Regular User
Sunday, 27 December 2015 16:48
12077
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyz. Dilmn / F / 13 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 1 1/2 years of age. On anti-epileptics for 5 years.
Now 4 episodes in March 0000.
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.
SOME IMAGES SHOW PATIENT MOTION.
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.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyz. Dilmn / F / 13 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 1 1/2 years of age. On anti-epileptics for 5 years.
Now 4 episodes in March 0000.
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.
SOME IMAGES SHOW PATIENT MOTION.
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.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12076
sb/ke
Date : 00.00.00
Name of the Patient : Abc XyzJlmn / F / 49 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 2-3 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 water content of the L4-L5 and L5-S1 intervertebral discs.
There is Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis. Resultant pseudo-posterior disc bulge is noted at the L4-L5 level. There is also hypertrophic facetal arthropathy and compromise of the neural foramen, bilaterally at this level. Facet joint effusion is noted at the L4-L5 level bilaterally.
A small postero-central protruded disc is noted at the L5-S1 level.
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-00006
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 :
16.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis.
2. A pseudo-posterior disc bulge at the L4-L5 level with hypertrophic facetal arthropathy and compromise of the neural foramen, bilaterally at this level. Facet joint effusion is noted at the L4-L5 level bilaterally.
Date : 00.00.00
Name of the Patient : Abc XyzJlmn / F / 49 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 2-3 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 water content of the L4-L5 and L5-S1 intervertebral discs.
There is Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis. Resultant pseudo-posterior disc bulge is noted at the L4-L5 level. There is also hypertrophic facetal arthropathy and compromise of the neural foramen, bilaterally at this level. Facet joint effusion is noted at the L4-L5 level bilaterally.
A small postero-central protruded disc is noted at the L5-S1 level.
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-00006
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 :
16.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis.
2. A pseudo-posterior disc bulge at the L4-L5 level with hypertrophic facetal arthropathy and compromise of the neural foramen, bilaterally at this level. Facet joint effusion is noted at the L4-L5 level bilaterally.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12075
Date : 00.00.00
Name of the Patient : Abc Xyzi K. Boclmn / F / 40 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O paraplegia with retention of urine since 2 days.
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.
5 mm thick T1 Weighted and T2 Weighted axial images.
3 mm T2 Weighted coronal images.
OBSERVATION :
There is seen a small, approximately 5.0 cms diameter sized well marginated hypointense lesion on all the pulse sequences within the dorsal spinal cord at the D11 vertebral level. There is slight increase in diameter of the dorsal spinal cord at D11 and D12 vertebral levels. The rest of the dorsal spinal cord over the D8 to D12 vertebral levels shows a hyperintense signal on the T2 Weighted images, centrally, which may represent cord edema/ischemia. Multiple serpingenous signal-void lesions are noted in the CSF space along the right lateral margin of the lower spinal cord over D11 to L2 vertebral levels. These may represent blood vessels. Minimal indentation on the right lateral margin of the dorsal spinal cord at D11 and D12 vertebral levels is noted.
The visualized dorsal vertebral bodies show normal signal intensity. The D10-D11 intervertebral disc shows slight loss of water content. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level.
..2/.
- 2 - scan-00005
Screeening T2 Weighted sagittal images of the cervical spine shows a small postero-central disc herniation with peridiscal osteophyte at the C5-C6 level. There is no significant cord compression. The cervical spinal cord shows normal signal.
IMPRESSION :
Multiple serpingenous signal-void lesions in the CSF space along the right lateral margin of the lower spinal cord over D11 to L2 vertebral levels most likely represent an intradural vascular malformation. A signal-void lesion on all pulse sequences in the dorsal spinal cord at the D11 vertebral level may represent the nidus. Altered signal in the rest of the dorsal spinal cord over D8 to D12 vertebral levels may represent cord edema/ischemia.
Name of the Patient : Abc Xyzi K. Boclmn / F / 40 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O paraplegia with retention of urine since 2 days.
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.
5 mm thick T1 Weighted and T2 Weighted axial images.
3 mm T2 Weighted coronal images.
OBSERVATION :
There is seen a small, approximately 5.0 cms diameter sized well marginated hypointense lesion on all the pulse sequences within the dorsal spinal cord at the D11 vertebral level. There is slight increase in diameter of the dorsal spinal cord at D11 and D12 vertebral levels. The rest of the dorsal spinal cord over the D8 to D12 vertebral levels shows a hyperintense signal on the T2 Weighted images, centrally, which may represent cord edema/ischemia. Multiple serpingenous signal-void lesions are noted in the CSF space along the right lateral margin of the lower spinal cord over D11 to L2 vertebral levels. These may represent blood vessels. Minimal indentation on the right lateral margin of the dorsal spinal cord at D11 and D12 vertebral levels is noted.
The visualized dorsal vertebral bodies show normal signal intensity. The D10-D11 intervertebral disc shows slight loss of water content. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level.
..2/.
- 2 - scan-00005
Screeening T2 Weighted sagittal images of the cervical spine shows a small postero-central disc herniation with peridiscal osteophyte at the C5-C6 level. There is no significant cord compression. The cervical spinal cord shows normal signal.
IMPRESSION :
Multiple serpingenous signal-void lesions in the CSF space along the right lateral margin of the lower spinal cord over D11 to L2 vertebral levels most likely represent an intradural vascular malformation. A signal-void lesion on all pulse sequences in the dorsal spinal cord at the D11 vertebral level may represent the nidus. Altered signal in the rest of the dorsal spinal cord over D8 to D12 vertebral levels may represent cord edema/ischemia.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12072
ke/hs
Date : 00.00.00
Name of the Patient : Abc Xyza Plmn / F / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 10 years.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of normal lumbar lordosis.
There is a large left paracentral disc extrusion with peridiscal osteophytes at the L5-S1 level with compression of the thecal sac and canal stenosis. There is indentation upon the traversing left S1 nerve root. Slight ligamentum flavum hypertrophy is noted at the L5-S1 level.
A diffuse posterior disc herniation with peridiscal osteophytes is seen at the L4-L5 level. The L4-L5 facet joint on the left side shows mild degenerative change. Bilateral far lateral (extraforaminal) disc herniations are seen at the L4-L5 level.
Small postero-central disc herniations are noted at the L1-L2 and L2-L3 levels and a posterior disc bulge is seen at the L3-L4 level.
The lumbar intervertebral discs show loss of water content.
Type II degenerative changes are seen within the L5 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 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
16.0 mm at L2-L3
16.0 mm at L3-L4
11.0 mm at L4-L5
2.0 mm at L5-S1.
IMPRESSION :
1. A large left paracentral disc extrusion at the L5-S1 level with indentation upon the traversing left S1 nerve root and canal stenosis.
2. A diffuse posterior disc herniation at the L4-L5 level with degenerative changes of the L4-L5 facet joint on the left side.
3. Small postero-central disc herniations at the L1-L2 and L2-L3 levels.
4. A posterior disc bulge at the L3-L4 level.
5. Bilateral far lateral (extraforaminal) disc herniations at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyza Plmn / F / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 10 years.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of normal lumbar lordosis.
There is a large left paracentral disc extrusion with peridiscal osteophytes at the L5-S1 level with compression of the thecal sac and canal stenosis. There is indentation upon the traversing left S1 nerve root. Slight ligamentum flavum hypertrophy is noted at the L5-S1 level.
A diffuse posterior disc herniation with peridiscal osteophytes is seen at the L4-L5 level. The L4-L5 facet joint on the left side shows mild degenerative change. Bilateral far lateral (extraforaminal) disc herniations are seen at the L4-L5 level.
Small postero-central disc herniations are noted at the L1-L2 and L2-L3 levels and a posterior disc bulge is seen at the L3-L4 level.
The lumbar intervertebral discs show loss of water content.
Type II degenerative changes are seen within the L5 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 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
16.0 mm at L2-L3
16.0 mm at L3-L4
11.0 mm at L4-L5
2.0 mm at L5-S1.
IMPRESSION :
1. A large left paracentral disc extrusion at the L5-S1 level with indentation upon the traversing left S1 nerve root and canal stenosis.
2. A diffuse posterior disc herniation at the L4-L5 level with degenerative changes of the L4-L5 facet joint on the left side.
3. Small postero-central disc herniations at the L1-L2 and L2-L3 levels.
4. A posterior disc bulge at the L3-L4 level.
5. Bilateral far lateral (extraforaminal) disc herniations at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12071
ke/hs
Date : 00.00.00
Name of the Patient : Abc Xyzai P. Nlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with diminished vision of the left eye since 3 months.
C/O right C.P. angle tumor.
VP shunt done 10 days back.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick T1 Weighted coronal images.
MR cisternogram was obtained in the coronal plane.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a large fairly well-defined extra-axial mass lesion in the right cerebello-pontine angle cistern and which measures approximately 6.1 x 5.8 x 5.3 cms. This lesion has a predominant cystic portion which is hyperintense to CSF on all the pulse sequences and is located in the posterior aspect of the entire lesion (? an associated arachnoid cyst). A small solid portion is seen anteriorly at the root exit zone of the seventh and eighth cranial nerve complex on the right side and measures approximately 1.5 x 2.2 x 2.0 cms. This portion is hypointense to white matter but isointense to grey matter on the T1 Weighted images and is heterogeneously hyperintense on the proton and
T2 Weighted images and hyperintense on the FLAIR images. There is slight extension into the internal auditory canal on the right side. There is gross mass effect with compression of the right lateral aspect of the pons, medulla, right cerebellar hemisphere and the right middle cerebellar peduncle and the right postero-lateral aspect of the fourth ventricle. There is resultant shift of the midline structures to the left. Cerebellar tonsillar herniation is also noted (which is seen to lie below the foramen magnum level).
The seventh and eight cranial nerve complex on the left side is unremarkable.
Burrholes are noted in the right frontal and left parietal regions. A ventriculostomy tube is seen to traverse to the left parietal region and the tip is seen to lie in the right corona radiata. Hyperintense areas are seen along the course of the tube on the T2 Weighted and FLAIR images.
Hyperintense areas are seen in the periatrial deep white matter on the proton, T2 Weighted and FLAIR images and are isointense to white matter on the T1 Weighted images and may represent areas of ischemia/infarction.
There is mild dilatation of both the lateral and third ventricles. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of an extra-axial mass lesion in the right cerebello-pontine angle cistern which measures approximately 6.1 x 5.8 x 5.3 cms. which most probably represents an acoustic neurinoma.
Date : 00.00.00
Name of the Patient : Abc Xyzai P. Nlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with diminished vision of the left eye since 3 months.
C/O right C.P. angle tumor.
VP shunt done 10 days back.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick T1 Weighted coronal images.
MR cisternogram was obtained in the coronal plane.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a large fairly well-defined extra-axial mass lesion in the right cerebello-pontine angle cistern and which measures approximately 6.1 x 5.8 x 5.3 cms. This lesion has a predominant cystic portion which is hyperintense to CSF on all the pulse sequences and is located in the posterior aspect of the entire lesion (? an associated arachnoid cyst). A small solid portion is seen anteriorly at the root exit zone of the seventh and eighth cranial nerve complex on the right side and measures approximately 1.5 x 2.2 x 2.0 cms. This portion is hypointense to white matter but isointense to grey matter on the T1 Weighted images and is heterogeneously hyperintense on the proton and
T2 Weighted images and hyperintense on the FLAIR images. There is slight extension into the internal auditory canal on the right side. There is gross mass effect with compression of the right lateral aspect of the pons, medulla, right cerebellar hemisphere and the right middle cerebellar peduncle and the right postero-lateral aspect of the fourth ventricle. There is resultant shift of the midline structures to the left. Cerebellar tonsillar herniation is also noted (which is seen to lie below the foramen magnum level).
The seventh and eight cranial nerve complex on the left side is unremarkable.
Burrholes are noted in the right frontal and left parietal regions. A ventriculostomy tube is seen to traverse to the left parietal region and the tip is seen to lie in the right corona radiata. Hyperintense areas are seen along the course of the tube on the T2 Weighted and FLAIR images.
Hyperintense areas are seen in the periatrial deep white matter on the proton, T2 Weighted and FLAIR images and are isointense to white matter on the T1 Weighted images and may represent areas of ischemia/infarction.
There is mild dilatation of both the lateral and third ventricles. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of an extra-axial mass lesion in the right cerebello-pontine angle cistern which measures approximately 6.1 x 5.8 x 5.3 cms. which most probably represents an acoustic neurinoma.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12070
ke/hs
Date : 00.00.00
Name of the Patient : Abc Xyzl Jlmn / M / 15 yrs.
Referred by : Dr. Abc Xyzankhla.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right fronto-temporal gliosarcoma. Excised on 00.00.00. Received radiotherapy.
For follow-up.
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 T2 Weighted coronal images.
IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is a right temporo-parietal craniotomy with post-operative changes. A large collection is seen in the subgaleal region at the site of craniotomy which is slightly hyperintense to CSF on all the pulse sequences.
An ill-defined hypointense area is seen in the right fronto-temporo-parietal region adjacent to the Sylvian cistern on the T1 Weighted images which is seen to turn heterogeneously hyperintense on the proton and T2 Weighted images.
A lacunar infarct is noted in the left lentiform nucleus.
There is dilatation of the right lateral ventricle. There is slight fullness of the left lateral ventricle. The 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 bilateral maxillary sinusitis.
IMPRESSION :
The MRI features are suggestive of :
1. Post-operative status.
2. Areas of gliosis with resultant dilatation of the body of the right lateral ventricle.
No obvious mass lesion is seen in the right fronto-parieto-temporal region.
As compared to the previous MRI (study no:00008) dated 00.00.00, there is an increase in the dilatation of the right lateral ventricle.
No obvious haemorrhage is seen on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzl Jlmn / M / 15 yrs.
Referred by : Dr. Abc Xyzankhla.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right fronto-temporal gliosarcoma. Excised on 00.00.00. Received radiotherapy.
For follow-up.
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 T2 Weighted coronal images.
IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is a right temporo-parietal craniotomy with post-operative changes. A large collection is seen in the subgaleal region at the site of craniotomy which is slightly hyperintense to CSF on all the pulse sequences.
An ill-defined hypointense area is seen in the right fronto-temporo-parietal region adjacent to the Sylvian cistern on the T1 Weighted images which is seen to turn heterogeneously hyperintense on the proton and T2 Weighted images.
A lacunar infarct is noted in the left lentiform nucleus.
There is dilatation of the right lateral ventricle. There is slight fullness of the left lateral ventricle. The 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 bilateral maxillary sinusitis.
IMPRESSION :
The MRI features are suggestive of :
1. Post-operative status.
2. Areas of gliosis with resultant dilatation of the body of the right lateral ventricle.
No obvious mass lesion is seen in the right fronto-parieto-temporal region.
As compared to the previous MRI (study no:00008) dated 00.00.00, there is an increase in the dilatation of the right lateral ventricle.
No obvious haemorrhage is seen on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12069
hs/ke
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
Alleged H/O fall with injury to neck 1 month back with inability to lift the RUE and paresthesias since then.
C/O mild pain in the neck.
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.
4 mm thick T1 Weighted and T2 Weighted (with fat saturation) coronal images.
OBSERVATION :
There is forward translation of the C5 vertebra over the C6 vertebra. There appears to be diastasis of the right C5-C6 facet joint.
A large posterior disc extrusion with peridiscal osteophytes is seen to indent the cord at the C5-C6 level. A disc portion is seen to lie in the anterior epidural space at the C6 and C5 (more to the right) levels. Also seen is a right postero-lateral disc herniation narrowing the right neural foramen at the C5-C6 level.
There is a small postero-central disc herniation at the C6-C7 level and left paracentral disc herniation at the C2-C3 level. Posterior disc bulges are noted at the C3-C4 and C4-C5 levels.
Hyperintense signal on the T2 Weighted images (hyperintense to muscle but hypointense to fat on the T1 Weighted images) is seen in the right paravertebral soft tissues at the C5 and C6 levels and in the right C5-C6 neural foramen. This may represent soft tissue edema/haemorrhage.
The right joint of Luschka at the C4-C5 level shows degenerative changes with right neural foraminal narrowing.
The cervical intervertebral discs show loss of water content.
Small posterior disc herniations are noted at the C2-C3, C3-C4, C4-C5 and C6-C7 levels.
The cervical vertebral bodies show normal signal intensity. The remaining joints of Luschka are unremarkable.
The cervical spinal cord shows normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. A large posterior disc extrusion with peridiscal osteophytes at the C5-C6 level with a disc portion lying within the anterior epidural space at the C6 and C5 (more to the right) levels.
..3/.
- 3 - Scan-00009
2. A right postero-lateral disc herniation at the C5-C6 level.
3. Forward translation of the C5 vertebra over the C6 vertebra.
4. Probable soft tissue edema/haemorrhage in the right paravertebral soft tissues at the C5 and C6 levels.
5. A small postero-central disc herniation at the C6-C7 level.
6. A small left paracentral disc herniation at the C2-C3 level.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
Alleged H/O fall with injury to neck 1 month back with inability to lift the RUE and paresthesias since then.
C/O mild pain in the neck.
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.
4 mm thick T1 Weighted and T2 Weighted (with fat saturation) coronal images.
OBSERVATION :
There is forward translation of the C5 vertebra over the C6 vertebra. There appears to be diastasis of the right C5-C6 facet joint.
A large posterior disc extrusion with peridiscal osteophytes is seen to indent the cord at the C5-C6 level. A disc portion is seen to lie in the anterior epidural space at the C6 and C5 (more to the right) levels. Also seen is a right postero-lateral disc herniation narrowing the right neural foramen at the C5-C6 level.
There is a small postero-central disc herniation at the C6-C7 level and left paracentral disc herniation at the C2-C3 level. Posterior disc bulges are noted at the C3-C4 and C4-C5 levels.
Hyperintense signal on the T2 Weighted images (hyperintense to muscle but hypointense to fat on the T1 Weighted images) is seen in the right paravertebral soft tissues at the C5 and C6 levels and in the right C5-C6 neural foramen. This may represent soft tissue edema/haemorrhage.
The right joint of Luschka at the C4-C5 level shows degenerative changes with right neural foraminal narrowing.
The cervical intervertebral discs show loss of water content.
Small posterior disc herniations are noted at the C2-C3, C3-C4, C4-C5 and C6-C7 levels.
The cervical vertebral bodies show normal signal intensity. The remaining joints of Luschka are unremarkable.
The cervical spinal cord shows normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. A large posterior disc extrusion with peridiscal osteophytes at the C5-C6 level with a disc portion lying within the anterior epidural space at the C6 and C5 (more to the right) levels.
..3/.
- 3 - Scan-00009
2. A right postero-lateral disc herniation at the C5-C6 level.
3. Forward translation of the C5 vertebra over the C6 vertebra.
4. Probable soft tissue edema/haemorrhage in the right paravertebral soft tissues at the C5 and C6 levels.
5. A small postero-central disc herniation at the C6-C7 level.
6. A small left paracentral disc herniation at the C2-C3 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12068
Date : 00.00.00
Name of the Patient : Abc XyzPralmn / M / 54 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain in the right knee with locking of both knees since 7-8 months.
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 posterior horn of the medial meniscus of the right knee joint, not extending upto the articular margin. This represents Grade II meniscal signal (meniscal degeneration).
Grade I meniscal signal is noted in the anterior and posterior horns of the lateral meniscus.
The anterior horn of the medial meniscus reveals normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
..2/.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
Mild marginal osteophytes are seen around the knee joint.
The articular cartilage overlying the patella, tibia and femur appears normal.
There is a small right knee joint effusion.
IMPRESSION :
1. Grade II meniscal signal in the posterior horn of the medial meniscus of the right knee joint (meniscal degeneration).
2. Small right knee joint effusion with marginal osteophytes around the knee joint.
Name of the Patient : Abc XyzPralmn / M / 54 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain in the right knee with locking of both knees since 7-8 months.
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 posterior horn of the medial meniscus of the right knee joint, not extending upto the articular margin. This represents Grade II meniscal signal (meniscal degeneration).
Grade I meniscal signal is noted in the anterior and posterior horns of the lateral meniscus.
The anterior horn of the medial meniscus reveals normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
..2/.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
Mild marginal osteophytes are seen around the knee joint.
The articular cartilage overlying the patella, tibia and femur appears normal.
There is a small right knee joint effusion.
IMPRESSION :
1. Grade II meniscal signal in the posterior horn of the medial meniscus of the right knee joint (meniscal degeneration).
2. Small right knee joint effusion with marginal osteophytes around the knee joint.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12067
Date : 00.00.00
Name of the Patient : Abc Xyza lmn / F / 55 yrs.
Referred by : Dr. Abc Xyzra.
Examination : M.R.I. of the Right Shoulder.
CLINICAL PROFILE :
C/O pain in the right shoulder since 2 months with difficulty in lifting the RUE since then.
EXAMINATION :
M.R.I of the right shoulder was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted axial images.
4 mm thick T1 Weighted and T2 Weighted sagittal images.
4 mm thick T1 Weighted, Proton and T2 Weighted coronal images.
OBSERVATION :
There is seen a small, well-marginated hypointense lesion on the T1 Weighted images in the head of the right humerus supero-medially. This lesion remains predominantly hypointense on the T2 Weighted images with focal hyperintense areas within. There is loss of normal contour of the right femoral head. There is reduction in the right gleno-humeral joint space. The articular cartilage overlying the right humeral head appears irregular. Fairly large, osteophytes are noted along the medial and inferior margins of the right humeral head. An infero-medial osteophyte is seen to abut against the inferior glenoid labrum with a probable tear of the inferior glenoid labrum.
Fluid is noted in the right shoulder joint with probable synovial thickening around the gleno-humeral joint.
Scan-00007
There is slight thinning at the musculo-tendinous junction of the supraspinatous muscle with slight decrease in the bulk of the supraspinatus muscle.
The acromio-clavicular joint is normal. The acromion process is seen to sloping posteriorly and laterally.
The visualized axilla is unremarkable.
Fluid is noted around the biceps tendon in the bicipital groove.
IMPRESSION :
1. Altered signal intensity in the head of the right humerus, supero-medially as described may represent an area of osteonecrosis.
2. Severe osteoarthritic changes in the right shoulder joint with osteophytosis along the medial and inferior margins of the humeral head, reduction in gleno-humeral joint space and irregularity of the articular cartilage overlying the humeral head. Probable inferior labral tear is noted.
3. Effusion with synovial thickening in the right shoulder joint.
Name of the Patient : Abc Xyza lmn / F / 55 yrs.
Referred by : Dr. Abc Xyzra.
Examination : M.R.I. of the Right Shoulder.
CLINICAL PROFILE :
C/O pain in the right shoulder since 2 months with difficulty in lifting the RUE since then.
EXAMINATION :
M.R.I of the right shoulder was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted axial images.
4 mm thick T1 Weighted and T2 Weighted sagittal images.
4 mm thick T1 Weighted, Proton and T2 Weighted coronal images.
OBSERVATION :
There is seen a small, well-marginated hypointense lesion on the T1 Weighted images in the head of the right humerus supero-medially. This lesion remains predominantly hypointense on the T2 Weighted images with focal hyperintense areas within. There is loss of normal contour of the right femoral head. There is reduction in the right gleno-humeral joint space. The articular cartilage overlying the right humeral head appears irregular. Fairly large, osteophytes are noted along the medial and inferior margins of the right humeral head. An infero-medial osteophyte is seen to abut against the inferior glenoid labrum with a probable tear of the inferior glenoid labrum.
Fluid is noted in the right shoulder joint with probable synovial thickening around the gleno-humeral joint.
Scan-00007
There is slight thinning at the musculo-tendinous junction of the supraspinatous muscle with slight decrease in the bulk of the supraspinatus muscle.
The acromio-clavicular joint is normal. The acromion process is seen to sloping posteriorly and laterally.
The visualized axilla is unremarkable.
Fluid is noted around the biceps tendon in the bicipital groove.
IMPRESSION :
1. Altered signal intensity in the head of the right humerus, supero-medially as described may represent an area of osteonecrosis.
2. Severe osteoarthritic changes in the right shoulder joint with osteophytosis along the medial and inferior margins of the humeral head, reduction in gleno-humeral joint space and irregularity of the articular cartilage overlying the humeral head. Probable inferior labral tear is noted.
3. Effusion with synovial thickening in the right shoulder joint.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12066
sb/ke
Date : 00.00.00
Name of the Patient : Abc XyzC. Sarvlmn / F / 58 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with diminished vision on the right side and memory lapses since 5-6 months.
Known hypertensive. On Rx.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is volume loss in the left occipital lobe. There is an ill-defined, hypointense lesion on the T1 Weighted images in the left occipital lobe. This lesion follows CSF signal on all pulse sequences. Perilesional white matter hyperintense signal on T2 Weighted and FLAIR images is noted. Mild dilatation of the atrium and occipital horn of the left lateral ventricle is also noted.
There are small bright foci on proton, T2 Weighted and FLAIR images in the deep white matter in the frontal regions bilaterally, right centrum semiovale and in the right frontal periventricular white matter. These lesion appears iso to hypointense to normal white matter on the T1 Weighted images.
Lacunar infarcts are noted in the left lentiform nucleus and left thalamus.
There is mild fullness of both the lateral and the third ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
..2/.
- 2 - scan-00006
Inflammatory changes are noted in the maxillary sinuses, sphenoid sinus and right mastoid air cells.
IMPRESSION :
1. Volume loss in the left occipital lobe with altered signal represents an area of cystic encephalomalacia with perilesional gliotic changes most likely the sequelae of a previous vascular insult.
2. Altered signal in the deep white matter in the frontal regions bilaterally, right centrum semiovale and in the right frontal periventricular white matter represents ischemic changes.
3. Lacunar infarcts in the left lentiform nucleus and left thalamus.
Date : 00.00.00
Name of the Patient : Abc XyzC. Sarvlmn / F / 58 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with diminished vision on the right side and memory lapses since 5-6 months.
Known hypertensive. On Rx.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is volume loss in the left occipital lobe. There is an ill-defined, hypointense lesion on the T1 Weighted images in the left occipital lobe. This lesion follows CSF signal on all pulse sequences. Perilesional white matter hyperintense signal on T2 Weighted and FLAIR images is noted. Mild dilatation of the atrium and occipital horn of the left lateral ventricle is also noted.
There are small bright foci on proton, T2 Weighted and FLAIR images in the deep white matter in the frontal regions bilaterally, right centrum semiovale and in the right frontal periventricular white matter. These lesion appears iso to hypointense to normal white matter on the T1 Weighted images.
Lacunar infarcts are noted in the left lentiform nucleus and left thalamus.
There is mild fullness of both the lateral and the third ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
..2/.
- 2 - scan-00006
Inflammatory changes are noted in the maxillary sinuses, sphenoid sinus and right mastoid air cells.
IMPRESSION :
1. Volume loss in the left occipital lobe with altered signal represents an area of cystic encephalomalacia with perilesional gliotic changes most likely the sequelae of a previous vascular insult.
2. Altered signal in the deep white matter in the frontal regions bilaterally, right centrum semiovale and in the right frontal periventricular white matter represents ischemic changes.
3. Lacunar infarcts in the left lentiform nucleus and left thalamus.
Published in
MRI Reports