Regular User
Sunday, 27 December 2015 16:48
12154
ke/sb
Date : 00.00.00
Name of the Patient : Abc Xyzl Usmalmn / M / 35 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 2 1/2 years.
H/O fall prior to this.
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 retrolisthesis of the L5 over the S1 vertebra.
There is a small postero-central disc herniation at the L5-S1 level with minimal indentation upon the left S1 nerve root.
A small posterior disc bulge with peridiscal osteophyte is seen at the L4-L5 level.
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
The L3-L4 and L4-L5 facet joints show mild degenerative changes.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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 :
20.0 mm at L1-L2
18.0 mm at L2-L3
16.0 mm at L3-L4
16.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Slight retrolisthesis of the L5 over the S1 vertebra.
2. A small postero-central disc herniation at the L5-S1 level with minimal indentation upon the left S1 nerve root.
3. A small posterior disc bulge with peridiscal osteophyte at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyzl Usmalmn / M / 35 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 2 1/2 years.
H/O fall prior to this.
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 retrolisthesis of the L5 over the S1 vertebra.
There is a small postero-central disc herniation at the L5-S1 level with minimal indentation upon the left S1 nerve root.
A small posterior disc bulge with peridiscal osteophyte is seen at the L4-L5 level.
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
The L3-L4 and L4-L5 facet joints show mild degenerative changes.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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 :
20.0 mm at L1-L2
18.0 mm at L2-L3
16.0 mm at L3-L4
16.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Slight retrolisthesis of the L5 over the S1 vertebra.
2. A small postero-central disc herniation at the L5-S1 level with minimal indentation upon the left S1 nerve root.
3. A small posterior disc bulge with peridiscal osteophyte at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12152
ke/bv
Date : 00.00.00
Name of the Patient : Abc XyzR. Talmn / F / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O bacache radiating to the LLE with paresthesias since 2 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is suggestion of the sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film.
There is forward subluxation of the L4 over the L5 vertebra with a pseudo-posterior disc herniation at the L4-L5 level. There is anterior indentation of the thecal sac and bilateral neural foraminal narrowing at this level. The L4-L5 facet joints show hypertrophic degenerative changes bilaterally, left more than right. There is indentation upon the foraminal portion of the left L4 nerve root with canal stenosis.
A left postero-lateral disc herniation is seen at the L5-S1 level with mild indentation upon the left S1 nerve root. The L5-S1 facet joints show slight degenerative change.
A small, left paracentral and far lateral disc herniation is seen at the L3-L4 level.
The lumbar intervertebral discs show loss of water content.
Focal fatty changes are noted in the upper lumbar vertebrae.
A large Schmorls node is seen in the superior aspect of the D11 vertebra.
The L1-L2, L2-L3 and L3-L4 facet joints show degenerative changes.
Anterior peridiscal osteophytes are seen in the lumbar region.
The rest of 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 S1 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
13.0 mm at L2-L3
9.0 mm at L3-L4
7.0 mm at L4-L5
6.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. Forward subluxation of the L4 over the L5 vertebra.
3. A pseudo-posterior disc herniation at the L4-L5 level with
indentation upon the foraminal portion of the left L4 nerve root and hypertrophic facetal arthropathy at this level.
4. A left postero-lateral disc herniation at the L5-S1 level with mild indentation upon the left S1 nerve root and slight facetal arthropathy at this level.
5. Facetal arthropathy at the L1-L2, L2-L3 and L3-L4 levels.
6. A small, left paracentral and far lateral disc herniation at the L3-L4 level.
Date : 00.00.00
Name of the Patient : Abc XyzR. Talmn / F / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O bacache radiating to the LLE with paresthesias since 2 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is suggestion of the sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film.
There is forward subluxation of the L4 over the L5 vertebra with a pseudo-posterior disc herniation at the L4-L5 level. There is anterior indentation of the thecal sac and bilateral neural foraminal narrowing at this level. The L4-L5 facet joints show hypertrophic degenerative changes bilaterally, left more than right. There is indentation upon the foraminal portion of the left L4 nerve root with canal stenosis.
A left postero-lateral disc herniation is seen at the L5-S1 level with mild indentation upon the left S1 nerve root. The L5-S1 facet joints show slight degenerative change.
A small, left paracentral and far lateral disc herniation is seen at the L3-L4 level.
The lumbar intervertebral discs show loss of water content.
Focal fatty changes are noted in the upper lumbar vertebrae.
A large Schmorls node is seen in the superior aspect of the D11 vertebra.
The L1-L2, L2-L3 and L3-L4 facet joints show degenerative changes.
Anterior peridiscal osteophytes are seen in the lumbar region.
The rest of 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 S1 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
13.0 mm at L2-L3
9.0 mm at L3-L4
7.0 mm at L4-L5
6.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. Forward subluxation of the L4 over the L5 vertebra.
3. A pseudo-posterior disc herniation at the L4-L5 level with
indentation upon the foraminal portion of the left L4 nerve root and hypertrophic facetal arthropathy at this level.
4. A left postero-lateral disc herniation at the L5-S1 level with mild indentation upon the left S1 nerve root and slight facetal arthropathy at this level.
5. Facetal arthropathy at the L1-L2, L2-L3 and L3-L4 levels.
6. A small, left paracentral and far lateral disc herniation at the L3-L4 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12151
ke/sb
Date : 00.00.00
Name of the Patient : Abc Xyzi lmn / F / 70 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O 3 episodes of seizures since 1 month.
Known hypertensive.
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.
OBSERVATION :
There are ill-defined, hyperintense areas in the fronto-parietal periventricular deep white matter, bilateral corona radiata and left centrum semiovale on the T2 Weighted images and are suggestive of areas of ischemia/infarction. Similar areas are noted in the globus pallidi bilaterally, pons and the right lentiform nucleus.
Lacunar infarcts which are slightly hyperintense to CSF on all the pulse sequences are seen in the right cerebellar hemisphere, head of the caudate nucleus on the right side, anteriorly in the left internal capsule and the left corona radiata.
There is moderate dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulcal spaces in the fronto-parietal regions bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
- 2 -
Incidental note is made of inflammatory changes in the right maxillary sinus, ethmoidal air cells and sphenoid sinus.
INTRACRANIAL MRA :
There is slight irregularity of the supraclinoid segment of the right internal carotid artery, right anterior cerebral artery and the right posterior cerebral artery.
There is seen an approximately 3.0 mm diameter sized well-defined, saccular lesion at the tip of the fronto-polar artery on the right. This is suspicious for an aneurysm.
The petrous and cavernous segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, middle cerebral, basilar, vertebral and left posterior cerebral arteries also show normal signal, calibre and wall margins. No vascular malformation is identified. Tortuosity of the vertebro-basilar system is noted.
NECK MRA :
The right vertebral artery seems to arise from the innominate artery prior to its bifurcation into the common carotid and right subclavian artery. Tortuosity of the common carotid arteries and the internal and external carotid arteries is noted. The carotid bifucations are unremarkable.
IMPRESSION :
1. Altered signal in the fronto-parietal periventricular deep white matter, bilateral corona radiata, left centrum semiovale, in the globus pallidi bilaterally, pons and the right lentiform nucleus are suggestive of areas of ischemia/infarction.
2. Lacunar infarcts in the right cerebellar hemisphere, head of the caudate nucleus on the right side, anteriorly in the left internal capsule and the left corona radiata.
..3/.
- 3 - scan-00001
3. Slight irregularity of the supraclinoid segment of the right internal carotid artery, right anterior cerebral artery and the right posterior cerebral artery may be due to atherosclerotic changes.
4. An approximately 3.0 mm diameter sized well-defined, saccular lesion at the tip of the fronto-polar artery on the right is suspicious for an aneurysm.
5. Tortuosity of the neck vessels.
Date : 00.00.00
Name of the Patient : Abc Xyzi lmn / F / 70 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O 3 episodes of seizures since 1 month.
Known hypertensive.
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.
OBSERVATION :
There are ill-defined, hyperintense areas in the fronto-parietal periventricular deep white matter, bilateral corona radiata and left centrum semiovale on the T2 Weighted images and are suggestive of areas of ischemia/infarction. Similar areas are noted in the globus pallidi bilaterally, pons and the right lentiform nucleus.
Lacunar infarcts which are slightly hyperintense to CSF on all the pulse sequences are seen in the right cerebellar hemisphere, head of the caudate nucleus on the right side, anteriorly in the left internal capsule and the left corona radiata.
There is moderate dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulcal spaces in the fronto-parietal regions bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
- 2 -
Incidental note is made of inflammatory changes in the right maxillary sinus, ethmoidal air cells and sphenoid sinus.
INTRACRANIAL MRA :
There is slight irregularity of the supraclinoid segment of the right internal carotid artery, right anterior cerebral artery and the right posterior cerebral artery.
There is seen an approximately 3.0 mm diameter sized well-defined, saccular lesion at the tip of the fronto-polar artery on the right. This is suspicious for an aneurysm.
The petrous and cavernous segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, middle cerebral, basilar, vertebral and left posterior cerebral arteries also show normal signal, calibre and wall margins. No vascular malformation is identified. Tortuosity of the vertebro-basilar system is noted.
NECK MRA :
The right vertebral artery seems to arise from the innominate artery prior to its bifurcation into the common carotid and right subclavian artery. Tortuosity of the common carotid arteries and the internal and external carotid arteries is noted. The carotid bifucations are unremarkable.
IMPRESSION :
1. Altered signal in the fronto-parietal periventricular deep white matter, bilateral corona radiata, left centrum semiovale, in the globus pallidi bilaterally, pons and the right lentiform nucleus are suggestive of areas of ischemia/infarction.
2. Lacunar infarcts in the right cerebellar hemisphere, head of the caudate nucleus on the right side, anteriorly in the left internal capsule and the left corona radiata.
..3/.
- 3 - scan-00001
3. Slight irregularity of the supraclinoid segment of the right internal carotid artery, right anterior cerebral artery and the right posterior cerebral artery may be due to atherosclerotic changes.
4. An approximately 3.0 mm diameter sized well-defined, saccular lesion at the tip of the fronto-polar artery on the right is suspicious for an aneurysm.
5. Tortuosity of the neck vessels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12150
ke/bv
Date : 00.00.00
Name of the Patient : Abc XyzM. Galmn / F / 45 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 2 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film.
There is Grade II spondylolisthesis of the L4 over the L5 vertebra with bilateral spondylolysis. A pseudo-posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. There is indentation upon the foraminal portion of the L4 nerve roots bilaterally. This disc shows loss of water content.
Type II degenerative changes are noted in the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc.
A probable conjoint nerve root is identified on the right side at the S1 vertebral level.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
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 :
15.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
14.0 mm at L4-L5
7.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. Grade II spondylolisthesis of the L4 over the L5 vertebra with bilateral spondylolysis and a pseudo-posterior disc herniation at this level indenting the foraminal portion of the L4 nerve roots bilaterally.
Date : 00.00.00
Name of the Patient : Abc XyzM. Galmn / F / 45 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 2 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film.
There is Grade II spondylolisthesis of the L4 over the L5 vertebra with bilateral spondylolysis. A pseudo-posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. There is indentation upon the foraminal portion of the L4 nerve roots bilaterally. This disc shows loss of water content.
Type II degenerative changes are noted in the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc.
A probable conjoint nerve root is identified on the right side at the S1 vertebral level.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
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 :
15.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
14.0 mm at L4-L5
7.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. Grade II spondylolisthesis of the L4 over the L5 vertebra with bilateral spondylolysis and a pseudo-posterior disc herniation at this level indenting the foraminal portion of the L4 nerve roots bilaterally.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12149
sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyz Waghlmn / F / 48 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neck pain radiating to the RUE with paresthesias since 1 month.
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.
There is a right paracentral disc herniation with peridiscal osteophytes at the C6-C7 level with mild indentation upon the right C7 nerve root and the spinal cord.
A small left postero-lateral disc herniation with peridiscal osteophytes is seen at the C5-C6 level with mild left neural foraminal narrowing.
The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord shows normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. A right paracentral disc herniation with peridiscal osteophyte at the C6-C7 level with mild indentation upon the right C7 nerve root and the spinal cord.
2. A small left postero-lateral disc herniation at the C5-C6 level.
Date : 00.00.00
Name of the Patient : Abc Xyz Waghlmn / F / 48 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neck pain radiating to the RUE with paresthesias since 1 month.
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.
There is a right paracentral disc herniation with peridiscal osteophytes at the C6-C7 level with mild indentation upon the right C7 nerve root and the spinal cord.
A small left postero-lateral disc herniation with peridiscal osteophytes is seen at the C5-C6 level with mild left neural foraminal narrowing.
The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord shows normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. A right paracentral disc herniation with peridiscal osteophyte at the C6-C7 level with mild indentation upon the right C7 nerve root and the spinal cord.
2. A small left postero-lateral disc herniation at the C5-C6 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12148
ke/bv
Date : 00.00.00
Name of the Patient : Abc Xyzp Glmn / M / 19 yrs.
Referred by : Dr. Abc Xyzvade.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache with swelling since childhood.
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.
7 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick T1 Weighted coronal images.
OBSERVATION :
There is slight anterior wedging of the D10 and D11 vertebral bodies with an angular kyphus at this level.
There are erosions with replacement of the normal marrow of the left pedicle and the transverse process as well as the spinous process and the lamina of the D7, D8, D9, D10 and D11 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogenously hyperintense on the T2 Weighted images. There is a left paravertebral soft tissue lesion extending over the D7 to the D10-D11 levels with involvement of the costo-vertebral and costo-transverse joints over these levels. There is encroachment into the D7-D8, D8-D9, D9-D10 and D10-D11 neural foramina on the left side with small lateral epidural extension. There is extension into the paraspinal soft tissues bilaterally over the D4 to the L2 levels. This lesion is slightly hyperintense to the muscles on the T1 Weighted images and turns hyperintense on the T2 Weighted images. Septae are noted within this lesion.
..2/.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1 level.
IMPRESSION :
The MRI features are suggestive of altered signal of the D7, D8, D9, D10 and D11 vertebral bodies with extensions as described is
not specific for a single etiology.
The possibilities to be considered are,
1. A nerve sheath tumor in view of the presence of the lesion since birth. The possibility of malignant degeneration within this lesion should be excluded.
2. Soft tissue sarcoma though less likely.
3. An infective lesion seems less likely.
Date : 00.00.00
Name of the Patient : Abc Xyzp Glmn / M / 19 yrs.
Referred by : Dr. Abc Xyzvade.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache with swelling since childhood.
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.
7 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick T1 Weighted coronal images.
OBSERVATION :
There is slight anterior wedging of the D10 and D11 vertebral bodies with an angular kyphus at this level.
There are erosions with replacement of the normal marrow of the left pedicle and the transverse process as well as the spinous process and the lamina of the D7, D8, D9, D10 and D11 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogenously hyperintense on the T2 Weighted images. There is a left paravertebral soft tissue lesion extending over the D7 to the D10-D11 levels with involvement of the costo-vertebral and costo-transverse joints over these levels. There is encroachment into the D7-D8, D8-D9, D9-D10 and D10-D11 neural foramina on the left side with small lateral epidural extension. There is extension into the paraspinal soft tissues bilaterally over the D4 to the L2 levels. This lesion is slightly hyperintense to the muscles on the T1 Weighted images and turns hyperintense on the T2 Weighted images. Septae are noted within this lesion.
..2/.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1 level.
IMPRESSION :
The MRI features are suggestive of altered signal of the D7, D8, D9, D10 and D11 vertebral bodies with extensions as described is
not specific for a single etiology.
The possibilities to be considered are,
1. A nerve sheath tumor in view of the presence of the lesion since birth. The possibility of malignant degeneration within this lesion should be excluded.
2. Soft tissue sarcoma though less likely.
3. An infective lesion seems less likely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12147
ke/sb
Date : 00.00.00
Name of the Patient : Abc Xyz K. Plmn / F / 47 yrs.
Referred by : Dr. Abc Xyz. Chaturvedi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 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 loss of normal lumbar lordosis.
There is a postero-central disc herniation with peridiscal osteophyte at the L5-S1 level with anterior indentation of the thecal sac. A small disc portion is seen to migrate inferiorly behind the S1 vertebral body, indenting the S1 nerve roots bilaterally.
A postero-central disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac.
Anterior disc herniations are noted at the L3-L4, L4-L5 and L5-S1 levels.
The L1-L2, L4-L5 and L5-S1 intervertebral discs show loss of water content.
Focal fatty changes are seen in the lower lumbar vertebrae.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
- 2 - scan-00007
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 :
18.0 mm at L1-L2
18.0 mm at L2-L3
15.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. A postero-central disc herniation with peridiscal osteophyte at the L5-S1 level with a small disc portion seen to migrate inferiorly behind the S1 vertebral body.
2. A postero-central disc herniation at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyz K. Plmn / F / 47 yrs.
Referred by : Dr. Abc Xyz. Chaturvedi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 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 loss of normal lumbar lordosis.
There is a postero-central disc herniation with peridiscal osteophyte at the L5-S1 level with anterior indentation of the thecal sac. A small disc portion is seen to migrate inferiorly behind the S1 vertebral body, indenting the S1 nerve roots bilaterally.
A postero-central disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac.
Anterior disc herniations are noted at the L3-L4, L4-L5 and L5-S1 levels.
The L1-L2, L4-L5 and L5-S1 intervertebral discs show loss of water content.
Focal fatty changes are seen in the lower lumbar vertebrae.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
- 2 - scan-00007
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 :
18.0 mm at L1-L2
18.0 mm at L2-L3
15.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. A postero-central disc herniation with peridiscal osteophyte at the L5-S1 level with a small disc portion seen to migrate inferiorly behind the S1 vertebral body.
2. A postero-central disc herniation at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12146
ke/bv
Date : 00.00.00
Name of the Patient : Abc XyzSollmn / M / 24 yrs.
Referred by : Dr. Abc Xyzaj.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE since 1 month.
EXAMINATION :
M.R.I of the dorsal 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 visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the D12-L1 level.
IMPRESSION :
Normal study of the dorsal spine.
Date : 00.00.00
Name of the Patient : Abc XyzSollmn / M / 24 yrs.
Referred by : Dr. Abc Xyzaj.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE since 1 month.
EXAMINATION :
M.R.I of the dorsal 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 visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the D12-L1 level.
IMPRESSION :
Normal study of the dorsal spine.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12144
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyza lmn / M / 66 yrs.
Referred by : Dr. Abc Xyzh Shah / Dr. Abc XyzMomaya.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O cataract surgery of left eye one month back.
Now C/O decreased vision with swelling on the left side.
Known diabetic.
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.
OBSERVATION :
There is an ill-defined, hyperintense lesion on the proton and T2 Weighted images in the left cerebellar hemisphere. This lesion appears hypointense on the T1 Weighted images.
There is thickening of the gyri in the inferior frontal and frontal regions bilaterally. These gyri appear relatively hypointense to normal grey matter on the T1 Weighted images and appear hyperintense on the proton and T2 Weighted images. Hyperintense signal on the proton and T2 Weighted images is also noted in the white matter in the frontal lobes bilaterally. Ill-defined hyperintense signal on the proton and T2 Weighted images is also noted in the posterior parietal deep white matter bilaterally and in bilateral centrum semiovale.
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.
There is seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the left cavernous sinus, posteriorly. This lesion appears hyperintense on the STIR images. Ill-defined, hyperintense signal on the STIR images is also noted in the orbital fat on the left, periorbital region and in the soft tissues of the left half of the face.
Inflammatory tissue is noted in the sphenoid sinus, right frontal sinus and in the right maxillary antrum.
The nasal turbinates appear slightly atrophied. ? surgical intervention to the nasal septum is noted.
IMPRESSION :
1. Altered signal in the left cerebellar hemisphere is not specific for a single etiology. This may represent an ischemic lesion or a demyelinating plaque.
2. Altered signal along the cortex in the left inferior frontal and frontal regions and left anterior temporal region as described may represent an ischemic lesion.
3. Soft tissue lesion in the left cavernous sinus, posteriorly, may represent an inflammatory lesion. Altered signal in the orbital fat on the left, periorbital region and in the soft tissues of the left half of the face also represents inflammatory changes.
4. Inflammatory changes in the sphenoid sinus and right maxillary antrum.
In a known diabetic with inflammatory changes in the paranasal sinuses as described and left orbital and periorbital cellulitis, mucormycosis should be ruled out.
A contrast enhanced scan would be worthwhile to delineate the left cavernous sinus lesion and basal meningitis, if any.
Date : 00.00.00
Name of the Patient : Abc Xyza lmn / M / 66 yrs.
Referred by : Dr. Abc Xyzh Shah / Dr. Abc XyzMomaya.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O cataract surgery of left eye one month back.
Now C/O decreased vision with swelling on the left side.
Known diabetic.
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.
OBSERVATION :
There is an ill-defined, hyperintense lesion on the proton and T2 Weighted images in the left cerebellar hemisphere. This lesion appears hypointense on the T1 Weighted images.
There is thickening of the gyri in the inferior frontal and frontal regions bilaterally. These gyri appear relatively hypointense to normal grey matter on the T1 Weighted images and appear hyperintense on the proton and T2 Weighted images. Hyperintense signal on the proton and T2 Weighted images is also noted in the white matter in the frontal lobes bilaterally. Ill-defined hyperintense signal on the proton and T2 Weighted images is also noted in the posterior parietal deep white matter bilaterally and in bilateral centrum semiovale.
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.
There is seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the left cavernous sinus, posteriorly. This lesion appears hyperintense on the STIR images. Ill-defined, hyperintense signal on the STIR images is also noted in the orbital fat on the left, periorbital region and in the soft tissues of the left half of the face.
Inflammatory tissue is noted in the sphenoid sinus, right frontal sinus and in the right maxillary antrum.
The nasal turbinates appear slightly atrophied. ? surgical intervention to the nasal septum is noted.
IMPRESSION :
1. Altered signal in the left cerebellar hemisphere is not specific for a single etiology. This may represent an ischemic lesion or a demyelinating plaque.
2. Altered signal along the cortex in the left inferior frontal and frontal regions and left anterior temporal region as described may represent an ischemic lesion.
3. Soft tissue lesion in the left cavernous sinus, posteriorly, may represent an inflammatory lesion. Altered signal in the orbital fat on the left, periorbital region and in the soft tissues of the left half of the face also represents inflammatory changes.
4. Inflammatory changes in the sphenoid sinus and right maxillary antrum.
In a known diabetic with inflammatory changes in the paranasal sinuses as described and left orbital and periorbital cellulitis, mucormycosis should be ruled out.
A contrast enhanced scan would be worthwhile to delineate the left cavernous sinus lesion and basal meningitis, if any.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12143
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyz Pallmn / F / 46 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE.
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 loss of water content of the lumbar intervertebral discs.
There is a posterior and left postero-lateral disc bulge with peridiscal osteophyte at the L5-S1 level. Indentation on the extraforaminal segment of the left L5 nerve root is noted. Slight facetal hypertrophy is also noted at this level.
A posteriorly bulging disc is noted at the L4-L5 level with bilateral neural foraminal narrowing.
Anterior disc herniations with anterior peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels.
Type II degenerative changes are noted adjacent to the L5-S1 and L4-L5 intervertebral discs.
Scan-00003
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 D12-L1 level and the thecal sac terminates at the S1-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
16.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A posterior and left postero-lateral disc bulge with peridiscal osteophyte at the L5-S1 level with indentation on the extraforaminal segment of the left L5 nerve root.
2. A posteriorly bulging disc at the L4-L5 level with bilateral neural foraminal narrowing.
Date : 00.00.00
Name of the Patient : Abc Xyz Pallmn / F / 46 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE.
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 loss of water content of the lumbar intervertebral discs.
There is a posterior and left postero-lateral disc bulge with peridiscal osteophyte at the L5-S1 level. Indentation on the extraforaminal segment of the left L5 nerve root is noted. Slight facetal hypertrophy is also noted at this level.
A posteriorly bulging disc is noted at the L4-L5 level with bilateral neural foraminal narrowing.
Anterior disc herniations with anterior peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels.
Type II degenerative changes are noted adjacent to the L5-S1 and L4-L5 intervertebral discs.
Scan-00003
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 D12-L1 level and the thecal sac terminates at the S1-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
16.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A posterior and left postero-lateral disc bulge with peridiscal osteophyte at the L5-S1 level with indentation on the extraforaminal segment of the left L5 nerve root.
2. A posteriorly bulging disc at the L4-L5 level with bilateral neural foraminal narrowing.
Published in
MRI Reports