Regular User
Sunday, 27 December 2015 16:48
15034
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzed lmn / M / 28 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE with paresthesias.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There appears to be sacralization of the L5 vertebra and the L3 vertebra is as marked on the film. Please correlate with plain radiographs.
There is a large right paracentral and right postero-lateral disc extrusion at the L4-L5 level with right antero-lateral indentation of the thecal sac, right neural foraminal narrowing and indentation upon the traversing right L5 nerve root. There is superior migration of the disc into the right lateral recess of the L4 vertebra. Extruded disc material is also seen in the right neural foramen with impingement of the exiting right L4 nerve root. This disc shows loss of water content.
Type II degenerative changes are seen in the L4 and L5 vertebral bodies adjacent to the L4-L5 disc. The L4-L5 facet joints show mild degenerative changes.
Scan-00004
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 level and the thecal sac terminates at the L5 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
17.0 mm at L2-L3
16.0 mm at L3-L4
10.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra. Please correlate with plain radiographs.
2. A large right paracentral and right postero-lateral disc extrusion at the L4-L5 level with indentation upon the traversing right L5 nerve root. There is superior migration of the disc into the right lateral recess of the L4 vertebra. Extruded disc material is also seen in the right neural foramen at the L4-L5 level with impingement of the exiting right L4 nerve root.
Date : 00.00.00
Name of the Patient : Abc Xyzed lmn / M / 28 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE with paresthesias.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There appears to be sacralization of the L5 vertebra and the L3 vertebra is as marked on the film. Please correlate with plain radiographs.
There is a large right paracentral and right postero-lateral disc extrusion at the L4-L5 level with right antero-lateral indentation of the thecal sac, right neural foraminal narrowing and indentation upon the traversing right L5 nerve root. There is superior migration of the disc into the right lateral recess of the L4 vertebra. Extruded disc material is also seen in the right neural foramen with impingement of the exiting right L4 nerve root. This disc shows loss of water content.
Type II degenerative changes are seen in the L4 and L5 vertebral bodies adjacent to the L4-L5 disc. The L4-L5 facet joints show mild degenerative changes.
Scan-00004
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 level and the thecal sac terminates at the L5 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
17.0 mm at L2-L3
16.0 mm at L3-L4
10.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra. Please correlate with plain radiographs.
2. A large right paracentral and right postero-lateral disc extrusion at the L4-L5 level with indentation upon the traversing right L5 nerve root. There is superior migration of the disc into the right lateral recess of the L4 vertebra. Extruded disc material is also seen in the right neural foramen at the L4-L5 level with impingement of the exiting right L4 nerve root.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15033
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Pardalmn / F / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with giddiness (on bending forward) since 2-3 months.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
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 ethmoidal air cells and maxillary sinuses bilaterally and in the frontal sinus on the right side.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyz Pardalmn / F / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with giddiness (on bending forward) since 2-3 months.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
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 ethmoidal air cells and maxillary sinuses bilaterally and in the frontal sinus on the right side.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15032
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz. Welmn / F / 21 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE since 10 days.
Alleged H/O fall 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.
OBSERVATION :
There appears to be sacralization of the L5 vertebra and the L3 vertebra is as marked on the film.
There is loss of water content of the L4-L5 intervertebral disc.
There is a fairly large postero-central and a left paracentral disc herniation at the L4-L5 level with slight inferior migration of the disc fragment indenting the traversing left L5 nerve root.
A mild posterior disc bulge is noted at the L3-L4 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.
R>
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra and the L3 vertebral body is as marked on the film. Please correlate with plain radiographs.
2. Degenerated L4-L5 intervertebral disc with a fairly large postero-central and a left paracentral disc herniation at this level with slight inferior migration of the disc fragment indenting the traversing left L5 nerve root.
Date : 00.00.00
Name of the Patient : Abc Xyz. Welmn / F / 21 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE since 10 days.
Alleged H/O fall 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.
OBSERVATION :
There appears to be sacralization of the L5 vertebra and the L3 vertebra is as marked on the film.
There is loss of water content of the L4-L5 intervertebral disc.
There is a fairly large postero-central and a left paracentral disc herniation at the L4-L5 level with slight inferior migration of the disc fragment indenting the traversing left L5 nerve root.
A mild posterior disc bulge is noted at the L3-L4 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.
R>
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra and the L3 vertebral body is as marked on the film. Please correlate with plain radiographs.
2. Degenerated L4-L5 intervertebral disc with a fairly large postero-central and a left paracentral disc herniation at this level with slight inferior migration of the disc fragment indenting the traversing left L5 nerve root.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15031
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza Merclmn / F / 49 yrs.
Referred by : Dr. Abc Xyzonawalla.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in the RLE with paresthesias.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the lumbar intervertebral discs.
There is sacralization of the L5 vertebra and the L3 vertebral body is as marked on the film.
There is Grade I spondylolisthesis of the L4 over the L5 vertebra with probable spondylolysis at L4. Hypertrophic facetal arthropathy is noted at the L4-L5 level bilaterally. A small, pseudo-posterior disc bulge is also noted at this level with slight bilateral neural foraminal narrowing.
A small, right postero-lateral disc bulge is noted at the L3-L4 level with slight right neural foraminal narrowing.
Type II degenerative marrow changes are noted adjacent to the L4-L5 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 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 :
17.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra and the L3 vertebral body is as marked on the film.
2. Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis with probable spondylolysis at L4.
3. Hypertrophic facetal arthropathy at the L4-L5 level bilaterally with a small, pseudo-posterior disc bulge at this level with a resultant tight lumbar canal at the L4-L5 level.
4. A small, right postero-lateral disc bulge at the L3-L4 level with slight right neural foraminal narrowing.
Date : 00.00.00
Name of the Patient : Abc Xyza Merclmn / F / 49 yrs.
Referred by : Dr. Abc Xyzonawalla.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in the RLE with paresthesias.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the lumbar intervertebral discs.
There is sacralization of the L5 vertebra and the L3 vertebral body is as marked on the film.
There is Grade I spondylolisthesis of the L4 over the L5 vertebra with probable spondylolysis at L4. Hypertrophic facetal arthropathy is noted at the L4-L5 level bilaterally. A small, pseudo-posterior disc bulge is also noted at this level with slight bilateral neural foraminal narrowing.
A small, right postero-lateral disc bulge is noted at the L3-L4 level with slight right neural foraminal narrowing.
Type II degenerative marrow changes are noted adjacent to the L4-L5 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 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 :
17.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra and the L3 vertebral body is as marked on the film.
2. Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis with probable spondylolysis at L4.
3. Hypertrophic facetal arthropathy at the L4-L5 level bilaterally with a small, pseudo-posterior disc bulge at this level with a resultant tight lumbar canal at the L4-L5 level.
4. A small, right postero-lateral disc bulge at the L3-L4 level with slight right neural foraminal narrowing.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15029
sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzr Almn / M / 16 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, blurred vision and diplopia since 15 days.
H/O lymphnodal enlargement in the inguinal region at the age of 7 years. Received AKT for 6 months.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick STIR coronal images through the orbits.
OBSERVATION :
There are very small, well-defined, hypointense lesions on the T1 Weighted images in the left cerebellar hemisphere, in the cortex and subcortical white matter in the cerebral hemispheres bilaterally and in the left lentiform nucleus. These lesions follow CSF signal and hyperintense on the proton and T2 Weighted images but appear hypointense on FLAIR images. There is mild perilesional edema around most of the above described lesions with sulcal space effacement in some regions.
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.
The optic nerves on either side appear normal in course and signal characteristics.
Inflammatory changes are noted in the maxillary antra bilaterally.
..2/.
IMPRESSION :
Very small, subcentimeter lesions in the cerebral hemispheres bilaterally and in the left cerebellar hemisphere with perilesional edema as described, follow the signal characteristics of neurocysticerci in the vesicular and colloid-vesicular stages.
Date : 00.00.00
Name of the Patient : Abc Xyzr Almn / M / 16 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, blurred vision and diplopia since 15 days.
H/O lymphnodal enlargement in the inguinal region at the age of 7 years. Received AKT for 6 months.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick STIR coronal images through the orbits.
OBSERVATION :
There are very small, well-defined, hypointense lesions on the T1 Weighted images in the left cerebellar hemisphere, in the cortex and subcortical white matter in the cerebral hemispheres bilaterally and in the left lentiform nucleus. These lesions follow CSF signal and hyperintense on the proton and T2 Weighted images but appear hypointense on FLAIR images. There is mild perilesional edema around most of the above described lesions with sulcal space effacement in some regions.
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.
The optic nerves on either side appear normal in course and signal characteristics.
Inflammatory changes are noted in the maxillary antra bilaterally.
..2/.
IMPRESSION :
Very small, subcentimeter lesions in the cerebral hemispheres bilaterally and in the left cerebellar hemisphere with perilesional edema as described, follow the signal characteristics of neurocysticerci in the vesicular and colloid-vesicular stages.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15028
ke/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzraylmn / M / 55 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the RLE with limp.
Alleged H/O fall in June 0000.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
7 mm thick Gradient sagittal images.
OBSERVATION :
There is replacement of the normal marrow of the right iliac bone constituting the roof of the right acetabulum by hypointense areas on the T1 Weighted images which are seen to turn heterogeneously hyperintense on the T2 Weighted and STIR images. There is a suggestion of a break in the cortex laterally. There is a hyperintense signal on the T2 Weighted and STIR images in the right ilio-psoas muscle and adductor group of muscles on the right side. Subtle altered signal is also noted in the right gluteal subcutaneous region. There is effusion within the right hip joint. The left hip joint is unremarkable.
There is no free fluid in the pelvis.
IMPRESSION :
The MRI features are suggestive of altered signal in the right iliac bone (roof of the right acetabulum) and in the muscles in the pelvic region on the right as described and effusion in the right hip joint. These changes are not specific for a single etiology.
An infective/inflammatory pathology is a likely possibility. The possibility of a neoplasm or transient osteoporosis seems less likely.
A biopsy from the lesion in the right acetabular roof would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyzraylmn / M / 55 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the RLE with limp.
Alleged H/O fall in June 0000.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
7 mm thick Gradient sagittal images.
OBSERVATION :
There is replacement of the normal marrow of the right iliac bone constituting the roof of the right acetabulum by hypointense areas on the T1 Weighted images which are seen to turn heterogeneously hyperintense on the T2 Weighted and STIR images. There is a suggestion of a break in the cortex laterally. There is a hyperintense signal on the T2 Weighted and STIR images in the right ilio-psoas muscle and adductor group of muscles on the right side. Subtle altered signal is also noted in the right gluteal subcutaneous region. There is effusion within the right hip joint. The left hip joint is unremarkable.
There is no free fluid in the pelvis.
IMPRESSION :
The MRI features are suggestive of altered signal in the right iliac bone (roof of the right acetabulum) and in the muscles in the pelvic region on the right as described and effusion in the right hip joint. These changes are not specific for a single etiology.
An infective/inflammatory pathology is a likely possibility. The possibility of a neoplasm or transient osteoporosis seems less likely.
A biopsy from the lesion in the right acetabular roof would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15027
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz S. Shrlmn / F / 53 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE and numbness since 10 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.
OBSERVATION :
There is loss of water content of the lumbar intervertebral discs.
A postero-central protruded disc is noted at the L5-S1 level.
Small left postero-lateral and left far lateral disc bulges are noted at the L4-L5 level.
A right postero-lateral disc herniation is noted at the L2-L3 level indenting the extraforaminal segment of the exiting right L2 nerve root. The right L2-L3 facet joint shows degenerative changes.
The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
19.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. A right postero-lateral disc herniation at the L2-L3 level indenting the extraforaminal segment of the exiting right L2 nerve root. Also seen is facetal arthropathy on the right side at this level.
2. A postero-central protruded disc at the L5-S1 level.
3. Small left postero-lateral and left far lateral disc bulges at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyz S. Shrlmn / F / 53 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE and numbness since 10 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.
OBSERVATION :
There is loss of water content of the lumbar intervertebral discs.
A postero-central protruded disc is noted at the L5-S1 level.
Small left postero-lateral and left far lateral disc bulges are noted at the L4-L5 level.
A right postero-lateral disc herniation is noted at the L2-L3 level indenting the extraforaminal segment of the exiting right L2 nerve root. The right L2-L3 facet joint shows degenerative changes.
The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
19.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. A right postero-lateral disc herniation at the L2-L3 level indenting the extraforaminal segment of the exiting right L2 nerve root. Also seen is facetal arthropathy on the right side at this level.
2. A postero-central protruded disc at the L5-S1 level.
3. Small left postero-lateral and left far lateral disc bulges at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15026
hs/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O ? seizures (5-6 episodes in last 13 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 T2 Weighted coronal images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
There is mild prominence of the cerebral cortical sulci and 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. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of mild cerebral and cerebellar atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O ? seizures (5-6 episodes in last 13 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 T2 Weighted coronal images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
There is mild prominence of the cerebral cortical sulci and 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. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of mild cerebral and cerebellar atrophy.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15025
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzGlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzesai.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
C/O pain in the left knee joint with limitation of joint movement and clicking since 0000.
EXAMINATION :
M.R.I of the left knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and STIR coronal images.
5 mm thick GRASS axial images.
OBSERVATION :
Menisci :
The anterior and posterior horns of the lateral and medial menisci reveal normal configuration and signal characteristics.
Cruciate Ligaments :
There is an ill-defined, hyperintense signal on the GRASS and STIR images along the fibres of the anterior cruciate ligament. This is of intermediate signal on the T1 Weighted images. The fibres of the anterior cruciate ligament appear to be in continuity.
The posterior cruciate ligament shows normal contour and signal characteristics.
R>
Collateral Ligaments and the Patellar Tendon :
There is an intermediate signal on the T1 Weighted images within the substance of the patellar tendon, just inferior to the inferior margin of the patella. This lesion appears hyperintense on the GRASS and STIR images and would most likely represent an intrasubstance degeneration/tendinitis of the patellar tendon. The patellar tendon is slightly larger in diameter in this region. The central portion of the tendon appears more involved.
The medial and lateral collateral ligaments are normal.
Hoffas Fat Pad :
The Hoffas fat pad appears slightly ill-defined along the postero-inferior margin of the inferior pole of the patella ? due to inflammation.
Articular cartilage and bones :
The articular cartilage overlying the patella, tibia and femur appears normal.
The trabeculae of the distal end of the left femur and proximal end of the left tibia appear prominent without change in the marrow signal, suggesting remodelling of bone.
A herniation pit is noted in the region of the tibial spine.
IMPRESSION :
1. Slight increase in diameter of the patellar tendon with altered signal within the substance of the patellar tendon, just inferior to the inferior margin of the patella as described represents chronic patellar tendinitis.
2. Altered signal along the fibres of the anterior cruciate ligament would suggests a strain of the anterior cruciate ligament.
Date : 00.00.00
Name of the Patient : Abc XyzGlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzesai.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
C/O pain in the left knee joint with limitation of joint movement and clicking since 0000.
EXAMINATION :
M.R.I of the left knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and STIR coronal images.
5 mm thick GRASS axial images.
OBSERVATION :
Menisci :
The anterior and posterior horns of the lateral and medial menisci reveal normal configuration and signal characteristics.
Cruciate Ligaments :
There is an ill-defined, hyperintense signal on the GRASS and STIR images along the fibres of the anterior cruciate ligament. This is of intermediate signal on the T1 Weighted images. The fibres of the anterior cruciate ligament appear to be in continuity.
The posterior cruciate ligament shows normal contour and signal characteristics.
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Collateral Ligaments and the Patellar Tendon :
There is an intermediate signal on the T1 Weighted images within the substance of the patellar tendon, just inferior to the inferior margin of the patella. This lesion appears hyperintense on the GRASS and STIR images and would most likely represent an intrasubstance degeneration/tendinitis of the patellar tendon. The patellar tendon is slightly larger in diameter in this region. The central portion of the tendon appears more involved.
The medial and lateral collateral ligaments are normal.
Hoffas Fat Pad :
The Hoffas fat pad appears slightly ill-defined along the postero-inferior margin of the inferior pole of the patella ? due to inflammation.
Articular cartilage and bones :
The articular cartilage overlying the patella, tibia and femur appears normal.
The trabeculae of the distal end of the left femur and proximal end of the left tibia appear prominent without change in the marrow signal, suggesting remodelling of bone.
A herniation pit is noted in the region of the tibial spine.
IMPRESSION :
1. Slight increase in diameter of the patellar tendon with altered signal within the substance of the patellar tendon, just inferior to the inferior margin of the patella as described represents chronic patellar tendinitis.
2. Altered signal along the fibres of the anterior cruciate ligament would suggests a strain of the anterior cruciate ligament.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15024
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Slmn / M / 66 yrs.
Referred by : Dr. Abc Xyzlsara.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O pain in the left groin since 6-7 months which has incresed since 10 days.
H/O Ca of the right lung. Received 12 cycles of Chemotherapy.
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 lumbar intervertebral discs.
Minimal forward translation of the L4 over the L5 vertebra is noted without obvious spondylolysis at L4.
There is a small postero-central protruded disc at the L5-S1 level with a left far lateral disc bulge with peridiscal osteophytes at this level.
A left postero-lateral disc herniation with peridiscal osteophytes is noted at the L4-L5 level with left neural foraminal narrowing and indentation on the foraminal segment of the left L4 nerve root. Slight facetal hypertrophy is noted at this level, more so on the left side, with left lateral recess stenosis.
A left and right postero-lateral disc herniation is noted at the L3-L4 level with bilateral neural foraminal narrowing and indentation on the extraforaminal segment of the left L3 nerve root.
A posterior and right postero-lateral disc bulge with peridiscal osteophytes is noted at the L2-L3 level with slight right neural foraminal narrowing.
There is slight anterior wedging of the D11 vertebral body without change in signal intensity.
A well-marginated, approximately 2.0 x 1.5 cms sized intermediate signal intensity lesion on the T1 Weighted images is noted in the right paravertebral region (most likely in close relation to the right 12th rib). This lesion appears hyperintense on the T2 Weighted images. A similar signal intensity lesion measuring approximately 9.0 mm in diameter is noted along the right lateral margin of the L5 spinous process (scans 106.2 & 104.2).
The lumbar vertebral bodies reveal normal signal intensity.
Anterior disc herniations with anterior peridiscal osteophytes are noted in the dorso-lumbar and lumbar regions.
The facet joints at the L5-S1 and L2-L3 levels also appear slightly hypertrophied.
The visualized pre and left paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
..3/.
- 3 - Scan-00004
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
11.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A small postero-central protruded disc at the L5-S1 level with a left far lateral disc bulge with peridiscal osteophytes at this level.
2. A left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with left neural foraminal narrowing and indentation on the foraminal segment of the left L4 nerve root. Slight facetal hypertrophy is noted at this level, more so on the left side, with left lateral recess stenosis.
3. A left and right postero-lateral disc herniation at the L3-L4 level with bilateral neural foraminal narrowing and indentation on the extraforaminal segment of the left L3 nerve root.
4. A posterior and right postero-lateral disc bulge with peridiscal osteophytes at the L2-L3 level.
5. A well-marginated, approximately 2.0 x 1.5 cms sized lesion in the right paravertebral region (most likely in close relation to the right 12th rib) is not specific for a single etiology. This lesion may represent a metastatic lesion (in view of H/O Ca of right lung).
A smaller lesion of similar signal along the right lateral margin of the L5 spinous process is ? metastatis ?? inflammatory cyst.
Date : 00.00.00
Name of the Patient : Abc Xyz Slmn / M / 66 yrs.
Referred by : Dr. Abc Xyzlsara.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O pain in the left groin since 6-7 months which has incresed since 10 days.
H/O Ca of the right lung. Received 12 cycles of Chemotherapy.
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 lumbar intervertebral discs.
Minimal forward translation of the L4 over the L5 vertebra is noted without obvious spondylolysis at L4.
There is a small postero-central protruded disc at the L5-S1 level with a left far lateral disc bulge with peridiscal osteophytes at this level.
A left postero-lateral disc herniation with peridiscal osteophytes is noted at the L4-L5 level with left neural foraminal narrowing and indentation on the foraminal segment of the left L4 nerve root. Slight facetal hypertrophy is noted at this level, more so on the left side, with left lateral recess stenosis.
A left and right postero-lateral disc herniation is noted at the L3-L4 level with bilateral neural foraminal narrowing and indentation on the extraforaminal segment of the left L3 nerve root.
A posterior and right postero-lateral disc bulge with peridiscal osteophytes is noted at the L2-L3 level with slight right neural foraminal narrowing.
There is slight anterior wedging of the D11 vertebral body without change in signal intensity.
A well-marginated, approximately 2.0 x 1.5 cms sized intermediate signal intensity lesion on the T1 Weighted images is noted in the right paravertebral region (most likely in close relation to the right 12th rib). This lesion appears hyperintense on the T2 Weighted images. A similar signal intensity lesion measuring approximately 9.0 mm in diameter is noted along the right lateral margin of the L5 spinous process (scans 106.2 & 104.2).
The lumbar vertebral bodies reveal normal signal intensity.
Anterior disc herniations with anterior peridiscal osteophytes are noted in the dorso-lumbar and lumbar regions.
The facet joints at the L5-S1 and L2-L3 levels also appear slightly hypertrophied.
The visualized pre and left paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
..3/.
- 3 - Scan-00004
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
11.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A small postero-central protruded disc at the L5-S1 level with a left far lateral disc bulge with peridiscal osteophytes at this level.
2. A left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with left neural foraminal narrowing and indentation on the foraminal segment of the left L4 nerve root. Slight facetal hypertrophy is noted at this level, more so on the left side, with left lateral recess stenosis.
3. A left and right postero-lateral disc herniation at the L3-L4 level with bilateral neural foraminal narrowing and indentation on the extraforaminal segment of the left L3 nerve root.
4. A posterior and right postero-lateral disc bulge with peridiscal osteophytes at the L2-L3 level.
5. A well-marginated, approximately 2.0 x 1.5 cms sized lesion in the right paravertebral region (most likely in close relation to the right 12th rib) is not specific for a single etiology. This lesion may represent a metastatic lesion (in view of H/O Ca of right lung).
A smaller lesion of similar signal along the right lateral margin of the L5 spinous process is ? metastatis ?? inflammatory cyst.
Published in
MRI Reports