Regular User
Sunday, 27 December 2015 16:48
11873
ke/bv
Date : 00.00.00
Name of the Patient : Abc XyzDlmn / M / 51 yrs.
Referred by : Dr. Abc Xyzgli.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness, imbalance of gait and decreased sensation on the left side of face since 2-3 days.
Known hypertensive (recently detected).
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 FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a hypointense area in the posterior aspect of the medulla on the left side on the T1 Weighted images which is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images and represents an infarct (scans 103.4, 102.4, 105.8, 104.4).
A lacunar infarct (iso to CSF on all pulse sequences) is seen in the left cerebellar hemisphere.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cortical sulcal spaces in the fronto-parietal regions bilaterally. 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 inflammatory changes in the ethmoidal air cells and frontal sinus bilaterally.
- 2 - scan-00003
IMPRESSION :
The MRI features are suggestive of :
1. Left lateral medullary infarct.
2. A lacunar infarct in the left cerebellar hemisphere.
Date : 00.00.00
Name of the Patient : Abc XyzDlmn / M / 51 yrs.
Referred by : Dr. Abc Xyzgli.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness, imbalance of gait and decreased sensation on the left side of face since 2-3 days.
Known hypertensive (recently detected).
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 FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a hypointense area in the posterior aspect of the medulla on the left side on the T1 Weighted images which is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images and represents an infarct (scans 103.4, 102.4, 105.8, 104.4).
A lacunar infarct (iso to CSF on all pulse sequences) is seen in the left cerebellar hemisphere.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cortical sulcal spaces in the fronto-parietal regions bilaterally. 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 inflammatory changes in the ethmoidal air cells and frontal sinus bilaterally.
- 2 - scan-00003
IMPRESSION :
The MRI features are suggestive of :
1. Left lateral medullary infarct.
2. A lacunar infarct in the left cerebellar hemisphere.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11872
ke/hs
Date : 00.00.00
Name of the Patient : Abc Xyzevi Malmn / F / 35 yrs.
Referred by : Dr. Abc Xyzranandani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches and tinnitus on the right side since 3 years with decreased hearing.
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 coronal images.
5 mm thick T1 Weighted sagittal images.
MR Cisternogram was obtained in the coronal plane.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The seventh and eighth cranial nerve complex is unremarkable.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable.There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the brain.
Date : 00.00.00
Name of the Patient : Abc Xyzevi Malmn / F / 35 yrs.
Referred by : Dr. Abc Xyzranandani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches and tinnitus on the right side since 3 years with decreased hearing.
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 coronal images.
5 mm thick T1 Weighted sagittal images.
MR Cisternogram was obtained in the coronal plane.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The seventh and eighth cranial nerve complex is unremarkable.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable.There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11871
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzn Glmn / M / 60 yrs.
Referred by : Dr. Abc Xyzlwalkar
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O burning sensation in BUE and BLE with numbness since 6-7 months.
Now C/O weakness of BLE with weak grip on the right side since 2 months.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.
The mid cervical intervertebral discs are reduced in height.
There is ossification of the posterior longitudinal ligament at the C6 vertebral level with resultant cord compression. Slight ligamentum flavum hypertrophy is also noted at this level. The cervical spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which suggest cord edema/ischemia.
Posterior disc bulges with posterior peridiscal osteophytes are noted in the cervical region maximum at the C5-C6 and C6-C7 levels (due to the ossified posterior longitudinal ligament at these levels).
Anterior disc herniations with anterior peridiscal osteophytes are noted in the cervical region.
Degenerative changes of the joints of Luschka are noted at the C3-C4, C4-C5 and C5-C6 levels, bilaterally. Hypertrophic facetal arthropathy is also noted at the C4-C5, C5-C6 and C6-C7 levels bilaterally.
There is a well marginated, approximately 7.0 mms diameter sized hypointense lesion on the T1 Weighted images in the C5 vertebral body, anteriorly, which appears hyperintense on the T2 Weighted images and may represent a subchondral cyst.
The rest of the cervical vertebral bodies show spotty fatty marrow changes. The visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. Ossification of the posterior longitudinal ligament at the C6 vertebral level with resultant cord compression. Altered signal of the cervical spinal cord at this level suggests cord edema/ischemia.
2. Posterior disc bulges with posterior peridiscal osteophytes in the cervical region maximum at the C5-C6 and C6-C7 levels (due to the ossified posterior longitudinal ligament at these levels).
3. Degenerative changes of the joints of Luschka at the C3-C4, C4-C5 and C5-C6 levels, bilaterally.
4. Hypertrophic facetal arthropathy at the C4-C5, C5-C6 and C6-C7 levels bilaterally.
Date : 00.00.00
Name of the Patient : Abc Xyzn Glmn / M / 60 yrs.
Referred by : Dr. Abc Xyzlwalkar
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O burning sensation in BUE and BLE with numbness since 6-7 months.
Now C/O weakness of BLE with weak grip on the right side since 2 months.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.
The mid cervical intervertebral discs are reduced in height.
There is ossification of the posterior longitudinal ligament at the C6 vertebral level with resultant cord compression. Slight ligamentum flavum hypertrophy is also noted at this level. The cervical spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which suggest cord edema/ischemia.
Posterior disc bulges with posterior peridiscal osteophytes are noted in the cervical region maximum at the C5-C6 and C6-C7 levels (due to the ossified posterior longitudinal ligament at these levels).
Anterior disc herniations with anterior peridiscal osteophytes are noted in the cervical region.
Degenerative changes of the joints of Luschka are noted at the C3-C4, C4-C5 and C5-C6 levels, bilaterally. Hypertrophic facetal arthropathy is also noted at the C4-C5, C5-C6 and C6-C7 levels bilaterally.
There is a well marginated, approximately 7.0 mms diameter sized hypointense lesion on the T1 Weighted images in the C5 vertebral body, anteriorly, which appears hyperintense on the T2 Weighted images and may represent a subchondral cyst.
The rest of the cervical vertebral bodies show spotty fatty marrow changes. The visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. Ossification of the posterior longitudinal ligament at the C6 vertebral level with resultant cord compression. Altered signal of the cervical spinal cord at this level suggests cord edema/ischemia.
2. Posterior disc bulges with posterior peridiscal osteophytes in the cervical region maximum at the C5-C6 and C6-C7 levels (due to the ossified posterior longitudinal ligament at these levels).
3. Degenerative changes of the joints of Luschka at the C3-C4, C4-C5 and C5-C6 levels, bilaterally.
4. Hypertrophic facetal arthropathy at the C4-C5, C5-C6 and C6-C7 levels bilaterally.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11870
sb/ke
Date : 00.00.00
Name of the Patient : Abc XyzJlmn / F / 27 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O intracranial tuberculoma since 00.00.00. On AKT since then.
For follow-up.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is still seen an approximately 1.9 x 1.8 x 1.7 cms sized well-defined, iso to hypointense mass lesion on the T1 Weighted images in the left parieto-occipital parafalcine region. This lesion appears significantly hypointense on the proton and T2 Weighted images with a central, slightly hyperintense signal. There is perilesional white matter edema with sulcal space effacement and slight anterior and lateral displacement of the atrium and occipital horn of the left lateral ventricle. Extension of the edema into the splenium of the corpus callosum is also seen which was also present in the previous studies on reviewing.
The right 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.
IMPRESSION :
An approximately 1.9 x 1.8 x 1.7 cms sized mass lesion in the left parieto-occipital parafalcine region as described, follows the signal characteristics of a tuberculoma.
As compared to the previous MRI (scan no:00006) dated 00.00.00, there is minimal decrease in the size of the lesion. The perilesional edema pattern remains largely unchanged.
Date : 00.00.00
Name of the Patient : Abc XyzJlmn / F / 27 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O intracranial tuberculoma since 00.00.00. On AKT since then.
For follow-up.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is still seen an approximately 1.9 x 1.8 x 1.7 cms sized well-defined, iso to hypointense mass lesion on the T1 Weighted images in the left parieto-occipital parafalcine region. This lesion appears significantly hypointense on the proton and T2 Weighted images with a central, slightly hyperintense signal. There is perilesional white matter edema with sulcal space effacement and slight anterior and lateral displacement of the atrium and occipital horn of the left lateral ventricle. Extension of the edema into the splenium of the corpus callosum is also seen which was also present in the previous studies on reviewing.
The right 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.
IMPRESSION :
An approximately 1.9 x 1.8 x 1.7 cms sized mass lesion in the left parieto-occipital parafalcine region as described, follows the signal characteristics of a tuberculoma.
As compared to the previous MRI (scan no:00006) dated 00.00.00, there is minimal decrease in the size of the lesion. The perilesional edema pattern remains largely unchanged.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11869
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyza S. Shlmn / F / 55 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with numbness since 2 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 loss of water content of the L2-L3 to the L5-S1 intervertebral discs. slight reduction in height of the L5-S1 intervertebral disc is noted.
There is a posteriorly herniated disc with posterior peridiscal osteophyte at the L5-S1 level with bilateral neural foraminal narrowing.
A posteriorly herniated disc with peridiscal osteophyte is noted at the L4-L5 level with thecal sac compression. A sequestered disc fragment is noted in the anterior epidural space along the posterior margin of the L5 vertebra, to the left of the midline, indenting the traversing left L5 nerve root. Slight facetal and ligamentum flavum hypertrophy is noted at the L4-L5 and L5 levels with a tight lumbar canal at that level.
A posterior and right postero-lateral disc bulge is noted at the L3-L4 level, with bilateral neural foraminal narrowing, right more than left.
Small posterior disc bulge is seen at the L2-L3 level. There are Schmorls nodes in the lumbar region.
Type II degenerative marrow changes are noted adjacent to the L5-S1 disc and superior aspect of the L4 vertebra.
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 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 :
13.0 mm at L1-L2
13.0 mm at L2-L3
11.0 mm at L3-L4
8.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. A posteriorly herniated disc with posterior peridiscal osteophyte at the L5-S1 level with bilateral neural foraminal narrowing.
2. A posteriorly herniated disc with peridiscal osteophyte at the L4-L5 level with a sequestered disc fragment in the anterior epidural space along the posterior margin of the L5 vertebra, to the left of the midline, indenting the traversing left L5 nerve root.
..3/.
- 3 - scan-00009
3. Slight facetal and ligamentum flavum hypertrophy at the L4-L5 and L5 levels with a tight lumbar canal at that level.
4. A posterior and right postero-lateral disc bulge at the L3-L4 level, with bilateral neural foraminal narrowing, right more than left.
Date : 00.00.00
Name of the Patient : Abc Xyza S. Shlmn / F / 55 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with numbness since 2 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 loss of water content of the L2-L3 to the L5-S1 intervertebral discs. slight reduction in height of the L5-S1 intervertebral disc is noted.
There is a posteriorly herniated disc with posterior peridiscal osteophyte at the L5-S1 level with bilateral neural foraminal narrowing.
A posteriorly herniated disc with peridiscal osteophyte is noted at the L4-L5 level with thecal sac compression. A sequestered disc fragment is noted in the anterior epidural space along the posterior margin of the L5 vertebra, to the left of the midline, indenting the traversing left L5 nerve root. Slight facetal and ligamentum flavum hypertrophy is noted at the L4-L5 and L5 levels with a tight lumbar canal at that level.
A posterior and right postero-lateral disc bulge is noted at the L3-L4 level, with bilateral neural foraminal narrowing, right more than left.
Small posterior disc bulge is seen at the L2-L3 level. There are Schmorls nodes in the lumbar region.
Type II degenerative marrow changes are noted adjacent to the L5-S1 disc and superior aspect of the L4 vertebra.
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 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 :
13.0 mm at L1-L2
13.0 mm at L2-L3
11.0 mm at L3-L4
8.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. A posteriorly herniated disc with posterior peridiscal osteophyte at the L5-S1 level with bilateral neural foraminal narrowing.
2. A posteriorly herniated disc with peridiscal osteophyte at the L4-L5 level with a sequestered disc fragment in the anterior epidural space along the posterior margin of the L5 vertebra, to the left of the midline, indenting the traversing left L5 nerve root.
..3/.
- 3 - scan-00009
3. Slight facetal and ligamentum flavum hypertrophy at the L4-L5 and L5 levels with a tight lumbar canal at that level.
4. A posterior and right postero-lateral disc bulge at the L3-L4 level, with bilateral neural foraminal narrowing, right more than left.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11868
sb/ke
Date : 00.00.00
Name of the Patient : Abc XyzS. Kachlmn / M / 31 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 3 1/2 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 slight retroplacement of the L4 over the L5 vertebra and
loss of water content of the L4-L5 intervertebral disc.
There is a fairly large, postero-central and right paracentral extruded disc with peridiscal osteophyte at the L4-L5 level with thecal sac compression. Slight inferior migration of the disc fragment is noted indenting the traversing L5 nerve roots, more on the right side.
A minimal, postero-central protruded disc is noted at the L5-S1 level.
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 :
15.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
A fairly large, postero-central and right paracentral extruded disc with peridiscal osteophyte at the L4-L5 level with slight inferior migration of the disc fragment indenting the traversing L5 nerve roots, more on the right side.
Date : 00.00.00
Name of the Patient : Abc XyzS. Kachlmn / M / 31 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 3 1/2 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 slight retroplacement of the L4 over the L5 vertebra and
loss of water content of the L4-L5 intervertebral disc.
There is a fairly large, postero-central and right paracentral extruded disc with peridiscal osteophyte at the L4-L5 level with thecal sac compression. Slight inferior migration of the disc fragment is noted indenting the traversing L5 nerve roots, more on the right side.
A minimal, postero-central protruded disc is noted at the L5-S1 level.
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 :
15.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
A fairly large, postero-central and right paracentral extruded disc with peridiscal osteophyte at the L4-L5 level with slight inferior migration of the disc fragment indenting the traversing L5 nerve roots, more on the right side.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11867
sb/ke
Date : 00.00.00
Name of the Patient : Abc XyzDclmn / M / 31 yrs.
Referred by : Dr. Abc Xyz. Modi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 6-7 days.
H/O fall from a bicycle prior to this.
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.
The sacro-iliac joints were scanned with 4 mm thick T1 Weighted coronal images and 4 mm thick STIR axial images.
OBSERVATION :
There is partial sacralization of the L5 vertebra on the right.
There is loss of water content of the D11-D12, D12-L1, L1-L2 and L4-L5 intervertebral discs.
There is a small, postero-central disc herniation at the L4-L5 level, indenting the dural theca anteriorly.
The D10, D12, L1 and L2 vertebral bodies are slightly wedged, anteriorly and show evidence of fatty marrow changes. Herniation of the corresponding intervertebral discs into the above mentioned vertebral bodies along their superior margin and the L5 vertebra is noted. Type II degenerative change is also noted in the L5 vertebral body.
Date : 00.00.00
Name of the Patient : Abc XyzDclmn / M / 31 yrs.
Referred by : Dr. Abc Xyz. Modi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 6-7 days.
H/O fall from a bicycle prior to this.
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.
The sacro-iliac joints were scanned with 4 mm thick T1 Weighted coronal images and 4 mm thick STIR axial images.
OBSERVATION :
There is partial sacralization of the L5 vertebra on the right.
There is loss of water content of the D11-D12, D12-L1, L1-L2 and L4-L5 intervertebral discs.
There is a small, postero-central disc herniation at the L4-L5 level, indenting the dural theca anteriorly.
The D10, D12, L1 and L2 vertebral bodies are slightly wedged, anteriorly and show evidence of fatty marrow changes. Herniation of the corresponding intervertebral discs into the above mentioned vertebral bodies along their superior margin and the L5 vertebra is noted. Type II degenerative change is also noted in the L5 vertebral body.
The rest of 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-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
18.0 mm at L2-L3
13.0 mm at L3-L4
9.0 mm at L4-L5
10.0 mm at L5-S1.
The images of the sacro-iliac joints reveal an ill-defined, hypointense signal on the T1 Weighted images in the marrow of the sacral and iliac bones adjacent to the right sacro-iliac joint. This lesion appears hyperintense on the STIR images. The cortical margins of the right sacro-iliac joint appear intact. Minimal fluid is noted in the right sacro-iliac joint per se.
The visualized left sacro-iliac joint appears unremarkable.
IMPRESSION :
1. A small, postero-central disc herniation at the L4-L5 level.
2. Slight anterior wedging of the D10, D12, L1 and L2 vertebral bodies with fatty marrow changes may be the sequelae of previous trauma.
3. Altered signal in the sacral and iliac bones adjacent to the right sacro-iliac joint is not specific for a single etiology. These changes may be the sequelae of previous trauma, or may represent sacro-ilitis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11866
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyz Palmn / M / 58 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O road accident on 00.00.00 with loss of consciousness for 2 1/2 hours.
Now C/O memory lapses and gait imbalance.
Known diabetic.
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 is a small bright focus on the T2 Weighted and FLAIR images in the left frontal deep white matter. These most likely represents an ischemic focus.
Prominent perivascular spaces are noted in the cerebral convexity.
No extracerebral collection is identified on this study.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Altered signal in the left frontal deep white matter most likely represents an ischemic focus.
Date : 00.00.00
Name of the Patient : Abc Xyz Palmn / M / 58 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O road accident on 00.00.00 with loss of consciousness for 2 1/2 hours.
Now C/O memory lapses and gait imbalance.
Known diabetic.
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 is a small bright focus on the T2 Weighted and FLAIR images in the left frontal deep white matter. These most likely represents an ischemic focus.
Prominent perivascular spaces are noted in the cerebral convexity.
No extracerebral collection is identified on this study.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Altered signal in the left frontal deep white matter most likely represents an ischemic focus.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11865
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzathiralmn / F / 60 yrs.
Referred by : Dr. Abc Xyzhalani
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
Known C/O pituitary adenoma. Detected in 0000. Operated for same in November 0000 (transphenoidal excision was done). Received 36 sitting of radiotherapy.
Now C/O pain in both eyes (right more than left).
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.
OBSERVATION :
The pituitary gland is not well identified in the sella. In place is seen a well marginated, hypointense lesion on the T1 Weighted images which appear hyperintense on the T2 Weighted images. This may represent necrotic/fibrous tissue, the sequelae of previous excision of pituitary adenoma and subsequent radiotherapy. This lesion measures approximately 3.0 mms in height. The posterior pituitary gland is also not well identified. The pituitary stalk is in the midline. The optic chiasma and the left cavernous sinus are unremarkable.
There is seen an intermediate signal intensity lesion on the T1 Weighted images in the right cavernous sinus which appears relatively hypointense on the T1 Weighted images. There is loss of normal flow void signal of the cavernous segment of the right internal carotid artery.
There is no focal area of altered signal in the brain parenchyma per se. Mild fullness of both the lateral and third ventricles is noted. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and basal cisterns bilaterally. There is no midline shift. A mega cisterna magna is noted.
Inflammatory changes are noted in the right maxillary antrum.
IMPRESSION :
1. Post-operative/post-radiotherapy status.
2. Changes in the signal intensity of the lesion in the sella may represent necrotic/fibrotic changes, the sequelae of previous surgery and subsequent radiotherapy.
3. Soft tissue lesion in the right cavernous sinus is not specific for a single etiology ? residual pituitary adenoma, ?? inflammatory tissue. There is resultant thrombosis of the cavernous segment of the right internal carotid artery.
As compared to the previous MRI dated 00.00.00, the pituitary gland now shows necrotic/fibrotic changes. The right cavernous sinus region is largely unchanged.
Date : 00.00.00
Name of the Patient : Abc Xyzathiralmn / F / 60 yrs.
Referred by : Dr. Abc Xyzhalani
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
Known C/O pituitary adenoma. Detected in 0000. Operated for same in November 0000 (transphenoidal excision was done). Received 36 sitting of radiotherapy.
Now C/O pain in both eyes (right more than left).
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.
OBSERVATION :
The pituitary gland is not well identified in the sella. In place is seen a well marginated, hypointense lesion on the T1 Weighted images which appear hyperintense on the T2 Weighted images. This may represent necrotic/fibrous tissue, the sequelae of previous excision of pituitary adenoma and subsequent radiotherapy. This lesion measures approximately 3.0 mms in height. The posterior pituitary gland is also not well identified. The pituitary stalk is in the midline. The optic chiasma and the left cavernous sinus are unremarkable.
There is seen an intermediate signal intensity lesion on the T1 Weighted images in the right cavernous sinus which appears relatively hypointense on the T1 Weighted images. There is loss of normal flow void signal of the cavernous segment of the right internal carotid artery.
There is no focal area of altered signal in the brain parenchyma per se. Mild fullness of both the lateral and third ventricles is noted. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and basal cisterns bilaterally. There is no midline shift. A mega cisterna magna is noted.
Inflammatory changes are noted in the right maxillary antrum.
IMPRESSION :
1. Post-operative/post-radiotherapy status.
2. Changes in the signal intensity of the lesion in the sella may represent necrotic/fibrotic changes, the sequelae of previous surgery and subsequent radiotherapy.
3. Soft tissue lesion in the right cavernous sinus is not specific for a single etiology ? residual pituitary adenoma, ?? inflammatory tissue. There is resultant thrombosis of the cavernous segment of the right internal carotid artery.
As compared to the previous MRI dated 00.00.00, the pituitary gland now shows necrotic/fibrotic changes. The right cavernous sinus region is largely unchanged.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11863
hs/sb
Date : 00.00.00
Name of the Patient : Abc Xyz B. lmn / F / 10 yrs.
Referred by : Dr. Abc Xyzrmar / Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O vehicular accident on 00.00.00, with head injury and altered sensorium since then.
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 :
Irregularly defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen to involve the cortical grey matter in the left fronto-temporal lobes and medial aspect of the right temporal lobe. These are iso to hypointense to normal grey matter on the T1 Weighted images and would represent cortical contusions in the given clinical setting. A speck of hyperintensity on the T1 Weighted images is seen within the lesion in the left frontal lobe and would represent blood.
Small hyperintense areas are seen in the left cerebellar hemisphere, right cerebral peduncle, corpus callosum, posteriorly
and adjacent to the third ventricle on the left side. These would represent contusions/diffuse axonal injury.
A sliver of hyperintensity on all the pulse sequences is seen to overlie the left frontal lobe and may represent subdural blood.
Small subdural effusion is also noted in the right frontal region.
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.
IMPRESSION :
The MRI features are suggestive of :
1. Cortical contusions in the the cortical grey matter in the left fronto-temporal lobes and medial aspect of the right temporal lobe (with a small haemorrhagic component in the left frontal lobe).
2. Contusions/diffuse axonal injury in the left cerebellar hemisphere, right cerebral peduncle, corpus callsum, posteriorly and adjacent to the third ventricle on the left side.
3. A sliver of subdural fluid in the left frontal lobe.
Date : 00.00.00
Name of the Patient : Abc Xyz B. lmn / F / 10 yrs.
Referred by : Dr. Abc Xyzrmar / Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O vehicular accident on 00.00.00, with head injury and altered sensorium since then.
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 :
Irregularly defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen to involve the cortical grey matter in the left fronto-temporal lobes and medial aspect of the right temporal lobe. These are iso to hypointense to normal grey matter on the T1 Weighted images and would represent cortical contusions in the given clinical setting. A speck of hyperintensity on the T1 Weighted images is seen within the lesion in the left frontal lobe and would represent blood.
Small hyperintense areas are seen in the left cerebellar hemisphere, right cerebral peduncle, corpus callosum, posteriorly
and adjacent to the third ventricle on the left side. These would represent contusions/diffuse axonal injury.
A sliver of hyperintensity on all the pulse sequences is seen to overlie the left frontal lobe and may represent subdural blood.
Small subdural effusion is also noted in the right frontal region.
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.
IMPRESSION :
The MRI features are suggestive of :
1. Cortical contusions in the the cortical grey matter in the left fronto-temporal lobes and medial aspect of the right temporal lobe (with a small haemorrhagic component in the left frontal lobe).
2. Contusions/diffuse axonal injury in the left cerebellar hemisphere, right cerebral peduncle, corpus callsum, posteriorly and adjacent to the third ventricle on the left side.
3. A sliver of subdural fluid in the left frontal lobe.
Published in
MRI Reports