Regular User
Sunday, 27 December 2015 16:48
14699
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz R. Salmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE with numbness 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 :
The L5 vertebra appears to be as marked on the film. Please correlate with plain radiographs.
There is loss of normal lumbar lordosis and loss of water content of the L2-L3, L4-L5 and L5-S1 intervertebral discs.
There is a posteriorly herniated disc with a peridiscal osteophyte at the L5-S1 level with bilateral neural foraminal narrowing. A disc fragment is noted in the right lateral recess of S1, indenting the traversing right S1 nerve root. Facetal hypertrophy is also noted at this level with canal stenosis.
Posterior and bilateral far lateral disc herniations are noted at the L4-L5 level with bilateral neural foraminal narrowing. Facetal hypertrophy is also noted at this level with canal stenosis.
Scan-00009
Mild facetal hypertrophy is also noted in the rest of the lumbar region. Mild ligamentum flavum hypertrophy is seen at the L5-S1 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
14.0 mm at L2-L3
14.0 mm at L3-L4
13.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. A posteriorly herniated disc with a peridiscal osteophyte at the L5-S1 level with a disc fragment in the right lateral recess of S1, indenting the traversing right S1 nerve root.
2. Posterior and bilateral far lateral disc herniations at the L4-L5 level.
3. Facetal hypertrophy in the lumbar region as described.
4. Canal stenosis at the L5-S1 level and a tight canal at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyz R. Salmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE with numbness 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 :
The L5 vertebra appears to be as marked on the film. Please correlate with plain radiographs.
There is loss of normal lumbar lordosis and loss of water content of the L2-L3, L4-L5 and L5-S1 intervertebral discs.
There is a posteriorly herniated disc with a peridiscal osteophyte at the L5-S1 level with bilateral neural foraminal narrowing. A disc fragment is noted in the right lateral recess of S1, indenting the traversing right S1 nerve root. Facetal hypertrophy is also noted at this level with canal stenosis.
Posterior and bilateral far lateral disc herniations are noted at the L4-L5 level with bilateral neural foraminal narrowing. Facetal hypertrophy is also noted at this level with canal stenosis.
Scan-00009
Mild facetal hypertrophy is also noted in the rest of the lumbar region. Mild ligamentum flavum hypertrophy is seen at the L5-S1 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
14.0 mm at L2-L3
14.0 mm at L3-L4
13.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. A posteriorly herniated disc with a peridiscal osteophyte at the L5-S1 level with a disc fragment in the right lateral recess of S1, indenting the traversing right S1 nerve root.
2. Posterior and bilateral far lateral disc herniations at the L4-L5 level.
3. Facetal hypertrophy in the lumbar region as described.
4. Canal stenosis at the L5-S1 level and a tight canal at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14698
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz. Wanklmn / F / 83 yrs.
Referred by : Dr. Abc XyzV. Shah
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE since 2 months.
Alleged H/O fall in July 0000.
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 wedging of the L1 vertebral body which shows hypointense areas on the T1 Weighted images in its inferior half. These are iso to hypointense to normal marrow on the T2 Weighted images. There is slight bulging of the vertebral body anteriorly and laterally. A hypointense signal on all the pulse sequences within the L1 body, antero-inferiorly may represent vacuum phenomena.
Small posterior disc protrusions are seen at the L5-S1, L4-L5, L1-L2 and D12-L1 levels. The lumbar intervertebral discs show loss of water content.
The lumbar vertebral bodies show fatty changes of their marrow. The facet joints at the L4-L5 and L5-S1 levels appear hypertrophied. Minimal soft tissue is noted in the pre and paravertebral regions at the L1 vertebral level.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
Incidentally noted is a hypoplastic left kidney and a 2.8 cms diameter sized right suprarenal lesion which needs to be further evaluated.
IMPRESSION :
1. Wedging of the L1 vertebral body with altered signal represents traumatic compression superimposed upon an osteoporotic spine.
The possibility of this being due an infective/ neoplastic process seems less likely.
2. Small posterior disc protrusions at the L5-S1, L4-L5, L1-L2 and D12-L1 levels.
3. Facetal hypertrophy at the L4-L5 and L5-S1 levels.
4. Hypoplastic left kidney.
5. Right suprarenal lesion needs to be further evaluated.
Date : 00.00.00
Name of the Patient : Abc Xyz. Wanklmn / F / 83 yrs.
Referred by : Dr. Abc XyzV. Shah
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE since 2 months.
Alleged H/O fall in July 0000.
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 wedging of the L1 vertebral body which shows hypointense areas on the T1 Weighted images in its inferior half. These are iso to hypointense to normal marrow on the T2 Weighted images. There is slight bulging of the vertebral body anteriorly and laterally. A hypointense signal on all the pulse sequences within the L1 body, antero-inferiorly may represent vacuum phenomena.
Small posterior disc protrusions are seen at the L5-S1, L4-L5, L1-L2 and D12-L1 levels. The lumbar intervertebral discs show loss of water content.
The lumbar vertebral bodies show fatty changes of their marrow. The facet joints at the L4-L5 and L5-S1 levels appear hypertrophied. Minimal soft tissue is noted in the pre and paravertebral regions at the L1 vertebral level.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
Incidentally noted is a hypoplastic left kidney and a 2.8 cms diameter sized right suprarenal lesion which needs to be further evaluated.
IMPRESSION :
1. Wedging of the L1 vertebral body with altered signal represents traumatic compression superimposed upon an osteoporotic spine.
The possibility of this being due an infective/ neoplastic process seems less likely.
2. Small posterior disc protrusions at the L5-S1, L4-L5, L1-L2 and D12-L1 levels.
3. Facetal hypertrophy at the L4-L5 and L5-S1 levels.
4. Hypoplastic left kidney.
5. Right suprarenal lesion needs to be further evaluated.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14697
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Ayub lmn / F / 24 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 6 months.
H/O fall from a scooter 4-5 months back.
C/O radicular pain to the RLE with paresthesias since 15 days with bladder involvement since 4-5 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 :
The L5-S1 intervertebral disc shows loss of water content and is reduced in height.
There is a large postero-central disc extrusion at the L5-S1 level with severe compression of the thecal sac and canal stenosis. There is indentation on the traversing S1 nerve roots. There is rupture of the posterior longitudinal ligament. Small posterior peridiscal osteophytes are seen at this level.
Type II degenerative changes are noted in the L5 and S1 vertebral bodies adjacent to the L5-S1 disc.
A small posterior disc bulge is identified at the L4-L5 level.
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.
..2/.
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
18.0 mm at L3-L4
15.0 mm at L4-L5
3.0 mm at L5-S1.
IMPRESSION :
A large postero-central disc extrusion at the L5-S1 level with severe compression of the thecal sac and canal stenosis with indentation on the traversing S1 nerve roots.
Date : 00.00.00
Name of the Patient : Abc Xyz Ayub lmn / F / 24 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 6 months.
H/O fall from a scooter 4-5 months back.
C/O radicular pain to the RLE with paresthesias since 15 days with bladder involvement since 4-5 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 :
The L5-S1 intervertebral disc shows loss of water content and is reduced in height.
There is a large postero-central disc extrusion at the L5-S1 level with severe compression of the thecal sac and canal stenosis. There is indentation on the traversing S1 nerve roots. There is rupture of the posterior longitudinal ligament. Small posterior peridiscal osteophytes are seen at this level.
Type II degenerative changes are noted in the L5 and S1 vertebral bodies adjacent to the L5-S1 disc.
A small posterior disc bulge is identified at the L4-L5 level.
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.
..2/.
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
18.0 mm at L3-L4
15.0 mm at L4-L5
3.0 mm at L5-S1.
IMPRESSION :
A large postero-central disc extrusion at the L5-S1 level with severe compression of the thecal sac and canal stenosis with indentation on the traversing S1 nerve roots.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14696
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzndra D. Banlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O alcoholism.
Alleged H/O fight with fall and swelling over the mastoid region on 00.00.00 at 10.30 pm.
C/O inability to speak with 2 episodes of convulsions in the morning of 00.00.00.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
OBSERVATION :
There is seen a fairly large, approximately 4.3 x 4.5 x 3.5 cms sized ill-marginated, iso to slightly hyperintense lesion on the T1 Weighted images in the left inferior frontal and frontal regions. This lesion appears hyperintense on the proton, T2 Weighted and FLAIR images and shows a peripheral hypointense rim on the Fast Scan (T2 *) images. There is indentation on the frontal horn of the left lateral ventricle. Extension of this lesion is noted into the left lateral and third ventricles. This lesion represents a hyperacute to acute intracerebral hematoma/haemorrhagic contusion in the given clinical setting. Multiple smaller lesions of similar signal intensity are noted in the anterior temporal regions bilaterally, right inferior frontal region and bilateral hi-frontal parafalcine region. Extension of the haemorrhage into the subarachnoid space is noted in some places. Suspicious extracerebral haemorrhage is noted in the right high parietal region in the midline.
..2.
BR>
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is mild bulge of the midline structures to the right. No obvious vascular anomaly is identified on this study.
Subgaleal hematoma is noted in the left periorbital region, left fronto-temporo-parietal region and in the high parietal regions bilaterally.
A probable fracture of the zygoma is noted anteriorly with a fairly large hematoma deep to the left zygomatic arch.
IMPRESSION :
1. An approximately 4.3 x 4.5 x 3.5 cms sized intracerebral hematoma/haemorrhage contusion in the left inferior frontal and frontal regions, dissecting into the left lateral and third ventricles.
2. Multiple smaller haemorrhagic contusions/hematomas in the anterior temporal regions bilaterally, right inferior frontal region and bilateral hi-frontal parafalcine regions.
3. Subgaleal hematoma in the left periorbital region, left fronto-temporo-parietal region and in the high parietal regions bilaterally.
4. A probable fracture of the zygoma anteriorly with a fairly large hematoma deep to the left zygomatic arch.
Date : 00.00.00
Name of the Patient : Abc Xyzndra D. Banlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O alcoholism.
Alleged H/O fight with fall and swelling over the mastoid region on 00.00.00 at 10.30 pm.
C/O inability to speak with 2 episodes of convulsions in the morning of 00.00.00.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
OBSERVATION :
There is seen a fairly large, approximately 4.3 x 4.5 x 3.5 cms sized ill-marginated, iso to slightly hyperintense lesion on the T1 Weighted images in the left inferior frontal and frontal regions. This lesion appears hyperintense on the proton, T2 Weighted and FLAIR images and shows a peripheral hypointense rim on the Fast Scan (T2 *) images. There is indentation on the frontal horn of the left lateral ventricle. Extension of this lesion is noted into the left lateral and third ventricles. This lesion represents a hyperacute to acute intracerebral hematoma/haemorrhagic contusion in the given clinical setting. Multiple smaller lesions of similar signal intensity are noted in the anterior temporal regions bilaterally, right inferior frontal region and bilateral hi-frontal parafalcine region. Extension of the haemorrhage into the subarachnoid space is noted in some places. Suspicious extracerebral haemorrhage is noted in the right high parietal region in the midline.
..2.
BR>
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is mild bulge of the midline structures to the right. No obvious vascular anomaly is identified on this study.
Subgaleal hematoma is noted in the left periorbital region, left fronto-temporo-parietal region and in the high parietal regions bilaterally.
A probable fracture of the zygoma is noted anteriorly with a fairly large hematoma deep to the left zygomatic arch.
IMPRESSION :
1. An approximately 4.3 x 4.5 x 3.5 cms sized intracerebral hematoma/haemorrhage contusion in the left inferior frontal and frontal regions, dissecting into the left lateral and third ventricles.
2. Multiple smaller haemorrhagic contusions/hematomas in the anterior temporal regions bilaterally, right inferior frontal region and bilateral hi-frontal parafalcine regions.
3. Subgaleal hematoma in the left periorbital region, left fronto-temporo-parietal region and in the high parietal regions bilaterally.
4. A probable fracture of the zygoma anteriorly with a fairly large hematoma deep to the left zygomatic arch.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14695
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzha Malmn / F / 37 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Left Thigh.
CLINICAL PROFILE :
C/O pain over the left hip region to the left thigh with difficulty in walking since 4 days.
EXAMINATION :
M.R.I of the left thigh was performed using the following parameters :
6 mm thick T1 Weighted coronal images.
7 mm thick T1 Weighted and T2 Weighted (with fat saturation axial images.
8 mm thick Fast Scan (T2 *) sagittal images.
OBSERVATION :
The intermascular fat plane in the anterior compartment (particularly in the region of vastus lateralis, the iliopsoas and pectineus muscles) from the level of the hip joint till the junction of the mid and lower thigh shows a hypointense signal on the T1 Weighted images. This is seen to turn hyperintense on the T2 Weighted and STIR images. Slight streaking of the fat planes posterior to the upper shaft of the left femur is also noted.
There is no obvious mass lesion or collection seen on this study.
Enlarged inguinal lymphnodes are seen bilaterally, more marked on the left side.
IMPRESSION :
Streaking of the fat planes in the anterior compartment from the level of the hip joint till the junction of the mid and lower thigh is probably inflammatory in etiology.
Date : 00.00.00
Name of the Patient : Abc Xyzha Malmn / F / 37 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Left Thigh.
CLINICAL PROFILE :
C/O pain over the left hip region to the left thigh with difficulty in walking since 4 days.
EXAMINATION :
M.R.I of the left thigh was performed using the following parameters :
6 mm thick T1 Weighted coronal images.
7 mm thick T1 Weighted and T2 Weighted (with fat saturation axial images.
8 mm thick Fast Scan (T2 *) sagittal images.
OBSERVATION :
The intermascular fat plane in the anterior compartment (particularly in the region of vastus lateralis, the iliopsoas and pectineus muscles) from the level of the hip joint till the junction of the mid and lower thigh shows a hypointense signal on the T1 Weighted images. This is seen to turn hyperintense on the T2 Weighted and STIR images. Slight streaking of the fat planes posterior to the upper shaft of the left femur is also noted.
There is no obvious mass lesion or collection seen on this study.
Enlarged inguinal lymphnodes are seen bilaterally, more marked on the left side.
IMPRESSION :
Streaking of the fat planes in the anterior compartment from the level of the hip joint till the junction of the mid and lower thigh is probably inflammatory in etiology.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14694
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzl Qlmn / M / 18 mnths.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O meningomyelocele.
C/O retention of urine.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is evidence of an open lumbo-sacral canal from the L4 level to the S2 level.
There is outpouching of the thecal sac at the L4 and L5 levels. The spinal cord is tethered at the L4 level to a neural placode at the L4 vertebral level.
A syrinx is seen within the lower dorsal and lumbar spinal cord and is multi-septate.
The remaining lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The cervico-dorsal spine screened with 4 mm thick T1 Weighted sagittal images and the brain was screened with 5 mm thick T1 Weighted axial images and which shows moderate dilatation of both the lateral and third ventricles. The fourth ventricle is small. There is beaking of the cerebllar tonsils and the tip is seen to lie below the foramen magnum level. A syrinx is noted in the lower cervical and dorsal regions.
..2/.
IMPRESSION :
A Chiari malformation with meningocele at the L4 and L5 vertebral levels with tethering of the spinal cord at the L4 level to a neural placode at the L4 vertebral level with other changes of a Chiari malformation as described above.
Date : 00.00.00
Name of the Patient : Abc Xyzl Qlmn / M / 18 mnths.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O meningomyelocele.
C/O retention of urine.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is evidence of an open lumbo-sacral canal from the L4 level to the S2 level.
There is outpouching of the thecal sac at the L4 and L5 levels. The spinal cord is tethered at the L4 level to a neural placode at the L4 vertebral level.
A syrinx is seen within the lower dorsal and lumbar spinal cord and is multi-septate.
The remaining lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The cervico-dorsal spine screened with 4 mm thick T1 Weighted sagittal images and the brain was screened with 5 mm thick T1 Weighted axial images and which shows moderate dilatation of both the lateral and third ventricles. The fourth ventricle is small. There is beaking of the cerebllar tonsils and the tip is seen to lie below the foramen magnum level. A syrinx is noted in the lower cervical and dorsal regions.
..2/.
IMPRESSION :
A Chiari malformation with meningocele at the L4 and L5 vertebral levels with tethering of the spinal cord at the L4 level to a neural placode at the L4 vertebral level with other changes of a Chiari malformation as described above.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14693
kebv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza Slmn / F / 23 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O 3 episodes of paresthesias in the RUE and RLE since 1 month.
H/O seizures 3-4 years ago.
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 a small subtle hyperintense area on the proton, T2 Weighted and FLAIR images in the left frontal subcortical region (se/im:105.17, 104.10, 103.10, 102.10). This is iso to hypointense to white matter on the T1 Weighted images. Another lesion is identified in the left frontal periventricular region (scans 103.13, 102.13, 104.13, 105.16). A similar lesion is noted in the right occipital region (se/im:105/5) which shows a small hypointense area on the FLAIR images.
Hyperintense areas are noted in the periatrial deep white matter on the proton, T2 Weighted and FLAIR images and may represent terminal areas of myelination (scans 103.13-15, 105.6-8, 102.13 to 103.15).
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of left maxillary polyp and enlarged adenoids.
IMPRESSION :
Altered signal in the left frontal region and in the right occipital region may represent ? evolving granulomas ?? demyelination.
A contrast enhanced scan is essential (patient refused a contrast study).
Date : 00.00.00
Name of the Patient : Abc Xyza Slmn / F / 23 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O 3 episodes of paresthesias in the RUE and RLE since 1 month.
H/O seizures 3-4 years ago.
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 a small subtle hyperintense area on the proton, T2 Weighted and FLAIR images in the left frontal subcortical region (se/im:105.17, 104.10, 103.10, 102.10). This is iso to hypointense to white matter on the T1 Weighted images. Another lesion is identified in the left frontal periventricular region (scans 103.13, 102.13, 104.13, 105.16). A similar lesion is noted in the right occipital region (se/im:105/5) which shows a small hypointense area on the FLAIR images.
Hyperintense areas are noted in the periatrial deep white matter on the proton, T2 Weighted and FLAIR images and may represent terminal areas of myelination (scans 103.13-15, 105.6-8, 102.13 to 103.15).
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of left maxillary polyp and enlarged adenoids.
IMPRESSION :
Altered signal in the left frontal region and in the right occipital region may represent ? evolving granulomas ?? demyelination.
A contrast enhanced scan is essential (patient refused a contrast study).
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14691
ke/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzNalmn / F / 40 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE with paresthesias since 4 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 normal lumbar lordosis.
There is a large postero-central disc extrusion, more to the left of the midline at the L5-S1 level with impingement of the traversing left S1 nerve root, mild indentation upon the traversing right S1 nerve root and mild compression upon the thecal sac.
A posterior disc herniation is seen at the L4-L5 level with mild neural foraminal narrowing and indentation upon the thecal sac. The L4-L5 facet joints show hypertrophic degenerative changes, right more than left.
There is a posterior disc bulge at the L3-L4 level. Bilateral far lateral (extraforaminal) disc bulges are seen at the L4-L5 and L5-S1 levels.
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The 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 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
14.0 mm at L2-L3
14.0 mm at L3-L4
11.0 mm at L4-L5
4.0 mm at L5-S1.
IMPRESSION :
1. A large postero-central disc extrusion, more to the left of the midline at the L5-S1 level with impingement of the traversing left S1 nerve root and mild indentation upon the traversing
right S1 nerve root.
2. A posterior disc herniation at the L4-L5 level.
3. Hypertrophic facetal arthropathy at the L4-L5 level, bilaterally (right more than left).
4. Canal stenosis at the L5-S1 level.
Date : 00.00.00
Name of the Patient : Abc XyzNalmn / F / 40 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE with paresthesias since 4 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 normal lumbar lordosis.
There is a large postero-central disc extrusion, more to the left of the midline at the L5-S1 level with impingement of the traversing left S1 nerve root, mild indentation upon the traversing right S1 nerve root and mild compression upon the thecal sac.
A posterior disc herniation is seen at the L4-L5 level with mild neural foraminal narrowing and indentation upon the thecal sac. The L4-L5 facet joints show hypertrophic degenerative changes, right more than left.
There is a posterior disc bulge at the L3-L4 level. Bilateral far lateral (extraforaminal) disc bulges are seen at the L4-L5 and L5-S1 levels.
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The 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 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
14.0 mm at L2-L3
14.0 mm at L3-L4
11.0 mm at L4-L5
4.0 mm at L5-S1.
IMPRESSION :
1. A large postero-central disc extrusion, more to the left of the midline at the L5-S1 level with impingement of the traversing left S1 nerve root and mild indentation upon the traversing
right S1 nerve root.
2. A posterior disc herniation at the L4-L5 level.
3. Hypertrophic facetal arthropathy at the L4-L5 level, bilaterally (right more than left).
4. Canal stenosis at the L5-S1 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14690
ke/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza Trilmn / F / 54 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with giddiness and gait ataxia.
C/O radicular pain to BLE.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is beaking of the cerebellar tonsils and the tip is seen to lie 6.0 mms below the level of the foramen magnum. The posterior fossa appears to be smaller than normal and the clivus is placed horizontally. There is mild fullness of the fourth ventricle.
There is straightening of the cervical spine with loss of water content of the cervical intervertebral discs.
There are small posterior disc herniations at the C5-C6 and C6-C7 levels with peridiscal osteophytes and anterior indentation of the thecal sac. Small posterior disc bulges are noted at the C3-C4 and C4-C5 levels.
A right paracentral disc protrusion with peridiscal osteophytes is seen at the C7-D1 level.
The C4-C5 facet joints bilaterally shows degenerative changes.
The cervical vertebrae show fatty marrow changes. 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.
Incidental note is made of prominence of the cerebellar folia.
IMPRESSION :
1. Chiari malformation.
2. Small posterior disc herniations at the C5-C6 and C6-C7 levels with peridiscal osteophytes.
3. Facetal arthropathy at the C4-C5 level.
Date : 00.00.00
Name of the Patient : Abc Xyza Trilmn / F / 54 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with giddiness and gait ataxia.
C/O radicular pain to BLE.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is beaking of the cerebellar tonsils and the tip is seen to lie 6.0 mms below the level of the foramen magnum. The posterior fossa appears to be smaller than normal and the clivus is placed horizontally. There is mild fullness of the fourth ventricle.
There is straightening of the cervical spine with loss of water content of the cervical intervertebral discs.
There are small posterior disc herniations at the C5-C6 and C6-C7 levels with peridiscal osteophytes and anterior indentation of the thecal sac. Small posterior disc bulges are noted at the C3-C4 and C4-C5 levels.
A right paracentral disc protrusion with peridiscal osteophytes is seen at the C7-D1 level.
The C4-C5 facet joints bilaterally shows degenerative changes.
The cervical vertebrae show fatty marrow changes. 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.
Incidental note is made of prominence of the cerebellar folia.
IMPRESSION :
1. Chiari malformation.
2. Small posterior disc herniations at the C5-C6 and C6-C7 levels with peridiscal osteophytes.
3. Facetal arthropathy at the C4-C5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14689
ke/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzb Anlmn / M / 14 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Sacro-iliac joint.
CLINICAL PROFILE :
C/O backache and pain in the joints of BLE since 1 month.
C/O Rheumatic fever 1 month ago.
EXAMINATION :
M.R.I of the sacro-iliac joint was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
OBSERVATION :
There is replacement of the normal marrow of the iliac bones by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted and STIR images. These changes are less evident in the sacrum. Both the sacro-iliac joints inferiorly show fuzzy margins. Hyperintense signal around the right sacro-iliac joint on the T2 Weighted images may represent reactive inflammatory changes. There is no obvious bony destruction or erosion. The visualized soft tissues around the left sacro-iliac joint are unremarkable.
The visualized musculature of the pelvis appears normal. The hip joints are unremarkable on either side.
The lumbo-sacral spine was screened with 4 mm thick T1 Weighted sagittal images and does not reveal any diagnostic feature of note.
IMPRESSION :
The MRI features are suggestive of inflammatory sacroilitis bilaterally.
Date : 00.00.00
Name of the Patient : Abc Xyzb Anlmn / M / 14 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Sacro-iliac joint.
CLINICAL PROFILE :
C/O backache and pain in the joints of BLE since 1 month.
C/O Rheumatic fever 1 month ago.
EXAMINATION :
M.R.I of the sacro-iliac joint was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
OBSERVATION :
There is replacement of the normal marrow of the iliac bones by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted and STIR images. These changes are less evident in the sacrum. Both the sacro-iliac joints inferiorly show fuzzy margins. Hyperintense signal around the right sacro-iliac joint on the T2 Weighted images may represent reactive inflammatory changes. There is no obvious bony destruction or erosion. The visualized soft tissues around the left sacro-iliac joint are unremarkable.
The visualized musculature of the pelvis appears normal. The hip joints are unremarkable on either side.
The lumbo-sacral spine was screened with 4 mm thick T1 Weighted sagittal images and does not reveal any diagnostic feature of note.
IMPRESSION :
The MRI features are suggestive of inflammatory sacroilitis bilaterally.
Published in
MRI Reports