 1 year ago.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a posterior and right paracentral disc extrusion at the L4-L5 level with anterior compression of the thecal sac and slight right neural foraminal narrowing. There is inferior migration of the disc which is seen to lie in the right lateral recess of the L5 vertebra with indentation upon the right L5 nerve root.
A postero-central disc herniation is seen at the L5-S1 level. There is slight inferior migration of the disc which is seen to lie posterior to the S1 vertebral body. The L5-S1 facet joints show degenerative changes.
The L4-L5 and L3-L4 facet joints show mild degenerative changes.
The L4-L5 and L5-S1 intervertebral discs show loss of water content. Posterior peridiscal osteophytes are noted at these levels.
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 L2 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 :
16.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
7.0 mm at L4-L5
7.0 mm at L5-S1.
IMPRESSION :
1. A posterior and right paracentral disc extrusion at the L4-L5 level with inferior migration of the disc in the right lateral recess of the L5 vertebra with indentation upon the right L5 nerve root.
2. A postero-central disc herniation at the L5-S1 level with slight inferior migration of the disc.
3. Posterior peridiscal osteophytes at the L4-L5 and L5-S1 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12210
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyza lmn / F / 5 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 1 month. On anti-epileptics since 2 days.
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 on either side is unremarkable.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of enlarged adenoids and inflammatory changes in the maxillary and the ethmoidal air cells bilaterally.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyza lmn / F / 5 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 1 month. On anti-epileptics since 2 days.
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 on either side is unremarkable.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of enlarged adenoids and inflammatory changes in the maxillary and the ethmoidal air cells bilaterally.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12209
DUPLICATE REPORT
Date : 00.00.00
Name of the Patient : Abc XyzBanlmn / M / 13 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O vomiting since 15 days with bilateral visual loss since 3-4 days. Febrile episode 1 month back, with rash.
Also C/O quadriparesis since 2 days.
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.
3 mm thick STIR coronal images through the optic nerves.
OBSERVATION :
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images predominantly in the subcortical white matter (and probably the grey matter in some places) in the right parieto-occipital region and in the high parietal, parafalcine regions bilaterally. These lesions appear hypointense on the T1 Weighted images.
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.
The optic nerves on either side show normal signal.
IMPRESSION :
Altered signal predominantly in the subcortical white matter (and probably the grey matter in some places) in the right parieto-occipital region and in the high parietal, parafalcine regions bilaterally is not specific for a single etiology. Acute disseminated encephalomyelitis is a likely possibility in the given clinical setting. The possibility of vascular lesions seem less likely.
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzBanlmn / M / 13 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O vomiting since 15 days with bilateral visual loss since 3-4 days. Febrile episode 1 month back, with rash.
Also C/O quadriparesis since 2 days.
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.
3 mm thick STIR coronal images through the optic nerves.
OBSERVATION :
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images predominantly in the subcortical white matter (and probably the grey matter in some places) in the right parieto-occipital region and in the high parietal, parafalcine regions bilaterally. These lesions appear hypointense on the T1 Weighted images.
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.
The optic nerves on either side show normal signal.
IMPRESSION :
Altered signal predominantly in the subcortical white matter (and probably the grey matter in some places) in the right parieto-occipital region and in the high parietal, parafalcine regions bilaterally is not specific for a single etiology. Acute disseminated encephalomyelitis is a likely possibility in the given clinical setting. The possibility of vascular lesions seem less likely.
sb/ke/rg/nl
Published in
MRI Reports