Regular User
Sunday, 27 December 2015 16:48
15023
hs/ke/rg.
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / F / 41 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE 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 L1 vertebra is as marked on the film.
A large left paracentral disc extrusion is seen to indent the thecal sac at the L4-L5 level. A disc portion is seen to lie within the left lateral recess of the L5 vertebra with impingement of the traversing left L5 nerve root. Large left postero-lateral (foraminal) and far lateral (extraforaminal) disc extrusions are seen at this level with left neural foraminal narrowing and indentation upon the exiting left L4 nerve root.
The L4-L5 intervertebral disc shows loss of water content.
The L3-L4 and L4-L5 facet joints show degenerative changes.
Type II degenerative changes are seen in the superior aspect of the L5 vertebral body.
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.
..2/.
The conus medullaris terminates at the D11-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 :
20.0 mm at L1-L2
19.0 mm at L2-L3
16.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra.
2. A large left paracentral disc extrusion
at the L4-L5 level with a disc portion seen to lie within the left lateral recess of the L5 vertebra with impingement of the traversing left L5 nerve root.
3. Large left postero-lateral (foraminal) and far lateral (extraforaminal) disc extrusions at the L4-L5 level with indentation upon the exiting left L4 nerve root.
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / F / 41 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE 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 L1 vertebra is as marked on the film.
A large left paracentral disc extrusion is seen to indent the thecal sac at the L4-L5 level. A disc portion is seen to lie within the left lateral recess of the L5 vertebra with impingement of the traversing left L5 nerve root. Large left postero-lateral (foraminal) and far lateral (extraforaminal) disc extrusions are seen at this level with left neural foraminal narrowing and indentation upon the exiting left L4 nerve root.
The L4-L5 intervertebral disc shows loss of water content.
The L3-L4 and L4-L5 facet joints show degenerative changes.
Type II degenerative changes are seen in the superior aspect of the L5 vertebral body.
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.
..2/.
The conus medullaris terminates at the D11-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 :
20.0 mm at L1-L2
19.0 mm at L2-L3
16.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra.
2. A large left paracentral disc extrusion
at the L4-L5 level with a disc portion seen to lie within the left lateral recess of the L5 vertebra with impingement of the traversing left L5 nerve root.
3. Large left postero-lateral (foraminal) and far lateral (extraforaminal) disc extrusions at the L4-L5 level with indentation upon the exiting left L4 nerve root.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15022
sb/ke/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 Both Hips & Inguinal Region.
CLINICAL PROFILE :
C/O pain in the left groin since 6-7 months which has increased since 10 days.
H/O Ca of the right lung. Received 12 cycles of Chemotherapy.
EXAMINATION :
M.R.I of both hips and inguinal region was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
7 mm thick T1 Weighted and T2 Weighted axial (with fat saturation) images.
7 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is an ill-defined, hyperintense signal on the T1 Weighted images along the roof of the left acetabulum, laterally. This lesion appears hypointense to the normal marrow on the T1 Weighted images. No obvious break in the cortex is noted.
A small approximately, 8.0 mm diameter sized well-marginated, hypointense lesion on the T1 Weighted images is noted at the junction of the head and neck of the left femur, posteriorly. This lesion appears hyperintense on the T2 Weighted and STIR images. There is no perilesional bone edema noted.
The femoral heads and the right acetabulum show normal contour. The articular cartilages are unremarkable. There is no effusion within both the hip joints.
The musculature surrounding both the hip joints are unremarkable.
..2/.
The visualized bones of the pelvis show fatty marrow changes which may suggests osteoporosis.
A small right inguinal hernia and mild prostatic enlargement is noted.
No other abnormality is detected in the visualized pelvis.
IMPRESSION :
1. Altered signal along the roof of the left acetabulum, laterally is not specific for a single etiology. This may represent marrow inhomogeneity, degenerative subchondral lesion or metastatis in the given clinical setting.
2. A small approximately, 8.0 mm diameter sized well-marginated lesion, at the junction of the head and neck of the left femur, posteriorly is also not specific for a single etiology, ? degenerative ?? bone cyst, ?? metastatis.
3. A small right inguinal hernia.
Date : 00.00.00
Name of the Patient : Abc Xyz Slmn / M / 66 yrs.
Referred by : Dr. Abc Xyzlsara.
Examination : M.R.I. of Both Hips & Inguinal Region.
CLINICAL PROFILE :
C/O pain in the left groin since 6-7 months which has increased since 10 days.
H/O Ca of the right lung. Received 12 cycles of Chemotherapy.
EXAMINATION :
M.R.I of both hips and inguinal region was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
7 mm thick T1 Weighted and T2 Weighted axial (with fat saturation) images.
7 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is an ill-defined, hyperintense signal on the T1 Weighted images along the roof of the left acetabulum, laterally. This lesion appears hypointense to the normal marrow on the T1 Weighted images. No obvious break in the cortex is noted.
A small approximately, 8.0 mm diameter sized well-marginated, hypointense lesion on the T1 Weighted images is noted at the junction of the head and neck of the left femur, posteriorly. This lesion appears hyperintense on the T2 Weighted and STIR images. There is no perilesional bone edema noted.
The femoral heads and the right acetabulum show normal contour. The articular cartilages are unremarkable. There is no effusion within both the hip joints.
The musculature surrounding both the hip joints are unremarkable.
..2/.
The visualized bones of the pelvis show fatty marrow changes which may suggests osteoporosis.
A small right inguinal hernia and mild prostatic enlargement is noted.
No other abnormality is detected in the visualized pelvis.
IMPRESSION :
1. Altered signal along the roof of the left acetabulum, laterally is not specific for a single etiology. This may represent marrow inhomogeneity, degenerative subchondral lesion or metastatis in the given clinical setting.
2. A small approximately, 8.0 mm diameter sized well-marginated lesion, at the junction of the head and neck of the left femur, posteriorly is also not specific for a single etiology, ? degenerative ?? bone cyst, ?? metastatis.
3. A small right inguinal hernia.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15020
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzHuslmn / F / 44 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O headaches with giddiness.
Also C/O backache and pain in the left suprascapular region with radiation of pain to BLE and the LUE with paresthesias in the LUE.
Alleged H/O vehicular accident in 0000.
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.
3 mm thick T1 Weighted and T2 Weighted (with fat saturation) coronal images.
7 mm thick STIR and T1 Weighted axial images.
4 mm thick T2 Weighted sagittal images in flexion.
7 mm thick T1 Weighted coronal images.
OBSERVATION :
The cervical intervertebral discs show loss of water content.
A small posterior disc bulge is seen at the C5-C6 level.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
R>
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Flexion images of the cervical spine reveal no feature of note.
There is no obvious mass lesion in the region of the thoracic outlet and suprascapular region on this scan.
IMPRESSION :
No significant abnormality is detected within the cervical spine and suprascapular region on this study.
Date : 00.00.00
Name of the Patient : Abc XyzHuslmn / F / 44 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O headaches with giddiness.
Also C/O backache and pain in the left suprascapular region with radiation of pain to BLE and the LUE with paresthesias in the LUE.
Alleged H/O vehicular accident in 0000.
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.
3 mm thick T1 Weighted and T2 Weighted (with fat saturation) coronal images.
7 mm thick STIR and T1 Weighted axial images.
4 mm thick T2 Weighted sagittal images in flexion.
7 mm thick T1 Weighted coronal images.
OBSERVATION :
The cervical intervertebral discs show loss of water content.
A small posterior disc bulge is seen at the C5-C6 level.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
R>
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Flexion images of the cervical spine reveal no feature of note.
There is no obvious mass lesion in the region of the thoracic outlet and suprascapular region on this scan.
IMPRESSION :
No significant abnormality is detected within the cervical spine and suprascapular region on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15019
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzHuslmn / F / 44 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O headaches with giddiness.
Also C/O backache and pain in the suprascapular region with radiation of pain to BLE and the LUE with paresthesias in the LUE.
Alleged H/O vehicular accident in 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 a break of the pars interarticularis of the L5 vertebra, bilaterally.
A small posterior disc herniation with peridiscal osteophytes is seen to narrow both neural foramina at the L5-S1 level. The L5-S1 intervertebral disc shows loss of water content.
A posteriorly bulging disc with a right postero-lateral disc protrusion with mild right neural foraminal narrowing is seen at the L4-L5 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-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 :
15.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
15.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Spondylolysis of the L5 vertebra.
2. A small posterior disc herniation with peridiscal osteophytes at the L5-S1 level.
Date : 00.00.00
Name of the Patient : Abc XyzHuslmn / F / 44 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O headaches with giddiness.
Also C/O backache and pain in the suprascapular region with radiation of pain to BLE and the LUE with paresthesias in the LUE.
Alleged H/O vehicular accident in 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 a break of the pars interarticularis of the L5 vertebra, bilaterally.
A small posterior disc herniation with peridiscal osteophytes is seen to narrow both neural foramina at the L5-S1 level. The L5-S1 intervertebral disc shows loss of water content.
A posteriorly bulging disc with a right postero-lateral disc protrusion with mild right neural foraminal narrowing is seen at the L4-L5 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-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 :
15.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
15.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Spondylolysis of the L5 vertebra.
2. A small posterior disc herniation with peridiscal osteophytes at the L5-S1 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15018
hs/bv/nl/rg
Date : 00.00.00
Name of the Patient : Abc XyzHuslmn / F / 44 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with giddiness.
Also C/O backache and pain in the suprascapular region with radiation of pain to BLE and the LUE with paresthesias in the LUE.
Alleged H/O vehicular accident in 0000.
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.
IMPRESSION :
No abnormality detected within the brain on this study.
Date : 00.00.00
Name of the Patient : Abc XyzHuslmn / F / 44 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with giddiness.
Also C/O backache and pain in the suprascapular region with radiation of pain to BLE and the LUE with paresthesias in the LUE.
Alleged H/O vehicular accident in 0000.
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.
IMPRESSION :
No abnormality detected within the brain on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15017
hs/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 49 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with pain in the right ear and right eye.
C/O CRF. On dialysis.
Known hypertensive.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted sagittal images.
After administration of contrast the following parameters were used :
3 mm thick T1 Weighted axial and coronal images with fat saturation.
5 mm thick T1 Weighted axial images with magnetization transfer.
OBSERVATION :
Foci of hyperintensity on the proton and T2 Weighted images are seen within the left corona radiata and right para-atrial white matter. These are iso to hypointense to white matter on the T1 Weighted images and do not enhance after contrast administration and are most likely ischemic in etiology.
The visualized orbits, cavernous sinuses and superior orbital fissures are unremarkable.
There is ectasia of the vertebro-basilar system with indentation upon the medulla and pons.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
There is no focal area of abnormal enhancement within the brain parenchyma or along the meninges on this scan.
Inflammatory changes are seen in the region of the mastoid air cells and middle ear on the right side.
IMPRESSION :
The MRI features are suggestive of :
1. Foci of altered signal within the left corona radiata and right para-atrial white matter which are most likely ischemic in etiology.
2. Ectatic vertebro-basilar system.
3. Inflammatory changes in the region of the mastoid air cells and middle ear on the right side.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 49 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with pain in the right ear and right eye.
C/O CRF. On dialysis.
Known hypertensive.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted sagittal images.
After administration of contrast the following parameters were used :
3 mm thick T1 Weighted axial and coronal images with fat saturation.
5 mm thick T1 Weighted axial images with magnetization transfer.
OBSERVATION :
Foci of hyperintensity on the proton and T2 Weighted images are seen within the left corona radiata and right para-atrial white matter. These are iso to hypointense to white matter on the T1 Weighted images and do not enhance after contrast administration and are most likely ischemic in etiology.
The visualized orbits, cavernous sinuses and superior orbital fissures are unremarkable.
There is ectasia of the vertebro-basilar system with indentation upon the medulla and pons.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
There is no focal area of abnormal enhancement within the brain parenchyma or along the meninges on this scan.
Inflammatory changes are seen in the region of the mastoid air cells and middle ear on the right side.
IMPRESSION :
The MRI features are suggestive of :
1. Foci of altered signal within the left corona radiata and right para-atrial white matter which are most likely ischemic in etiology.
2. Ectatic vertebro-basilar system.
3. Inflammatory changes in the region of the mastoid air cells and middle ear on the right side.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15016
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Malmn / F / 24 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE.
H/O Tuberculous spine 5 years back. Received AKT.
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 :
Areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images are seen to involve the L3, L4, L5 and S1 vertebrae, pedicles of the L4 and L5 vertebrae and the sacral ala of the S1 vertebra. Also seen is involvement of the L4-L5 and L5-S1 intervertebral discs with erosion of the adjacent cortical endplates. There is also lateral subluxation of the L4 over the L5 vertebra.
There is extension of this pathologic process into the anterior epidural space over the L4 to S1 levels and into the pre and paravertebral soft tissues over the L3 to S1-S2 levels. Also seen is encroachment into the L4-L5 and L5-S1 neural foramina bilaterally. There is displacement of the left psoas muscle laterally at the L5 and S1 vertebral levels.
Facetal hypertrophy is seen at the L4-L5 level.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints are unremarkable.
..2/.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
IMPRESSION :
The MRI features are suggestive of a pathologic process involving the L3, L4, L5 and S1 vertebrae and the L4-L5 and L5-S1 intervertebral discs as described. This most likely represents an infective process like tuberculosis.
The possibility of this being a neoplastic process is less likely.
Date : 00.00.00
Name of the Patient : Abc Xyz Malmn / F / 24 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE.
H/O Tuberculous spine 5 years back. Received AKT.
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 :
Areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images are seen to involve the L3, L4, L5 and S1 vertebrae, pedicles of the L4 and L5 vertebrae and the sacral ala of the S1 vertebra. Also seen is involvement of the L4-L5 and L5-S1 intervertebral discs with erosion of the adjacent cortical endplates. There is also lateral subluxation of the L4 over the L5 vertebra.
There is extension of this pathologic process into the anterior epidural space over the L4 to S1 levels and into the pre and paravertebral soft tissues over the L3 to S1-S2 levels. Also seen is encroachment into the L4-L5 and L5-S1 neural foramina bilaterally. There is displacement of the left psoas muscle laterally at the L5 and S1 vertebral levels.
Facetal hypertrophy is seen at the L4-L5 level.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints are unremarkable.
..2/.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
IMPRESSION :
The MRI features are suggestive of a pathologic process involving the L3, L4, L5 and S1 vertebrae and the L4-L5 and L5-S1 intervertebral discs as described. This most likely represents an infective process like tuberculosis.
The possibility of this being a neoplastic process is less likely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15015
hs/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzi Dlmn / M / 41 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE since 1 year which has increased since 3 months.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a left paracentral disc protrusion indenting the ventral aspect of the thecal sac at the D11-D12 level.
The visualized dorso-lumbar intervertebral discs show loss of water content.
The visualized dorso-lumbar vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1-L2 level.
The lumbo-sacral spine was screened with 5 mm thick T1 Weighted sagittal images. A small posterior disc herniation with peridiscal osteophytes is seen at the L5-S1 level. Small postero-central and left postero-lateral disc herniations are seen at the L4-L5 level.
IMPRESSION :
The MRI features are suggestive of :
1. A left paracentral disc protrusion at the D11-D12 level.
2. A small posterior disc herniation with peridiscal osteophytes at the L5-S1 level.
3. Small postero-central and left postero-lateral disc herniations at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyzi Dlmn / M / 41 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE since 1 year which has increased since 3 months.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a left paracentral disc protrusion indenting the ventral aspect of the thecal sac at the D11-D12 level.
The visualized dorso-lumbar intervertebral discs show loss of water content.
The visualized dorso-lumbar vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1-L2 level.
The lumbo-sacral spine was screened with 5 mm thick T1 Weighted sagittal images. A small posterior disc herniation with peridiscal osteophytes is seen at the L5-S1 level. Small postero-central and left postero-lateral disc herniations are seen at the L4-L5 level.
IMPRESSION :
The MRI features are suggestive of :
1. A left paracentral disc protrusion at the D11-D12 level.
2. A small posterior disc herniation with peridiscal osteophytes at the L5-S1 level.
3. Small postero-central and left postero-lateral disc herniations at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15014
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzra Thlmn / M / 14 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with stiffness and weakness of BUE.
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.
3 mm thick T2 Weighted coronal images (with fat saturation).
OBSERVATION :
The cervical spinal cord is expanded, more so over the C3 to C6 vertebral levels. There is mild posterior scalloping of the C4, C5 and C6 vertebral bodies. There is effacement of the surrounding CSF space over the C3 to C6 levels.
Areas of hyperintensity as compared to normal CSF are seen on all the pulse sequences within the spinal cord over the C3 to C6 vertebral levels. Also seen is a linear hypointensity on all the pulse sequences within this lesion, in the antero-posterior direction and this may represent a fibrous septum. A well-defined area which is near isointense to CSF is seen within the cord at the C3 level and this may represent a cystic/necrotic component. Also seen is a hyperintense signal on the T2 Weighted images cephalad and caudad to this lesion and extending upto the cervico-medullary junction and the D2 vertebral levels respectively, and this may represent edema.
Posterior peridiscal osteophytes are noted at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.
The cervical vertebral bodies and the intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region is unremarkable.
The brain was screened with 5 mm thick T2 Weighted axial images. There is fullness of the fourth ventricle and mild prominence of the cerebellar folia.
IMPRESSION :
The MRI features are suggestive of an intramedullary mass lesion within the cervical spinal cord as described. This may represent a neoplastic process like an astrocytoma or an ependymoma. This is less likely to represent a hemangioblastoma.
A contrast enhanced study would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyzra Thlmn / M / 14 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with stiffness and weakness of BUE.
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.
3 mm thick T2 Weighted coronal images (with fat saturation).
OBSERVATION :
The cervical spinal cord is expanded, more so over the C3 to C6 vertebral levels. There is mild posterior scalloping of the C4, C5 and C6 vertebral bodies. There is effacement of the surrounding CSF space over the C3 to C6 levels.
Areas of hyperintensity as compared to normal CSF are seen on all the pulse sequences within the spinal cord over the C3 to C6 vertebral levels. Also seen is a linear hypointensity on all the pulse sequences within this lesion, in the antero-posterior direction and this may represent a fibrous septum. A well-defined area which is near isointense to CSF is seen within the cord at the C3 level and this may represent a cystic/necrotic component. Also seen is a hyperintense signal on the T2 Weighted images cephalad and caudad to this lesion and extending upto the cervico-medullary junction and the D2 vertebral levels respectively, and this may represent edema.
Posterior peridiscal osteophytes are noted at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.
The cervical vertebral bodies and the intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region is unremarkable.
The brain was screened with 5 mm thick T2 Weighted axial images. There is fullness of the fourth ventricle and mild prominence of the cerebellar folia.
IMPRESSION :
The MRI features are suggestive of an intramedullary mass lesion within the cervical spinal cord as described. This may represent a neoplastic process like an astrocytoma or an ependymoma. This is less likely to represent a hemangioblastoma.
A contrast enhanced study would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15012
Date : 00.00.00
Name of the Patient : Abc Xyz Mlmn / M / 36 yrs.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O momentary giddiness with headaches and weakness on the left half of the body for 15-20 minutes, 15 days back.
Known hypertensive. On Rx.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
SOME IMAGES SHOW PATIENT MOTION.
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 vertebro-basilar system is ectatic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized 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.
Scan-00002
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 Xyz Mlmn / M / 36 yrs.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O momentary giddiness with headaches and weakness on the left half of the body for 15-20 minutes, 15 days back.
Known hypertensive. On Rx.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
SOME IMAGES SHOW PATIENT MOTION.
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 vertebro-basilar system is ectatic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized 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.
Scan-00002
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