Regular User
Sunday, 27 December 2015 16:48
14513
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzPratappurlmn / M / 41 yrs.
Referred by : Dr. Abc Xyzli.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE since 3 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 straightening of the lumbar spine with probable sacralization of the L5 vertebra. (Please correlate with plain radiographs). The L5 vertebra appears as marked on the film.
A large posterior disc extrusion with peridiscal osteophytes is seen at the L4-L5 level with severe compression of the thecal sac and canal stenosis. There is inferior migration of the disc with indentation upon the traversing L5 nerve roots.
The L4-L5 intervertebral disc shows loss of water content.
Type II degenerative changes are noted in the L4 and L5 vertebral bodies adjacent to the L4-L5 disc.
The L3-L4 facet joint on the left side shows degenerative changes.
Scan-00003
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
4.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Probable sacralization of the L5 vertebra (Please correlate with plain radiographs).
2. A large posterior disc extrusion with peridiscal osteophytes and severe canal stenosis at the L4-L5 level. There is inferior migration of the disc with indentation upon the traversing L5 nerve roots.
Date : 00.00.00
Name of the Patient : Abc XyzPratappurlmn / M / 41 yrs.
Referred by : Dr. Abc Xyzli.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE since 3 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 straightening of the lumbar spine with probable sacralization of the L5 vertebra. (Please correlate with plain radiographs). The L5 vertebra appears as marked on the film.
A large posterior disc extrusion with peridiscal osteophytes is seen at the L4-L5 level with severe compression of the thecal sac and canal stenosis. There is inferior migration of the disc with indentation upon the traversing L5 nerve roots.
The L4-L5 intervertebral disc shows loss of water content.
Type II degenerative changes are noted in the L4 and L5 vertebral bodies adjacent to the L4-L5 disc.
The L3-L4 facet joint on the left side shows degenerative changes.
Scan-00003
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
4.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Probable sacralization of the L5 vertebra (Please correlate with plain radiographs).
2. A large posterior disc extrusion with peridiscal osteophytes and severe canal stenosis at the L4-L5 level. There is inferior migration of the disc with indentation upon the traversing L5 nerve roots.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14512
ke/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 36 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Left Forearm.
CLINICAL PROFILE :
C/o pain and swelling over the left forearm since 2 months with deformity of the fingers.
H/O Pulmonary Kochs. Completed AKT.
EXAMINATION :
M.R.I of the left forearm was performed using the following parameters :
8 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick T1 Weighted and STIR sagittal images.
5 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is a fairly large, well marginated, hypointense lesion with a hyperintense periphery on the T1 Weighted images along the ulnar margin of the left forearm extending into the flexor compartment of the left forearm. This lesion turns hyperintense on the T2 Weighted and STIR images. Ill-defined, hyperintense signal on the T2 Weighted images is noted in the flexor digitorum
profundus muscle and the brachialis muscle suggestive of their involvement. This lesion is seen to tract from the level of the proximal left radio-ulna joint, medially, between the flexor digitorum profundus muscle and the flexor carpi ulnaris muscle, anteriorly into the left forearm, between the flexor digitorum profundus muscle (posteriorly), flexor carpi ulnaris muscle (medially) and the flexor digitorum superficialis muscle and flexor carpi radialis muscle (anteriorly). The distal extent of the lesion is nearly upto the distal left radio-ulna joint. Extension of the lesion between the flexor tendons is also noted.
The neurovascular bundle appears to be displaced anteriorly and medially at the periphery of this lesion.
..2/.
R>
Hyperintense signal on the T2 Weighted and STIR images is noted in the subcutaneous fat along the medial and anterior aspect of the left forearm which is suggestive of subcutaneous edema.
The rest of the visualized muscles of the left forearm show normal signal intensity. There is no obvious bone erosion or destruction seen.
IMPRESSION :
The MRI features suggest a fairly large mass lesion in the left
forearm, medially and anteriorly with signal characteristics and extensions as described. This most likely represents an abscess.
The possibility of a neoplasm is less likely.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 36 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Left Forearm.
CLINICAL PROFILE :
C/o pain and swelling over the left forearm since 2 months with deformity of the fingers.
H/O Pulmonary Kochs. Completed AKT.
EXAMINATION :
M.R.I of the left forearm was performed using the following parameters :
8 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick T1 Weighted and STIR sagittal images.
5 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is a fairly large, well marginated, hypointense lesion with a hyperintense periphery on the T1 Weighted images along the ulnar margin of the left forearm extending into the flexor compartment of the left forearm. This lesion turns hyperintense on the T2 Weighted and STIR images. Ill-defined, hyperintense signal on the T2 Weighted images is noted in the flexor digitorum
profundus muscle and the brachialis muscle suggestive of their involvement. This lesion is seen to tract from the level of the proximal left radio-ulna joint, medially, between the flexor digitorum profundus muscle and the flexor carpi ulnaris muscle, anteriorly into the left forearm, between the flexor digitorum profundus muscle (posteriorly), flexor carpi ulnaris muscle (medially) and the flexor digitorum superficialis muscle and flexor carpi radialis muscle (anteriorly). The distal extent of the lesion is nearly upto the distal left radio-ulna joint. Extension of the lesion between the flexor tendons is also noted.
The neurovascular bundle appears to be displaced anteriorly and medially at the periphery of this lesion.
..2/.
R>
Hyperintense signal on the T2 Weighted and STIR images is noted in the subcutaneous fat along the medial and anterior aspect of the left forearm which is suggestive of subcutaneous edema.
The rest of the visualized muscles of the left forearm show normal signal intensity. There is no obvious bone erosion or destruction seen.
IMPRESSION :
The MRI features suggest a fairly large mass lesion in the left
forearm, medially and anteriorly with signal characteristics and extensions as described. This most likely represents an abscess.
The possibility of a neoplasm is less likely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14511
hs/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzRashid lmn / M / 48 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) with slight numbness since 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 :
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
There is a posterior disc extrusion indenting the thecal sac at the L4-L5 level with slight inferior migration of the disc fragment. There is mild neural foraminal narrowing bilaterally at the L4-L5 level. Bilateral far lateral (extraforaminal) disc bulges are seen at this level.
A postero-central disc herniation is seen to indent the traversing S1 nerve roots, (right more than left) and the thecal sac at the L5-S1 level.
The L1-L2, L2-L3, L3-L4 and L4-L5 facet joints show degenerative changes.
Ligamentum flavum hypertrophy is seen at the L4-L5 level.
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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A posterior disc extrusion with ligamentum flavum and facetal hypertrophy with a tight canal at the L4-L5 level.
2. A postero-central disc herniation at the L5-S1 level.
3. Facetal arthropathy also at the L1-L2, L2-L3 and L3-L4 levels.
Date : 00.00.00
Name of the Patient : Abc XyzRashid lmn / M / 48 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) with slight numbness since 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 :
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
There is a posterior disc extrusion indenting the thecal sac at the L4-L5 level with slight inferior migration of the disc fragment. There is mild neural foraminal narrowing bilaterally at the L4-L5 level. Bilateral far lateral (extraforaminal) disc bulges are seen at this level.
A postero-central disc herniation is seen to indent the traversing S1 nerve roots, (right more than left) and the thecal sac at the L5-S1 level.
The L1-L2, L2-L3, L3-L4 and L4-L5 facet joints show degenerative changes.
Ligamentum flavum hypertrophy is seen at the L4-L5 level.
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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A posterior disc extrusion with ligamentum flavum and facetal hypertrophy with a tight canal at the L4-L5 level.
2. A postero-central disc herniation at the L5-S1 level.
3. Facetal arthropathy also at the L1-L2, L2-L3 and L3-L4 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14510
hs/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 60 yrs.
Referred by : Dr. Abc Xyzadilkar / Dr. Abc Xyzni.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O painless ptosis (right more than left).
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, T2 Weighted, FLAIR and STIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma. (The subtle hyperintense signal on the proton images at the ponto-mesencephalic junction just anterior to the aqueduct would represent nuclei of the medial raphe-marked by an arrow).
There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
There is mild fullness of the third and both the lateral ventricles.
The cavernous sinuses and visualized orbits on either side are unremarkable.
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.
IMPRESSION :
The MRI features are suggestive of mild cerebral and cerebellar atrophy.
Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 60 yrs.
Referred by : Dr. Abc Xyzadilkar / Dr. Abc Xyzni.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O painless ptosis (right more than left).
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, T2 Weighted, FLAIR and STIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma. (The subtle hyperintense signal on the proton images at the ponto-mesencephalic junction just anterior to the aqueduct would represent nuclei of the medial raphe-marked by an arrow).
There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
There is mild fullness of the third and both the lateral ventricles.
The cavernous sinuses and visualized orbits on either side are unremarkable.
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.
IMPRESSION :
The MRI features are suggestive of mild cerebral and cerebellar atrophy.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14509
hs/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzAhmed Anlmn / M / 47 yrs.
Referred by : Dr. Abc Xyzsari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 25 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of normal lumbar lordosis and mild retroplacement of the L5 vertebra over the S1 vertebra.
A left paracentral disc extrusion is seen to indent the thecal sac and the traversing left S1 nerve root at the L5-S1 level.
Postero-central disc herniations are seen to indent the thecal sac at the L2-L3 and L4-L5 levels.
A posteriorly bulging disc is noted at the L3-L4 level. Bilateral far lateral (extraforaminal) disc bulges are noted at the L2-L3 and L3-L4 levels.
The L2-L3 to the L5-S1 intervertebral discs show loss of water content.
Anterior disc herniations are noted at the L2-L3 and L3-L4 levels.
..2/.
A suspicious conjoint nerve root is seen on the right side at the L5 level.
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 L2 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 :
15.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A left paracentral disc extrusion indenting the traversing left S1 nerve root at the L5-S1 level.
2. Postero-central disc herniations at the L2-L3 and L4-L5 levels.
Date : 00.00.00
Name of the Patient : Abc XyzAhmed Anlmn / M / 47 yrs.
Referred by : Dr. Abc Xyzsari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 25 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of normal lumbar lordosis and mild retroplacement of the L5 vertebra over the S1 vertebra.
A left paracentral disc extrusion is seen to indent the thecal sac and the traversing left S1 nerve root at the L5-S1 level.
Postero-central disc herniations are seen to indent the thecal sac at the L2-L3 and L4-L5 levels.
A posteriorly bulging disc is noted at the L3-L4 level. Bilateral far lateral (extraforaminal) disc bulges are noted at the L2-L3 and L3-L4 levels.
The L2-L3 to the L5-S1 intervertebral discs show loss of water content.
Anterior disc herniations are noted at the L2-L3 and L3-L4 levels.
..2/.
A suspicious conjoint nerve root is seen on the right side at the L5 level.
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 L2 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 :
15.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A left paracentral disc extrusion indenting the traversing left S1 nerve root at the L5-S1 level.
2. Postero-central disc herniations at the L2-L3 and L4-L5 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14508
hs/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzar H. Shlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches (left sided), seizures and giddiness since 00.00.00.
H/O similar complaints 1 year back.
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 evidence of a well-circumscribed lesion having a diameter of approximately 1.1 cms and located in the cortex in the left temporal region. This lesion is hyperintense to CSF on all the pulse sequences with an eccentric speck which is isointense to white matter suggestive of a scolex within it. The periphery of this lesion is near isointense to white matter on the proton and T2 Weighted images. There is perilesional edema (hypointense on the T1 Weighted images and hyperintense on the proton and T2 Weighted images) with effacement of the adjacent cerebral cortical sulci.
There is another smaller lesion within the posterior temporal lobe on the left side which is hypointense on the proton and T2 Weighted images.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. Also seen is mild fullness of both the lateral ventricles.
The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of a lesion within the left temporal region following the signal characteristics of a cysticercus in the colloid-vesicular stage. Another smaller lesion in the posterior temporal region on the left may represent a cysticercus in the granular-nodular stage.
Date : 00.00.00
Name of the Patient : Abc Xyzar H. Shlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches (left sided), seizures and giddiness since 00.00.00.
H/O similar complaints 1 year back.
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 evidence of a well-circumscribed lesion having a diameter of approximately 1.1 cms and located in the cortex in the left temporal region. This lesion is hyperintense to CSF on all the pulse sequences with an eccentric speck which is isointense to white matter suggestive of a scolex within it. The periphery of this lesion is near isointense to white matter on the proton and T2 Weighted images. There is perilesional edema (hypointense on the T1 Weighted images and hyperintense on the proton and T2 Weighted images) with effacement of the adjacent cerebral cortical sulci.
There is another smaller lesion within the posterior temporal lobe on the left side which is hypointense on the proton and T2 Weighted images.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. Also seen is mild fullness of both the lateral ventricles.
The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of a lesion within the left temporal region following the signal characteristics of a cysticercus in the colloid-vesicular stage. Another smaller lesion in the posterior temporal region on the left may represent a cysticercus in the granular-nodular stage.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14507
hs/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzddin S. Siddlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella & perisellar region.
CLINICAL PROFILE :
C/O increased frequency of micturition since 3 months.
H/O Diabetic-insipidus.
EXAMINATION :
M.R.I of the sella & perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images.
OBSERVATION :
The pituitary gland is normal in its size, contour and location and reveals normal signal intensity. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images (scans 104.2,3,6). The pituitary stalk is in the midline. The hypothalamus is unremarkable. The suprasellar cistern and cavernous sinuses are unremarkable.
There is evidence of septae within the sphenoid sinus.
The T2 Weighted axial images of the brain do not reveal any significant feature of note.
IMPRESSION :
No abnormality is detected within the sella and perisellar region on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzddin S. Siddlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella & perisellar region.
CLINICAL PROFILE :
C/O increased frequency of micturition since 3 months.
H/O Diabetic-insipidus.
EXAMINATION :
M.R.I of the sella & perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images.
OBSERVATION :
The pituitary gland is normal in its size, contour and location and reveals normal signal intensity. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images (scans 104.2,3,6). The pituitary stalk is in the midline. The hypothalamus is unremarkable. The suprasellar cistern and cavernous sinuses are unremarkable.
There is evidence of septae within the sphenoid sinus.
The T2 Weighted axial images of the brain do not reveal any significant feature of note.
IMPRESSION :
No abnormality is detected within the sella and perisellar region on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14506
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzyak Blmn / M / 12 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O walking in sleep, talking and occasional purposeless activities lasting for 10-15 minutes since 1 year.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex is unremarkable on either side.
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 bilateral maxillary sinusitis and inflammatory changes are noted in the ethmoidal air cells.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyzyak Blmn / M / 12 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O walking in sleep, talking and occasional purposeless activities lasting for 10-15 minutes since 1 year.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex is unremarkable on either side.
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 bilateral maxillary sinusitis and inflammatory changes are noted in the ethmoidal air cells.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14505
ke/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzn Billmn / M / 55 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the RUE.
C/O backache with pain radiating to the LLE.
H/O fever since 15 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is replacement of the normal marrow by hypointense areas on the T1 Weighted images in the L5 vertebral body. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The pedicles are also involved by the pathology. There is pre and paravertebral soft tissue extension at the L4 and L5 levels with probable involvement of the L4-L5 intervertebral disc, anteriorly. The psoas muscle at these levels on the left side shows a hyperintense signal on the T1 Weighted images suggestive of its involvement. Minimal anterior epidural extension is seen at the L5 level.
Small posterior disc herniations are seen at the L3-L4, L4-L5 and L5-S1 levels with anterior indentation of the thecal sac and slight neural foraminal narrowing bilaterally at these levels. The L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.
The L4-L5 and L5-S1 facet joints bilaterally show degenerative changes. The left facet joint at the L2-L3 level also shows degenerative changes.
..2/.
Ligamentum flavum hypertrophy is noted at the L4-L5 and L5 levels.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints 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
12.0 mm at L3-L4
8.0 mm at L4-L5
8.0 mm at L5-S1.
The dorsal spine was screened with 4 mm thick T1 Weighted sagittal images and which does not reveal any diagnostic feature of note.
IMPRESSION :
The MRI features are suggestive of altered signal of the L5 vertebra with extensions as described. This may represents an infective process like tuberculosis or a neoplastic process like a round cell tumor or a secondary.
Date : 00.00.00
Name of the Patient : Abc Xyzn Billmn / M / 55 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the RUE.
C/O backache with pain radiating to the LLE.
H/O fever since 15 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is replacement of the normal marrow by hypointense areas on the T1 Weighted images in the L5 vertebral body. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The pedicles are also involved by the pathology. There is pre and paravertebral soft tissue extension at the L4 and L5 levels with probable involvement of the L4-L5 intervertebral disc, anteriorly. The psoas muscle at these levels on the left side shows a hyperintense signal on the T1 Weighted images suggestive of its involvement. Minimal anterior epidural extension is seen at the L5 level.
Small posterior disc herniations are seen at the L3-L4, L4-L5 and L5-S1 levels with anterior indentation of the thecal sac and slight neural foraminal narrowing bilaterally at these levels. The L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.
The L4-L5 and L5-S1 facet joints bilaterally show degenerative changes. The left facet joint at the L2-L3 level also shows degenerative changes.
..2/.
Ligamentum flavum hypertrophy is noted at the L4-L5 and L5 levels.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints 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
12.0 mm at L3-L4
8.0 mm at L4-L5
8.0 mm at L5-S1.
The dorsal spine was screened with 4 mm thick T1 Weighted sagittal images and which does not reveal any diagnostic feature of note.
IMPRESSION :
The MRI features are suggestive of altered signal of the L5 vertebra with extensions as described. This may represents an infective process like tuberculosis or a neoplastic process like a round cell tumor or a secondary.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14504
ke/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzn Billmn / M / 55 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the RUE.
C/O backache with pain radiating to the LLE.
H/O fever since 15 days.
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 :
A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the C5-C6 level.
There are small postero-central disc herniations at the C3-C4 and C4-C5 levels with anterior indentation of the thecal sac.
A small right paracentral disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the C6-C7 level.
The cervical intervertebral discs show loss of water contnet.
The C3-C4, C4-C5, C5-C6 and C6-C7 facet joints show degenerative changes.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. A postero-central disc herniation with peridiscal osteophytes at the C5-C6 level.
2. Small postero-central disc herniations at the C3-C4 and C4-C5 levels.
3. A small right paracentral disc herniation at the C6-C7 level.
3. Facetal arthropathy bilaterally at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzn Billmn / M / 55 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to the RUE.
C/O backache with pain radiating to the LLE.
H/O fever since 15 days.
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 :
A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the C5-C6 level.
There are small postero-central disc herniations at the C3-C4 and C4-C5 levels with anterior indentation of the thecal sac.
A small right paracentral disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the C6-C7 level.
The cervical intervertebral discs show loss of water contnet.
The C3-C4, C4-C5, C5-C6 and C6-C7 facet joints show degenerative changes.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. A postero-central disc herniation with peridiscal osteophytes at the C5-C6 level.
2. Small postero-central disc herniations at the C3-C4 and C4-C5 levels.
3. A small right paracentral disc herniation at the C6-C7 level.
3. Facetal arthropathy bilaterally at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.
Published in
MRI Reports