Regular User
Sunday, 27 December 2015 16:48
12054
sb/bv
Date : 00.00.00
Name of the Patient : Abc XyzGlmn / M / 33 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O 10-12 episodes of seizures with altered sensorium since 00.00.00.
H/O jaundice since 1 month.
Known alcoholic.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR, T2 Weighted and Fast Scan (T2 *) coronal images.
OBSERVATION :
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and Fast Scan (T2 *) images in the subcortical white matter in the left high parietal regions. This lesion appears hypointense on the T1 Weighted images.
There is an ill-defined, hyperintense signal on the T1 Weighted images in the globus pallidus bilaterally extending into the subthalamic region. This lesion appears isointense to normal grey matter on the proton, T2 Weighted and Fast Scan (T2 *) images.
Hyperintense signal on the T2 Weighted and FLAIR images is also noted in the posterior parietal deep white matter bilaterally.
Prominent perivascular spaces are noted in the cerebral hemisphere.
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.
Inflammatory changes are noted in the maxillary sinuses bilaterally, posterior ethmoidal air cells and right mastoid air cells.
IMPRESSION :
1. Altered signal in the subcortical white matter in the left high parietal parafalcine region and in the posterior parietal deep white matter bilaterally most likely represent ischemic changes.
2. Altered signal in the globus pallidus bilaterally extending into the subthalamic region, may represent paramagnetic substance deposition. Such changes may be seen in hepato-cerebral syndrome.
Date : 00.00.00
Name of the Patient : Abc XyzGlmn / M / 33 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O 10-12 episodes of seizures with altered sensorium since 00.00.00.
H/O jaundice since 1 month.
Known alcoholic.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR, T2 Weighted and Fast Scan (T2 *) coronal images.
OBSERVATION :
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and Fast Scan (T2 *) images in the subcortical white matter in the left high parietal regions. This lesion appears hypointense on the T1 Weighted images.
There is an ill-defined, hyperintense signal on the T1 Weighted images in the globus pallidus bilaterally extending into the subthalamic region. This lesion appears isointense to normal grey matter on the proton, T2 Weighted and Fast Scan (T2 *) images.
Hyperintense signal on the T2 Weighted and FLAIR images is also noted in the posterior parietal deep white matter bilaterally.
Prominent perivascular spaces are noted in the cerebral hemisphere.
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.
Inflammatory changes are noted in the maxillary sinuses bilaterally, posterior ethmoidal air cells and right mastoid air cells.
IMPRESSION :
1. Altered signal in the subcortical white matter in the left high parietal parafalcine region and in the posterior parietal deep white matter bilaterally most likely represent ischemic changes.
2. Altered signal in the globus pallidus bilaterally extending into the subthalamic region, may represent paramagnetic substance deposition. Such changes may be seen in hepato-cerebral syndrome.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12053
hs/sb
Date : 00.00.00
Name of the Patient : Abc Xyz Rlmn / F / 54 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache.
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 lumbar intervertebral discs except at the L4-L5 level show loss of water content.
There is a hypointense signal on the T1 Weighted images within the L4 vertebral body and pedicle on the right side. This is not well appreciated on the T2 Weighted images.
An intradural lesion which is isointense to fat on all the pulse sequences is seen over the L5-S1 to the S2-S3 level. The filum terminale is inserted into this lipoma. The conus medullaris is seen to be low lying and terminates at the L3 vertebral level.
There is slight retroplacement of the L5 vertebra over the S1 vertebra. A small postero-central disc herniation is noted at the L5-S1 level. A posterior disc bulge is noted at the L4-L5 level.
Mild facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels.
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 antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
20.0 mm at L2-L3
19.0 mm at L3-L4
19.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A low lying conus medullaris with insertion of the filum terminale into an intradural lipoma which is seen to extend over the L5-S1 to S2-S3 levels.
2. A small postero-central disc herniation at the L5-S1 level.
3. Altered signal in the L4 vertebral body and pedicle on the right side is not specific for a single etiology. Osteitis may be considered.
Date : 00.00.00
Name of the Patient : Abc Xyz Rlmn / F / 54 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache.
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 lumbar intervertebral discs except at the L4-L5 level show loss of water content.
There is a hypointense signal on the T1 Weighted images within the L4 vertebral body and pedicle on the right side. This is not well appreciated on the T2 Weighted images.
An intradural lesion which is isointense to fat on all the pulse sequences is seen over the L5-S1 to the S2-S3 level. The filum terminale is inserted into this lipoma. The conus medullaris is seen to be low lying and terminates at the L3 vertebral level.
There is slight retroplacement of the L5 vertebra over the S1 vertebra. A small postero-central disc herniation is noted at the L5-S1 level. A posterior disc bulge is noted at the L4-L5 level.
Mild facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels.
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 antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
20.0 mm at L2-L3
19.0 mm at L3-L4
19.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A low lying conus medullaris with insertion of the filum terminale into an intradural lipoma which is seen to extend over the L5-S1 to S2-S3 levels.
2. A small postero-central disc herniation at the L5-S1 level.
3. Altered signal in the L4 vertebral body and pedicle on the right side is not specific for a single etiology. Osteitis may be considered.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12052
hs/bv
Date : 00.00.00
Name of the Patient : Abc Xyz Fernalmn / M / 60 yrs.
Referred by : Dr. Abc Xyznshashi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 1 year.
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 Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra. There is suspicious spondylolysis of the L5 vertebra (please correlate with plain radiographs).
A large posterior disc extrusion with peridiscal osteophytes is seen to indent the thecal sac and narrow both neural foramina with impingement of the exiting L4 nerve roots bilaterally at the L4-L5 level. The facet joints at this level show hypertrophic degenerative changes. Also seen is ligamentum flavum hypertrophy at the L4-L5 and L5 levels with canal stenosis.
A large postero-central and left postero-lateral disc extrusion with peridiscal osteophytes is seen to indent the thecal sac and narrow the left neural foramen at the L5-S1 level. There is indentation upon the thecal sac and traversing S1 nerve roots (left more than right) at this level. A small right postero-lateral (foraminal) disc herniation is also noted at this level. The left S1 nerve root appears slightly larger than the right and is ? inflamed.
Small posterior disc herniations with peridiscal osteophytes are seen to indent the thecal sac and cause slight neural foraminal narrowing bilaterally at the L2-L3 and L3-L4 levels. The L2-L3 and L3-L4 facet joints show hypertrophic degenerative changes.
The L1-L2 and L5-S1 facet joints show degenerative changes.
Far lateral disc herniations are seen bilaterally over the L2-L3 to L5-S1 levels. A right far lateral (extraforaminal) disc herniation is seen to indent the exiting right L1 nerve root at the L1-L2 level.
Anterior disc herniations are seen at the L1-L2 and L4-L5 levels.
The lumbar intervertebral discs show loss of water content.
The lumbar vertebral bodies show areas of fatty replacement of normal marrow suggestive of osteoporotic changes.
The pedicles of the lumbar vertebrae appear to be congenitally short in their antero-posterior dimensions.
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
11.0 mm at L3-L4
7.0 mm at L4-L5
5.0 mm at L5-S1.
..3/.
- 3 - Scan-00002
IMPRESSION :
The MRI features are suggestive of :
1. Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra.
2. A large posterior disc extrusion with peridiscal osteophytes
with hypertrophic facetal arthropathy and ligamentum flavum hypertrophy with canal stenosis at the L4-L5 level.
3. Large postero-central and left postero-lateral disc extrusion with peridiscal osteophytes with canal stenosis
at the L5-S1 level.
4. A small right postero-lateral (foraminal) disc herniation at the L5-S1 level.
5. Bilateral far lateral (extraforaminal) disc herniations over the L2-L3 to L5-S1 levels and on the right side at the L1-L2 level.
6. Small posterior disc herniations with peridiscal osteophytes with hypertrophic facetal arthropathy at the L2-L3 and L3-L4 levels.
7. Facetal arthropathy at the L1-L2 and L5-S1 levels.
8. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
Date : 00.00.00
Name of the Patient : Abc Xyz Fernalmn / M / 60 yrs.
Referred by : Dr. Abc Xyznshashi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 1 year.
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 Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra. There is suspicious spondylolysis of the L5 vertebra (please correlate with plain radiographs).
A large posterior disc extrusion with peridiscal osteophytes is seen to indent the thecal sac and narrow both neural foramina with impingement of the exiting L4 nerve roots bilaterally at the L4-L5 level. The facet joints at this level show hypertrophic degenerative changes. Also seen is ligamentum flavum hypertrophy at the L4-L5 and L5 levels with canal stenosis.
A large postero-central and left postero-lateral disc extrusion with peridiscal osteophytes is seen to indent the thecal sac and narrow the left neural foramen at the L5-S1 level. There is indentation upon the thecal sac and traversing S1 nerve roots (left more than right) at this level. A small right postero-lateral (foraminal) disc herniation is also noted at this level. The left S1 nerve root appears slightly larger than the right and is ? inflamed.
Small posterior disc herniations with peridiscal osteophytes are seen to indent the thecal sac and cause slight neural foraminal narrowing bilaterally at the L2-L3 and L3-L4 levels. The L2-L3 and L3-L4 facet joints show hypertrophic degenerative changes.
The L1-L2 and L5-S1 facet joints show degenerative changes.
Far lateral disc herniations are seen bilaterally over the L2-L3 to L5-S1 levels. A right far lateral (extraforaminal) disc herniation is seen to indent the exiting right L1 nerve root at the L1-L2 level.
Anterior disc herniations are seen at the L1-L2 and L4-L5 levels.
The lumbar intervertebral discs show loss of water content.
The lumbar vertebral bodies show areas of fatty replacement of normal marrow suggestive of osteoporotic changes.
The pedicles of the lumbar vertebrae appear to be congenitally short in their antero-posterior dimensions.
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
11.0 mm at L3-L4
7.0 mm at L4-L5
5.0 mm at L5-S1.
..3/.
- 3 - Scan-00002
IMPRESSION :
The MRI features are suggestive of :
1. Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra.
2. A large posterior disc extrusion with peridiscal osteophytes
with hypertrophic facetal arthropathy and ligamentum flavum hypertrophy with canal stenosis at the L4-L5 level.
3. Large postero-central and left postero-lateral disc extrusion with peridiscal osteophytes with canal stenosis
at the L5-S1 level.
4. A small right postero-lateral (foraminal) disc herniation at the L5-S1 level.
5. Bilateral far lateral (extraforaminal) disc herniations over the L2-L3 to L5-S1 levels and on the right side at the L1-L2 level.
6. Small posterior disc herniations with peridiscal osteophytes with hypertrophic facetal arthropathy at the L2-L3 and L3-L4 levels.
7. Facetal arthropathy at the L1-L2 and L5-S1 levels.
8. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12051
sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyzngi Glmn / F / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O mental retardation with seizures.
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 seen slight thickening of the cortex in the right cerebral hemisphere with slight effacement of the sulcal spaces of the right cerebral hemisphere.
Both the lateral and third ventricles appear chinky. 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.
Inflammatory changes are noted in the right maxillary antrum, sphenoid sinus and posterior ethmoidal air cells.
IMPRESSION :
Slight thickening of the cortex of the right cerebral hemisphere with sulcal space effacement may suggest cortical heterotopia (? pachygyria).
Date : 00.00.00
Name of the Patient : Abc Xyzngi Glmn / F / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O mental retardation with seizures.
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 seen slight thickening of the cortex in the right cerebral hemisphere with slight effacement of the sulcal spaces of the right cerebral hemisphere.
Both the lateral and third ventricles appear chinky. 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.
Inflammatory changes are noted in the right maxillary antrum, sphenoid sinus and posterior ethmoidal air cells.
IMPRESSION :
Slight thickening of the cortex of the right cerebral hemisphere with sulcal space effacement may suggest cortical heterotopia (? pachygyria).
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12050
sb/bv
Date : 00.00.00
Name of the Patient : Abc XyzKotlmn / F / 20 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O cysticercus granuloma in the left temporo-parietal cortex. No complaints at present.
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.
4 mm thick FLAIR coronal images.
After contrast administration, 5 mm thick T1 Weighted axial (with magnetization transfer) images, sagittal images and 3 mm thick T1 Weighted coronal images (with magnetization transfer).
OBSERVATION :
There is seen a very small, enhancing focus in the left fronto-temporal cortex, best appreciated on the coronal post-contrast scan (as marked by a label in film no.VI). This lesion is not well appreciated on the unenhanced scan, though there is a suspicion on the FLAIR coronal images (scan 105.12) and proton density images (scan 103.12).
There is no other focal area of altered signal intensity within the brain parenchyma.
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 no other focal area of abnormal enhancement in the brain parenchyma or the meninges.
IMPRESSION :
A very small enhancing focus in the left temporo-parietal cortex as described represents the residue of previous granuloma.
As compared to the previous MRI (scan no:0000) dated 00.00.00, there is slight decrease in the size of the lesion.
Date : 00.00.00
Name of the Patient : Abc XyzKotlmn / F / 20 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O cysticercus granuloma in the left temporo-parietal cortex. No complaints at present.
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.
4 mm thick FLAIR coronal images.
After contrast administration, 5 mm thick T1 Weighted axial (with magnetization transfer) images, sagittal images and 3 mm thick T1 Weighted coronal images (with magnetization transfer).
OBSERVATION :
There is seen a very small, enhancing focus in the left fronto-temporal cortex, best appreciated on the coronal post-contrast scan (as marked by a label in film no.VI). This lesion is not well appreciated on the unenhanced scan, though there is a suspicion on the FLAIR coronal images (scan 105.12) and proton density images (scan 103.12).
There is no other focal area of altered signal intensity within the brain parenchyma.
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 no other focal area of abnormal enhancement in the brain parenchyma or the meninges.
IMPRESSION :
A very small enhancing focus in the left temporo-parietal cortex as described represents the residue of previous granuloma.
As compared to the previous MRI (scan no:0000) dated 00.00.00, there is slight decrease in the size of the lesion.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12049
hs/sb
Date : 00.00.00
Name of the Patient : Abc Xyz. Klmn / F / 17 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O bacakche since 1 month with fever and gradual progressive weakness of BLE since 10 days.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
Areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen to involve the D10 and D11 vertebral bodies and pedicles and antero-inferior aspect of the D9 vertebral body. The intervening intervertebral discs are unremarkable.
There is extension of this pathologic process into the right paravertebral and prevertebral (subligamentous) soft tissues over the D8 to D11 levels and this may represent an abscess/granulation tissue. A smaller, soft tissue component is noted in the left paravertebral region.
Also seen is extension of the soft tissue into the anterior epidural space over the D10 and D11 vertebral levels with extension into the D10-D11 neural foramina bilaterally. There is compression of the spinal cord at the D10 and D11 levels. The cord over the D8 to D12 vertebral levels shows a hyperintense signal suggestive of cord edema/ischemia/myelitis.
Enlarged right hilar and subcarinal lymphnodes are noted.
..2/.
The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity.
The conus medullaris terminates at the L1 level.
IMPRESSION :
The MRI features are suggestive of a pathologic process involving the D9, D10 and D11 vertebrae with cord compression and cord edema/ischemia/myelitis as described. This is most likely the result of an infective process like tuberculosis. The possibility of this being a neoplastic process like a small cell tumor cannot be entirely excluded.
Date : 00.00.00
Name of the Patient : Abc Xyz. Klmn / F / 17 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O bacakche since 1 month with fever and gradual progressive weakness of BLE since 10 days.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
Areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen to involve the D10 and D11 vertebral bodies and pedicles and antero-inferior aspect of the D9 vertebral body. The intervening intervertebral discs are unremarkable.
There is extension of this pathologic process into the right paravertebral and prevertebral (subligamentous) soft tissues over the D8 to D11 levels and this may represent an abscess/granulation tissue. A smaller, soft tissue component is noted in the left paravertebral region.
Also seen is extension of the soft tissue into the anterior epidural space over the D10 and D11 vertebral levels with extension into the D10-D11 neural foramina bilaterally. There is compression of the spinal cord at the D10 and D11 levels. The cord over the D8 to D12 vertebral levels shows a hyperintense signal suggestive of cord edema/ischemia/myelitis.
Enlarged right hilar and subcarinal lymphnodes are noted.
..2/.
The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity.
The conus medullaris terminates at the L1 level.
IMPRESSION :
The MRI features are suggestive of a pathologic process involving the D9, D10 and D11 vertebrae with cord compression and cord edema/ischemia/myelitis as described. This is most likely the result of an infective process like tuberculosis. The possibility of this being a neoplastic process like a small cell tumor cannot be entirely excluded.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12048
hs/bv
Date : 00.00.00
Name of the Patient : Abc Xyzrlal Chudalmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 8 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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
All the lumbar intervertebral discs show loss of water content.
A right postero-lateral and bilateral far lateral disc herniations with small peridiscal osteophytes is seen to narrow the right neural foramen and indent the exiting right L5 nerve root at the L5-S1 level. Mild ligamentum flavum hypertrophy is noted at this level.
A posterior disc extrusion, more to the right of the midline is seen to indent the thecal sac and narrow the neural foramina bilaterally at the L4-L5 level. There is superior migration of the disc posterior to the L4 vertebral body. The facet joints at this level show hypertrophic degenerative changes with effusion. Also seen is ligamentum flavum hypertrophy at this level.
A left postero-lateral and far lateral disc herniation is seen to narrow the left neural foramen and indent the exiting left L3 nerve root at the L3-L4 level.
A postero-central disc herniation is seen to indent the thecal sac at the L1-L2 level. There is slight superior migration of a disc portion.
There are bilateral far lateral disc herniations (extraforaminal) at the L4-L5 level.
The L2-L3, L3-L4 and L5-S1 facet joints show degenerative changes.
Incidental note is made of a left renal cyst.
The lumbar vertebral bodies 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 D12 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 :
12.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
9.0 mm at L4-L5
11.0 mm at L5-S1.
..3/.
- 3 - Scan-00008
IMPRESSION :
1. Right postero-lateral and far lateral disc herniation with small peridiscal osteophytes indenting the exiting right L5 nerve root at the L5-S1 level with mild ligamentum flavum hypertrophy.
2. A posterior disc extrusion, more to the right of the midline at the L4-L5 level with superior migration of the disc with hypertrophic facetal arthropathy and ligamentum flavum hypertrophy with canal stenosis.
3. A postero-central disc herniation at the L1-L2 level with slight superior migration of the disc portion.
Date : 00.00.00
Name of the Patient : Abc Xyzrlal Chudalmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 8 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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
All the lumbar intervertebral discs show loss of water content.
A right postero-lateral and bilateral far lateral disc herniations with small peridiscal osteophytes is seen to narrow the right neural foramen and indent the exiting right L5 nerve root at the L5-S1 level. Mild ligamentum flavum hypertrophy is noted at this level.
A posterior disc extrusion, more to the right of the midline is seen to indent the thecal sac and narrow the neural foramina bilaterally at the L4-L5 level. There is superior migration of the disc posterior to the L4 vertebral body. The facet joints at this level show hypertrophic degenerative changes with effusion. Also seen is ligamentum flavum hypertrophy at this level.
A left postero-lateral and far lateral disc herniation is seen to narrow the left neural foramen and indent the exiting left L3 nerve root at the L3-L4 level.
A postero-central disc herniation is seen to indent the thecal sac at the L1-L2 level. There is slight superior migration of a disc portion.
There are bilateral far lateral disc herniations (extraforaminal) at the L4-L5 level.
The L2-L3, L3-L4 and L5-S1 facet joints show degenerative changes.
Incidental note is made of a left renal cyst.
The lumbar vertebral bodies 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 D12 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 :
12.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
9.0 mm at L4-L5
11.0 mm at L5-S1.
..3/.
- 3 - Scan-00008
IMPRESSION :
1. Right postero-lateral and far lateral disc herniation with small peridiscal osteophytes indenting the exiting right L5 nerve root at the L5-S1 level with mild ligamentum flavum hypertrophy.
2. A posterior disc extrusion, more to the right of the midline at the L4-L5 level with superior migration of the disc with hypertrophic facetal arthropathy and ligamentum flavum hypertrophy with canal stenosis.
3. A postero-central disc herniation at the L1-L2 level with slight superior migration of the disc portion.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12047
sb/hs.
Date : 00.00.00
Name of the Patient : Abc Xyzta R. Thalmn / F / 53 yrs.
Referred by : Dr. Abc Xyzansali.
Examination : M.R.I. of the Pelvis.
EXAMINATION :
M.R.I of the pelvis was performed using the following parameters:
10 mm thick T1 Weighted and T2 Weighted axial images.
8 mm thick T1 Weighted and T2 Weighted coronal images.
8 mm thick T2 Weighted sagittal images.
OBSERVATION :
There is a fairly large, lobulated, intermediate signal intensity mass lesion on the T1 Weighted images in the left gluteal region, extending into the pelvis via the left ischio-rectal fossa. This lesion appears hyperintense on the T2 Weighted images and measures approximately 16.0 x 28.0 cms in its maximum dimension. This lesion extends into the pelvis from the left gluteal region between the gluteal muscles laterally and the anal canal medially. Within the pelvis, the lesion extends on either side of the rectum and anal canal via the presacral region with resultant compression of the same. The urinary bladder is also compressed and displaced anteriorly. Superiorly the lesion extends upto the true pelvic brim. Also seen is slight extension into the right ischio-rectal fossa.
The uterus is not visualized, the result of pervious hysterectomy. The adnexae are also not visualized ? due to surgical removal.
There are no abnormally enlarged pelvic lymph nodes identified. No obvious vascular anomaly is noted. There is no free fluid in the pelvis.
IMPRESSION :
Fairly large, approximately 16.0 x 28.0 cms sized lobulated mass lesion in the left gluteal region, extending into the pelvis via the left ischio-rectal fossa as described, is not specific for a single etiology. This lesion is most likely a cystic lesion (? abscess).
Date : 00.00.00
Name of the Patient : Abc Xyzta R. Thalmn / F / 53 yrs.
Referred by : Dr. Abc Xyzansali.
Examination : M.R.I. of the Pelvis.
EXAMINATION :
M.R.I of the pelvis was performed using the following parameters:
10 mm thick T1 Weighted and T2 Weighted axial images.
8 mm thick T1 Weighted and T2 Weighted coronal images.
8 mm thick T2 Weighted sagittal images.
OBSERVATION :
There is a fairly large, lobulated, intermediate signal intensity mass lesion on the T1 Weighted images in the left gluteal region, extending into the pelvis via the left ischio-rectal fossa. This lesion appears hyperintense on the T2 Weighted images and measures approximately 16.0 x 28.0 cms in its maximum dimension. This lesion extends into the pelvis from the left gluteal region between the gluteal muscles laterally and the anal canal medially. Within the pelvis, the lesion extends on either side of the rectum and anal canal via the presacral region with resultant compression of the same. The urinary bladder is also compressed and displaced anteriorly. Superiorly the lesion extends upto the true pelvic brim. Also seen is slight extension into the right ischio-rectal fossa.
The uterus is not visualized, the result of pervious hysterectomy. The adnexae are also not visualized ? due to surgical removal.
There are no abnormally enlarged pelvic lymph nodes identified. No obvious vascular anomaly is noted. There is no free fluid in the pelvis.
IMPRESSION :
Fairly large, approximately 16.0 x 28.0 cms sized lobulated mass lesion in the left gluteal region, extending into the pelvis via the left ischio-rectal fossa as described, is not specific for a single etiology. This lesion is most likely a cystic lesion (? abscess).
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12046
sb/hs
Date : 00.00.00
Name of the Patient : Abc XyzKulshrlmn / M / 24 yrs.
Referred by : Dr. Abc Xyzdeo.Examination : M.R.Cholangiogram.
CLINICAL PROFILE :
C/O pain in abdomen with vomiting since 1-2 years.
Operated for choledochal cyst in November 0000. Papillotomy with stent insertion done in March 0000. Abdominal pain persists.EXAMINATION :
MR Cholangiogram was obtained.
7 mm thick T1 Weighted and T2 Weighted axial images. 5 mm thick T2 Weighted coronal images.
4 mm thick STIR coronal images.
OBSERVATION :
There is still seen a baggy, cystic lesion along the course of the common bile duct which continues distally upto the head of the pancreas and duodenum. This represents a remnant of the choledochal cyst. A fluid level is noted within the remnant cyst. A stent is also noted within the residual cyst.
There is mild dilatation of the right and the left hepatic ducts and the common hepatic duct. There is seen an apparent cut off at the junction of the common hepatic duct with the bowel loop (at the site of the previous hepatico-jejunostomy). No obvious internal filling defects are noted in the hepatic ducts or the residual cyst.
The gall bladder is identified. The pancreatic duct is not dilated.
The liver is normal in size, shape and position. There is no local or diffuse area of altered signal intensity. The intrahepatic venous architecture is normal. ..2/.
Both the visualized kidneys, pancreas, adrenals and spleen are unremarkable.
There is no free fluid in abdomen. There are no abnormally enlarged abdominal lymphnodes noted.
The right sided rectus abdominus muscle is not visualized in part, probably the sequelae of previous surgery.
IMPRESSION :
1. Post-operative status.
2. Residual choledochal cyst along the course of the common bile duct with an internal stent. 3. Mild dilatation of the right and the left hepatic ducts and the common hepatic duct with an apparent cut off at the junction of the common hepatic duct with the bowel loop (at the site of the previous hepatico-jejunostomy). A partial obstruction at the anastomotic site may be considered.
As compared to the previous MRCP dated 00.00.00, there is slight fullness of the right and left hepatic ducts and the common hepatic duct on the present study.
Date : 00.00.00
Name of the Patient : Abc XyzKulshrlmn / M / 24 yrs.
Referred by : Dr. Abc Xyzdeo.Examination : M.R.Cholangiogram.
CLINICAL PROFILE :
C/O pain in abdomen with vomiting since 1-2 years.
Operated for choledochal cyst in November 0000. Papillotomy with stent insertion done in March 0000. Abdominal pain persists.EXAMINATION :
MR Cholangiogram was obtained.
7 mm thick T1 Weighted and T2 Weighted axial images. 5 mm thick T2 Weighted coronal images.
4 mm thick STIR coronal images.
OBSERVATION :
There is still seen a baggy, cystic lesion along the course of the common bile duct which continues distally upto the head of the pancreas and duodenum. This represents a remnant of the choledochal cyst. A fluid level is noted within the remnant cyst. A stent is also noted within the residual cyst.
There is mild dilatation of the right and the left hepatic ducts and the common hepatic duct. There is seen an apparent cut off at the junction of the common hepatic duct with the bowel loop (at the site of the previous hepatico-jejunostomy). No obvious internal filling defects are noted in the hepatic ducts or the residual cyst.
The gall bladder is identified. The pancreatic duct is not dilated.
The liver is normal in size, shape and position. There is no local or diffuse area of altered signal intensity. The intrahepatic venous architecture is normal. ..2/.
Both the visualized kidneys, pancreas, adrenals and spleen are unremarkable.
There is no free fluid in abdomen. There are no abnormally enlarged abdominal lymphnodes noted.
The right sided rectus abdominus muscle is not visualized in part, probably the sequelae of previous surgery.
IMPRESSION :
1. Post-operative status.
2. Residual choledochal cyst along the course of the common bile duct with an internal stent. 3. Mild dilatation of the right and the left hepatic ducts and the common hepatic duct with an apparent cut off at the junction of the common hepatic duct with the bowel loop (at the site of the previous hepatico-jejunostomy). A partial obstruction at the anastomotic site may be considered.
As compared to the previous MRCP dated 00.00.00, there is slight fullness of the right and left hepatic ducts and the common hepatic duct on the present study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12044
ke/sb
Date : 00.00.00
Name of the Patient : Abc XyzD. lmn / F / 65 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
H/O backache radiating to BLE with paresthsias since 3-4 months.
C/O weakness of BLE with bladder/bowel involvement since 1 month.
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.
OBSERVATION :
There is central wedging of the L1 and L5 vertebral bodies. The posterior margins of these vertebral bodies are seen to be bulging, posteriorly. Resultant compression of the conus medullaris is noted at the L1 vertebral level. The dorsal spinal cord at the L1 level shows a subtle hyperintense signal on the T2 Weighted images which may suggests cord edema/ischemia.
The majority of the vertebrae of the spinal axis appear slightly wedged and show hypointense signal on the T1 Weighted images. On the T2 Weighted images, these vertebrae show a subtle hyperintense signal, when compared to the normal marrow. The posterior elements of these vertebrae are also involved. These vertebrae appear slightly expansile when compared to normal. The visualized intervertebral discs are unremarkable.
Compromise of the lumbar canal is noted at the L1 and L5 vertebral levels.
- 2 - scan-00004
Focal altered signal is also noted in the iliac bones bilaterally and in the visualized skull valut (109.1-2).
There are also seen focal nodular lesions in the lung parenchyma on the left and probably along the ribs in the right hemithorax.
The conus medullaris terminates at the L1 level.
IMPRESSION :
Altered signal along the spinal axis involving the majority of the vertebral bodies and their posterior elements as described, with focal lesions in the iliac bones, skull valut and in the thorax as described is not specific for a single etiology. These features may represent,
1. Multiple metastasis.
2. Round cell tumor.
3. Less likely to represent an infective etiology.
There is cord compression at the L1 level with cord signal alteration suggesting cord edema/ischemia.
Date : 00.00.00
Name of the Patient : Abc XyzD. lmn / F / 65 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
H/O backache radiating to BLE with paresthsias since 3-4 months.
C/O weakness of BLE with bladder/bowel involvement since 1 month.
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.
OBSERVATION :
There is central wedging of the L1 and L5 vertebral bodies. The posterior margins of these vertebral bodies are seen to be bulging, posteriorly. Resultant compression of the conus medullaris is noted at the L1 vertebral level. The dorsal spinal cord at the L1 level shows a subtle hyperintense signal on the T2 Weighted images which may suggests cord edema/ischemia.
The majority of the vertebrae of the spinal axis appear slightly wedged and show hypointense signal on the T1 Weighted images. On the T2 Weighted images, these vertebrae show a subtle hyperintense signal, when compared to the normal marrow. The posterior elements of these vertebrae are also involved. These vertebrae appear slightly expansile when compared to normal. The visualized intervertebral discs are unremarkable.
Compromise of the lumbar canal is noted at the L1 and L5 vertebral levels.
- 2 - scan-00004
Focal altered signal is also noted in the iliac bones bilaterally and in the visualized skull valut (109.1-2).
There are also seen focal nodular lesions in the lung parenchyma on the left and probably along the ribs in the right hemithorax.
The conus medullaris terminates at the L1 level.
IMPRESSION :
Altered signal along the spinal axis involving the majority of the vertebral bodies and their posterior elements as described, with focal lesions in the iliac bones, skull valut and in the thorax as described is not specific for a single etiology. These features may represent,
1. Multiple metastasis.
2. Round cell tumor.
3. Less likely to represent an infective etiology.
There is cord compression at the L1 level with cord signal alteration suggesting cord edema/ischemia.
Published in
MRI Reports