Regular User
Sunday, 27 December 2015 16:48
11749
sb/ke
Date : 00.00.00
Name of the Patient : Abc XyzAli Essa Al-Sablmn / F / 40 yrs
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of Sella & Perisellar Region.
CLINICAL PROFILE :
C/O progressive loss of vision of the left eye since 6-7 years.
EXAMINATION :
M.R.I of the sella & 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.
After contrast administration, the sella and perisellar region was scanned with 3 mm thick T1 Weighted sagittal and coronal images and 3 mm thick T1 Weighted sagittal images with fat saturation. The brain was screened with 5 mm thick T2 Weighted axial images with magnetization transfer after contrast administration.
OBSERVATION :
There is seen a well-marginated, lobulated, approximately 2.0 x 1.5 x 2.8 cms sized intermediate signal intensity mass lesion on the T1 Weighted images in the sella and suprasellar region, extending posteriorly along the floor of the anterior cranial fossa (along the planum sphenoidale). This lesion appears isointense to grey matter on the T2 Weighted images.
The superior margin of the anterior pituitary gland is indented by the lesion with the gland being pushed along the floor of the sella. The posterior pituitary gland shows a normal hyperintense signal on the T1 Weighted images. The pituitary Scan-00009
stalk is not well-identified separately from the lesion. The optic chiasma is displaced superiorly by the lesion. The left optic nerve is probably atrophied and shows a hyperintense signal on the T2 Weighted images.
There is no extension of the lesion into the cavernous sinuses on either side.
There is no ballooning of the sella. Suspicious erosion of the planum sphenoidale is noted to the left of the midline (scans 103.7, 107.7).
After contrast administration, there is uniform enhancement of the above described mass lesion and the pituitary gland. Though it is difficult to separate the mass lesion from the pituitary gland, a probable clevage plane exists between the two, better appreciated posteriorly.
The screening images of the brain do not reveal any significant feature of note, though mild ventricular fullness is noted.
IMPRESSION :
An approximately 2.0 x 1.5 x 2.8 cms sized uniformly enhancing mass lesion in the sella and suprasellar region and along the floor of the anterior cranial fossa as described is not specific for a single etiology.
This most probably represent planum sphenoidale meningioma. A pituitary adenoma cannot be entirely excluded though less likely. Left optic atrophy with altered signal is also noted.
As compared to the previous MRI dated 00.00.00, there is no significant change noted.
Date : 00.00.00
Name of the Patient : Abc XyzAli Essa Al-Sablmn / F / 40 yrs
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of Sella & Perisellar Region.
CLINICAL PROFILE :
C/O progressive loss of vision of the left eye since 6-7 years.
EXAMINATION :
M.R.I of the sella & 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.
After contrast administration, the sella and perisellar region was scanned with 3 mm thick T1 Weighted sagittal and coronal images and 3 mm thick T1 Weighted sagittal images with fat saturation. The brain was screened with 5 mm thick T2 Weighted axial images with magnetization transfer after contrast administration.
OBSERVATION :
There is seen a well-marginated, lobulated, approximately 2.0 x 1.5 x 2.8 cms sized intermediate signal intensity mass lesion on the T1 Weighted images in the sella and suprasellar region, extending posteriorly along the floor of the anterior cranial fossa (along the planum sphenoidale). This lesion appears isointense to grey matter on the T2 Weighted images.
The superior margin of the anterior pituitary gland is indented by the lesion with the gland being pushed along the floor of the sella. The posterior pituitary gland shows a normal hyperintense signal on the T1 Weighted images. The pituitary Scan-00009
stalk is not well-identified separately from the lesion. The optic chiasma is displaced superiorly by the lesion. The left optic nerve is probably atrophied and shows a hyperintense signal on the T2 Weighted images.
There is no extension of the lesion into the cavernous sinuses on either side.
There is no ballooning of the sella. Suspicious erosion of the planum sphenoidale is noted to the left of the midline (scans 103.7, 107.7).
After contrast administration, there is uniform enhancement of the above described mass lesion and the pituitary gland. Though it is difficult to separate the mass lesion from the pituitary gland, a probable clevage plane exists between the two, better appreciated posteriorly.
The screening images of the brain do not reveal any significant feature of note, though mild ventricular fullness is noted.
IMPRESSION :
An approximately 2.0 x 1.5 x 2.8 cms sized uniformly enhancing mass lesion in the sella and suprasellar region and along the floor of the anterior cranial fossa as described is not specific for a single etiology.
This most probably represent planum sphenoidale meningioma. A pituitary adenoma cannot be entirely excluded though less likely. Left optic atrophy with altered signal is also noted.
As compared to the previous MRI dated 00.00.00, there is no significant change noted.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11748
sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyza N. lmn / F / 47 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the LLE with difficulty in walking since December 0000.
Known C/O osteoarthritis (knees).
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.
5 mm thick Proton density sagittal images.
OBSERVATION :
The femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or
erosion noted. The articular cartilages are unremarkable.
Minimal fluid is noted in the left hip joint.
The musculature surrounding both the hip joints and the visualized pelvis is normal.
IMPRESSION :
Minimal fluid in the left hip joint.
No other significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyza N. lmn / F / 47 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the LLE with difficulty in walking since December 0000.
Known C/O osteoarthritis (knees).
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.
5 mm thick Proton density sagittal images.
OBSERVATION :
The femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or
erosion noted. The articular cartilages are unremarkable.
Minimal fluid is noted in the left hip joint.
The musculature surrounding both the hip joints and the visualized pelvis is normal.
IMPRESSION :
Minimal fluid in the left hip joint.
No other significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11747
Date : 00.00.00
Name of the Patient : Abc Xyz G. lmn / M / 55 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 5-6 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebra and the L1 vertebral body is marked on the film.
There is reduction in height of the L3-L4 intervertebral disc with loss of water content of the lumbar intervertebral discs.
A posteriorly bulging disc with posterior peridiscal osteophytes is noted at the L4-L5 level with bilateral neural foraminal narrowing. There is also facetal and ligamentum flavum hypertrophy with resultant lateral recess and central canal stenosis.
A posterior and right far lateral peridiscal osteophyte is noted at the L3-L4 level with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L3 nerve root. Facetal and ligamentum flavum hypertrophy with canal stenosis is also noted.
00007 - 2 -
A postero-central disc herniation is noted at the L2-L3 level with thecal sac compression. Facetal hypertrophy is also noted at this level.
Anterior disc herniations with anterior peridiscal osteophytes are noted in the lumbar region.
Type II degenerative changes are noted adjacent to the L3-L4 disc.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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 :
14.0 mm at L1-L2
11.0 mm at L2-L3
12.0 mm at L3-L4
7.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. A posteriorly bulging disc with posterior peridiscal osteophyte at the L4-L5 level with facetal and ligamentum flavum hypertrophy.
..3/.
00007
- 3 -
3. A posterior and right far lateral peridiscal osteophyte at the L3-L4 level with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L3 nerve root. Facetal and ligamentum flavum hypertrophy is also noted.
4. A postero-central disc herniation at the L2-L3 level with facetal hypertrophy at this level.
5. Lumbar canal stenosis over L2-L3 to L4-l5 levels.
Name of the Patient : Abc Xyz G. lmn / M / 55 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 5-6 months.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebra and the L1 vertebral body is marked on the film.
There is reduction in height of the L3-L4 intervertebral disc with loss of water content of the lumbar intervertebral discs.
A posteriorly bulging disc with posterior peridiscal osteophytes is noted at the L4-L5 level with bilateral neural foraminal narrowing. There is also facetal and ligamentum flavum hypertrophy with resultant lateral recess and central canal stenosis.
A posterior and right far lateral peridiscal osteophyte is noted at the L3-L4 level with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L3 nerve root. Facetal and ligamentum flavum hypertrophy with canal stenosis is also noted.
00007 - 2 -
A postero-central disc herniation is noted at the L2-L3 level with thecal sac compression. Facetal hypertrophy is also noted at this level.
Anterior disc herniations with anterior peridiscal osteophytes are noted in the lumbar region.
Type II degenerative changes are noted adjacent to the L3-L4 disc.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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 :
14.0 mm at L1-L2
11.0 mm at L2-L3
12.0 mm at L3-L4
7.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. A posteriorly bulging disc with posterior peridiscal osteophyte at the L4-L5 level with facetal and ligamentum flavum hypertrophy.
..3/.
00007
- 3 -
3. A posterior and right far lateral peridiscal osteophyte at the L3-L4 level with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L3 nerve root. Facetal and ligamentum flavum hypertrophy is also noted.
4. A postero-central disc herniation at the L2-L3 level with facetal hypertrophy at this level.
5. Lumbar canal stenosis over L2-L3 to L4-l5 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11746
sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyzderkaur lmn / F / 13 yrs.
Referred by : Dr. Abc Xyz
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O ALL detected 8 years back. Chemotherapy and Radiotherapy received 5 years back.
No complaints at present.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton density and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
A well-defined, CSF intensity lesion is seen on all the pulse sequences in the subcortical white matter in the left frontal region represents a lacune (scans 104.13, 103.13, 105.15, 102.13).
Small bright foci on the T2 Weighted images in the subcortical white matter in the left frontal region are also noted.
Ill-defined, hyperintense signal on the T2 Weighted images in the posterior parietal periventricular white matter bilaterally most likely represent areas of terminal myelination.
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.
..2/.
IMPRESSION :
1. A lacune in the subcortical white matter in the left frontal region.
2. Small bright foci in the subcortical white matter in the left frontal region are of ? ischemic in origin.
Date : 00.00.00
Name of the Patient : Abc Xyzderkaur lmn / F / 13 yrs.
Referred by : Dr. Abc Xyz
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O ALL detected 8 years back. Chemotherapy and Radiotherapy received 5 years back.
No complaints at present.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton density and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
A well-defined, CSF intensity lesion is seen on all the pulse sequences in the subcortical white matter in the left frontal region represents a lacune (scans 104.13, 103.13, 105.15, 102.13).
Small bright foci on the T2 Weighted images in the subcortical white matter in the left frontal region are also noted.
Ill-defined, hyperintense signal on the T2 Weighted images in the posterior parietal periventricular white matter bilaterally most likely represent areas of terminal myelination.
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.
..2/.
IMPRESSION :
1. A lacune in the subcortical white matter in the left frontal region.
2. Small bright foci in the subcortical white matter in the left frontal region are of ? ischemic in origin.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11745
sb/ke
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / M / 70 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 paresthesias since 1 month.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is reduction in height of the L4-L5 intervertebral disc with loss of water content of the lumbar intervertebral discs.
A small postero-central protruded disc is noted at the L5-S1 level.
A posteriorly herniated disc with peridiscal osteophytes is noted at the L4-L5 level with bilateral neural foramial narrowing. A sequestered disc fragment is noted in the left lateral epidural space at the L5 indenting the traversing left L5 nerve root. Ligamentum flavum hypertrophy is noted at the L4 level.
Type II degenerative marrow changes are noted adjacent to the L4-L5 disc.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
00005
- 2 -
The conus medullaris terminates at the L1-L2 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 :
16.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
9.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
1. A small postero-central protruded disc at the L5-S1 level.
2. A posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level with a sequestered disc fragment in the left lateral epidural space at the L5 indenting the traversing left L5 nerve root.
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / M / 70 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 paresthesias since 1 month.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is reduction in height of the L4-L5 intervertebral disc with loss of water content of the lumbar intervertebral discs.
A small postero-central protruded disc is noted at the L5-S1 level.
A posteriorly herniated disc with peridiscal osteophytes is noted at the L4-L5 level with bilateral neural foramial narrowing. A sequestered disc fragment is noted in the left lateral epidural space at the L5 indenting the traversing left L5 nerve root. Ligamentum flavum hypertrophy is noted at the L4 level.
Type II degenerative marrow changes are noted adjacent to the L4-L5 disc.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
00005
- 2 -
The conus medullaris terminates at the L1-L2 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 :
16.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
9.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
1. A small postero-central protruded disc at the L5-S1 level.
2. A posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level with a sequestered disc fragment in the left lateral epidural space at the L5 indenting the traversing left L5 nerve root.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11743
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 66 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of Sella & perisellar region.
CLINICAL PROFILE :
C/O generalised weakness with memory lapses since 00.00.00.
Suspected to have central hypothyroidism.
Known hypertensive. On Rx since 2 weeks.
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 and axial images.
The brain was screened with 5 mm thick T2 Weighted axial images.
OBSERVATION :
The pituitary gland is normal in its size, contour and location and reveals normal signal intensity. The pituitary gland measures approximately 3.0 mm in height. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable. The cavernous sinus and the suprasellar cistern are unremarkable.
The screening T2 Weighted axial images of the brain reveal ill-defined hyperintense signal in the pons, midbrain, posterior parietal periventricular white matter bilaterally and in the centrum semiovale bilaterally. These most likely represent ischemic changes.
..2/.
00003
- 2 -
Mild fullness of both lateral and the third ventricle is noted with prominent cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. The fourth ventricle is normal. There is no midline shift.
IMPRESSION :
1. Altered signal in the pons, midbrain, posterior parietal periventricular white matter bilaterally and in the centrum semiovale bilaterally most likely represents ischemic changes.
2. Mild age related cerebral cortical and cerebellar atrophy.
3. No significant abnormality is detected in the sella and perisellar region.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 66 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of Sella & perisellar region.
CLINICAL PROFILE :
C/O generalised weakness with memory lapses since 00.00.00.
Suspected to have central hypothyroidism.
Known hypertensive. On Rx since 2 weeks.
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 and axial images.
The brain was screened with 5 mm thick T2 Weighted axial images.
OBSERVATION :
The pituitary gland is normal in its size, contour and location and reveals normal signal intensity. The pituitary gland measures approximately 3.0 mm in height. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable. The cavernous sinus and the suprasellar cistern are unremarkable.
The screening T2 Weighted axial images of the brain reveal ill-defined hyperintense signal in the pons, midbrain, posterior parietal periventricular white matter bilaterally and in the centrum semiovale bilaterally. These most likely represent ischemic changes.
..2/.
00003
- 2 -
Mild fullness of both lateral and the third ventricle is noted with prominent cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. The fourth ventricle is normal. There is no midline shift.
IMPRESSION :
1. Altered signal in the pons, midbrain, posterior parietal periventricular white matter bilaterally and in the centrum semiovale bilaterally most likely represents ischemic changes.
2. Mild age related cerebral cortical and cerebellar atrophy.
3. No significant abnormality is detected in the sella and perisellar region.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11742
Date : 00.00.00
Name of the Patient : Abc Xyzra Rlmn / M / 24 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain and Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O 3 episodes of neck pain on the right side followed with giddiness, blackouts and left sided hemiparesis (lasting for 2-3 minutes).
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images and FLAIR coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
There is no focal area of altered signal intensity within 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.
INTRACRANIAL MRA :
The A1 segment of the right anterior cerebral artery is hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
00002
- 2 -
NECK MRA :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
No significant abnormality is detected on the intracranial and neck MRA on this study.
Name of the Patient : Abc Xyzra Rlmn / M / 24 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain and Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O 3 episodes of neck pain on the right side followed with giddiness, blackouts and left sided hemiparesis (lasting for 2-3 minutes).
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images and FLAIR coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
There is no focal area of altered signal intensity within 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.
INTRACRANIAL MRA :
The A1 segment of the right anterior cerebral artery is hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
00002
- 2 -
NECK MRA :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
No significant abnormality is detected on the intracranial and neck MRA on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11741
Date : 00.00.00
Name of the Patient : Abc XyzK. Galmn / M / 60 yrs.
Referred by : Dr. Abc Xyzndhi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain radiating to BLE since 1 month.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebra which is as marked on the film.
There is slight retrolisthesis of the L3 over the L4 vertebra. Minimal forward translation of L4 over L5 vertebra is noted.
The L2-L3, L3-L4 and L4-L5 intervertebral discs show slight loss of water content.
There is a postero-central and left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with left neural foraminal narrowing.
A posteriorly bulging disc with posterior peridiscal osteophyte is noted at the L3-L4 level with bilateral neural foraminal narrowing. A left far lateral disc bulge is also noted at this level.
A right far lateral disc herniation with peridiscal osteophytes is noted at the L2-L3 level with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L2 nerve root.
..2/.
00001
- 2 -
The facet joints at the L3-L4 and L4-L5 levels show hypertrophic degenerative changes bilaterally, more at the L4-L5 level. Ligamentum flavum hypertrophy is seen at the L3-L4 and L4 levels.
A schmorls node is noted along the superior margin of the L4 vertebra.
A Tarlovs perineural cyst is noted at the S1 vertebral level on the left.
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 S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
18.0 mm at L2-L3
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.
2. Slight forward translation of L4 over L5 vertebra and retrolisthesis of the L3 over the L4 vertebra.
3. A postero-central and left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level.
..3/.
00001
- 3 -
4. A posteriorly bulging disc with posterior peridiscal osteophyte at the L3-L4 level.
5. A right far lateral disc herniation wtih peridiscal osteophytes at the L2-L3 level.
6. Hypertrophic facetal arthropathy at the L3-L4 and L4-L5 levels bilaterally.
7. Tight lumbar canal at the L3-L4 level.
Name of the Patient : Abc XyzK. Galmn / M / 60 yrs.
Referred by : Dr. Abc Xyzndhi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain radiating to BLE since 1 month.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebra which is as marked on the film.
There is slight retrolisthesis of the L3 over the L4 vertebra. Minimal forward translation of L4 over L5 vertebra is noted.
The L2-L3, L3-L4 and L4-L5 intervertebral discs show slight loss of water content.
There is a postero-central and left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with left neural foraminal narrowing.
A posteriorly bulging disc with posterior peridiscal osteophyte is noted at the L3-L4 level with bilateral neural foraminal narrowing. A left far lateral disc bulge is also noted at this level.
A right far lateral disc herniation with peridiscal osteophytes is noted at the L2-L3 level with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L2 nerve root.
..2/.
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- 2 -
The facet joints at the L3-L4 and L4-L5 levels show hypertrophic degenerative changes bilaterally, more at the L4-L5 level. Ligamentum flavum hypertrophy is seen at the L3-L4 and L4 levels.
A schmorls node is noted along the superior margin of the L4 vertebra.
A Tarlovs perineural cyst is noted at the S1 vertebral level on the left.
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 S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
18.0 mm at L2-L3
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.
2. Slight forward translation of L4 over L5 vertebra and retrolisthesis of the L3 over the L4 vertebra.
3. A postero-central and left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level.
..3/.
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- 3 -
4. A posteriorly bulging disc with posterior peridiscal osteophyte at the L3-L4 level.
5. A right far lateral disc herniation wtih peridiscal osteophytes at the L2-L3 level.
6. Hypertrophic facetal arthropathy at the L3-L4 and L4-L5 levels bilaterally.
7. Tight lumbar canal at the L3-L4 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11740
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzai M.lmn / M / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the RUE with paresthesias and gait imbalance with weak grip of RUE since 8-9 months.
H/O fall prior to this.
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 slight loss of water content of the cervical intervertebral discs.
The upper cervical vertebral bodies show spotty fatty marrow 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 cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzai M.lmn / M / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the RUE with paresthesias and gait imbalance with weak grip of RUE since 8-9 months.
H/O fall prior to this.
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 slight loss of water content of the cervical intervertebral discs.
The upper cervical vertebral bodies show spotty fatty marrow 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 cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
11739
hs/bv
Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 23 yrs.
Referred by : Dr. Abc Xyzao.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O ALL, diagnosed in 0000.
Received chemotherapy and radiotherapy. Last dose in 0000.
No complaints at present.
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.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity within 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.
The cerebellar tonsils appear pointed.
Note is made of inflammatory changes in the maxillary sinuses bilaterally and posterior ethmoidal air cells.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 23 yrs.
Referred by : Dr. Abc Xyzao.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O ALL, diagnosed in 0000.
Received chemotherapy and radiotherapy. Last dose in 0000.
No complaints at present.
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.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity within 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.
The cerebellar tonsils appear pointed.
Note is made of inflammatory changes in the maxillary sinuses bilaterally and posterior ethmoidal air cells.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports