Regular User
Sunday, 27 December 2015 16:48
12008
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzben C. lmn / F / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O single episode of seizure on 00.00.00.
Now C/O heaviness of head and giddiness.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
There is an ill-defined, hyperintense signal on the T2 Weighted images in the subcortical white matter in the left high fronto-parietal region. This most likely represents an ischemic lesion. Similar, subtle signal intensity change is noted in the right centrum semiovale.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted in the right maxillary antrum.
INTRACRANIAL MRA :
There is hypoplasia of the A1 segment of the right anterior cerebral artery.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left 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.
NECK MRA :
Slight motion artifacts are noted in some places.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Altered signal in the subcortical white matter in the left high fronto-parietal region and in the right centrum semiovale most likely represents ischemic lesions.
2. No significant abnormality is detected on the intracranial and neck MRA on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzben C. lmn / F / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O single episode of seizure on 00.00.00.
Now C/O heaviness of head and giddiness.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
There is an ill-defined, hyperintense signal on the T2 Weighted images in the subcortical white matter in the left high fronto-parietal region. This most likely represents an ischemic lesion. Similar, subtle signal intensity change is noted in the right centrum semiovale.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted in the right maxillary antrum.
INTRACRANIAL MRA :
There is hypoplasia of the A1 segment of the right anterior cerebral artery.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left 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.
NECK MRA :
Slight motion artifacts are noted in some places.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Altered signal in the subcortical white matter in the left high fronto-parietal region and in the right centrum semiovale most likely represents ischemic lesions.
2. No significant abnormality is detected on the intracranial and neck MRA on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12007
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyz. Brlmn / F / 58 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) since 1 month.
H/O fall.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is slight central wedging of the L2 vertebral body. The L2 vertebral body shows an ill-defined, hypointense signal on the T1 Weighted images which appears hyperintense on the T2 Weighted images. The L2-L3 disc also appears slightly more hyperintense on the T2 Weighted images. Subtle hyperintense signal is seen in the L3 vertebral body.
Left and right far lateral disc protrusion is noted at the L5-S1 level.
A posterior disc bulge is seen at the L4-L5 level with slight right neural foraminal narrowing and minimal indentation on the extraforaminal segment of the right L4 nerve root.
A minimal posterior disc bulge is noted at the L3-L4 level. A small right far lateral disc bulge is seen at the L3-L4 level with indentation upon the extraforaminal portion of the right L3 nerve root.
..2/.
The rest of the visualized lumbar vertebral bodies show fatty marrow changes suggesting osteoporosis. Slight anterior wedging of the L1 vertebral body is noted. The remaining lumbar intervertebral discs show loss of water content.
Schmorls nodes are noted in the lumbar region.
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 :
16.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
15.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
1. Central wedging of the L2 vertebral body with altered signal most likely represents wedged fracture with bone bruise, in the given clinical setting. Altered signal in the L1-L2 disc may represent discal edema.
2. Bone bruise/edema in the L3 vertebra.
3. Fatty marrow changes in the rest of the visualized lumbar vertebrae may suggest osteoporotic changes.
4. Left and right far lateral disc protrusion at the L5-S1 level.
..3/.
- 3 - scan-00007
5. A posterior disc bulge at the L4-L5 level with slight right neural foraminal narrowing and minimal indentation on the extraforaminal segment of the right L4 nerve root.
6. A posterior and right far lateral disc bulge at the L3-L4 level with indentation upon the extraforaminal portion of the right L3 nerve root.
Date : 00.00.00
Name of the Patient : Abc Xyz. Brlmn / F / 58 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) since 1 month.
H/O fall.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is slight central wedging of the L2 vertebral body. The L2 vertebral body shows an ill-defined, hypointense signal on the T1 Weighted images which appears hyperintense on the T2 Weighted images. The L2-L3 disc also appears slightly more hyperintense on the T2 Weighted images. Subtle hyperintense signal is seen in the L3 vertebral body.
Left and right far lateral disc protrusion is noted at the L5-S1 level.
A posterior disc bulge is seen at the L4-L5 level with slight right neural foraminal narrowing and minimal indentation on the extraforaminal segment of the right L4 nerve root.
A minimal posterior disc bulge is noted at the L3-L4 level. A small right far lateral disc bulge is seen at the L3-L4 level with indentation upon the extraforaminal portion of the right L3 nerve root.
..2/.
The rest of the visualized lumbar vertebral bodies show fatty marrow changes suggesting osteoporosis. Slight anterior wedging of the L1 vertebral body is noted. The remaining lumbar intervertebral discs show loss of water content.
Schmorls nodes are noted in the lumbar region.
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 :
16.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
15.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
1. Central wedging of the L2 vertebral body with altered signal most likely represents wedged fracture with bone bruise, in the given clinical setting. Altered signal in the L1-L2 disc may represent discal edema.
2. Bone bruise/edema in the L3 vertebra.
3. Fatty marrow changes in the rest of the visualized lumbar vertebrae may suggest osteoporotic changes.
4. Left and right far lateral disc protrusion at the L5-S1 level.
..3/.
- 3 - scan-00007
5. A posterior disc bulge at the L4-L5 level with slight right neural foraminal narrowing and minimal indentation on the extraforaminal segment of the right L4 nerve root.
6. A posterior and right far lateral disc bulge at the L3-L4 level with indentation upon the extraforaminal portion of the right L3 nerve root.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12006
sb/hs
Date : 00.00.00
Name of the Patient : Abc Xyzth S. Glmn / M / 38 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 10 days.
H/O lifting heavy weights.
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 L1-L2, L3-L4, L4-L5 and L5-S1 intervertebral discs.
There is a postero-central and left paracentral disc herniation with peridiscal osteophytes at the L5-S1 level indenting the traversing left S1 nerve root.
A small, postero-central disc herniation is noted at the L4-L5 level.
A fairly large, postero-central extruded disc with peridiscal osteophytes is noted at the L3-L4 level, indenting the dural theca anteriorly. Inferior migration of the disc fragment is noted into the left lateral recess of L4, indenting the traversing left L4 nerve root.
Scan-00006
A postero-central protruded disc with peridiscal osteophytes is noted at the L1-L2 level.
Schmorls nodes are noted at the L2 and L5 vertebral levels.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 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 :
18.0 mm at L1-L2
19.0 mm at L2-L3
11.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A postero-central and left paracentral disc herniation with peridiscal osteophytes at the L5-S1 level indenting the traversing left S1 nerve root.
2. A small, postero-central disc herniation at the L4-L5 level.
3. A fairly large, postero-central extruded disc with peridiscal osteophytes at the L3-L4 level with inferior migration of the disc fragment into the left lateral recess of L4, indenting the traversing left L4 nerve root.
4. A postero-central protruded disc with peridiscal osteophytes at the L1-L2 level.
Date : 00.00.00
Name of the Patient : Abc Xyzth S. Glmn / M / 38 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 10 days.
H/O lifting heavy weights.
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 L1-L2, L3-L4, L4-L5 and L5-S1 intervertebral discs.
There is a postero-central and left paracentral disc herniation with peridiscal osteophytes at the L5-S1 level indenting the traversing left S1 nerve root.
A small, postero-central disc herniation is noted at the L4-L5 level.
A fairly large, postero-central extruded disc with peridiscal osteophytes is noted at the L3-L4 level, indenting the dural theca anteriorly. Inferior migration of the disc fragment is noted into the left lateral recess of L4, indenting the traversing left L4 nerve root.
Scan-00006
A postero-central protruded disc with peridiscal osteophytes is noted at the L1-L2 level.
Schmorls nodes are noted at the L2 and L5 vertebral levels.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 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 :
18.0 mm at L1-L2
19.0 mm at L2-L3
11.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A postero-central and left paracentral disc herniation with peridiscal osteophytes at the L5-S1 level indenting the traversing left S1 nerve root.
2. A small, postero-central disc herniation at the L4-L5 level.
3. A fairly large, postero-central extruded disc with peridiscal osteophytes at the L3-L4 level with inferior migration of the disc fragment into the left lateral recess of L4, indenting the traversing left L4 nerve root.
4. A postero-central protruded disc with peridiscal osteophytes at the L1-L2 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12005
sb/hs
Date : 00.00.00
Name of the Patient : Abc Xyzailmn / F / 13 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 8 1/2 years.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
There is slight decrease in the volume of the tail of the left hippocampus.
The right hippocampal complex 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.
Inflammatory changes are noted in the left mastoid air cells.
IMPRESSION :
The MRI features are suggestive of a slight decrease in the volume of the tail of the left hippocampus.
Date : 00.00.00
Name of the Patient : Abc Xyzailmn / F / 13 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 8 1/2 years.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
There is slight decrease in the volume of the tail of the left hippocampus.
The right hippocampal complex 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.
Inflammatory changes are noted in the left mastoid air cells.
IMPRESSION :
The MRI features are suggestive of a slight decrease in the volume of the tail of the left hippocampus.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12004
ke/sb
Date : 00.00.00
Name of the Patient : Abc Xyzen Sanlmn / F / 74 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden onset of weakness on the left side since 2 days.
Known hypertensive.
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 and Fast Scan (T2 *) coronal images.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and in the lentiform nuclei, corona radiata and centrum semiovale bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
A lacunar infarct is noted in the head of the right caudate nucleus.
There is evidence of volume loss in the left posterior parietal and high parietal cortex without change in signal intensity. This may be a sequelae of previous vascular insult.
There is a small hyperintense epidural lesion in the left high parietal region (se/im. 105.12) ? cause ? haemorrhage.
There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. There is no midline shift.
Scan-00004
No obvious vascular anomaly is identified on this study.
There is no obvious haemorrhage on this study.
IMPRESSION :
1. Altered signal in the posterior parietal periventricular white matter bilaterally and in the lentiform nuclei, corona radiata and centrum semiovale bilaterally most likely represent ischemic changes.
2. A lacunar infarct in the head of the right caudate nucleus.
3. Volume loss in the left posterior parietal and high parietal cortex may be a sequelae of previous vascular insult.
Date : 00.00.00
Name of the Patient : Abc Xyzen Sanlmn / F / 74 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden onset of weakness on the left side since 2 days.
Known hypertensive.
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 and Fast Scan (T2 *) coronal images.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and in the lentiform nuclei, corona radiata and centrum semiovale bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
A lacunar infarct is noted in the head of the right caudate nucleus.
There is evidence of volume loss in the left posterior parietal and high parietal cortex without change in signal intensity. This may be a sequelae of previous vascular insult.
There is a small hyperintense epidural lesion in the left high parietal region (se/im. 105.12) ? cause ? haemorrhage.
There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. There is no midline shift.
Scan-00004
No obvious vascular anomaly is identified on this study.
There is no obvious haemorrhage on this study.
IMPRESSION :
1. Altered signal in the posterior parietal periventricular white matter bilaterally and in the lentiform nuclei, corona radiata and centrum semiovale bilaterally most likely represent ischemic changes.
2. A lacunar infarct in the head of the right caudate nucleus.
3. Volume loss in the left posterior parietal and high parietal cortex may be a sequelae of previous vascular insult.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12002
sb/hs
Date : 00.00.00
Name of the Patient : Abc Xyzika lmn / F / 39 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache since 3 months with fever since 1 month.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is slight loss of water content of the mid dorsal intervertebral discs.
The visualized dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the D12-L1 level.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzika lmn / F / 39 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache since 3 months with fever since 1 month.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is slight loss of water content of the mid dorsal intervertebral discs.
The visualized dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the D12-L1 level.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12000
sb/hs
Date : 00.00.00
Name of the Patient : Abc lmn / M / 36 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 8 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 sacralization of the L5 vertebra which is as marked on the film. The posterior part of the L5-S1 intervertebral disc is obliterated with fusion of the L5 and S1 vertebral bodies in that region.
There is loss of normal lumbar lordosis and loss of water content of the L3-L4 and L4-L5 intervertebral discs. Slight retroplacement of the L4 vertebra over the L5 vertebra is noted.
There is a fairly large, postero-central and right paracentral extruded disc at the L4-L5 level with thecal sac compression. Superior migration of the disc fragment is noted, displacing the thecal sac to the left and indenting the traversing right L4 nerve root. There is also slight inferior migration of the disc fragment to the right of the midline indenting the traversing right L5 nerve root. Facetal hypertrophy is noted at the L4-L5 level.
..2/.
Bilateral (extraforaminal) disc bulges are noted at the L4-L5 level.
A postero-central and right postero-lateral (foraminal) protruded discs are noted at the L3-L4 level. Mild facetal hypertrophy is seen at this level.
Type II degenerative marrow changes are noted adjacent to the L4-L5 and L3-L4 discs. A hemangioma with fat content is noted in the L1 vertebral body.
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 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 D12-L1
17.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
7.0 mm at L4-L5
IMPRESSION :
1. Sacralization of the L5 vertebra which is as marked on the film.
..3/.
- 3 - scan-00000
2. A fairly large, postero-central and right paracentral extruded disc at the L4-L5 level with superior migration of the disc fragment, displacing the thecal sac to the left and indenting the traversing right L4 nerve root. Slight inferior migration of the disc fragment to the right of the midline is also noted indenting the traversing right L5 nerve root. Facetal hypertrophy is noted at the L4-L5 level.
3. Postero-central and right postero-lateral protruded discs at the L3-L4 level.
4. Canal stenosis at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc lmn / M / 36 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 8 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 sacralization of the L5 vertebra which is as marked on the film. The posterior part of the L5-S1 intervertebral disc is obliterated with fusion of the L5 and S1 vertebral bodies in that region.
There is loss of normal lumbar lordosis and loss of water content of the L3-L4 and L4-L5 intervertebral discs. Slight retroplacement of the L4 vertebra over the L5 vertebra is noted.
There is a fairly large, postero-central and right paracentral extruded disc at the L4-L5 level with thecal sac compression. Superior migration of the disc fragment is noted, displacing the thecal sac to the left and indenting the traversing right L4 nerve root. There is also slight inferior migration of the disc fragment to the right of the midline indenting the traversing right L5 nerve root. Facetal hypertrophy is noted at the L4-L5 level.
..2/.
Bilateral (extraforaminal) disc bulges are noted at the L4-L5 level.
A postero-central and right postero-lateral (foraminal) protruded discs are noted at the L3-L4 level. Mild facetal hypertrophy is seen at this level.
Type II degenerative marrow changes are noted adjacent to the L4-L5 and L3-L4 discs. A hemangioma with fat content is noted in the L1 vertebral body.
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 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 D12-L1
17.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
7.0 mm at L4-L5
IMPRESSION :
1. Sacralization of the L5 vertebra which is as marked on the film.
..3/.
- 3 - scan-00000
2. A fairly large, postero-central and right paracentral extruded disc at the L4-L5 level with superior migration of the disc fragment, displacing the thecal sac to the left and indenting the traversing right L4 nerve root. Slight inferior migration of the disc fragment to the right of the midline is also noted indenting the traversing right L5 nerve root. Facetal hypertrophy is noted at the L4-L5 level.
3. Postero-central and right postero-lateral protruded discs at the L3-L4 level.
4. Canal stenosis at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11999
sb/hs
/00001 Date : 00.00.00
Name of the Patient : Abc Xyzhand J. Chlmn / M / 55 yrs.
Referred by : Dr. Abc Xyztil.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O right sided hemiparesis on 00.00.00 from which patient recovered.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
Lacunar infarcts (hyperintense on the T2 Weighted images) are noted in the pons, right thalamus, head of right caudate nucleus and in the right centrum semiovale.
Ill-defined hyperintense areas on the T2 Weighted images are noted in the posterior parietal, periventricular white matter bilaterally and most likely represent ischemic changes.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally.
There is no shift of the midline structures.
Inflammatory changes are noted in the right maxillary antrum.
- 2 - Scan-00009/00001
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.
NECK MRA :
The left vertebral artery is seen to arise from the aortic arch.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Lacunar infarcts in the pons, right thalamus, head of right caudate nucleus and in the right centrum semiovale.
2. Altered signal in the posterior parietal, periventricular white matter bilaterally most likely represent ischemic changes.
3. Anamalous origin of the left vertebral artery from the aortic arch.
4. No other significant abnormality/anomaly is detected on the intracranial and neck MRA on this study.
/00001 Date : 00.00.00
Name of the Patient : Abc Xyzhand J. Chlmn / M / 55 yrs.
Referred by : Dr. Abc Xyztil.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O right sided hemiparesis on 00.00.00 from which patient recovered.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
Lacunar infarcts (hyperintense on the T2 Weighted images) are noted in the pons, right thalamus, head of right caudate nucleus and in the right centrum semiovale.
Ill-defined hyperintense areas on the T2 Weighted images are noted in the posterior parietal, periventricular white matter bilaterally and most likely represent ischemic changes.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally.
There is no shift of the midline structures.
Inflammatory changes are noted in the right maxillary antrum.
- 2 - Scan-00009/00001
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.
NECK MRA :
The left vertebral artery is seen to arise from the aortic arch.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Lacunar infarcts in the pons, right thalamus, head of right caudate nucleus and in the right centrum semiovale.
2. Altered signal in the posterior parietal, periventricular white matter bilaterally most likely represent ischemic changes.
3. Anamalous origin of the left vertebral artery from the aortic arch.
4. No other significant abnormality/anomaly is detected on the intracranial and neck MRA on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11997
ke/sb
Date : 00.00.00
Name of the Patient : Abc Xlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzrman.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain in the right knee joint since 1 1/2 years with click +.
H/O fall 1 1/2 years ago.
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 (with fat saturation).
OBSERVATION :
Menisci
There is a linear hyperintense signal on all the pulse sequences (oriented vertically) within the posterior horn of the medial meniscus reaching upto the superior and inferior articular surface and would represents a complex meniscal tear (Grade III meniscal signal).
Hyperintense signal is seen in the anterior and posterior horns of the lateral menisci not reaching upto the articular surface on the T1 Weighted images and would represent a Grade I meniscal signal (meniscal degeneration).
The anterior horn of the medial meniscus reveals normal signal intensity.
Cruciate Ligaments :
The anterior cruciate is not identified and an intermediate signal intensity is seen along its course on the T1 Weighted images which is seen to turn heterogeneously hyperintense on the T2 Weighted images and would represent a tear of the anterior cruciate ligament.
The posterior cruciate ligament shows normal contour and signal characteristics.
Collateral Ligaments and the Patellar Tendon :
Probable partial tear of the medial collateral ligament is noted anteriorly.
The lateral collateral ligaments and the patellar tendon are normal.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
The articular cartilage overlying the patella, tibia and femur appears normal.
Effusion is noted in the right knee joint.
IMPRESSION :
The MRI features are suggestive of :
1. A complex tear (Grade III meniscal signal) within the posterior horn of the medial meniscus reaching upto the superior and inferior articular surfaces.
..3/.
- 3 - scan-00007
2. Altered signal in the anterior and posterior horns of the lateral menisci not reaching upto the articular surface
would represent a Grade I meniscal signal (meniscal degeneration).
3. Tear of the anterior cruciate ligament.
4. Probable partial tear of the medial collateral ligament, anteriorly.
Date : 00.00.00
Name of the Patient : Abc Xlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzrman.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain in the right knee joint since 1 1/2 years with click +.
H/O fall 1 1/2 years ago.
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 (with fat saturation).
OBSERVATION :
Menisci
There is a linear hyperintense signal on all the pulse sequences (oriented vertically) within the posterior horn of the medial meniscus reaching upto the superior and inferior articular surface and would represents a complex meniscal tear (Grade III meniscal signal).
Hyperintense signal is seen in the anterior and posterior horns of the lateral menisci not reaching upto the articular surface on the T1 Weighted images and would represent a Grade I meniscal signal (meniscal degeneration).
The anterior horn of the medial meniscus reveals normal signal intensity.
Cruciate Ligaments :
The anterior cruciate is not identified and an intermediate signal intensity is seen along its course on the T1 Weighted images which is seen to turn heterogeneously hyperintense on the T2 Weighted images and would represent a tear of the anterior cruciate ligament.
The posterior cruciate ligament shows normal contour and signal characteristics.
Collateral Ligaments and the Patellar Tendon :
Probable partial tear of the medial collateral ligament is noted anteriorly.
The lateral collateral ligaments and the patellar tendon are normal.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
The articular cartilage overlying the patella, tibia and femur appears normal.
Effusion is noted in the right knee joint.
IMPRESSION :
The MRI features are suggestive of :
1. A complex tear (Grade III meniscal signal) within the posterior horn of the medial meniscus reaching upto the superior and inferior articular surfaces.
..3/.
- 3 - scan-00007
2. Altered signal in the anterior and posterior horns of the lateral menisci not reaching upto the articular surface
would represent a Grade I meniscal signal (meniscal degeneration).
3. Tear of the anterior cruciate ligament.
4. Probable partial tear of the medial collateral ligament, anteriorly.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11996
ke/sb
Date : 00.00.00
Name of the Patient : Abc Xyzrwish A. Al-lmn / M / 30 yrs.
Referred by : Dr. Abc Xyzoshipura.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain in both knees since 2 years.
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 (with fat saturation).
OBSERVATION :
Menisci
There is a curvilinear hyperintense signal on all the pulse sequences within the posterior horn of the medial meniscus reaching upto the inferior articular surface. This would represent Grade III meniscal signal (a meniscal tear).
The anterior and posterior horns of the lateral menisci show hyperintense signal on the T1 Weighted images not reaching upto the articular surface and would represent a Grade I meniscal signal (meniscal degeneration).
The anterior horn of the medial meniscus reveals normal signal intensity.
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 :
The articular cartilage overlying the patella, tibia and femur appears normal.
IMPRESSION :
The MRI features are suggestive of Grade III meniscal signal (meniscal tear) within the posterior horn of the medial meniscus of the right knee joint, reaching upto the inferior articular surface.
Date : 00.00.00
Name of the Patient : Abc Xyzrwish A. Al-lmn / M / 30 yrs.
Referred by : Dr. Abc Xyzoshipura.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain in both knees since 2 years.
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 (with fat saturation).
OBSERVATION :
Menisci
There is a curvilinear hyperintense signal on all the pulse sequences within the posterior horn of the medial meniscus reaching upto the inferior articular surface. This would represent Grade III meniscal signal (a meniscal tear).
The anterior and posterior horns of the lateral menisci show hyperintense signal on the T1 Weighted images not reaching upto the articular surface and would represent a Grade I meniscal signal (meniscal degeneration).
The anterior horn of the medial meniscus reveals normal signal intensity.
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 :
The articular cartilage overlying the patella, tibia and femur appears normal.
IMPRESSION :
The MRI features are suggestive of Grade III meniscal signal (meniscal tear) within the posterior horn of the medial meniscus of the right knee joint, reaching upto the inferior articular surface.
Published in
MRI Reports