Regular User
Sunday, 27 December 2015 16:48
11894
sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyz V. Vlmn / M / 63 yrs.
Referred by : Dr. Abc Xyzam.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in BLE (right more than left) with paresthesias since 1 year.
H/O spinal surgery done 3 years back (details not available).
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is reduction in height of the L4-L5 intervertebral disc and loss of water content of all the lumbar intervertebral discs except the L3-L4 disc.
There is evidence of laminectomy of the L4 and L5 vertebrae with post-operative changes in the soft tissues in the posterior lumbar region at these levels. Evidence of L4-L5 discectomy is noted.
A posterior and bilateral far lateral disc bulge is noted at the L5-S1 level with minimal indentation on the traversing S1 nerve roots bilaterally. Probable inflammation of the left S1 nerve root is noted. Facetal hypertrophy is noted at the L5-S1 level, bilaterally, more on the left side.
A posterior disc bulge and bilateral far lateral disc bulges with peridiscal osteophytes is noted at the L4-L5 level.
Small posterior disc bulges are noted at the L1-L2, L2-L3 and L3-L4 levels.
Fatty marrow changes are noted in the L4 and L5 vertebral bodies.
Irregularity of the endplates adjacent to the L4-L5 intervertebral disc may be the sequelae of previous surgery.
Anterior disc herniations with anterior peridiscal osteophytes are noted in the lumbar region.
The facet joints at the L4-L5 level appear hypertrophied. The rest of the facet joints in the lumbar region also appear slightly hypertrophied.
The intrathecal nerve roots at the L4 and L5 vertebral levels appear clumped suggesting Group I arachnoiditis. The CSF at the L4-L5 disc level, posteriorly, appears slightly more hyperintense when compared to the normal. This may suggest a small intrathecal arachnoid cyst or trapped CSF.
The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are 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
13.0 mm at L2-L3
14.0 mm at L3-L4
..3/.
- 3 - Scan-00004
IMPRESSION :
The MRI features are suggestive of :
1. Post-operative status.
2. A posterior and bilateral far lateral disc bulge at the L5-S1 level with minimal indentation on the traversing S1 nerve roots bilaterally, facetal hypertrophy bilaterally and probable inflammation of the left S1 nerve root.
3. A posterior disc bulge and bilateral far lateral disc bulges with peridiscal osteophytes at the L4-L5 level.
4. Facetal hypertrophy in the lumbar region.
5. Group I arachnoiditis at the L4 and L5 vertebral levels with a probable small intrathecal arachnoid cyst/trapped CSF at the L4-L5 disc level.
Date : 00.00.00
Name of the Patient : Abc Xyz V. Vlmn / M / 63 yrs.
Referred by : Dr. Abc Xyzam.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in BLE (right more than left) with paresthesias since 1 year.
H/O spinal surgery done 3 years back (details not available).
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is reduction in height of the L4-L5 intervertebral disc and loss of water content of all the lumbar intervertebral discs except the L3-L4 disc.
There is evidence of laminectomy of the L4 and L5 vertebrae with post-operative changes in the soft tissues in the posterior lumbar region at these levels. Evidence of L4-L5 discectomy is noted.
A posterior and bilateral far lateral disc bulge is noted at the L5-S1 level with minimal indentation on the traversing S1 nerve roots bilaterally. Probable inflammation of the left S1 nerve root is noted. Facetal hypertrophy is noted at the L5-S1 level, bilaterally, more on the left side.
A posterior disc bulge and bilateral far lateral disc bulges with peridiscal osteophytes is noted at the L4-L5 level.
Small posterior disc bulges are noted at the L1-L2, L2-L3 and L3-L4 levels.
Fatty marrow changes are noted in the L4 and L5 vertebral bodies.
Irregularity of the endplates adjacent to the L4-L5 intervertebral disc may be the sequelae of previous surgery.
Anterior disc herniations with anterior peridiscal osteophytes are noted in the lumbar region.
The facet joints at the L4-L5 level appear hypertrophied. The rest of the facet joints in the lumbar region also appear slightly hypertrophied.
The intrathecal nerve roots at the L4 and L5 vertebral levels appear clumped suggesting Group I arachnoiditis. The CSF at the L4-L5 disc level, posteriorly, appears slightly more hyperintense when compared to the normal. This may suggest a small intrathecal arachnoid cyst or trapped CSF.
The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are 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
13.0 mm at L2-L3
14.0 mm at L3-L4
..3/.
- 3 - Scan-00004
IMPRESSION :
The MRI features are suggestive of :
1. Post-operative status.
2. A posterior and bilateral far lateral disc bulge at the L5-S1 level with minimal indentation on the traversing S1 nerve roots bilaterally, facetal hypertrophy bilaterally and probable inflammation of the left S1 nerve root.
3. A posterior disc bulge and bilateral far lateral disc bulges with peridiscal osteophytes at the L4-L5 level.
4. Facetal hypertrophy in the lumbar region.
5. Group I arachnoiditis at the L4 and L5 vertebral levels with a probable small intrathecal arachnoid cyst/trapped CSF at the L4-L5 disc level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11893
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyza. Golmn / F / 11 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O fall from a height.
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 central and anterior wedging of the L4 vertebra body which is slightly retropulsed. The L4 vertebra shows an ill-defined, hypointense signal on the T1 Weighted images which turns hyperintense on the T2 Weighted images. Break in continuity of the superior endplate of L4 is noted. Probable fracture of the spinous process of L4 is noted. Resultant thecal sac compression is noted at L4.
Anterior wedging of the L1 and L3 vertebrae with altered signal and altered signal of the D12 and D10 vertebra is also noted.
There is an intermediate signal intensity lesion on the T1 Weighted images in the anterior epidural space over the L3 to L5 vertebral levels, which appears relatively hypointense on the T2 Weighted images. This may represent an anterior epidural hematoma, in the given clinical setting. Probable intradural haemorrhage is also noted. Similar signal intensity lesion is also noted in the prevertebral and paravertebral soft tissues over the L1 to L4 vertebral levels, which may also represent soft tissue contusion/hematoma.
The lumbar intervertebral discs and facet joints are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
Subtle hyperintense signal on the T2 Weighted images is noted in the lower dorsal cord at the D12-L1 level, which may represent cord contusion, in the given clinical setting.
Screening T1 Weighted sagittal images of the cervico-dorsal spine shows suspicious signal change of the D7 vertebral body.
IMPRESSION :
1. Wedging of the L1, L3, L4 vertebrae with altered signal of D10, D12, L1, L3 and L4 may suggest wedge fracture with bone bruise, in the given clinical setting.
2. Soft tissue lesion in the anterior epidural space over the L3 to L5 vertebral levels may represent anterior epidural hematoma. Probable intrathecal haemorrhage is also noted.
3. Pre and paravertebral soft tissue over the L1 to L4 vertebral levels may represent soft tissue contusions/hematoma.
4. Compromise of the lumbar canal at the L1 and L4 vertebral levels.
5. Cord signal alteration at the D12-L1 level may represent cord contusion, in the given clinical setting.
Date : 00.00.00
Name of the Patient : Abc Xyza. Golmn / F / 11 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O fall from a height.
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 central and anterior wedging of the L4 vertebra body which is slightly retropulsed. The L4 vertebra shows an ill-defined, hypointense signal on the T1 Weighted images which turns hyperintense on the T2 Weighted images. Break in continuity of the superior endplate of L4 is noted. Probable fracture of the spinous process of L4 is noted. Resultant thecal sac compression is noted at L4.
Anterior wedging of the L1 and L3 vertebrae with altered signal and altered signal of the D12 and D10 vertebra is also noted.
There is an intermediate signal intensity lesion on the T1 Weighted images in the anterior epidural space over the L3 to L5 vertebral levels, which appears relatively hypointense on the T2 Weighted images. This may represent an anterior epidural hematoma, in the given clinical setting. Probable intradural haemorrhage is also noted. Similar signal intensity lesion is also noted in the prevertebral and paravertebral soft tissues over the L1 to L4 vertebral levels, which may also represent soft tissue contusion/hematoma.
The lumbar intervertebral discs and facet joints are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
Subtle hyperintense signal on the T2 Weighted images is noted in the lower dorsal cord at the D12-L1 level, which may represent cord contusion, in the given clinical setting.
Screening T1 Weighted sagittal images of the cervico-dorsal spine shows suspicious signal change of the D7 vertebral body.
IMPRESSION :
1. Wedging of the L1, L3, L4 vertebrae with altered signal of D10, D12, L1, L3 and L4 may suggest wedge fracture with bone bruise, in the given clinical setting.
2. Soft tissue lesion in the anterior epidural space over the L3 to L5 vertebral levels may represent anterior epidural hematoma. Probable intrathecal haemorrhage is also noted.
3. Pre and paravertebral soft tissue over the L1 to L4 vertebral levels may represent soft tissue contusions/hematoma.
4. Compromise of the lumbar canal at the L1 and L4 vertebral levels.
5. Cord signal alteration at the D12-L1 level may represent cord contusion, in the given clinical setting.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11892
ke/sb
Date : 00.00.00
Name of the Patient : Abc XyzBhlmn / F / 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 15 days.
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.
A FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of normal lumbar curvature.
There is a posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac and left neural foraminal narrowing. A portion of the disc is seen to migrate inferiorly and indent the traversing left L5 nerve root.
Small right postero-lateral disc bulges are noted at the L3-L4 and L5-S1 levels.
The L2-L3, L3-L4, L4-L5 and L5-S1 intervertebral discs show 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.
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 :
19.0 mm at L1-L2
17.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A posterior disc herniation at the L4-L5 level with a portion of the disc seen to migrate inferiorly and indent the traversing left L5 nerve root.
2. Small right postero-lateral disc bulges at the L3-L4 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc XyzBhlmn / F / 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 15 days.
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.
A FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of normal lumbar curvature.
There is a posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac and left neural foraminal narrowing. A portion of the disc is seen to migrate inferiorly and indent the traversing left L5 nerve root.
Small right postero-lateral disc bulges are noted at the L3-L4 and L5-S1 levels.
The L2-L3, L3-L4, L4-L5 and L5-S1 intervertebral discs show 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.
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 :
19.0 mm at L1-L2
17.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A posterior disc herniation at the L4-L5 level with a portion of the disc seen to migrate inferiorly and indent the traversing left L5 nerve root.
2. Small right postero-lateral disc bulges at the L3-L4 and L5-S1 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11891
ke/bv
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O wasting of the LLE since 2 years.
C/O radicular pain to the RUE with weak grip.
C/O tingling in the LLE.
H/O being hit by a bull 5 years back.
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.
The cervical intervertebral discs show loss of water content.
There is a small posterior disc herniation with peridiscal osteophytes with anterior indentation of the thecal sac at the C5-C6 level. The joint of Luschka on the right side at this level shows slight degenerative changes.
Small posterior disc bulge is seen at the C4-C5 level.
There are posterior peridiscal osteophytes at the C3-C4 and C6-C7 levels.
The cervical vertebral bodies show normal signal intensity. The rest of the joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord shows normal signal intensity and normal contour.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
The right vertebral artery appears hypoplastic and may be a normal variant.
The dorsal spine was screened with 5 mm thick T2 Weighted sagittal images which shows no significant feature of note.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images which shows posterior disc herniations at the L3-L4, L4-L5 and L5-S1 levels.
IMPRESSION :
1. A small posterior disc herniation with peridiscal osteophytes at the C5-C6 level with right neural
foraminal narrowing.
2. Posterior peridiscal osteophytes at the C3-C4 and C6-C7 levels.
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O wasting of the LLE since 2 years.
C/O radicular pain to the RUE with weak grip.
C/O tingling in the LLE.
H/O being hit by a bull 5 years back.
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.
The cervical intervertebral discs show loss of water content.
There is a small posterior disc herniation with peridiscal osteophytes with anterior indentation of the thecal sac at the C5-C6 level. The joint of Luschka on the right side at this level shows slight degenerative changes.
Small posterior disc bulge is seen at the C4-C5 level.
There are posterior peridiscal osteophytes at the C3-C4 and C6-C7 levels.
The cervical vertebral bodies show normal signal intensity. The rest of the joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord shows normal signal intensity and normal contour.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
The right vertebral artery appears hypoplastic and may be a normal variant.
The dorsal spine was screened with 5 mm thick T2 Weighted sagittal images which shows no significant feature of note.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images which shows posterior disc herniations at the L3-L4, L4-L5 and L5-S1 levels.
IMPRESSION :
1. A small posterior disc herniation with peridiscal osteophytes at the C5-C6 level with right neural
foraminal narrowing.
2. Posterior peridiscal osteophytes at the C3-C4 and C6-C7 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11890
ke/hs
Date : 00.00.00
Name of the Patient : Abc Xyz Plmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness and vomiting for 2-3 days on 00.00.00 with gait imbalance and now C/O heaviness of head with pain.
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 :
Hypointense areas (slightly hyperintense to CSF) are seen in the left lentiform nucleus and in the body of the caudate nucleus on the left side on the T1 Weighted images. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images and would represent lacunar infarcts.
Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulcal spaces in the high parietal regions and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Lacunar infarcts in the left lentiform nucleus and in the body of the caudate nucleus on the left side.
Date : 00.00.00
Name of the Patient : Abc Xyz Plmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness and vomiting for 2-3 days on 00.00.00 with gait imbalance and now C/O heaviness of head with pain.
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 :
Hypointense areas (slightly hyperintense to CSF) are seen in the left lentiform nucleus and in the body of the caudate nucleus on the left side on the T1 Weighted images. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images and would represent lacunar infarcts.
Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulcal spaces in the high parietal regions and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Lacunar infarcts in the left lentiform nucleus and in the body of the caudate nucleus on the left side.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11889
hs/ke
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 65 yrs.
Referred by : Dr. Abc Xyz Mehta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O loss of speech since 12.30 pm on 00.00.00.
Known hypertensive.
C/O gait imbalance since 4 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 and Fast Scan (T2 *) coronal images.
OBSERVATION :
There are diffuse irregularly defined areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the periventricular white matter, corona radiata and centrum semiovale bilaterally. These are most likely ischemic in etiology.
Smaller areas with similar signal characteristics are noted within the pons and lentiform nuclei bilaterally.
Lacunar infarcts (iso to hyperintense to CSF) are seen within the lentiform nuclei and thalamus bilaterally.
An area of marked hypointensity on the Fast Scan (T2 *) images is seen within the left lentiform nucleus and this would most likely represent hemosiderin the result of previous bleed.
There is fullness of the third and both the lateral ventricles. There is prominence of the cerebral cortical sulci and Sylvian fissures bilaterally. There is slight prominence of the basal cisternal spaces bilaterally.
The fourth ventricle is normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
1. Areas of altered signal within the periventricular white matter, corona radiata, centrum semiovale, pons and lentiform nuclei bilaterally are most likely ischemic in etiology.
2. Lacunar infarcts within the lentiform nuclei and thalamus bilaterally.
3. Residual hemosiderin, the result of previous bleed within the left lentiform nucleus
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 65 yrs.
Referred by : Dr. Abc Xyz Mehta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O loss of speech since 12.30 pm on 00.00.00.
Known hypertensive.
C/O gait imbalance since 4 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 and Fast Scan (T2 *) coronal images.
OBSERVATION :
There are diffuse irregularly defined areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the periventricular white matter, corona radiata and centrum semiovale bilaterally. These are most likely ischemic in etiology.
Smaller areas with similar signal characteristics are noted within the pons and lentiform nuclei bilaterally.
Lacunar infarcts (iso to hyperintense to CSF) are seen within the lentiform nuclei and thalamus bilaterally.
An area of marked hypointensity on the Fast Scan (T2 *) images is seen within the left lentiform nucleus and this would most likely represent hemosiderin the result of previous bleed.
There is fullness of the third and both the lateral ventricles. There is prominence of the cerebral cortical sulci and Sylvian fissures bilaterally. There is slight prominence of the basal cisternal spaces bilaterally.
The fourth ventricle is normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
1. Areas of altered signal within the periventricular white matter, corona radiata, centrum semiovale, pons and lentiform nuclei bilaterally are most likely ischemic in etiology.
2. Lacunar infarcts within the lentiform nuclei and thalamus bilaterally.
3. Residual hemosiderin, the result of previous bleed within the left lentiform nucleus
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11888
ke/hs
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O pain on the right side of the face since 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.
Limited 3D TOF sequences through the region of interest.
4 mm thick GRASS coronal images through the region of interest.
OBSERVATION :
There is a small ill-marginated lesion in the left parietal region which measures approximately 0.5 x 0.6 x 0.7 cms which is hypointense on the T1 Weighted images and turns heterogeneously hypointense on the proton, T2 Weighted and GRASS images with few hyperintense areas in the centre. There is mild surrounding edema/gliotic changes (hyperintense on the proton and T2 Weighted images).
A vascular loop is seen to indent the root entry zone of the right trigeminal nerve. A small vascular loop is seen superior to the cisternal component of the left trigeminal nerve. However it is not seen to indent the nerve.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of inflammatory changes in the sphenoid sinus on the right side.
IMPRESSION :
1. A lesion in the left parietal region measuring approximately 0.5 x 0.6 x 0.7 cms may represent a granuloma (? calcified).
A contrast enhanced scan may be worthwhile, if clinically indicated.
2. A vascular loop indenting the root entry zone of the right trigeminal nerve.
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O pain on the right side of the face since 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.
Limited 3D TOF sequences through the region of interest.
4 mm thick GRASS coronal images through the region of interest.
OBSERVATION :
There is a small ill-marginated lesion in the left parietal region which measures approximately 0.5 x 0.6 x 0.7 cms which is hypointense on the T1 Weighted images and turns heterogeneously hypointense on the proton, T2 Weighted and GRASS images with few hyperintense areas in the centre. There is mild surrounding edema/gliotic changes (hyperintense on the proton and T2 Weighted images).
A vascular loop is seen to indent the root entry zone of the right trigeminal nerve. A small vascular loop is seen superior to the cisternal component of the left trigeminal nerve. However it is not seen to indent the nerve.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of inflammatory changes in the sphenoid sinus on the right side.
IMPRESSION :
1. A lesion in the left parietal region measuring approximately 0.5 x 0.6 x 0.7 cms may represent a granuloma (? calcified).
A contrast enhanced scan may be worthwhile, if clinically indicated.
2. A vascular loop indenting the root entry zone of the right trigeminal nerve.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11887
hs/ke
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 40 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 6 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 :
The lumbar vertebral bodies and the 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 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 :
.0 mm at L1-L2
.0 mm at L2-L3
.0 mm at L3-L4
.0 mm at L4-L5
.0 mm at L5-S1.
IMPRESSION :
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 40 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 6 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 :
The lumbar vertebral bodies and the 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 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 :
.0 mm at L1-L2
.0 mm at L2-L3
.0 mm at L3-L4
.0 mm at L4-L5
.0 mm at L5-S1.
IMPRESSION :
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11886
hs/ke
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 40 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 6 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 :
A right paracentral disc herniation is seen to indent the traversing right S1 nerve root at the L5-S1 level.
A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. A disc portion is seen to lie within the left lateral recess of L5 vertebra with resultant impingement of the traversing left L5 nerve root.
Slight facetal and ligamentum flavum hypertrophy is noted at the L4-L5 and L5-S1 levels. The intervertebral discs at these levels show loss of water content.
Focal fatty change is seen in the antero-superior portion of the L4 vertebra and a hemangioma in the S1 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-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
8.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. A posterior disc herniation with canal stenosis at the L4-L5 level with a disc portion lying within the left lateral recess of L5 vertebra with resultant impingement of the traversing left L5 nerve root.
2. A right paracentral disc herniation indenting the traversing right S1 nerve root at the L5-S1 level.
3. Slight facetal and ligamentum flavum hypertrophy at the L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 40 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 6 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 :
A right paracentral disc herniation is seen to indent the traversing right S1 nerve root at the L5-S1 level.
A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. A disc portion is seen to lie within the left lateral recess of L5 vertebra with resultant impingement of the traversing left L5 nerve root.
Slight facetal and ligamentum flavum hypertrophy is noted at the L4-L5 and L5-S1 levels. The intervertebral discs at these levels show loss of water content.
Focal fatty change is seen in the antero-superior portion of the L4 vertebra and a hemangioma in the S1 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-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
8.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. A posterior disc herniation with canal stenosis at the L4-L5 level with a disc portion lying within the left lateral recess of L5 vertebra with resultant impingement of the traversing left L5 nerve root.
2. A right paracentral disc herniation indenting the traversing right S1 nerve root at the L5-S1 level.
3. Slight facetal and ligamentum flavum hypertrophy at the L4-L5 and L5-S1 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11885
ke/hs
Date : 00.00.00
Name of the Patient : Abc Xyz P. Milmn / M / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since the age of 2 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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
The hippocampus is unremarkable on either side.
Note is made of a cavum septum pellucidum.
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.
Incidental note is made of enlarged adenoids.
IMPRESSION :
The MRI features are suggestive of a cavum septum pellucidum.
Date : 00.00.00
Name of the Patient : Abc Xyz P. Milmn / M / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since the age of 2 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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
The hippocampus is unremarkable on either side.
Note is made of a cavum septum pellucidum.
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.
Incidental note is made of enlarged adenoids.
IMPRESSION :
The MRI features are suggestive of a cavum septum pellucidum.
Published in
MRI Reports