Regular User
Sunday, 27 December 2015 16:48
11985
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyza Kulklmn / F / 26 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 2-3 months.
H/O tuberculosis of the left acromio-clavicular joint 2 months back. On AKT since then.
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 an ill-defined, hypointense signal on the T1 Weighted images in the bodies of the L4 and L5 vertebrae. This signal appears hyperintense on the T2 Weighted images. Involvement of the left pedicle and transverse process of the L4 and L5 vertebrae is noted.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the left posterior paraspinal muscles, in the region of the left transverse process, at the L4 vertebral level. This lesion appears hyperintense on the T2 Weighted images. The left facet joint is involved at that level. Minimal soft tissue extension is noted along the anterior margin of the left transverse process at the L5 vertebral level. Indentation on the foraminal segments of the left L4 and L5 nerve roots is noted by the above described soft tissue lesion.
The rest of the lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The remaining facet joints are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
20.0 mm at L2-L3
19.0 mm at L3-L4
15.0 mm at L4-L5
15.0 mm at L5-S1.
Screening, T1 Weighted coronal images of the S. I. joints do not reveal any significant feature of note.
IMPRESSION :
Altered signal of the L4 and L5 vertebral bodies with involvement of the left sided pedicle and transverse process of these vertebrae, is not specific for a single etiology. In a known C/O tuberculosis of the left acromio-clavicular joint these changes may suggest tuberculous osteitis. Soft tissue in the left paraspinal muscles may represent granulation tissue/abscess.
The possibility of this lesion representing a neoplasm seems less likely.
Date : 00.00.00
Name of the Patient : Abc Xyza Kulklmn / F / 26 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 2-3 months.
H/O tuberculosis of the left acromio-clavicular joint 2 months back. On AKT since then.
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 an ill-defined, hypointense signal on the T1 Weighted images in the bodies of the L4 and L5 vertebrae. This signal appears hyperintense on the T2 Weighted images. Involvement of the left pedicle and transverse process of the L4 and L5 vertebrae is noted.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the left posterior paraspinal muscles, in the region of the left transverse process, at the L4 vertebral level. This lesion appears hyperintense on the T2 Weighted images. The left facet joint is involved at that level. Minimal soft tissue extension is noted along the anterior margin of the left transverse process at the L5 vertebral level. Indentation on the foraminal segments of the left L4 and L5 nerve roots is noted by the above described soft tissue lesion.
The rest of the lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The remaining facet joints are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
20.0 mm at L2-L3
19.0 mm at L3-L4
15.0 mm at L4-L5
15.0 mm at L5-S1.
Screening, T1 Weighted coronal images of the S. I. joints do not reveal any significant feature of note.
IMPRESSION :
Altered signal of the L4 and L5 vertebral bodies with involvement of the left sided pedicle and transverse process of these vertebrae, is not specific for a single etiology. In a known C/O tuberculosis of the left acromio-clavicular joint these changes may suggest tuberculous osteitis. Soft tissue in the left paraspinal muscles may represent granulation tissue/abscess.
The possibility of this lesion representing a neoplasm seems less likely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11984
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzti B. Salmn / F / 65 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
Known C/O CRF.
C/O puffiness of face with weakness of BUE and BLE.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.
Small postero-central protruded discs with peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels indenting the dural theca anteriorly.
Small postero-central disc protrusions are noted at the C2-C3, C3-C4 and C6-C7 levels.
The C5 vertebral body is slightly wedged anteriorly without change in signal intensity. The upper cervical vertebral bodies show spotty fatty marrow changes.
The rest of 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.
- 2 - scan-00004
The atlanto-axial region and the cervico-medullary junction are unremarkable.
A Ryles tube is noted in position.
Incidentally noted is an enlarged thyroid gland.
IMPRESSION :
1. Small postero-central protruded discs with peridiscal osteophytes at the C4-C5 and C5-C6 levels.
2. Small postero-central disc protrusions at the C2-C3, C3-C4 and C6-C7 levels.
3. Enlarged thyroid gland.
Date : 00.00.00
Name of the Patient : Abc Xyzti B. Salmn / F / 65 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
Known C/O CRF.
C/O puffiness of face with weakness of BUE and BLE.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.
Small postero-central protruded discs with peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels indenting the dural theca anteriorly.
Small postero-central disc protrusions are noted at the C2-C3, C3-C4 and C6-C7 levels.
The C5 vertebral body is slightly wedged anteriorly without change in signal intensity. The upper cervical vertebral bodies show spotty fatty marrow changes.
The rest of 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.
- 2 - scan-00004
The atlanto-axial region and the cervico-medullary junction are unremarkable.
A Ryles tube is noted in position.
Incidentally noted is an enlarged thyroid gland.
IMPRESSION :
1. Small postero-central protruded discs with peridiscal osteophytes at the C4-C5 and C5-C6 levels.
2. Small postero-central disc protrusions at the C2-C3, C3-C4 and C6-C7 levels.
3. Enlarged thyroid gland.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11983
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzar P. Achrlmn / M / 38 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with diminished vision in the right eye and vomiting since 1 year.
H/O VP shunt done 8 days back.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted and T2 Weighted sagittal images.
OBSERVATION :
There is seen a fairly large, approximately 3.9 x 3.9 x 5.0 cms sized well-marginated heterogeneous signal intensity mass lesion in the posterior fossa in the midline and slightly more to the right. This lesion is most likely within the fourth ventricle. The solid component of this lesion is of intermediate signal intensity on the T1 Weighted images but appears relatively hypointense on the proton and T2 Weighted images. The cystic component of the lesion is isointense to CSF on all the pulse sequences. There is no perilesional edema. The brainstem is seen to be displaced slightly anteriorly by the lesion. There is cerebellar tonsillar herniation through the foramen magnum.
Burrholes are noted in the right frontal and right posterior parietal region. A shunt tube is seen to traverse the right posterior parietal lobe, with its tip lying in the body of the right lateral ventricle. Both the lateral and third ventricles appear collapsed.
Small bright foci on the proton, T2 Weighted and FLAIR images are noted in the posterior parietal periventricular white matter bilaterally, right frontal deep white matter and right centrum semiovale.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidentally noted is a syrinx in the cervical cord over C2 to C4 vertebral levels.
Screening T1 Weightd sagittal images of the dorsal spine reveal slightly wedged lower dorsal vertebrae, which may be post-traumatic.
IMPRESSION :
An approximately 3.9 x 3.9 x 5.0 cms sized heterogeneous signal intensity mass lesion in the posterior fossa in the midline and to the right as described is not specific for a single etiology. The differential diagnosis would include :
1. An intrafourth ventricular mass lesion, most likely a primitive neuroectodermal tumor.
2. A cerebellar astrocytoma.
3. Ependymoma/Subependymoma.
Patient is status post-shunt.
A syrinx is noted in the cervical cord over C2 to C4 vertebral levels.
Date : 00.00.00
Name of the Patient : Abc Xyzar P. Achrlmn / M / 38 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with diminished vision in the right eye and vomiting since 1 year.
H/O VP shunt done 8 days back.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted and T2 Weighted sagittal images.
OBSERVATION :
There is seen a fairly large, approximately 3.9 x 3.9 x 5.0 cms sized well-marginated heterogeneous signal intensity mass lesion in the posterior fossa in the midline and slightly more to the right. This lesion is most likely within the fourth ventricle. The solid component of this lesion is of intermediate signal intensity on the T1 Weighted images but appears relatively hypointense on the proton and T2 Weighted images. The cystic component of the lesion is isointense to CSF on all the pulse sequences. There is no perilesional edema. The brainstem is seen to be displaced slightly anteriorly by the lesion. There is cerebellar tonsillar herniation through the foramen magnum.
Burrholes are noted in the right frontal and right posterior parietal region. A shunt tube is seen to traverse the right posterior parietal lobe, with its tip lying in the body of the right lateral ventricle. Both the lateral and third ventricles appear collapsed.
Small bright foci on the proton, T2 Weighted and FLAIR images are noted in the posterior parietal periventricular white matter bilaterally, right frontal deep white matter and right centrum semiovale.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidentally noted is a syrinx in the cervical cord over C2 to C4 vertebral levels.
Screening T1 Weightd sagittal images of the dorsal spine reveal slightly wedged lower dorsal vertebrae, which may be post-traumatic.
IMPRESSION :
An approximately 3.9 x 3.9 x 5.0 cms sized heterogeneous signal intensity mass lesion in the posterior fossa in the midline and to the right as described is not specific for a single etiology. The differential diagnosis would include :
1. An intrafourth ventricular mass lesion, most likely a primitive neuroectodermal tumor.
2. A cerebellar astrocytoma.
3. Ependymoma/Subependymoma.
Patient is status post-shunt.
A syrinx is noted in the cervical cord over C2 to C4 vertebral levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11982
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyze Shlmn / F / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O high grade fever with chills and rigors at the age of 15 years.
C/O neck stiffness, slurred speech and decreased mental function since then.
Also H/O urinary incontinence till the age of 12 years.
FTND.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted , proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There are ill-defined hypointense areas on the T1 Weighted images in the lentiform nuclei bilaterally, head of left caudate nucleus and in the region of the dentate nuclei bilaterally. These lesions appear more hypointense on the proton, T2 Weighted and FLAIR images and are seen to bloom on the Fast Scan (T2 *) images. On the Fast Scan (T2 *) images, there are also seen small, focal hypointense lesions in the subcortical white matter in the fronto-parietal regions bilaterally.
There is mild dilatation of both the lateral, third and the fourth ventricles. There is prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the left maxillary antrum.
- 2 - scan-00002
IMPRESSION :
Hypointense signal in the lentiform nuclei bilaterally, head of left caudate nucleus and in the region of the dentate nuclei bilaterally and in the subcortical white matter in the fronto-parietal regions bilaterally as described, represents calcification. The exact etiology of these calcific densities is not specific for a single diagnosis. They may be a sequelae of,
1. Neurodegenerative disorder.
2. Metabolic disorders.
3. Hypoxic-ischemic insult or
4. Intracranial infection.
Mild cerebral cortical and cerebellar atrophy is also noted with ventricular dilatation.
Date : 00.00.00
Name of the Patient : Abc Xyze Shlmn / F / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O high grade fever with chills and rigors at the age of 15 years.
C/O neck stiffness, slurred speech and decreased mental function since then.
Also H/O urinary incontinence till the age of 12 years.
FTND.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted , proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There are ill-defined hypointense areas on the T1 Weighted images in the lentiform nuclei bilaterally, head of left caudate nucleus and in the region of the dentate nuclei bilaterally. These lesions appear more hypointense on the proton, T2 Weighted and FLAIR images and are seen to bloom on the Fast Scan (T2 *) images. On the Fast Scan (T2 *) images, there are also seen small, focal hypointense lesions in the subcortical white matter in the fronto-parietal regions bilaterally.
There is mild dilatation of both the lateral, third and the fourth ventricles. There is prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the left maxillary antrum.
- 2 - scan-00002
IMPRESSION :
Hypointense signal in the lentiform nuclei bilaterally, head of left caudate nucleus and in the region of the dentate nuclei bilaterally and in the subcortical white matter in the fronto-parietal regions bilaterally as described, represents calcification. The exact etiology of these calcific densities is not specific for a single diagnosis. They may be a sequelae of,
1. Neurodegenerative disorder.
2. Metabolic disorders.
3. Hypoxic-ischemic insult or
4. Intracranial infection.
Mild cerebral cortical and cerebellar atrophy is also noted with ventricular dilatation.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11981
Date : 00.00.00
Name of the Patient : Abc Xyzlla Llmn / F / 63 yrs.
Referred by : Dr. Abc Xyzauvan.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left eye ptosis 2 months with painful left 3rd nerve palsy.
Known diabetic (controlled) & hypertensive. On Rx.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and STIR coronal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial images with magnetization transfer,
5 mm thick T1 Weighted sagittal images.
3 mm thick T1 Weighted coronal images with fat saturation.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton and T2 Weighted images in the posterior parietal periventricular white matter bilaterally and in bilateral centrum semiovale. These lesions appear nearly isointense to normal white matter on the T1 Weighted images.
Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures. The vertebro-basilar system is ectatic with indentation on the brainstem on the left.
The pituitary gland, suprasellar cistern, cavernous sinuses on either side, visualized orbits and optic nerves on either side are unremarkable. No focal mass lesion is identified in the cavernous sinuses or the visualized orbits. The left eye is aphakic. Mucosal thickening is noted in the right maxillary antrum.
After administration of contrast, there is no focal area of abnormal enhancement in the brain parenchyma, the meninges, the cavernous sinuses or the orbits on either side.
IMPRESSION :
Altered signal in the posterior parietal periventricular white matter bilaterally and in bilateral centrum semiovale most likely represent ischemic changes.
No abnormality is detected within the cavernous sinuses, visualized orbits and optic nerves on either side.
The vertebro-basilar system is ectatic, indenting the brainstem on the left.
Name of the Patient : Abc Xyzlla Llmn / F / 63 yrs.
Referred by : Dr. Abc Xyzauvan.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left eye ptosis 2 months with painful left 3rd nerve palsy.
Known diabetic (controlled) & hypertensive. On Rx.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and STIR coronal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial images with magnetization transfer,
5 mm thick T1 Weighted sagittal images.
3 mm thick T1 Weighted coronal images with fat saturation.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton and T2 Weighted images in the posterior parietal periventricular white matter bilaterally and in bilateral centrum semiovale. These lesions appear nearly isointense to normal white matter on the T1 Weighted images.
Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures. The vertebro-basilar system is ectatic with indentation on the brainstem on the left.
The pituitary gland, suprasellar cistern, cavernous sinuses on either side, visualized orbits and optic nerves on either side are unremarkable. No focal mass lesion is identified in the cavernous sinuses or the visualized orbits. The left eye is aphakic. Mucosal thickening is noted in the right maxillary antrum.
After administration of contrast, there is no focal area of abnormal enhancement in the brain parenchyma, the meninges, the cavernous sinuses or the orbits on either side.
IMPRESSION :
Altered signal in the posterior parietal periventricular white matter bilaterally and in bilateral centrum semiovale most likely represent ischemic changes.
No abnormality is detected within the cavernous sinuses, visualized orbits and optic nerves on either side.
The vertebro-basilar system is ectatic, indenting the brainstem on the left.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11980
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 26 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
H/O RTA on 00.00.00 with paraplegia and bladder involvement which recovered within a month.
Now C/O numbness in the right sole and no control over bladder/bowel since then.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is anterior wedging of the L1 vertebral body with a kyphus at that level. The anterior half of the L1 body shows an ill-defined, hypointense signal on all pulse sequences which may suggest sclerosis. Focal fatty changes are also noted in the L1 vertebral body. The D12-L1 and L1-L2 intervertebral discs are reduced in height and show loss of water content
The L1 vertebral body is slightly retropulsed with resultant indentation on the anterior dural theca at that level. Slight compromise of the spinal canal at L1 is noted.
Subtle hyperintense signal on the T2 Weighted images is noted along the postero-lateral margin of the dorsal spinal cord, on the right at the D12 vertebral level (scan 105.13). There is no significant cord compression.
The rest of the visualized dorso-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-L1 level.
Screening, T2 weighted sagittal images of the dorsal spine do not reveal any significant feature of note.
IMPRESSION :
Slight anterior wedging of the L1 vertebral body with altered signal as described suggests an old healed fracture. Slight retropulsion of body of L1 is noted with mild compromise of lumbar canal at that level. The adjacent intervertebral discs are degenerated. There is no significant cord compression.
Altered signal in the dorsal spinal cord at D12, on the right, posteriorly, may be the sequelae of previous cord contusion.
As compared to the previous MRI dated 13.04,98, there is a significant decrease in the cord signal alteration on the present study. The L1 vertebral body shows evidence of a healing fracture.
Name of the Patient : Abc Xyz lmn / M / 26 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
H/O RTA on 00.00.00 with paraplegia and bladder involvement which recovered within a month.
Now C/O numbness in the right sole and no control over bladder/bowel since then.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is anterior wedging of the L1 vertebral body with a kyphus at that level. The anterior half of the L1 body shows an ill-defined, hypointense signal on all pulse sequences which may suggest sclerosis. Focal fatty changes are also noted in the L1 vertebral body. The D12-L1 and L1-L2 intervertebral discs are reduced in height and show loss of water content
The L1 vertebral body is slightly retropulsed with resultant indentation on the anterior dural theca at that level. Slight compromise of the spinal canal at L1 is noted.
Subtle hyperintense signal on the T2 Weighted images is noted along the postero-lateral margin of the dorsal spinal cord, on the right at the D12 vertebral level (scan 105.13). There is no significant cord compression.
The rest of the visualized dorso-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-L1 level.
Screening, T2 weighted sagittal images of the dorsal spine do not reveal any significant feature of note.
IMPRESSION :
Slight anterior wedging of the L1 vertebral body with altered signal as described suggests an old healed fracture. Slight retropulsion of body of L1 is noted with mild compromise of lumbar canal at that level. The adjacent intervertebral discs are degenerated. There is no significant cord compression.
Altered signal in the dorsal spinal cord at D12, on the right, posteriorly, may be the sequelae of previous cord contusion.
As compared to the previous MRI dated 13.04,98, there is a significant decrease in the cord signal alteration on the present study. The L1 vertebral body shows evidence of a healing fracture.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11979
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyz I. Anwalmn / F / 11 yrs.
Referred by : Dr. Abc Xyzwala.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures (2 episodes) since August 0000 with loss of appetite.
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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is loss of volume of the left hippocampal complex with resultant focal dilatation of the temporal horn of the left lateral ventricle. No signal change is however noted in the hippocampal complex on either side.
There is no focal area of abnormal signal intensity within the brain parenchyma.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
A cavum septum pellucidum and cavum vergae are noted.
Inflammatory changes are noted in the right maxillary antrum.
IMPRESSION :
1. Loss of volume of the left hippocampal complex without
obvious signal change may suggest hippocampal sclerosis.
2. Cerebral cortical atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyz I. Anwalmn / F / 11 yrs.
Referred by : Dr. Abc Xyzwala.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures (2 episodes) since August 0000 with loss of appetite.
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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is loss of volume of the left hippocampal complex with resultant focal dilatation of the temporal horn of the left lateral ventricle. No signal change is however noted in the hippocampal complex on either side.
There is no focal area of abnormal signal intensity within the brain parenchyma.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
A cavum septum pellucidum and cavum vergae are noted.
Inflammatory changes are noted in the right maxillary antrum.
IMPRESSION :
1. Loss of volume of the left hippocampal complex without
obvious signal change may suggest hippocampal sclerosis.
2. Cerebral cortical atrophy.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11978
Date : 00.00.00
Name of the Patient : Abc Xyzevi P. Ylmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O progressive difficulty in swallowing, loss of speech and weakness of BLE and BUE (BLE > BUE) since 4 months. Also C/O headaches since several 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.
5 mm thick FLAIR coronal images.
MR Cisternogram was obtained in the coronal plane.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
The seventh and eighth cranial nerve complex is unremarkable on either side.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Age related cerebral cortical and cerebellar atrophy.
No other significant abnormality is detected on this study.
Name of the Patient : Abc Xyzevi P. Ylmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O progressive difficulty in swallowing, loss of speech and weakness of BLE and BUE (BLE > BUE) since 4 months. Also C/O headaches since several 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.
5 mm thick FLAIR coronal images.
MR Cisternogram was obtained in the coronal plane.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
The seventh and eighth cranial nerve complex is unremarkable on either side.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Age related cerebral cortical and cerebellar atrophy.
No other significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11977
hs/sb
Date : 00.00.00
Name of the Patient : Abc XyzBagdalmn / M / 19 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 1 1/2 months.
Alleged H/O vehicular accident 2 months back.
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 appears to be sacralization of the L5 vertebra and it is as marked on the film.
A mild posterior disc bulge with peridiscal osteophyte is seen to indent the thecal sac at the L4-L5 level. Also seen is mild facetal and ligamentum flavum hypertrophy at this level. The L4-L5 intervertebral disc shows loss of water content.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
18.0 mm at L2-L3
..2/.
- 2 - scan-00007
18.0 mm at L3-L4
18.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra.
2. A mild posterior disc bulge with peridiscal osteophyte at the L4-L5 level with mild facetal and ligamentum flavum hypertrophy at this level.
Date : 00.00.00
Name of the Patient : Abc XyzBagdalmn / M / 19 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 1 1/2 months.
Alleged H/O vehicular accident 2 months back.
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 appears to be sacralization of the L5 vertebra and it is as marked on the film.
A mild posterior disc bulge with peridiscal osteophyte is seen to indent the thecal sac at the L4-L5 level. Also seen is mild facetal and ligamentum flavum hypertrophy at this level. The L4-L5 intervertebral disc shows loss of water content.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
18.0 mm at L2-L3
..2/.
- 2 - scan-00007
18.0 mm at L3-L4
18.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra.
2. A mild posterior disc bulge with peridiscal osteophyte at the L4-L5 level with mild facetal and ligamentum flavum hypertrophy at this level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11976
ke/sb
Date : 00.00.00
Name of the Patient : Abc Xyzsh lmn / M / 28 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE since 3-4 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a postero-central disc herniation at the L4-L5 level with anterior indentation of the thecal sac. There is slight inferior migration of the disc fragment which is seen to lie posterior to the superior margin of the L5 vertebral body.
A small postero-central disc herniation is seen at the L5-S1 level.
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
Posterior peridiscal osteophytes are noted at the L4-L5 and L5-S1 levels.
The L4-L5 facet joint on the left side and L5-S1 facet joints bilaterally show mild degenerative changes.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
- 2 - scan-00006
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 :
17.0 mm at L1-L2
15.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.
Fat is noted in the filum terminale at the L4 vertebral body.
IMPRESSION :
The MRI features are suggestive of :
1. A postero-central disc herniation at the L4-L5 level with slight inferior migration of the disc fragment which is seen to lie posterior to the superior margin of the L5 vertebral body.
2. A small postero-central disc herniation at the L5-S1 level.
3. Posterior peridiscal osteophytes at the L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzsh lmn / M / 28 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE since 3-4 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a postero-central disc herniation at the L4-L5 level with anterior indentation of the thecal sac. There is slight inferior migration of the disc fragment which is seen to lie posterior to the superior margin of the L5 vertebral body.
A small postero-central disc herniation is seen at the L5-S1 level.
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
Posterior peridiscal osteophytes are noted at the L4-L5 and L5-S1 levels.
The L4-L5 facet joint on the left side and L5-S1 facet joints bilaterally show mild degenerative changes.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
- 2 - scan-00006
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 :
17.0 mm at L1-L2
15.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.
Fat is noted in the filum terminale at the L4 vertebral body.
IMPRESSION :
The MRI features are suggestive of :
1. A postero-central disc herniation at the L4-L5 level with slight inferior migration of the disc fragment which is seen to lie posterior to the superior margin of the L5 vertebral body.
2. A small postero-central disc herniation at the L5-S1 level.
3. Posterior peridiscal osteophytes at the L4-L5 and L5-S1 levels.
Published in
MRI Reports