Regular User
Sunday, 27 December 2015 16:48
14766
ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzuddin Siddlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 2 years.
H/O ? spinal surgery 2 years back (details not available).
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The L4-L5 and L5-S1 intervertebral discs show loss of water content and the L4-L5 disc appears reduced in height.
There is suggestion of hemilaminectomy on the left side at the L5 level.
A posterior and a left postero-lateral disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing, more marked on the left side. There is impingement of the foraminal left L4 nerve root. The L4-L5 facet joints show mild degenerative changes. There is retroplacement of the thecal sac at this level.
A small posterior disc herniation is seen at the L5-S1 level.
Type I degenerative change is noted in the L5 vertebral body adjacent to the L4-L5 intervertebral disc.
Hemangioma with fatty content is noted in the S1 vertebral body.
Anterior disc herniation with peridiscal osteophytes is seen at the L4-L5 level.
The rest of 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 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 :
17.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.
Both the hip joints were screened with 5 mm thick T1 Weighted coronal images which does not reveal any diagnostic feature of note.
IMPRESSION :
The MRI features are suggestive of :
1. Post-operative status.
2. A posterior and a left postero-lateral disc herniation at the L4-L5 level with impingement of the left L4 nerve root and mild facetal arthropathy at this level.
Date : 00.00.00
Name of the Patient : Abc Xyzuddin Siddlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 2 years.
H/O ? spinal surgery 2 years back (details not available).
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The L4-L5 and L5-S1 intervertebral discs show loss of water content and the L4-L5 disc appears reduced in height.
There is suggestion of hemilaminectomy on the left side at the L5 level.
A posterior and a left postero-lateral disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing, more marked on the left side. There is impingement of the foraminal left L4 nerve root. The L4-L5 facet joints show mild degenerative changes. There is retroplacement of the thecal sac at this level.
A small posterior disc herniation is seen at the L5-S1 level.
Type I degenerative change is noted in the L5 vertebral body adjacent to the L4-L5 intervertebral disc.
Hemangioma with fatty content is noted in the S1 vertebral body.
Anterior disc herniation with peridiscal osteophytes is seen at the L4-L5 level.
The rest of 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 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 :
17.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.
Both the hip joints were screened with 5 mm thick T1 Weighted coronal images which does not reveal any diagnostic feature of note.
IMPRESSION :
The MRI features are suggestive of :
1. Post-operative status.
2. A posterior and a left postero-lateral disc herniation at the L4-L5 level with impingement of the left L4 nerve root and mild facetal arthropathy at this level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14765
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzKaplmn / F / 52 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches with one episode of vomiting since 3 days.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images, 5 mm thick FLAIR coronal images and 5 mm thick T1 Weighted sagittal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
A cigar shaped, hyperintense signal on the T2 Weighted and FLAIR images is noted in the right frontal subcortical white matter, just superior to the right Sylvian cistern.
There is mild dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
Scan-00005
NECK MRA :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
The MRI features are suggestive of altered signal in the right frontal subcortical white matter just superior to the right Sylvian cistern. This lesion is not specific for a single etiology. A demyelinating plaque or an ischemic lesion may be likely possibility.
No significant abnormality is detected on the intracranial and neck MRA on this study.
Date : 00.00.00
Name of the Patient : Abc XyzKaplmn / F / 52 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches with one episode of vomiting since 3 days.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images, 5 mm thick FLAIR coronal images and 5 mm thick T1 Weighted sagittal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
A cigar shaped, hyperintense signal on the T2 Weighted and FLAIR images is noted in the right frontal subcortical white matter, just superior to the right Sylvian cistern.
There is mild dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
Scan-00005
NECK MRA :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
The MRI features are suggestive of altered signal in the right frontal subcortical white matter just superior to the right Sylvian cistern. This lesion is not specific for a single etiology. A demyelinating plaque or an ischemic lesion may be likely possibility.
No significant abnormality is detected on the intracranial and neck MRA on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14764
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzanu N. Hoolmn / F / 50 yrs.
Referred by : Dr. Abc Xyzankhla.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left frontal headaches.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
Susceptibility artifacts are noted at the skull base and in the right cerebellar region, probably the result of fixed metallic dentures.
There is no focal area of altered signal intensity in the brain parenchyma.
Note is made of an empty sella.
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.
IMPRESSION :
The MRI features are suggestive of an empty sella.
Date : 00.00.00
Name of the Patient : Abc Xyzanu N. Hoolmn / F / 50 yrs.
Referred by : Dr. Abc Xyzankhla.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left frontal headaches.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
Susceptibility artifacts are noted at the skull base and in the right cerebellar region, probably the result of fixed metallic dentures.
There is no focal area of altered signal intensity in the brain parenchyma.
Note is made of an empty sella.
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.
IMPRESSION :
The MRI features are suggestive of an empty sella.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14763
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzkar lmn / M / 67 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low backache with pain radiating to BLE with paresthesias and bladder involvement.
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.
The dorsal spine was screened with 4 mm thick T1 Weighted and T2 Weighted sagittal images.
OBSERVATION :
There is evidence of a space-occupying lesion in the posterior epidural space over the L3 to the L5 vertebral levels. This lesion is hyperintense to normal muscle but hypointense to fat on the T2 Weighted images and mildly hyperintense to both on the T2 Weighted images. Also seen is indentation and slight anterior displacement of the thecal sac at these levels.
Hyperintense areas on the T2 Weighted images are seen within the left paraspinal muscles at the L3 and L4 levels with a probable small cystic/necrotic component.
The intrathecal nerve roots from the L4-L5 level upwards are not well-defined. There is loss of the conus-cauda differentiation.
The visualized dorso-lumbo-sacral vertebrae appear more hypointense than normal.
The L3-L4 and L4-L5 facet joints show hypertrophic degenerative changes. Effusion is noted within the L3-L4 and L4-L5 facet joints bilaterally and on the left side at the L5-S1 level.
Small posterior disc herniations are seen to indent the thecal sac and narrow both neural foramina bilaterally at the L3-L4 and L4-L5 levels.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
Screening of the dorsal spine reveals no other feature of note other than marrow signal alteration.
IMPRESSION :
The MRI features are suggestive of a lesion within the posterior epidural space over the L3 to L5 vertebral levels with a component in the left paraspinal soft tissues at the L3 and L4 levels with a probable intradural component as described. The visualized dorso-lumbo-sacral vertebrae also show altered signal intensity (? preponderance of hematopoeitic marrow, ? myeloproliferative disorders).
The differential diagnosis would include :
1. Neoplasia like small cell tumors.
2. Infection like tuberculosis.
Date : 00.00.00
Name of the Patient : Abc Xyzkar lmn / M / 67 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low backache with pain radiating to BLE with paresthesias and bladder involvement.
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.
The dorsal spine was screened with 4 mm thick T1 Weighted and T2 Weighted sagittal images.
OBSERVATION :
There is evidence of a space-occupying lesion in the posterior epidural space over the L3 to the L5 vertebral levels. This lesion is hyperintense to normal muscle but hypointense to fat on the T2 Weighted images and mildly hyperintense to both on the T2 Weighted images. Also seen is indentation and slight anterior displacement of the thecal sac at these levels.
Hyperintense areas on the T2 Weighted images are seen within the left paraspinal muscles at the L3 and L4 levels with a probable small cystic/necrotic component.
The intrathecal nerve roots from the L4-L5 level upwards are not well-defined. There is loss of the conus-cauda differentiation.
The visualized dorso-lumbo-sacral vertebrae appear more hypointense than normal.
The L3-L4 and L4-L5 facet joints show hypertrophic degenerative changes. Effusion is noted within the L3-L4 and L4-L5 facet joints bilaterally and on the left side at the L5-S1 level.
Small posterior disc herniations are seen to indent the thecal sac and narrow both neural foramina bilaterally at the L3-L4 and L4-L5 levels.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
Screening of the dorsal spine reveals no other feature of note other than marrow signal alteration.
IMPRESSION :
The MRI features are suggestive of a lesion within the posterior epidural space over the L3 to L5 vertebral levels with a component in the left paraspinal soft tissues at the L3 and L4 levels with a probable intradural component as described. The visualized dorso-lumbo-sacral vertebrae also show altered signal intensity (? preponderance of hematopoeitic marrow, ? myeloproliferative disorders).
The differential diagnosis would include :
1. Neoplasia like small cell tumors.
2. Infection like tuberculosis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14762
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzanu N. Hoolmn / F / 50 yrs.
Referred by : Dr. Abc Xyzankhla.
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 :
There is mild retroplacement of the L5 vertebra over the S1 vertebra.
A posterior disc herniation with peridiscal osteophytes is seen to narrow both neural foramina at the L5-S1 level. There is slight inferior migration of this disc with indentation upon the traversing S1 nerve roots (right more than left). The L5-S1 facet joints show degenerative changes. Ligamentum flavum hypertrophy is noted at this level. This disc appears dessicated.
Posterior disc bulges are noted at the L3-L4 and L4-L5 levels.
The L3-L4 and L4-L5 intervertebral discs show mild loss of water content. There is mild facetal hypertrophy at these levels.
There is anti-clockwise rotation of the upper lumbar vertebrae.
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-L2 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
17.0 mm at L2-L3
18.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Retroplacement of the L5 vertebra over the S1 vertebra.
2. A posterior disc herniation with peridiscal osteophytes at the L5-S1 level with slight inferior migration of this disc with indentation upon the traversing S1 nerve roots (right more than left).
3. Facetal arthropathy and ligamentum flavum hypertrophy at the L5-S1 level.
Date : 00.00.00
Name of the Patient : Abc Xyzanu N. Hoolmn / F / 50 yrs.
Referred by : Dr. Abc Xyzankhla.
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 :
There is mild retroplacement of the L5 vertebra over the S1 vertebra.
A posterior disc herniation with peridiscal osteophytes is seen to narrow both neural foramina at the L5-S1 level. There is slight inferior migration of this disc with indentation upon the traversing S1 nerve roots (right more than left). The L5-S1 facet joints show degenerative changes. Ligamentum flavum hypertrophy is noted at this level. This disc appears dessicated.
Posterior disc bulges are noted at the L3-L4 and L4-L5 levels.
The L3-L4 and L4-L5 intervertebral discs show mild loss of water content. There is mild facetal hypertrophy at these levels.
There is anti-clockwise rotation of the upper lumbar vertebrae.
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-L2 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
17.0 mm at L2-L3
18.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Retroplacement of the L5 vertebra over the S1 vertebra.
2. A posterior disc herniation with peridiscal osteophytes at the L5-S1 level with slight inferior migration of this disc with indentation upon the traversing S1 nerve roots (right more than left).
3. Facetal arthropathy and ligamentum flavum hypertrophy at the L5-S1 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14761
hs/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyztali Shlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzzzare.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weak grip of the right hand with inability to move the RUE and dragging of the RLE.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is mild retroplacement of the C3 vertebra over the C4 vertebra. There is loss of normal cervical lordosis.
The cervical intervertebral discs show loss of water content. The cervical vertebral bodies show areas of fatty replacement of normal marrow.
There are large left paracentral disc herniations with peridiscal osteophytes indenting the left ventral aspect of the cord at the C5-C6 and C6-C7 levels.
Right paracentral disc herniations with large peridiscal osteophytes are seen to indent the cord at the C3-C4 and C4-C5 levels.
The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. Large left paracentral disc herniations with peridiscal osteophytes at the C5-C6 and C6-C7 levels.
2. Right paracentral disc herniations with large peridiscal osteophytes at the C3-C4 and C4-C5 levels.
Date : 00.00.00
Name of the Patient : Abc Xyztali Shlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzzzare.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weak grip of the right hand with inability to move the RUE and dragging of the RLE.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is mild retroplacement of the C3 vertebra over the C4 vertebra. There is loss of normal cervical lordosis.
The cervical intervertebral discs show loss of water content. The cervical vertebral bodies show areas of fatty replacement of normal marrow.
There are large left paracentral disc herniations with peridiscal osteophytes indenting the left ventral aspect of the cord at the C5-C6 and C6-C7 levels.
Right paracentral disc herniations with large peridiscal osteophytes are seen to indent the cord at the C3-C4 and C4-C5 levels.
The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. Large left paracentral disc herniations with peridiscal osteophytes at the C5-C6 and C6-C7 levels.
2. Right paracentral disc herniations with large peridiscal osteophytes at the C3-C4 and C4-C5 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14760A
hs/ke/nl/rg.
A Date : 00.00.00
Name of the Patient : Abc Xyzhan Tholmn / M / 45 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O neckpain and backache with pain radiating to BUE and RLE with paresthesias in BUE since 1-2 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. The L4-L5 intervertebral disc shows mild loss of water content.
A large posterior disc herniation with peridiscal osteophytes is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. The facet joints at this level show hypertrophic degenerative changes.
Ligamentum flavum hypertrophy is seen at the L4-L5 and L5 levels.
A posterior disc bulge 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-00000A
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 :
15.0 mm at L1-L2
13.0 mm at L2-L3
13.0 mm at L3-L4
7.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large posterior disc herniation with peridiscal osteophytes, hypertrophic facetal arthropathy and canal stenosis at the L4-L5 level.
2. Ligamentum flavum hypertrophy at the L4-L5 and L5 levels.
A Date : 00.00.00
Name of the Patient : Abc Xyzhan Tholmn / M / 45 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O neckpain and backache with pain radiating to BUE and RLE with paresthesias in BUE since 1-2 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. The L4-L5 intervertebral disc shows mild loss of water content.
A large posterior disc herniation with peridiscal osteophytes is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. The facet joints at this level show hypertrophic degenerative changes.
Ligamentum flavum hypertrophy is seen at the L4-L5 and L5 levels.
A posterior disc bulge 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-00000A
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 :
15.0 mm at L1-L2
13.0 mm at L2-L3
13.0 mm at L3-L4
7.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large posterior disc herniation with peridiscal osteophytes, hypertrophic facetal arthropathy and canal stenosis at the L4-L5 level.
2. Ligamentum flavum hypertrophy at the L4-L5 and L5 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14760
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzhan Tholmn / M / 45 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain and backache radiating to BUE and RLE with paresthesias in BUE since 1-2 years.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is loss of normal cervical lordosis. The cervical intervertebral discs show loss of water content.
There is mild ossification of the posterior longitudinal ligament in the cervical region, more so over the C1 to C4 vertebral levels.
A large postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the C4-C5 level.
Postero-central disc herniations are seen to indent the thecal sac at the C2-C3 and C3-C4 levels.
Posterior disc herniations with peridiscal osteophytes are seen to indent the thecal sac at the C5-C6 and C6-C7 levels.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc herniation with peridiscal osteophytes at the C4-C5 level.
2. Postero-central disc herniations at the C2-C3 and C3-C4 levels.
3. Posterior disc herniations with peridiscal osteophytes at the C5-C6 and C6-C7 levels.
4. Mild ossification of the posterior longitudinal ligament in the cervical region, more so over the C1 to C4 vertebral levels.
Date : 00.00.00
Name of the Patient : Abc Xyzhan Tholmn / M / 45 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain and backache radiating to BUE and RLE with paresthesias in BUE since 1-2 years.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is loss of normal cervical lordosis. The cervical intervertebral discs show loss of water content.
There is mild ossification of the posterior longitudinal ligament in the cervical region, more so over the C1 to C4 vertebral levels.
A large postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the C4-C5 level.
Postero-central disc herniations are seen to indent the thecal sac at the C2-C3 and C3-C4 levels.
Posterior disc herniations with peridiscal osteophytes are seen to indent the thecal sac at the C5-C6 and C6-C7 levels.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc herniation with peridiscal osteophytes at the C4-C5 level.
2. Postero-central disc herniations at the C2-C3 and C3-C4 levels.
3. Posterior disc herniations with peridiscal osteophytes at the C5-C6 and C6-C7 levels.
4. Mild ossification of the posterior longitudinal ligament in the cervical region, more so over the C1 to C4 vertebral levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14759
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzPardlmn / F / 17 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
H/O backache with fever since 1 1/2 months.
H/O fall 2 days back with weakness of BLE since then.
EXAMINATION :
M.R.I of the cervico-dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is near complete collapse of the D2 vertebral body and partial collapse of the D1 vertebral body. There is overiding of the D1 over the D2 vertebra. The D1-D2 and D2-D3 intervertebral discs are not well-defined.
The D1, D2 and D3 vertebral bodies show an ill-defined hypointense signal on the T1 Weighted images which appears hyperintense on the T2 Weighted images. The posterior elements of D2 and D3 vertebrae seem to be involved. There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the prevertebral and paravertebral regions extending over D1 to D3 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. There is extension of the soft tissue lesion into the epidural spaces circumferentially over the D1 to D3 vertebral levels with resultant cord compression. The cervical spinal cord over these levels shows a hyperintense signal on the T2 Weighted images, suggesting cord edema/ischemia. Involvement of the costo-vertebral joints at D1 and D2 levels is noted.
The rest of the visualized cervico-dorsal vertebral bodies and the intervertebral discs show normal signal intensity.
The facet joints are unremarkable.
Multiple mediastinal lymphnodes are noted.
IMPRESSION :
Near complete collapse of the D2 vertebral body and partial collapse of the D1 vertebral body with altered signal of the D1, D2 and D3 vertebrae and involvement of the D1-D2 and D2-D3 intervrtebral discs as described most likely represents osteitis with discitis probably tuberculous in etiology. Prevertebral and paravertebral soft tissue lesion may represent an abscess. There is resultant cord compression and cord signal alteration over D1 to D3 vertebral levels suggesting cord edema/ischemia.
The possibility of above described lesion representing a neoplasm seems less likely.
Date : 00.00.00
Name of the Patient : Abc XyzPardlmn / F / 17 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
H/O backache with fever since 1 1/2 months.
H/O fall 2 days back with weakness of BLE since then.
EXAMINATION :
M.R.I of the cervico-dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is near complete collapse of the D2 vertebral body and partial collapse of the D1 vertebral body. There is overiding of the D1 over the D2 vertebra. The D1-D2 and D2-D3 intervertebral discs are not well-defined.
The D1, D2 and D3 vertebral bodies show an ill-defined hypointense signal on the T1 Weighted images which appears hyperintense on the T2 Weighted images. The posterior elements of D2 and D3 vertebrae seem to be involved. There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the prevertebral and paravertebral regions extending over D1 to D3 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. There is extension of the soft tissue lesion into the epidural spaces circumferentially over the D1 to D3 vertebral levels with resultant cord compression. The cervical spinal cord over these levels shows a hyperintense signal on the T2 Weighted images, suggesting cord edema/ischemia. Involvement of the costo-vertebral joints at D1 and D2 levels is noted.
The rest of the visualized cervico-dorsal vertebral bodies and the intervertebral discs show normal signal intensity.
The facet joints are unremarkable.
Multiple mediastinal lymphnodes are noted.
IMPRESSION :
Near complete collapse of the D2 vertebral body and partial collapse of the D1 vertebral body with altered signal of the D1, D2 and D3 vertebrae and involvement of the D1-D2 and D2-D3 intervrtebral discs as described most likely represents osteitis with discitis probably tuberculous in etiology. Prevertebral and paravertebral soft tissue lesion may represent an abscess. There is resultant cord compression and cord signal alteration over D1 to D3 vertebral levels suggesting cord edema/ischemia.
The possibility of above described lesion representing a neoplasm seems less likely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14758
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 5 mnths.
Referred by : Dr. Abc Xyzhiri.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O hypertonia and non-development of milestones.
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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The myelination pattern is normal for the patients age.
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.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 5 mnths.
Referred by : Dr. Abc Xyzhiri.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O hypertonia and non-development of milestones.
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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The myelination pattern is normal for the patients age.
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.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports