Regular User
Sunday, 27 December 2015 16:48
11884
hs/ke
Date : 00.00.00
Name of the Patient : Abc Xyzm Salmn / M / 59 yrs.
Referred by : Dr. Abc XyzDsouza.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 3 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 indenting the traversing S1 nerve roots (right more than left) at the L5-S1 level. There appears to be slight inflammation of the traversing S1 nerve roots. The right L5-S1 facet joint shows mild hypertrophic degenerative changes.
A postero-central disc extrusion is seen to indent the thecal sac at the L4-L5 level. A disc fragment is seen to lie in the right lateral recess of L5 vertebra with resultant impingement of the traversing right L5 nerve root.
Posterior disc bulge is seen to indent the thecal sac at the L2-L3 level. Facetal hypertrophy is noted at the L2-L3, L3-L4 and L4-L5 levels.
The pedicles of the lumbar verterbae are congenitally short in their antero-posterior dimensions.
The L2-L3 to L5-S1 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.
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
14.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
..3/.
- 3 - Scan-00004
IMPRESSION :
The MRI features are suggestive of :
1. A postero-central disc herniation indenting the traversing S1 nerve roots (right more than left) at the L5-S1 level.
2. A postero-central disc extrusion at the L4-L5 level with a disc fragment lying in the right lateral recess of L5 vertebra with resultant impingement of the traversing right L5 nerve root.
3. Congenitally short pedicles of the lumbar verterbae in their antero-posterior dimensions.
4. Hypertrophic facetal arthropathy on the right at the L5-S1 level and facetal hypertrophy at the L2-L3, L3-L4 and L4-L5 levels.
5. Canal stenosis at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyzm Salmn / M / 59 yrs.
Referred by : Dr. Abc XyzDsouza.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 3 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 indenting the traversing S1 nerve roots (right more than left) at the L5-S1 level. There appears to be slight inflammation of the traversing S1 nerve roots. The right L5-S1 facet joint shows mild hypertrophic degenerative changes.
A postero-central disc extrusion is seen to indent the thecal sac at the L4-L5 level. A disc fragment is seen to lie in the right lateral recess of L5 vertebra with resultant impingement of the traversing right L5 nerve root.
Posterior disc bulge is seen to indent the thecal sac at the L2-L3 level. Facetal hypertrophy is noted at the L2-L3, L3-L4 and L4-L5 levels.
The pedicles of the lumbar verterbae are congenitally short in their antero-posterior dimensions.
The L2-L3 to L5-S1 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.
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
14.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
..3/.
- 3 - Scan-00004
IMPRESSION :
The MRI features are suggestive of :
1. A postero-central disc herniation indenting the traversing S1 nerve roots (right more than left) at the L5-S1 level.
2. A postero-central disc extrusion at the L4-L5 level with a disc fragment lying in the right lateral recess of L5 vertebra with resultant impingement of the traversing right L5 nerve root.
3. Congenitally short pedicles of the lumbar verterbae in their antero-posterior dimensions.
4. Hypertrophic facetal arthropathy on the right at the L5-S1 level and facetal hypertrophy at the L2-L3, L3-L4 and L4-L5 levels.
5. Canal stenosis at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11883
hs/ke
Date : 00.00.00
Name of the Patient : Abc Xyzeet Klmn / M / 7 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O 3 episodes of left facial focal seizures since 00.00.00.
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.
The left cerebellar hemisphere appears to be slightly hypoplastic.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the maxillary sinuses bilaterally and within the mastoid air cells on the right side.
IMPRESSION :
The MRI features are suggestive of slightly hypoplastic cerebellar hemisphere.
No abnormality is detected within the hippocampus per se.
Date : 00.00.00
Name of the Patient : Abc Xyzeet Klmn / M / 7 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O 3 episodes of left facial focal seizures since 00.00.00.
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.
The left cerebellar hemisphere appears to be slightly hypoplastic.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the maxillary sinuses bilaterally and within the mastoid air cells on the right side.
IMPRESSION :
The MRI features are suggestive of slightly hypoplastic cerebellar hemisphere.
No abnormality is detected within the hippocampus per se.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11882
ke/sb
Date : 00.00.00
Name of the Patient : Abc Xyz Phlmn / M / 77 yrs.
Referred by : Dr. Abc Xyzodak.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 3 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 reduction in height of the L4-L5 and L5-S1 intervertebral discs with loss of water content of the lumbar intervertebral discs. Minimal forward translation of L4 over L5 vertebra is noted, without obvious spondylolisthesis.
There is a left postero-lateral and far lateral disc herniation at the L5-S1 level with antero-lateral indentation of the thecal sac and left neural foraminal narrowing. There is indentation upon the foraminal and extraforaminal portion of the left L5 nerve root. The L5-S1 facet joint on the left side shows mild degenerative changes. Anterior disc herniations with anterior and posterior peridiscal osteophytes are also noted at this level.
There is posterior disc herniation with posterior peridiscal osteophyte at the L4-L5 level with anterior indentation of the thecal sac. A right far lateral disc herniation is also noted at this level with indentation upon the extraforaminal portion of the right L4 nerve root. The L4-L5 facet joints show hypertrophic degenerative changes. Ligamentum flavum hypertrophy is seen at the L4-L5 and L5 levels with resultant canal stenosis.
..2/.
A disc fragment is seen in the left lateral recess of the L5 vertebra with indentation upon the traversing left L5 nerve root.
Type II degenerative changes are noted in the L5 and S1 vertebrae adjacent to the L5-S1 intervertebral disc.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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 :
15.0 mm at L1-L2
17.0 mm at L2-L3
18.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A left postero-lateral and far lateral disc herniation with peridiscal osteophyte at the L5-S1 level with indentation upon the foraminal and extraforaminal portion of the left L5 nerve root.
2. Posterior disc herniation with posterior peridiscal osteophyte at the L4-L5 level with a right far lateral disc herniation at this level with indentation upon the extraforaminal portion of the right L4 nerve root. There is facetal and ligamentum flavum hypertrophy at the L4-L5 and L5 levels with resultant canal stenosis.
3. A disc fragment in the left lateral recess of the L5 vertebra with indentation upon the traversing left L5 nerve root.
Date : 00.00.00
Name of the Patient : Abc Xyz Phlmn / M / 77 yrs.
Referred by : Dr. Abc Xyzodak.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 3 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 reduction in height of the L4-L5 and L5-S1 intervertebral discs with loss of water content of the lumbar intervertebral discs. Minimal forward translation of L4 over L5 vertebra is noted, without obvious spondylolisthesis.
There is a left postero-lateral and far lateral disc herniation at the L5-S1 level with antero-lateral indentation of the thecal sac and left neural foraminal narrowing. There is indentation upon the foraminal and extraforaminal portion of the left L5 nerve root. The L5-S1 facet joint on the left side shows mild degenerative changes. Anterior disc herniations with anterior and posterior peridiscal osteophytes are also noted at this level.
There is posterior disc herniation with posterior peridiscal osteophyte at the L4-L5 level with anterior indentation of the thecal sac. A right far lateral disc herniation is also noted at this level with indentation upon the extraforaminal portion of the right L4 nerve root. The L4-L5 facet joints show hypertrophic degenerative changes. Ligamentum flavum hypertrophy is seen at the L4-L5 and L5 levels with resultant canal stenosis.
..2/.
A disc fragment is seen in the left lateral recess of the L5 vertebra with indentation upon the traversing left L5 nerve root.
Type II degenerative changes are noted in the L5 and S1 vertebrae adjacent to the L5-S1 intervertebral disc.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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 :
15.0 mm at L1-L2
17.0 mm at L2-L3
18.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A left postero-lateral and far lateral disc herniation with peridiscal osteophyte at the L5-S1 level with indentation upon the foraminal and extraforaminal portion of the left L5 nerve root.
2. Posterior disc herniation with posterior peridiscal osteophyte at the L4-L5 level with a right far lateral disc herniation at this level with indentation upon the extraforaminal portion of the right L4 nerve root. There is facetal and ligamentum flavum hypertrophy at the L4-L5 and L5 levels with resultant canal stenosis.
3. A disc fragment in the left lateral recess of the L5 vertebra with indentation upon the traversing left L5 nerve root.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11881
bv/ke
Date : 00.00.00
Name of the Patient : Abc XyzA. Golmn / F / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O fall at 10.30 pm on 00.00.00 with altered sensorium.
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.
5 mm thick T1 Weighted sagittal images.
FEW IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.
OBSERVATION :
Areas of intermediate signal intensity on the T1 Weighted images which turn hyperintense on the STIR images are seen within the suprasellar cistern, more so to the right of the pituitary stalk (scans 105.14, 108.9, 108.10).
There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The odontoid process appears placed more to the left of the midline ? positional.
There is no focal area of altered signal intensity within the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of areas of altered signal intensity within the suprasellar cistern as described. In the given clinical setting of trauma this may represent subarachnoid haemorrhage.
Date : 00.00.00
Name of the Patient : Abc XyzA. Golmn / F / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O fall at 10.30 pm on 00.00.00 with altered sensorium.
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.
5 mm thick T1 Weighted sagittal images.
FEW IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.
OBSERVATION :
Areas of intermediate signal intensity on the T1 Weighted images which turn hyperintense on the STIR images are seen within the suprasellar cistern, more so to the right of the pituitary stalk (scans 105.14, 108.9, 108.10).
There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The odontoid process appears placed more to the left of the midline ? positional.
There is no focal area of altered signal intensity within the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of areas of altered signal intensity within the suprasellar cistern as described. In the given clinical setting of trauma this may represent subarachnoid haemorrhage.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11880
hs/bv
Date : 00.00.00
Name of the Patient : Abc Xyz Dolmn / F / 83 yrs.
Referred by : Dr. Abc Xyzh Shah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness of the left side of the body since 1 day.
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 irregularly defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the periventricular white matter, corona radiata, centrum semiovale, caudate and lentiform nuclei, pons and the external capsules bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.
There is mild fullness of the third and both the lateral ventricles. Also seen is prominence of the basal cisternal spaces, Sylvian fissures, cerebellar folia and cerebral cortical sulci bilaterally. Note is made of an empty sella.
The fourth ventricle is normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of pansinusitis. The normal intraocular lens is not seen bilaterally (? the result of previous cataract surgery).
IMPRESSION :
The MRI features are suggestive of areas of altered signal intensity within the periventricular white matter, corona radiata, centrum semiovale, caudate and lentiform nuclei, pons and the external capsules bilaterally and are most likely ischemic in etiology.
Date : 00.00.00
Name of the Patient : Abc Xyz Dolmn / F / 83 yrs.
Referred by : Dr. Abc Xyzh Shah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness of the left side of the body since 1 day.
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 irregularly defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the periventricular white matter, corona radiata, centrum semiovale, caudate and lentiform nuclei, pons and the external capsules bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.
There is mild fullness of the third and both the lateral ventricles. Also seen is prominence of the basal cisternal spaces, Sylvian fissures, cerebellar folia and cerebral cortical sulci bilaterally. Note is made of an empty sella.
The fourth ventricle is normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of pansinusitis. The normal intraocular lens is not seen bilaterally (? the result of previous cataract surgery).
IMPRESSION :
The MRI features are suggestive of areas of altered signal intensity within the periventricular white matter, corona radiata, centrum semiovale, caudate and lentiform nuclei, pons and the external capsules bilaterally and are most likely ischemic in etiology.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11879
hs/bv
Date : 00.00.00
Name of the Patient : Abc XyzPalmn / M / 27 yrs.
Referred by : Dr. Abc Xyzndu / Dr. Abc Xyzdi.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O paresthesias in BLE with inability to stand since 2-3 days.
H/O tuberculosis of spine since September 0000. On AKT since then.
EXAMINATION :
M.R.I of the cervico-dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
Diffuse areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen to involve the D1 and D2 vertebral bodies and their spinous processes and pedicles, laminae and transverse processes on the right side. Also seen is similar involvement of the pedicle, transverse process and lamina of the D3 vertebra on the right side. The head and neck of the D2 and D3 ribs on the right side appear to be involved.
There is evidence of a large soft tissue component within the prevertebral soft tissues (right more than left) and within the paraspinal and paravertebral soft tissues on the right side over the C6/C7 to D4 vertebral levels. This soft tissue component is
hypointense on the T1 Weighted images and turns relatively hyperintense on the T2 Weighted images. There is encroachment into the neural foramina on the right side at the D1-D2 and D2-D3 levels. This soft tissue component is also seen to lie within the right lateral and posterior epidural space over the C7-D1 to D3-D4 levels. There is resultant compression and displacement of the spinal cord anteriorly and to the left over these levels. The cord over these levels shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia/myelitis.
Note is made of pleural thickening on the right side. There is a suspicious old fracture of the odontoid process. Enlarged paratracheal lymph nodes are identified on the right side.
The CSF in the visualized upper dorsal region appears more hyperintense than normal and may be due to increased protein content.
The visualized cervico-dorsal intervertebral discs show loss of water content.
IMPRESSION :
In a known C/O tuberculosis, the MRI features are suggestive of involvement of the D1, D2 and D3 vertebrae with soft tissue extensions and cord compression with cord edema/ischemia/myelitis over the C7-D1 to D3-D4 levels.
However similar features may be seen in neoplastic processes like small cell tumors.
Date : 00.00.00
Name of the Patient : Abc XyzPalmn / M / 27 yrs.
Referred by : Dr. Abc Xyzndu / Dr. Abc Xyzdi.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O paresthesias in BLE with inability to stand since 2-3 days.
H/O tuberculosis of spine since September 0000. On AKT since then.
EXAMINATION :
M.R.I of the cervico-dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
Diffuse areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen to involve the D1 and D2 vertebral bodies and their spinous processes and pedicles, laminae and transverse processes on the right side. Also seen is similar involvement of the pedicle, transverse process and lamina of the D3 vertebra on the right side. The head and neck of the D2 and D3 ribs on the right side appear to be involved.
There is evidence of a large soft tissue component within the prevertebral soft tissues (right more than left) and within the paraspinal and paravertebral soft tissues on the right side over the C6/C7 to D4 vertebral levels. This soft tissue component is
hypointense on the T1 Weighted images and turns relatively hyperintense on the T2 Weighted images. There is encroachment into the neural foramina on the right side at the D1-D2 and D2-D3 levels. This soft tissue component is also seen to lie within the right lateral and posterior epidural space over the C7-D1 to D3-D4 levels. There is resultant compression and displacement of the spinal cord anteriorly and to the left over these levels. The cord over these levels shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia/myelitis.
Note is made of pleural thickening on the right side. There is a suspicious old fracture of the odontoid process. Enlarged paratracheal lymph nodes are identified on the right side.
The CSF in the visualized upper dorsal region appears more hyperintense than normal and may be due to increased protein content.
The visualized cervico-dorsal intervertebral discs show loss of water content.
IMPRESSION :
In a known C/O tuberculosis, the MRI features are suggestive of involvement of the D1, D2 and D3 vertebrae with soft tissue extensions and cord compression with cord edema/ischemia/myelitis over the C7-D1 to D3-D4 levels.
However similar features may be seen in neoplastic processes like small cell tumors.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11878
hs/ke
Date : 00.00.00
Name of the Patient : Abc Xyzash S. Agalmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O severe pain of the left half of the face since 1 week.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
MR cisternogram was obtained in the coronal plane.
A limited MRA sequence (source images) was obtained in the region of interest.
OBSERVATION :
There is evidence of a punctate signal void just superior to the cisternal component of the left trigeminal nerve and is seen to abutt this nerve and would represent a small vascular loop. Another similar vascular loop is noted superior to the cisternal component of the right trigeminal nerve. However there is no indentation upon this nerve.
There is prominence of the cerebellar folia bilaterally.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted in the left mastoid air cells.
IMPRESSION :
1. A small vascular loop abutting the cisternal component of the left trigeminal nerve.
2. Mild cerebellar atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyzash S. Agalmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O severe pain of the left half of the face since 1 week.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
MR cisternogram was obtained in the coronal plane.
A limited MRA sequence (source images) was obtained in the region of interest.
OBSERVATION :
There is evidence of a punctate signal void just superior to the cisternal component of the left trigeminal nerve and is seen to abutt this nerve and would represent a small vascular loop. Another similar vascular loop is noted superior to the cisternal component of the right trigeminal nerve. However there is no indentation upon this nerve.
There is prominence of the cerebellar folia bilaterally.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted in the left mastoid air cells.
IMPRESSION :
1. A small vascular loop abutting the cisternal component of the left trigeminal nerve.
2. Mild cerebellar atrophy.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11877
Date : 00.00.00
Name of the Patient : Abc Xyzkar Mapelmn / M / 20 yrs.
Referred by : Dr. Abc Xyzgrankar.
Examination : M.R.I. of the Left Leg.
CLINICAL PROFILE :
C/O swelling over the left leg since 4 months and paresthesias.
EXAMINATION :
M.R.I. of the left leg was performed using the following parameters :
5 mm thick T1 Weighted and STIR axial images.
4 mm thick T1 Weighted and T2 Weighted coronal images.
4 mm thick T1 Weighted and GRASS sagittal images.
OBSERVATION :
There is evidence of a lobulated mass lesion which is hyperintense to muscle but hypointense to fat on the T1 Weighted images and turns hyperintense to both on the T2 Weighted, STIR and GRASS images within the anterior compartment of the left calf. Few areas which are markedly hyperintense on all the pulse sequences are seen within this lesion and these may represent blood/paramagnetic substances. Also seen within this lesion are areas which are hypointense on the T1 Weighted images and turn markedly hyperintense on the T2 Weighted, STIR and GRASS images and these may represent cystic/necrotic changes.
This lesion appears to be involving the extensor digitorum longus and extensor hallucis longus muscles. The tibialis anterior and peroneus longus/brevis muscles are displaced by this lesion (? involved). Also seen is disruption of the interosseus membrane with extension into the posterior compartment with displacement of the tibialis posterior and flexor hallucis longus muscles. This lesion is seen to drape (3/4th of its circumference) the upper two-thirds of the shaft of the left fibula. It is also seen to abut the left tibia. However no obvious bone destruction or signal change is evident.
The anterior tibial vessels cannot be identified separately from this lesion.
The superior aspect of this lesion is approximately 6.0 cms from the knee joint.
IMPRESSION :
The MRI features are suggestive of a mass lesion within the anterior compartment of the left calf as described and this most likely represents a soft tissue neoplasm. The differential diagnosis may include :
a. Myxoma.
b. Hemangioma.
c. Nerve sheath tumor.
d. Soft tissue sarcoma/liposarcoma.
Name of the Patient : Abc Xyzkar Mapelmn / M / 20 yrs.
Referred by : Dr. Abc Xyzgrankar.
Examination : M.R.I. of the Left Leg.
CLINICAL PROFILE :
C/O swelling over the left leg since 4 months and paresthesias.
EXAMINATION :
M.R.I. of the left leg was performed using the following parameters :
5 mm thick T1 Weighted and STIR axial images.
4 mm thick T1 Weighted and T2 Weighted coronal images.
4 mm thick T1 Weighted and GRASS sagittal images.
OBSERVATION :
There is evidence of a lobulated mass lesion which is hyperintense to muscle but hypointense to fat on the T1 Weighted images and turns hyperintense to both on the T2 Weighted, STIR and GRASS images within the anterior compartment of the left calf. Few areas which are markedly hyperintense on all the pulse sequences are seen within this lesion and these may represent blood/paramagnetic substances. Also seen within this lesion are areas which are hypointense on the T1 Weighted images and turn markedly hyperintense on the T2 Weighted, STIR and GRASS images and these may represent cystic/necrotic changes.
This lesion appears to be involving the extensor digitorum longus and extensor hallucis longus muscles. The tibialis anterior and peroneus longus/brevis muscles are displaced by this lesion (? involved). Also seen is disruption of the interosseus membrane with extension into the posterior compartment with displacement of the tibialis posterior and flexor hallucis longus muscles. This lesion is seen to drape (3/4th of its circumference) the upper two-thirds of the shaft of the left fibula. It is also seen to abut the left tibia. However no obvious bone destruction or signal change is evident.
The anterior tibial vessels cannot be identified separately from this lesion.
The superior aspect of this lesion is approximately 6.0 cms from the knee joint.
IMPRESSION :
The MRI features are suggestive of a mass lesion within the anterior compartment of the left calf as described and this most likely represents a soft tissue neoplasm. The differential diagnosis may include :
a. Myxoma.
b. Hemangioma.
c. Nerve sheath tumor.
d. Soft tissue sarcoma/liposarcoma.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11876
Date : 00.00.00
Name of the Patient : Abc Xyza P. Goklmn / F / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neckpain with paresthesias in BUE and BLE since 1 month.
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 appears to be ossification of the posterior longitudinal ligament over the C3 to C5 vertebral levels with resultant indentation upon the cord.
Large postero-central disc herniations, more to the right of the midline are seen to compress the cord at the C4-C5 and C5-C6 levels. Also seen are postero-central disc herniations indenting the cord at the C3-C4 and C6-C7 levels.
The cervical spinal cord at the C4-C5 level shows a hyperintense signal on the T2 Weighted images (which is isointense to normal cord on the T1 Weighted images) which would be suggestive of cord edema/ischemia.
There are large posterior peridiscal osteophytes (hard discs) at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.
Scan-00006
The spinal canal is tight over the C3-C4 to C6-C7 levels with severe stenosis at the C4-C5 level.
The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. Probable ossification of the posterior longitudinal ligament over the C3 to C5 vertebral levels.
2. Large postero-central disc herniations, more to the right of the midline at the C4-C5 and C5-C6 levels.
3. Postero-central disc herniations indenting the cord at the C3-C4 and C6-C7 levels.
4. Altered cord signal at the C4-C5 level which may represent cord edema/ischemia.
5. Large posterior peridiscal osteophytes (hard discs) at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.
6. Tight spinal canal over the C3-C4 to C6-C7 levels with severe stenosis at the C4-C5 level.
Name of the Patient : Abc Xyza P. Goklmn / F / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neckpain with paresthesias in BUE and BLE since 1 month.
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 appears to be ossification of the posterior longitudinal ligament over the C3 to C5 vertebral levels with resultant indentation upon the cord.
Large postero-central disc herniations, more to the right of the midline are seen to compress the cord at the C4-C5 and C5-C6 levels. Also seen are postero-central disc herniations indenting the cord at the C3-C4 and C6-C7 levels.
The cervical spinal cord at the C4-C5 level shows a hyperintense signal on the T2 Weighted images (which is isointense to normal cord on the T1 Weighted images) which would be suggestive of cord edema/ischemia.
There are large posterior peridiscal osteophytes (hard discs) at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.
Scan-00006
The spinal canal is tight over the C3-C4 to C6-C7 levels with severe stenosis at the C4-C5 level.
The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. Probable ossification of the posterior longitudinal ligament over the C3 to C5 vertebral levels.
2. Large postero-central disc herniations, more to the right of the midline at the C4-C5 and C5-C6 levels.
3. Postero-central disc herniations indenting the cord at the C3-C4 and C6-C7 levels.
4. Altered cord signal at the C4-C5 level which may represent cord edema/ischemia.
5. Large posterior peridiscal osteophytes (hard discs) at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.
6. Tight spinal canal over the C3-C4 to C6-C7 levels with severe stenosis at the C4-C5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11875
Date : 00.00.00
Name of the Patient : Abc Xyzroman Tilmn / M / 65 yrs
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O paresthesias in all four limbs with difficulty in walking since 2 1/2 months and backache since 2 years.
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 a large posterior disc extrusion at the C4-C5 level with anterior compression of the spinal cord. A large disc portion is seen to lie posterior to the C5 vertebral body. The spinal cord at the C4-C5 and C5 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images (which is isointense to the normal cord on the T1 Weighted images) suggestive of cord edema/ischemia.
Small posterior disc herniations are noted at the C5-C6 and C6-C7 levels with anterior indentation of the thecal sac.
A posterior peridiscal osteophyte is seen at the C3-C4 level with anterior indentation of the cord. A mild posterior disc protrusion is seen at the C2-C3 level.
Ligamentum flavum hypertrophy is noted over the C3-C4 to the C6-C7 levels with tight canal over these levels.
- 2 - scan-00005
Anterior disc herniations are noted over the C3-C4 to D1-D2 levels. The cervical intervertebral discs show loss of water content.
Type II degenerative changes are noted in the C3 and C4 vertebral bodies adjacent to the C3-C4 intervertebral disc, which is reduced in height.
The C3-C4 and C4-C5 facet joints show degenerative 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 atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. A large posterior disc extrusion at the C4-C5 level with a large disc portion lying posterior to the C5 vertebral body with cord compresion. Altered signal of the cord at the C4-C5 and C5 levels suggests cord edema/ischemia.
2. Small posterior disc herniations at the C5-C6 and C6-C7 levels.
3. A posterior peridiscal osteophyte at the C3-C4 level, with cord compression.
4. Ligamentum flavum hypertrophy over the C3-C4 to the C6-C7 levels with tight canal over these levels.
5. Facetal arthropathy at the C3-C4 and C4-C5 levels.
Name of the Patient : Abc Xyzroman Tilmn / M / 65 yrs
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O paresthesias in all four limbs with difficulty in walking since 2 1/2 months and backache since 2 years.
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 a large posterior disc extrusion at the C4-C5 level with anterior compression of the spinal cord. A large disc portion is seen to lie posterior to the C5 vertebral body. The spinal cord at the C4-C5 and C5 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images (which is isointense to the normal cord on the T1 Weighted images) suggestive of cord edema/ischemia.
Small posterior disc herniations are noted at the C5-C6 and C6-C7 levels with anterior indentation of the thecal sac.
A posterior peridiscal osteophyte is seen at the C3-C4 level with anterior indentation of the cord. A mild posterior disc protrusion is seen at the C2-C3 level.
Ligamentum flavum hypertrophy is noted over the C3-C4 to the C6-C7 levels with tight canal over these levels.
- 2 - scan-00005
Anterior disc herniations are noted over the C3-C4 to D1-D2 levels. The cervical intervertebral discs show loss of water content.
Type II degenerative changes are noted in the C3 and C4 vertebral bodies adjacent to the C3-C4 intervertebral disc, which is reduced in height.
The C3-C4 and C4-C5 facet joints show degenerative 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 atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. A large posterior disc extrusion at the C4-C5 level with a large disc portion lying posterior to the C5 vertebral body with cord compresion. Altered signal of the cord at the C4-C5 and C5 levels suggests cord edema/ischemia.
2. Small posterior disc herniations at the C5-C6 and C6-C7 levels.
3. A posterior peridiscal osteophyte at the C3-C4 level, with cord compression.
4. Ligamentum flavum hypertrophy over the C3-C4 to the C6-C7 levels with tight canal over these levels.
5. Facetal arthropathy at the C3-C4 and C4-C5 levels.
Published in
MRI Reports