Regular User
Sunday, 27 December 2015 16:48
14561
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzm Klmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
H/O fall 5 years back with injury to the back.
C/O backache with radiating pain to the RLE (on and off) since then.
Now C/O pain in the RLE with paresthesias and weakness since 1 1/2 years.
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.
9 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is forward placement of the L4 over the L5 vertebra with a posterior disc herniation at the L4-L5 level. Another small posterior disc herniation is seen at the L5-S1 level.
The lower dorsal intervertebral discs show loss of water content.
Hemangioma with focal fatty change is seen in the D8 vertebral body.
The rest of the dorso-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 L1 level
A hypointense lesion on the T1 Weighted images is seen in the region of the S2 vertebral body and represents a large perineural cyst.
IMPRESSION :
1. No significant abnormality is detected within the dorsal spine.
2. Forward translation of the L4 over the L5 vertebra with posterior disc herniations at the L4-L5 and L5-S1 levels.
3. Large perineural cyst at the S2 vertebral level.
Date : 00.00.00
Name of the Patient : Abc Xyzm Klmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
H/O fall 5 years back with injury to the back.
C/O backache with radiating pain to the RLE (on and off) since then.
Now C/O pain in the RLE with paresthesias and weakness since 1 1/2 years.
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.
9 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is forward placement of the L4 over the L5 vertebra with a posterior disc herniation at the L4-L5 level. Another small posterior disc herniation is seen at the L5-S1 level.
The lower dorsal intervertebral discs show loss of water content.
Hemangioma with focal fatty change is seen in the D8 vertebral body.
The rest of the dorso-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 L1 level
A hypointense lesion on the T1 Weighted images is seen in the region of the S2 vertebral body and represents a large perineural cyst.
IMPRESSION :
1. No significant abnormality is detected within the dorsal spine.
2. Forward translation of the L4 over the L5 vertebra with posterior disc herniations at the L4-L5 and L5-S1 levels.
3. Large perineural cyst at the S2 vertebral level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14560
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyza S. lmn / F / 21 yrs.
Referred by : Dr. Abc Xyz Ranade.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with non-healing wound since 3 months.
EXAMINATION :
M.R.I of the dorsal 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 collapse of the D5 vertebral body. There is replacement of the normal marrow of the superior portion of the D5 and the inferior portion of the D4 vertebral body by hypointense areas on the T1 Weighted images with destruction of the cortical endplates. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The D4-D5 disc is involved by the disease process with partial destruction. Subtle hypointense signal is identified in the D1, D2 and D3 vertebrae on the T1 Weighted images. The D6, D7, D8 and D9 vertebral bodies also show subtle hyperintense signal on the T2 Weighted images. There is pre and paravertebral soft tissue extension over the D1-D2 to the D9 vertebral levels. This lesion is hypointense with a peripheral hyperintense rim on the T1 Weighted images and turns hyperintense on the T2 Weighted images with a hypointense rim and would represent an abscess formation. The costo-vertebral and costo-transverse joints at the D4-D5, D5-D6, D6-D7 and D7-D8 levels appear to be involved by the pathology.
The rest of the visualized dorsal vertebral bodies and remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1 level.
An ill-defined lesion is seen in the left upper zone of the lung (se/im:101/6, 7).
The lumbar spine was screened with 4 mm thick T1 Weighted sagittal images and 5 mm thick T1 Weighted axial images which shows a posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac and left neural foraminal narrowing. There is resultant indentation on the foraminal portion of the left L4 nerve root. Small postero-central disc herniations are noted at the L3-L4 and L5-S1 levels.
Hypointense signal is seen in the L1 vertebral body on the right side with destruction of the superior cortical endplate and involvement of the D12-L1 disc.
IMPRESSION :
The MRI features are suggestive of collapse of the D5 vertebral body with involvement of the D1 to D9 and the L1 vertebrae with pre and paravertebral abscess formation extending over the D1-D2 to D9 vertebral levels as described represents a granulomatous infective process like tuberculosis.
The possibility of a neoplastic process like a round cell tumor is less likely.
Date : 00.00.00
Name of the Patient : Abc Xyza S. lmn / F / 21 yrs.
Referred by : Dr. Abc Xyz Ranade.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with non-healing wound since 3 months.
EXAMINATION :
M.R.I of the dorsal 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 collapse of the D5 vertebral body. There is replacement of the normal marrow of the superior portion of the D5 and the inferior portion of the D4 vertebral body by hypointense areas on the T1 Weighted images with destruction of the cortical endplates. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The D4-D5 disc is involved by the disease process with partial destruction. Subtle hypointense signal is identified in the D1, D2 and D3 vertebrae on the T1 Weighted images. The D6, D7, D8 and D9 vertebral bodies also show subtle hyperintense signal on the T2 Weighted images. There is pre and paravertebral soft tissue extension over the D1-D2 to the D9 vertebral levels. This lesion is hypointense with a peripheral hyperintense rim on the T1 Weighted images and turns hyperintense on the T2 Weighted images with a hypointense rim and would represent an abscess formation. The costo-vertebral and costo-transverse joints at the D4-D5, D5-D6, D6-D7 and D7-D8 levels appear to be involved by the pathology.
The rest of the visualized dorsal vertebral bodies and remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1 level.
An ill-defined lesion is seen in the left upper zone of the lung (se/im:101/6, 7).
The lumbar spine was screened with 4 mm thick T1 Weighted sagittal images and 5 mm thick T1 Weighted axial images which shows a posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac and left neural foraminal narrowing. There is resultant indentation on the foraminal portion of the left L4 nerve root. Small postero-central disc herniations are noted at the L3-L4 and L5-S1 levels.
Hypointense signal is seen in the L1 vertebral body on the right side with destruction of the superior cortical endplate and involvement of the D12-L1 disc.
IMPRESSION :
The MRI features are suggestive of collapse of the D5 vertebral body with involvement of the D1 to D9 and the L1 vertebrae with pre and paravertebral abscess formation extending over the D1-D2 to D9 vertebral levels as described represents a granulomatous infective process like tuberculosis.
The possibility of a neoplastic process like a round cell tumor is less likely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14558
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzhadur Khalmn / M / 54 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O 2 episodes of seizures since 1 1/2 months.
C/O burning sensation in the head since then.
Known diabetic.
Previous CT Scan on 00.00.00 s/o a right frontal granuloma.
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.
3 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
A small hypointense subcentimeter area is seen on the FLAIR images in the right inferior frontal region (se/im: 105/11). There is no edema or mass effect. This is not well appreciated on the axial, T1 Weighted, proton and T2 Weighted images.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. The inferior vermis is hypoplastic. The cerebral sulci are prominent. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of a residual granuloma in the right frontal region.
A contrast enhanced scan would be worthwhile, if clinically indicated.
Date : 00.00.00
Name of the Patient : Abc Xyzhadur Khalmn / M / 54 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O 2 episodes of seizures since 1 1/2 months.
C/O burning sensation in the head since then.
Known diabetic.
Previous CT Scan on 00.00.00 s/o a right frontal granuloma.
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.
3 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
A small hypointense subcentimeter area is seen on the FLAIR images in the right inferior frontal region (se/im: 105/11). There is no edema or mass effect. This is not well appreciated on the axial, T1 Weighted, proton and T2 Weighted images.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. The inferior vermis is hypoplastic. The cerebral sulci are prominent. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of a residual granuloma in the right frontal region.
A contrast enhanced scan would be worthwhile, if clinically indicated.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14557
ke/bv/nl/nl
/59 Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 51 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O speech disturbance on 00.00.00.
C/O momentary numbness in the LUE and LLE in the last week of August 0000.
Known diabetic.
EXAMINATION :
M.R.I. of the brain was performed using the following parameters:
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
BRAIN :
There is an ill-defined, hypointense area on the T1 Weighted images in the right inferior cerebellar hemisphere near the midline and the inferior vermis. This is seen to turn hyperintense on the proton and T2 Weighted images and represents an old infarct (scans 105.4, 104.4, 102.4).
Hyperintense areas are seen in the right posterior parietal region best appreciated on the FLAIR coronal images (scans 106.3, 106.4) and these represents ischemic changes.
There is asymmetrical prominence of the right lateral ventricle - a normal variant.
The left lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
The antero-posterior dimensions of the eyeballs are increased as compared to normal and can be seen with high myopia.
Incidental note is made of a right maxilary polyp.
INTRACRANIAL MRA :
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.
NECK MRA :
There is a small filling defect in the posterior aspect of the left common carotid artery just prior to the bifurcation and may represent atherosclerotic plaque. A similar smaller plaque is seen in the left internal carotid artery 1 1/2 cms from the bifurcation.
The right common carotid artery and its extracranial branches appear normal. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. An old infarct in the right inferior cerebellar hemisphere near the midline and the inferior vermis.
2. Ischemic changes in the right posterior parietal region.
3. An atherosclerotic plaque in the posterior aspect of the left common carotid artery just prior to the bifurcation and left internal carotid artery 1 1/2 cms from the bifurcation.
/59 Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 51 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O speech disturbance on 00.00.00.
C/O momentary numbness in the LUE and LLE in the last week of August 0000.
Known diabetic.
EXAMINATION :
M.R.I. of the brain was performed using the following parameters:
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
BRAIN :
There is an ill-defined, hypointense area on the T1 Weighted images in the right inferior cerebellar hemisphere near the midline and the inferior vermis. This is seen to turn hyperintense on the proton and T2 Weighted images and represents an old infarct (scans 105.4, 104.4, 102.4).
Hyperintense areas are seen in the right posterior parietal region best appreciated on the FLAIR coronal images (scans 106.3, 106.4) and these represents ischemic changes.
There is asymmetrical prominence of the right lateral ventricle - a normal variant.
The left lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
The antero-posterior dimensions of the eyeballs are increased as compared to normal and can be seen with high myopia.
Incidental note is made of a right maxilary polyp.
INTRACRANIAL MRA :
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.
NECK MRA :
There is a small filling defect in the posterior aspect of the left common carotid artery just prior to the bifurcation and may represent atherosclerotic plaque. A similar smaller plaque is seen in the left internal carotid artery 1 1/2 cms from the bifurcation.
The right common carotid artery and its extracranial branches appear normal. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. An old infarct in the right inferior cerebellar hemisphere near the midline and the inferior vermis.
2. Ischemic changes in the right posterior parietal region.
3. An atherosclerotic plaque in the posterior aspect of the left common carotid artery just prior to the bifurcation and left internal carotid artery 1 1/2 cms from the bifurcation.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14555
hs/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzeerlmn / F / 7 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 10 months.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of abnormal signal intensity in the brain parenchyma.
Hyperintense areas seen in both posterior parietal regions (scans 103.13, 106.13) represent terminal areas of myelination.
The hippocampal complex on either side is unremarkable.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Note is made of inflammatory changes in maxillary, ethmoidal and sphenoidal sinuses.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyzeerlmn / F / 7 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 10 months.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of abnormal signal intensity in the brain parenchyma.
Hyperintense areas seen in both posterior parietal regions (scans 103.13, 106.13) represent terminal areas of myelination.
The hippocampal complex on either side is unremarkable.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Note is made of inflammatory changes in maxillary, ethmoidal and sphenoidal sinuses.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14554
hs/ke/nl/nl
/56 Date : 00.00.00
Name of the Patient : Abc XyzPlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O road traffic accident with injury to the head six months back.
C/O sudden onset of paresthesias with weakness of the RUE for 2 days, 15 days back.
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.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
There is mild prominence of the cerebral cortical sulci bilaterally.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
The left vertebral artery is hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, right vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
A small defect is seen at the posterior aspect of the proximal left internal carotid artery just distal to the bifurcation of the left common carotid artery.
The left vertebral artery is hypoplastic.
The right common carotid artery and its extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
The MRA features are suggestive of an atheromatous plaque at the posterior aspect of the proximal left internal carotid artery just distal to the bifurcation of the left common carotid artery.
/56 Date : 00.00.00
Name of the Patient : Abc XyzPlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O road traffic accident with injury to the head six months back.
C/O sudden onset of paresthesias with weakness of the RUE for 2 days, 15 days back.
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.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
There is mild prominence of the cerebral cortical sulci bilaterally.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
The left vertebral artery is hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, right vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
A small defect is seen at the posterior aspect of the proximal left internal carotid artery just distal to the bifurcation of the left common carotid artery.
The left vertebral artery is hypoplastic.
The right common carotid artery and its extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
The MRA features are suggestive of an atheromatous plaque at the posterior aspect of the proximal left internal carotid artery just distal to the bifurcation of the left common carotid artery.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14553
hs/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyztala S. Shlmn / F / 46 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the LUE with paresthesias.
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 reversal of the normal cervical lordotic curve. The cervical intervertebral discs show loss of water content.
A large postero-central disc herniation with peridiscal osteophytes, more to the left of the midline is visualized compressing upon the cord at the C4-C5 level and the left C5 nerve root.
A posterior disc herniation with peridiscal osteophytes is seen to indent the cord and cause mild bilateral neural foraminal narrowing at the C6-C7 level. The cervical canal appears tight over this level.
Postero-central disc herniations with peridiscal osteophytes are seen at the C3-C4 and C5-C6 levels.
The C3-C4, C4-C5 and C5-C6 facet joints show mild degenerative changes.
Scan-00003
The cervical vertebral bodies show areas of fatty replacement of normal marrow. Areas of hypointensity on all the pulse sequences within the C6-C7 intervertebral disc may represent calcium/vacuum phenomena.
Anterior disc herniations with peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.
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 :
The MRI features are suggestive of :
1. A large postero-central disc herniation with peridiscal osteophytes, more to the left of the midline with canal stenosis at the C4-C5 level.
2. A posterior disc herniation with peridiscal osteophytes and a tight canal at the C6-C7 level.
3. Postero-central disc herniations with peridiscal osteophytes at the C3-C4 and C5-C6 levels.
Date : 00.00.00
Name of the Patient : Abc Xyztala S. Shlmn / F / 46 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the LUE with paresthesias.
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 reversal of the normal cervical lordotic curve. The cervical intervertebral discs show loss of water content.
A large postero-central disc herniation with peridiscal osteophytes, more to the left of the midline is visualized compressing upon the cord at the C4-C5 level and the left C5 nerve root.
A posterior disc herniation with peridiscal osteophytes is seen to indent the cord and cause mild bilateral neural foraminal narrowing at the C6-C7 level. The cervical canal appears tight over this level.
Postero-central disc herniations with peridiscal osteophytes are seen at the C3-C4 and C5-C6 levels.
The C3-C4, C4-C5 and C5-C6 facet joints show mild degenerative changes.
Scan-00003
The cervical vertebral bodies show areas of fatty replacement of normal marrow. Areas of hypointensity on all the pulse sequences within the C6-C7 intervertebral disc may represent calcium/vacuum phenomena.
Anterior disc herniations with peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.
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 :
The MRI features are suggestive of :
1. A large postero-central disc herniation with peridiscal osteophytes, more to the left of the midline with canal stenosis at the C4-C5 level.
2. A posterior disc herniation with peridiscal osteophytes and a tight canal at the C6-C7 level.
3. Postero-central disc herniations with peridiscal osteophytes at the C3-C4 and C5-C6 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14551
hs/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzohd. Riyaz Almn / M / 15 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O right sided seizures since the age of 1 year. Detected to have obstructive hydrocephalus and an arachnoid cyst in 0000. Treated conservatively.
Now C/O severe headaches and mild attacks of seizures.
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 T1 Weighted and FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is evidence of a well-defined space-occupying lesion which is near isointense to CSF on all the pulse sequences within the interhemispheric fissure, to the right of the midline. This lesion is seen to be extending into the quadrigeminal and superior cerebellar cisterns with a defect in the tentorial leaflet on the right side. There is compression upon the cerebellar vermis.
This lesion is seen to erode the right parietal lobe. There is compression upon the midbrain with anterior displacement and also seen is compression upon the superior aspect of the fourth ventricle.
Also seen is compression upon the third ventricle which is shifted to the left side. There is compression upon the body, atrium and occipital horn of the right lateral ventricle and upon the foramen of Monroe bilaterally. There is resultant dilatation of the left lateral ventricle and of the frontal and temporal horns of the right lateral ventricle.
This lesion is seen to compress upon the adjacent right cerebral hemisphere.
The corpus callosum is not identified.
No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of a cystic lesion in the region of the interhemispheric fissure, to the right of the midline with extensions as described and this most likely represents an arachnoid cyst which may be the result of previous meningitis (? congenital).
Date : 00.00.00
Name of the Patient : Abc Xyzohd. Riyaz Almn / M / 15 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O right sided seizures since the age of 1 year. Detected to have obstructive hydrocephalus and an arachnoid cyst in 0000. Treated conservatively.
Now C/O severe headaches and mild attacks of seizures.
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 T1 Weighted and FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is evidence of a well-defined space-occupying lesion which is near isointense to CSF on all the pulse sequences within the interhemispheric fissure, to the right of the midline. This lesion is seen to be extending into the quadrigeminal and superior cerebellar cisterns with a defect in the tentorial leaflet on the right side. There is compression upon the cerebellar vermis.
This lesion is seen to erode the right parietal lobe. There is compression upon the midbrain with anterior displacement and also seen is compression upon the superior aspect of the fourth ventricle.
Also seen is compression upon the third ventricle which is shifted to the left side. There is compression upon the body, atrium and occipital horn of the right lateral ventricle and upon the foramen of Monroe bilaterally. There is resultant dilatation of the left lateral ventricle and of the frontal and temporal horns of the right lateral ventricle.
This lesion is seen to compress upon the adjacent right cerebral hemisphere.
The corpus callosum is not identified.
No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of a cystic lesion in the region of the interhemispheric fissure, to the right of the midline with extensions as described and this most likely represents an arachnoid cyst which may be the result of previous meningitis (? congenital).
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14549
bv/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzmesh J. lmn / M / 7 mnths.
Referred by : Dr. Abc Xyzgarwal.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 1 month.
H/O Ceasarian delivery.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick T2 Weighted coronal images.
4 mm thick T1 Weighted sagittal images.
Patients parents refused contrast administration.
OBSERVATION :
There are few areas of hyperintensity on the T1 Weighted images located in both frontal and parietal lobes and right occipital lobe. (scans 108.14, 15, 12). These are seen to turn hypointense on the T2 Weighted images. There is surrounding hyperintensity on the proton and T2 Weighted images.
Both the lateral and third ventricles show fullness. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The myelination pattern appears normal for the patients age.
IMPRESSION :
Areas of altered signal in both the frontal and parietal lobes and in the right occipital lobe are not specific for a single etiology. Also seen is fullness of both the lateral and third ventricles.
The differential diagnosis may include :
1. Granulomas like tuberculomas.
2. Tuberous sclerosis (cortical tubers).
3. ? Congenital infection e.g. Cytomegalovirus or Toxoplasmosis.
Is the patient immunocompromised ?.
A contrast enhanced scan would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyzmesh J. lmn / M / 7 mnths.
Referred by : Dr. Abc Xyzgarwal.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 1 month.
H/O Ceasarian delivery.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick T2 Weighted coronal images.
4 mm thick T1 Weighted sagittal images.
Patients parents refused contrast administration.
OBSERVATION :
There are few areas of hyperintensity on the T1 Weighted images located in both frontal and parietal lobes and right occipital lobe. (scans 108.14, 15, 12). These are seen to turn hypointense on the T2 Weighted images. There is surrounding hyperintensity on the proton and T2 Weighted images.
Both the lateral and third ventricles show fullness. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The myelination pattern appears normal for the patients age.
IMPRESSION :
Areas of altered signal in both the frontal and parietal lobes and in the right occipital lobe are not specific for a single etiology. Also seen is fullness of both the lateral and third ventricles.
The differential diagnosis may include :
1. Granulomas like tuberculomas.
2. Tuberous sclerosis (cortical tubers).
3. ? Congenital infection e.g. Cytomegalovirus or Toxoplasmosis.
Is the patient immunocompromised ?.
A contrast enhanced scan would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14548
bv/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzwari Kalmn / F / 51 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 LUE and LLE since 1 year.
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.
Screening of the spine with 4 mm thick T1 Weighted sagittal images.
OBSERVATION :
The lumbar intervertebral discs show loss of water content.
Small posterior disc bulges are noted at the L4-L5 and L5-S1 levels with ventral indentation of the thecal sac at the L4-L5 level.
Conjoint nerve root sleeve is seen on the right side at the L5-S1 level.
The lumbar vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S2 level.
Scan-00008
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
17.0 mm at L3-L4
15.0 mm at L4-L5
15.0 mm at L5-S1.
Screening of the cervico-dorsal spine reveals no feature of note.
IMPRESSION :
The MRI features are suggestive of small posterior disc bulges at the L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzwari Kalmn / F / 51 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 LUE and LLE since 1 year.
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.
Screening of the spine with 4 mm thick T1 Weighted sagittal images.
OBSERVATION :
The lumbar intervertebral discs show loss of water content.
Small posterior disc bulges are noted at the L4-L5 and L5-S1 levels with ventral indentation of the thecal sac at the L4-L5 level.
Conjoint nerve root sleeve is seen on the right side at the L5-S1 level.
The lumbar vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S2 level.
Scan-00008
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
17.0 mm at L3-L4
15.0 mm at L4-L5
15.0 mm at L5-S1.
Screening of the cervico-dorsal spine reveals no feature of note.
IMPRESSION :
The MRI features are suggestive of small posterior disc bulges at the L4-L5 and L5-S1 levels.
Published in
MRI Reports