Regular User
Sunday, 27 December 2015 16:48
11916
ke/sb
Date : 00.00.00
Name of the Patient : Abc Xyz S. Chidaklmn / F / 63 yrs.
Referred by : Dr. Abc Xyznna / Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since December 0000.
H/O fall 2 years 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 is sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film.
There is slight forward subluxation of the L4 over the L5 vertebra.
Posterior and bilateral far lateral disc bulge is seen at the L4-L5 level with anterior indentation of the thecal sac and on the extraforaminal portion of the L4 nerve roots bilaterally.
There is a posterior and a right far lateral disc bulge at the L3-L4 level with slight anterior indentation of the thecal sac.
Hypertrophic facetal arthropathy is noted at the L3-L4 and L4-L5 levels.
Small anterior disc herniations are noted at the L2-L3, L3-L4 and L4-L5 levels. These intervertebral discs show 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.
Fat is noted within the filumm terminale at the L1 and L2 levels and this may be a normal variant.
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 :
18.0 mm at L1-L2
18.0 mm at L2-L3
14.0 mm at L3-L4
14.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. Slight forward subluxation of the L4 over the L5 vertebra.
3. Posterior and bilateral far lateral disc bulge at the L4-L5 level with indentation upon the extraforaminal portion of the L4 nerve roots bilaterally.
4. A posterior and a right far lateral disc bulge at the L3-L4 level.
5. Hypertrophic facetal arthropathy at the L3-L4 and L4-L5 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz S. Chidaklmn / F / 63 yrs.
Referred by : Dr. Abc Xyznna / Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since December 0000.
H/O fall 2 years 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 is sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film.
There is slight forward subluxation of the L4 over the L5 vertebra.
Posterior and bilateral far lateral disc bulge is seen at the L4-L5 level with anterior indentation of the thecal sac and on the extraforaminal portion of the L4 nerve roots bilaterally.
There is a posterior and a right far lateral disc bulge at the L3-L4 level with slight anterior indentation of the thecal sac.
Hypertrophic facetal arthropathy is noted at the L3-L4 and L4-L5 levels.
Small anterior disc herniations are noted at the L2-L3, L3-L4 and L4-L5 levels. These intervertebral discs show 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.
Fat is noted within the filumm terminale at the L1 and L2 levels and this may be a normal variant.
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 :
18.0 mm at L1-L2
18.0 mm at L2-L3
14.0 mm at L3-L4
14.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. Slight forward subluxation of the L4 over the L5 vertebra.
3. Posterior and bilateral far lateral disc bulge at the L4-L5 level with indentation upon the extraforaminal portion of the L4 nerve roots bilaterally.
4. A posterior and a right far lateral disc bulge at the L3-L4 level.
5. Hypertrophic facetal arthropathy at the L3-L4 and L4-L5 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11915
sb/ke
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O paresthesias in BUE since 1 1/2 months (right more than left) with gait imbalance.
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 water content of the cervical intervertebral discs and loss of normal cervical lordosis.
Minimal forward translation of the C3 over the C4 vertebra is noted and minimal retroplacement of the C4 over the C5 and C5 over the C6 is seen.
Small, posterior disc herniations with posterior peridiscal osteophytes are noted at the C3-C4 and C4-C5 levels.
The cervical spinal cord at the C3-C4 level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia.
Small, posterior disc bulges with posterior peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.
Degenerative changes of the joints of the Luschka are noted at the C3-C4 on the right and at the C5-C6 and C6-C7 levels, bilaterally, with corresponding neural foraminal narrowing.
Facetal hypertrophy is noted at the C3-C4 level on the right and at the C5-C6 level bilaterally.
The cervical vertebral bodies show normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. Small posterior disc herniations with posterior peridiscal osteophytes at the C3-C4 and C4-C5 levels.
2. Altered signal in the cord at the C3-C4 level suggest cord edema/ischemia.
3. Small posterior disc bulges with peridiscal osteophytes at the C5-C6 and C6-C7 levels.
4. Degenerative changes of the joints of Luschka on the right at the C3-C4 level and bilaterally at the C5-C6 and C6-C7 levels.
5. Facetal hypertrophy at the C3-C4 level on the right and at the C5-C6 level bilaterally.
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O paresthesias in BUE since 1 1/2 months (right more than left) with gait imbalance.
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 water content of the cervical intervertebral discs and loss of normal cervical lordosis.
Minimal forward translation of the C3 over the C4 vertebra is noted and minimal retroplacement of the C4 over the C5 and C5 over the C6 is seen.
Small, posterior disc herniations with posterior peridiscal osteophytes are noted at the C3-C4 and C4-C5 levels.
The cervical spinal cord at the C3-C4 level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia.
Small, posterior disc bulges with posterior peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.
Degenerative changes of the joints of the Luschka are noted at the C3-C4 on the right and at the C5-C6 and C6-C7 levels, bilaterally, with corresponding neural foraminal narrowing.
Facetal hypertrophy is noted at the C3-C4 level on the right and at the C5-C6 level bilaterally.
The cervical vertebral bodies show normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. Small posterior disc herniations with posterior peridiscal osteophytes at the C3-C4 and C4-C5 levels.
2. Altered signal in the cord at the C3-C4 level suggest cord edema/ischemia.
3. Small posterior disc bulges with peridiscal osteophytes at the C5-C6 and C6-C7 levels.
4. Degenerative changes of the joints of Luschka on the right at the C3-C4 level and bilaterally at the C5-C6 and C6-C7 levels.
5. Facetal hypertrophy at the C3-C4 level on the right and at the C5-C6 level bilaterally.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11914
hs/sb
Date : 00.00.00
Name of the Patient : Abc XyzS. Merclmn / M / 35 yrs.
Referred by : Dr. Abc Xyz. Kapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to the RLE since 4-5 days with paresthesias.
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.
4 mm thick T1 Weighted axial images through L5-S1 level.
The gluteal region was screened with 5 mm thick T1 Weighted and STIR axial images.
OBSERVATION :
There is slight retroplacement of the L5 vertebra over the S1 vertebra.
A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac and minimally indent both the traversing S1 nerve roots at the L5-S1 level. A small left postero-lateral (foraminal) disc herniation is seen to narrow the left neural foramina at this level. There appears to be slight inflammation of the traversing left S1 nerve root. A disc fragment is also seen to lie in the right antero-lateral epidural space at the S1 indenting the right S1 nerve root.
The L5-S1 intervertebral disc shows loss of water content.
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.
On screening the gluteal region, the hyperintense signal on the STIR images on the left side is most likely the result of an intramuscular injection. The visualized hip joints and sacro-iliac joints are otherwise unremarkable.
The conus medullaris terminates at the L1 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 :
13.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
18.0 mm at L4-L5
17.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A postero-central disc herniation with peridiscal osteophytes, minimally indenting the traversing S1 nerve roots bilaterally at the L5-S1 level.
2. A small left postero-lateral (foraminal) disc herniation at the L5-S1 level.
3. A small sequestered disc fragment in the right antero-lateral epidural space at the S1 level, indenting the right S1 nerve root.
Date : 00.00.00
Name of the Patient : Abc XyzS. Merclmn / M / 35 yrs.
Referred by : Dr. Abc Xyz. Kapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to the RLE since 4-5 days with paresthesias.
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.
4 mm thick T1 Weighted axial images through L5-S1 level.
The gluteal region was screened with 5 mm thick T1 Weighted and STIR axial images.
OBSERVATION :
There is slight retroplacement of the L5 vertebra over the S1 vertebra.
A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac and minimally indent both the traversing S1 nerve roots at the L5-S1 level. A small left postero-lateral (foraminal) disc herniation is seen to narrow the left neural foramina at this level. There appears to be slight inflammation of the traversing left S1 nerve root. A disc fragment is also seen to lie in the right antero-lateral epidural space at the S1 indenting the right S1 nerve root.
The L5-S1 intervertebral disc shows loss of water content.
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.
On screening the gluteal region, the hyperintense signal on the STIR images on the left side is most likely the result of an intramuscular injection. The visualized hip joints and sacro-iliac joints are otherwise unremarkable.
The conus medullaris terminates at the L1 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 :
13.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
18.0 mm at L4-L5
17.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A postero-central disc herniation with peridiscal osteophytes, minimally indenting the traversing S1 nerve roots bilaterally at the L5-S1 level.
2. A small left postero-lateral (foraminal) disc herniation at the L5-S1 level.
3. A small sequestered disc fragment in the right antero-lateral epidural space at the S1 level, indenting the right S1 nerve root.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11913
sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyza Kalmn / F / 70 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to the RLE since 2 months with paresthesias.
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 reduction in height of the L3-L4, L4-L5 and L5-S1 intervertebral discs and loss of water content of these lumbar intervertebral discs.
There is scoliosis of the lumbar spine with convexity to the right with lateral subluxation of the L4 over the L5 vertebra with peridiscal osteophytes.
There is retroplacement of the L5 vertebra over the S1 vertebra and slight forward translation of the L4 over the L5 and L3 over L4 vertebrae.
There is a posteriorly herniated disc with posterior peridiscal osteophyte at the L5-S1 level with indentaion on the S1 nerve roots bilaterally. Right far lateral disc herniation with peridiscal osteophyte is also noted with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L5 nerve root.
A left postero-lateral and left far lateral disc herniation with peridiscal osteophytes is noted at the L4-L5 level with indentation on the left L5 nerve root, left neural foraminal narrowing and impingement of the the foraminal segment of the left L4 nerve root.
A left postero-lateral disc herniation with peridiscal osteophyte is ntoed at the L3-L4 level with left neural foraminal narrowing.
Hypertrophic facetal arthropathy and ligamentum flavum hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels bilaterally with canal stenosis.
Anterior disc herniations with anterior peridiscal osteophytes is noted in the lower lumbar region.
Type II degenerative marrow changes are noted adjacent to the L4-L5 disc.
The rest of the lumbar vertebral bodies reveal normal signal intensity. 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 S1-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
20.0 mm at L2-L3
12.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.
..3/.
- 3 - scan-00003
IMPRESSION :
The MRI features suggest gross degenerative changes in the lumbar spine with :
1. Scoliosis of the lumbar spine with convexity to the right side and lateral subluxation of the L4 over L5 vertebra with peridiscal osteophytes.
2. Retroplacement of the L5 vertebra over the S1 vertebra and slight forward translation of the L4 over the L5 and L3 over L4 vertebrae.
2. A posteriorly herniated disc with posterior peridiscal osteophyte at the L5-S1 level with indentaion on the S1 nerve roots bilaterally with right far lateral disc herniation with peridiscal osteophyte with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L5 nerve root at this level.
3. A left postero-lateral and left far lateral disc herniation with peridiscal osteophytes at the L4-L5 level with indentation on the left L5 nerve root.
4. A left postero-lateral disc herniation with peridiscal osteophyte at the L3-L4 level with left neural foraminal narrowing.
6. Hypertrophic facetal arthropathy and ligamentum flavum hypertrophy at the L3-L4, L4-L5 and L5-S1 levels bilaterally with canal stenosis.
Date : 00.00.00
Name of the Patient : Abc Xyza Kalmn / F / 70 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to the RLE since 2 months with paresthesias.
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 reduction in height of the L3-L4, L4-L5 and L5-S1 intervertebral discs and loss of water content of these lumbar intervertebral discs.
There is scoliosis of the lumbar spine with convexity to the right with lateral subluxation of the L4 over the L5 vertebra with peridiscal osteophytes.
There is retroplacement of the L5 vertebra over the S1 vertebra and slight forward translation of the L4 over the L5 and L3 over L4 vertebrae.
There is a posteriorly herniated disc with posterior peridiscal osteophyte at the L5-S1 level with indentaion on the S1 nerve roots bilaterally. Right far lateral disc herniation with peridiscal osteophyte is also noted with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L5 nerve root.
A left postero-lateral and left far lateral disc herniation with peridiscal osteophytes is noted at the L4-L5 level with indentation on the left L5 nerve root, left neural foraminal narrowing and impingement of the the foraminal segment of the left L4 nerve root.
A left postero-lateral disc herniation with peridiscal osteophyte is ntoed at the L3-L4 level with left neural foraminal narrowing.
Hypertrophic facetal arthropathy and ligamentum flavum hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels bilaterally with canal stenosis.
Anterior disc herniations with anterior peridiscal osteophytes is noted in the lower lumbar region.
Type II degenerative marrow changes are noted adjacent to the L4-L5 disc.
The rest of the lumbar vertebral bodies reveal normal signal intensity. 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 S1-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
20.0 mm at L2-L3
12.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.
..3/.
- 3 - scan-00003
IMPRESSION :
The MRI features suggest gross degenerative changes in the lumbar spine with :
1. Scoliosis of the lumbar spine with convexity to the right side and lateral subluxation of the L4 over L5 vertebra with peridiscal osteophytes.
2. Retroplacement of the L5 vertebra over the S1 vertebra and slight forward translation of the L4 over the L5 and L3 over L4 vertebrae.
2. A posteriorly herniated disc with posterior peridiscal osteophyte at the L5-S1 level with indentaion on the S1 nerve roots bilaterally with right far lateral disc herniation with peridiscal osteophyte with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L5 nerve root at this level.
3. A left postero-lateral and left far lateral disc herniation with peridiscal osteophytes at the L4-L5 level with indentation on the left L5 nerve root.
4. A left postero-lateral disc herniation with peridiscal osteophyte at the L3-L4 level with left neural foraminal narrowing.
6. Hypertrophic facetal arthropathy and ligamentum flavum hypertrophy at the L3-L4, L4-L5 and L5-S1 levels bilaterally with canal stenosis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11912
sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyz Blmn / F / 74 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O subarachnoid haemorrhage with a left sided PCOA aneurysm.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is evidence of a left fronto-temporal craniectomy with post-operative changes in the soft tissues in the left fronto-temporal region.
There is still seen, a hyperintense signal on the FLAIR images in the sulcal spaces in the fronto-temporo-parietal regions bilaterally. This signal appears predominantly isointense to CSF but appears hyperintense to normal CSF in the left Sylvian cistern, left MCA cistern and in the right high parietal region.
Fluid levels are noted in the occipital horns bilaterally.
There is mild dilatation of both the lateral, third and the fourth ventricles. A hypointense signal more pronounced on the proton density images is noted in the posterior third ventricle, aqueduct and the proximal fourth ventricle suggestive of turbulent flow. Periventricular white matter hyperintense signal on proton, T2 Weighted and FLAIR images is noted bilaterally. There is no shift of the midline structures.
..2/.
Both eyes are aphakic.
Inflammatory changes are noted in the left maxillary antrum.
IMPRESSION :
1. Post-operative status.
2. Altered signal in the sulcal spaces in the fronto-temporo-parietal regions bilaterally would represent subarachnoid haemorrhage.
3. Mild communicating hydrocephalus.
4. Fluid levels in the occipital horns bilaterally may represent intraventricular haemorrhage.
As compared to the previous MRI (scan no.00006) dated 00.00.00, there is slight increase in the size of the ventricles on the present study. Increase in the periventricular white matter hyperintense signal may suggest periventricular CSF ooze. Intraventricular fluid levels on the present scan suggests intraventricular haemorrhage. A rebleed is a likely possibility.
Date : 00.00.00
Name of the Patient : Abc Xyz Blmn / F / 74 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O subarachnoid haemorrhage with a left sided PCOA aneurysm.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is evidence of a left fronto-temporal craniectomy with post-operative changes in the soft tissues in the left fronto-temporal region.
There is still seen, a hyperintense signal on the FLAIR images in the sulcal spaces in the fronto-temporo-parietal regions bilaterally. This signal appears predominantly isointense to CSF but appears hyperintense to normal CSF in the left Sylvian cistern, left MCA cistern and in the right high parietal region.
Fluid levels are noted in the occipital horns bilaterally.
There is mild dilatation of both the lateral, third and the fourth ventricles. A hypointense signal more pronounced on the proton density images is noted in the posterior third ventricle, aqueduct and the proximal fourth ventricle suggestive of turbulent flow. Periventricular white matter hyperintense signal on proton, T2 Weighted and FLAIR images is noted bilaterally. There is no shift of the midline structures.
..2/.
Both eyes are aphakic.
Inflammatory changes are noted in the left maxillary antrum.
IMPRESSION :
1. Post-operative status.
2. Altered signal in the sulcal spaces in the fronto-temporo-parietal regions bilaterally would represent subarachnoid haemorrhage.
3. Mild communicating hydrocephalus.
4. Fluid levels in the occipital horns bilaterally may represent intraventricular haemorrhage.
As compared to the previous MRI (scan no.00006) dated 00.00.00, there is slight increase in the size of the ventricles on the present study. Increase in the periventricular white matter hyperintense signal may suggest periventricular CSF ooze. Intraventricular fluid levels on the present scan suggests intraventricular haemorrhage. A rebleed is a likely possibility.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11911
ke/sb
Date : 00.00.00
Name of the Patient : Abc Xyza P. Shirslmn / M / 14 yrs.
Referred by : Dr. Abc Xyzel.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O pain in both knees, hoarseness of voice and diminished vision.
O/E coarse skin, macroglossia and spade-like fingers.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick T1 Weighted sagittal images.
OBSERVATION :
Ther is seen an approximately 9.0 mms diameter sized, well-marginated, hypointense lesion on the T1 Weighted images in the right half of the anterior pituitary gland. This lesion appears hyperintense on the T2 Weighted images. Slight depression of the floor of the sella on the right is noted. The pituitary stalk is in the midline. The posterior pituitary gland shows normal hyperintense signal on the T1 Weighted images. The optic chiasma, suprasellar cistern and cavernous sinuses are unremarkable.
The sphenoid sinus shows evidence of a midline septum. An inflammatory, polypoid lesion is noted in the sphenoid sinus on the left.
T2 Weighted axial images of the brain do not reveal any significant feature of note.
..2/.
IMPRESSION :
An approximately 9.0 mms diameter sized lesion in the right half of the anterior pituitary gland on the right, as described, most likely represents a pituitary microadenoma.
A contrast enhanced scan would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyza P. Shirslmn / M / 14 yrs.
Referred by : Dr. Abc Xyzel.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O pain in both knees, hoarseness of voice and diminished vision.
O/E coarse skin, macroglossia and spade-like fingers.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick T1 Weighted sagittal images.
OBSERVATION :
Ther is seen an approximately 9.0 mms diameter sized, well-marginated, hypointense lesion on the T1 Weighted images in the right half of the anterior pituitary gland. This lesion appears hyperintense on the T2 Weighted images. Slight depression of the floor of the sella on the right is noted. The pituitary stalk is in the midline. The posterior pituitary gland shows normal hyperintense signal on the T1 Weighted images. The optic chiasma, suprasellar cistern and cavernous sinuses are unremarkable.
The sphenoid sinus shows evidence of a midline septum. An inflammatory, polypoid lesion is noted in the sphenoid sinus on the left.
T2 Weighted axial images of the brain do not reveal any significant feature of note.
..2/.
IMPRESSION :
An approximately 9.0 mms diameter sized lesion in the right half of the anterior pituitary gland on the right, as described, most likely represents a pituitary microadenoma.
A contrast enhanced scan would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11910
sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyzh Palmn / M / 32 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait imbalance since 3-4 months.
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 :
There is no focal area of altered signal intensity in the brain parenchyma.
There is prominence of the cerebellar folia bilaterally, with prominent superior cerebellar cistern. The ventral pontine bulge and the olivary bulges are maintained.
Both the lateral and the third ventricles are normal. The rest of the basal cisternal spaces are unremarkable.There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The body of the corpus callosum appears slightly thin.
IMPRESSION :
1. Cerebellar atrophy.
2. Slight thinning of the body of the corpus callosum.
Date : 00.00.00
Name of the Patient : Abc Xyzh Palmn / M / 32 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait imbalance since 3-4 months.
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 :
There is no focal area of altered signal intensity in the brain parenchyma.
There is prominence of the cerebellar folia bilaterally, with prominent superior cerebellar cistern. The ventral pontine bulge and the olivary bulges are maintained.
Both the lateral and the third ventricles are normal. The rest of the basal cisternal spaces are unremarkable.There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The body of the corpus callosum appears slightly thin.
IMPRESSION :
1. Cerebellar atrophy.
2. Slight thinning of the body of the corpus callosum.
Published in
MRI Reports
Tagged under
Sunday, 27 December 2015 16:48
11909
sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyzati Klmn / F / 37 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 2-3 years radiating to BLE (left more than right) with paresthesias in the RLE since 1 month.
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.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of water content of nearly all the lumbar intervertebral discs except the L2-L3 disc.
Posteriorly herniated discs are noted at the L4-L5 and L5-S1 levels with thecal sac compression and slight bilateral neural foraminal narrowing.
Facetal hypertrophy is noted at the L4-L5 and L5-S1 levels. Ligamentum flavum hypertrophy is noted at the L5-S1 level with resultant canal stenosis over the L4-L5 and L5-S1 levels.
A small, postero-central disc herniation is noted at the L3-L4 level.
Scan-00009
The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
Anterior disc herniation is seen at the L1-L2 level.
The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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 :
18.0 mm at L1-L2
17.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. Posteriorly herniated discs at the L4-L5 and L5-S1 levels with slight bilateral neural foraminal narrowing.
2. Facetal hypertrophy at the L4-L5 and L5-S1 levels and ligamentum flavum hypertrophy at the L5-S1 level with canal stenosis at the L4-L5 and L5-S1 levels.
3. A small, postero-central disc herniation at the L3-L4 level.
4. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.
Date : 00.00.00
Name of the Patient : Abc Xyzati Klmn / F / 37 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 2-3 years radiating to BLE (left more than right) with paresthesias in the RLE since 1 month.
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.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of water content of nearly all the lumbar intervertebral discs except the L2-L3 disc.
Posteriorly herniated discs are noted at the L4-L5 and L5-S1 levels with thecal sac compression and slight bilateral neural foraminal narrowing.
Facetal hypertrophy is noted at the L4-L5 and L5-S1 levels. Ligamentum flavum hypertrophy is noted at the L5-S1 level with resultant canal stenosis over the L4-L5 and L5-S1 levels.
A small, postero-central disc herniation is noted at the L3-L4 level.
Scan-00009
The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
Anterior disc herniation is seen at the L1-L2 level.
The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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 :
18.0 mm at L1-L2
17.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. Posteriorly herniated discs at the L4-L5 and L5-S1 levels with slight bilateral neural foraminal narrowing.
2. Facetal hypertrophy at the L4-L5 and L5-S1 levels and ligamentum flavum hypertrophy at the L5-S1 level with canal stenosis at the L4-L5 and L5-S1 levels.
3. A small, postero-central disc herniation at the L3-L4 level.
4. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11908
sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyzee B. Mlmn / F / 70 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with ptosis of the right eye since 8 days.
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.
A limited MRA sequence was obtained through the region of interest.
OBSERVATION :
There is seen an approximately, 2.0 cms diameter sized well-marginated mass lesion in the region of the right cavernous sinus. This lesion is of low signal intensity centrally on the T1 Weighted images and on the T2 Weighted images. The periphery of the lesion appears hyperintense on all the pulse sequences. The cavernous segment of the right internal carotid artery appears slightly smaller in diameter when compared to the left.
The pituitary gland, left cavernous sinus and the optic nerves on either side are unremarkable.
There are ill-defined hyperintense areas on the proton and T2 Weighted images in the right frontal periventricular white matter, posterior parietal white matter bilaterally and in the bilateral centrum semiovale. These lesions appear 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 the basal cisternal spaces. There is no shift of the midline structures.
Inflammatory changes are seen in the posterior ethmoidal air cells.
The vertebro-basilar system is ectatic.
The limited MRA sequence reveals a small calibre cavernous segment of the right internal carotid artery. The previously described mass lesion is in close relation to this vessel. Flow signal is also noted within the centre of this lesion.
IMPRESSION :
1. An approximately, 2.0 cms diameter sized well-marginated mass lesion in the region of the right cavernous sinus with signal characteristics and relations as described most likely represents a partially thrombosed aneurysm arising from the cavernous segment of the right internal carotid artery.
2. Altered signal in the right frontal periventricular white matter, posterior parietal white matter bilaterally and in the bilateral centrum semiovale most likely represent ischemic changes.
Date : 00.00.00
Name of the Patient : Abc Xyzee B. Mlmn / F / 70 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with ptosis of the right eye since 8 days.
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.
A limited MRA sequence was obtained through the region of interest.
OBSERVATION :
There is seen an approximately, 2.0 cms diameter sized well-marginated mass lesion in the region of the right cavernous sinus. This lesion is of low signal intensity centrally on the T1 Weighted images and on the T2 Weighted images. The periphery of the lesion appears hyperintense on all the pulse sequences. The cavernous segment of the right internal carotid artery appears slightly smaller in diameter when compared to the left.
The pituitary gland, left cavernous sinus and the optic nerves on either side are unremarkable.
There are ill-defined hyperintense areas on the proton and T2 Weighted images in the right frontal periventricular white matter, posterior parietal white matter bilaterally and in the bilateral centrum semiovale. These lesions appear 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 the basal cisternal spaces. There is no shift of the midline structures.
Inflammatory changes are seen in the posterior ethmoidal air cells.
The vertebro-basilar system is ectatic.
The limited MRA sequence reveals a small calibre cavernous segment of the right internal carotid artery. The previously described mass lesion is in close relation to this vessel. Flow signal is also noted within the centre of this lesion.
IMPRESSION :
1. An approximately, 2.0 cms diameter sized well-marginated mass lesion in the region of the right cavernous sinus with signal characteristics and relations as described most likely represents a partially thrombosed aneurysm arising from the cavernous segment of the right internal carotid artery.
2. Altered signal in the right frontal periventricular white matter, posterior parietal white matter bilaterally and in the bilateral centrum semiovale most likely represent ischemic changes.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11906
sb/hs
Date : 00.00.00
Name of the Patient : Abc Xyzid Almn / F / 71 yrs.
Referred by : Dr. Abc XyzShah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with blurred vision with momentary blackouts on the left side since 2-3 months.
H/O being operated for left Ca breast 18 years back.
Known hypertensive. On Rx.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick STIR coronal images.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the subcortical/deep white matter in the fronto-parietal regions bilaterally, periventricular white matter bilaterally, in the pons and in the head of left caudate nucleus. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
There is mild fullness 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. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
There is an expansile, hypointense signal intensity lesion on the T1 Weighted images in the frontal bone bilaterally in the midline, left parietal bone (probably) and along the greater wing of the left sphenoid bone with slight indentation of the left optic nerve. This lesion appears relatively hyperintense on the proton, T2 Weighted and STIR images. Resultant cortical thinning and probable erosion of the cortex is noted.
IMPRESSION :
1. Altered signal in the subcortical/deep white matter in the fronto-parietal regions bilaterally, periventricular white matter bilaterally, in the pons and in the head of the left caudate nucleus most likely represent ischemic changes.
2. Altered signal in the frontal bones bilaterally in the midline, left parietal bone (probably) and along the greater wing of the left sphenoid bone as described is not specific for a single etiology. In the given clinical setting of past h/o Ca breast, metastasis is a likely possibility (?? fibrous dysplasia).
Date : 00.00.00
Name of the Patient : Abc Xyzid Almn / F / 71 yrs.
Referred by : Dr. Abc XyzShah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with blurred vision with momentary blackouts on the left side since 2-3 months.
H/O being operated for left Ca breast 18 years back.
Known hypertensive. On Rx.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick STIR coronal images.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the subcortical/deep white matter in the fronto-parietal regions bilaterally, periventricular white matter bilaterally, in the pons and in the head of left caudate nucleus. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
There is mild fullness 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. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
There is an expansile, hypointense signal intensity lesion on the T1 Weighted images in the frontal bone bilaterally in the midline, left parietal bone (probably) and along the greater wing of the left sphenoid bone with slight indentation of the left optic nerve. This lesion appears relatively hyperintense on the proton, T2 Weighted and STIR images. Resultant cortical thinning and probable erosion of the cortex is noted.
IMPRESSION :
1. Altered signal in the subcortical/deep white matter in the fronto-parietal regions bilaterally, periventricular white matter bilaterally, in the pons and in the head of the left caudate nucleus most likely represent ischemic changes.
2. Altered signal in the frontal bones bilaterally in the midline, left parietal bone (probably) and along the greater wing of the left sphenoid bone as described is not specific for a single etiology. In the given clinical setting of past h/o Ca breast, metastasis is a likely possibility (?? fibrous dysplasia).
Published in
MRI Reports