Regular User
Sunday, 27 December 2015 16:48
14449
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzalmn / F / 15 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Cervico-dorsal Spine.
(Post-contrast Study).
CLINICAL PROFILE :
C/O neck pain with paresthesias in all four extremities since 3 weeks.
H/O fever +.
EXAMINATION :
T2 Weighted sagittal images of the cervical spine were obtained.
After administration of contrast the following parameters were used :
4 mm thick T1 Weighted sagittal images through the cervical, dorsal and lumbar spines.
7 mm thick T1 Weighted axial images through the cervico-dorsal spine.
5 mm thick T1 Weighted and T2 Weighted axial images through the brain.
OBSERVATION :
There is still seen slight swelling of the cervical spinal cord which shows an ill-defined, hyperintense signal on the T2 Weighted images, centrally.
The T2 Weighted sagittal images of the dorsal spine reveal normal signal intensity of the dorsal spinal cord, on this study.
The T2 Weighted axial images of the brain reveal an ill-defined hyperintense signal in the periventricular white matter in the right frontal region. Inflammatory changes are noted in the left mastoid air cells.
After administration of contrast, there is no focal or diffuse area of abnormal enhancement in the spinal cord, brain parenchyma or the meninges on this study.
IMPRESSION :
As compared to the previous MRI (study no:00003) dated 00.00.00, the signal change in the dorsal spine has nearly completely resolved. There is slight decrease in the diameter of the cervical spinal cord with decrease in intensity of the cord on this study.
No enhancing lesion is noted.
Altered signal in the periventricular white matter in the right frontal region is of ? etiology, ?? demyelinating lesion.
If clinically indicated a dedicated study of the brain would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyzalmn / F / 15 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Cervico-dorsal Spine.
(Post-contrast Study).
CLINICAL PROFILE :
C/O neck pain with paresthesias in all four extremities since 3 weeks.
H/O fever +.
EXAMINATION :
T2 Weighted sagittal images of the cervical spine were obtained.
After administration of contrast the following parameters were used :
4 mm thick T1 Weighted sagittal images through the cervical, dorsal and lumbar spines.
7 mm thick T1 Weighted axial images through the cervico-dorsal spine.
5 mm thick T1 Weighted and T2 Weighted axial images through the brain.
OBSERVATION :
There is still seen slight swelling of the cervical spinal cord which shows an ill-defined, hyperintense signal on the T2 Weighted images, centrally.
The T2 Weighted sagittal images of the dorsal spine reveal normal signal intensity of the dorsal spinal cord, on this study.
The T2 Weighted axial images of the brain reveal an ill-defined hyperintense signal in the periventricular white matter in the right frontal region. Inflammatory changes are noted in the left mastoid air cells.
After administration of contrast, there is no focal or diffuse area of abnormal enhancement in the spinal cord, brain parenchyma or the meninges on this study.
IMPRESSION :
As compared to the previous MRI (study no:00003) dated 00.00.00, the signal change in the dorsal spine has nearly completely resolved. There is slight decrease in the diameter of the cervical spinal cord with decrease in intensity of the cord on this study.
No enhancing lesion is noted.
Altered signal in the periventricular white matter in the right frontal region is of ? etiology, ?? demyelinating lesion.
If clinically indicated a dedicated study of the brain would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14448
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / F / 52 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with vomiting since 0000 (on & off) which has increased since 1 1/2 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 loss of water content of the dorsal intervertebral discs.
The visualized dorsal 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 D12-L1 level.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and 5 mm thick T1 Weighted axial images. A small postero-central disc protrusion and bilateral far lateral disc bulges are noted at the L5-S1 level.
Scan-00008
A posteriorly herniated disc is noted at the L4-L5 level with bilateral neural foraminal narrowing. There is also slight facetal and ligamentum flavum hypertrophy and resultant canal stenosis at this level.
Left and right postero-lateral disc herniations are noted at the L3-L4 level with bilateral neural foraminal narrowing.
Anterior disc herniations are noted at the L2-L3, L3-L4 and L4-L5 levels. Hyperintense signal on the T1 Weighted images in the L3 vertebra is not specific for a single etiology. Further evaluation would be worthwhile.
IMPRESSION :
1. No significant abnormality is detected on the dorsal spine study.
2. A small postero-central disc protrusion and bilateral far lateral disc bulges at the L5-S1 level.
3. A posteriorly herniated disc at the L4-L5 level with bilateral neural foraminal narrowing. There is also slight facetal and ligamentum flavum hypertrophy and resultant canal stenosis at this level.
3. Left and right postero-lateral disc herniations at the L3-L4 level with bilateral neural foraminal narrowing.
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / F / 52 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with vomiting since 0000 (on & off) which has increased since 1 1/2 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 loss of water content of the dorsal intervertebral discs.
The visualized dorsal 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 D12-L1 level.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and 5 mm thick T1 Weighted axial images. A small postero-central disc protrusion and bilateral far lateral disc bulges are noted at the L5-S1 level.
Scan-00008
A posteriorly herniated disc is noted at the L4-L5 level with bilateral neural foraminal narrowing. There is also slight facetal and ligamentum flavum hypertrophy and resultant canal stenosis at this level.
Left and right postero-lateral disc herniations are noted at the L3-L4 level with bilateral neural foraminal narrowing.
Anterior disc herniations are noted at the L2-L3, L3-L4 and L4-L5 levels. Hyperintense signal on the T1 Weighted images in the L3 vertebra is not specific for a single etiology. Further evaluation would be worthwhile.
IMPRESSION :
1. No significant abnormality is detected on the dorsal spine study.
2. A small postero-central disc protrusion and bilateral far lateral disc bulges at the L5-S1 level.
3. A posteriorly herniated disc at the L4-L5 level with bilateral neural foraminal narrowing. There is also slight facetal and ligamentum flavum hypertrophy and resultant canal stenosis at this level.
3. Left and right postero-lateral disc herniations at the L3-L4 level with bilateral neural foraminal narrowing.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14447
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Kotlmn / F / 26 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left eye vision loss in March 0000.
Now C/O pain in the left hemicranium and left eye since 1 week.
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.
3 mm thick T1 Weighted oblique sagittal images through left orbit.
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.
Study of the orbits reveals no focal area of altered signal in the visualized orbits or the orbital apex on either side. The optic nerves show normal signal on either side. The cavernous sinuses, sella and suprasellar cisterns are unremarkable.
Inflammatory tissue is noted in the region of the right osteomeatal complex, with hypertrophied inferior nasal turbinates, bilaterally.
IMPRESSION :
1. No abnormality is detected in the brain parenchyma per se.
2. Visualized orbits and optic nerves are unremarkable.
3. Inflammatory tissue in the right osteomeatal complex with hypertrophied inferior nasal turbinates.
If clinically indicated, a contrast enhanced scan would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyz Kotlmn / F / 26 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left eye vision loss in March 0000.
Now C/O pain in the left hemicranium and left eye since 1 week.
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.
3 mm thick T1 Weighted oblique sagittal images through left orbit.
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.
Study of the orbits reveals no focal area of altered signal in the visualized orbits or the orbital apex on either side. The optic nerves show normal signal on either side. The cavernous sinuses, sella and suprasellar cisterns are unremarkable.
Inflammatory tissue is noted in the region of the right osteomeatal complex, with hypertrophied inferior nasal turbinates, bilaterally.
IMPRESSION :
1. No abnormality is detected in the brain parenchyma per se.
2. Visualized orbits and optic nerves are unremarkable.
3. Inflammatory tissue in the right osteomeatal complex with hypertrophied inferior nasal turbinates.
If clinically indicated, a contrast enhanced scan would be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14446
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzgla Klmn / F / 42 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzelia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE 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 seen a hypointense signal on all pulse sequences involving the left pedicle of the L3 vertebra. This suggests sclerosis of pedicle. No obvious nidus is noted within this lesion. There is no break in continuity of the pedicle.
A small posterior and left postero-lateral disc bulge is noted at the L4-L5 level with slight left neural foraminal narrowing.
The rest of the lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
..2/.
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
13.0 mm at L4-L5
11.0 mm at L5-S1.
Screening T1 Weighted coronal images of the sacro-iliac joints and T1 Weighted sagittal images of the cervico-dorsal region do not reveal any significant feature of note.
IMPRESSION :
1. Sclerosis of the left pedicle of the L3 vertebra without obvious nidus or lysis.
2. A small posterior and left postero-lateral disc bulge at the L4-L5 level with slight left neural foraminal
narrowing.
Date : 00.00.00
Name of the Patient : Abc Xyzgla Klmn / F / 42 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzelia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE 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 seen a hypointense signal on all pulse sequences involving the left pedicle of the L3 vertebra. This suggests sclerosis of pedicle. No obvious nidus is noted within this lesion. There is no break in continuity of the pedicle.
A small posterior and left postero-lateral disc bulge is noted at the L4-L5 level with slight left neural foraminal narrowing.
The rest of the lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
..2/.
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
13.0 mm at L4-L5
11.0 mm at L5-S1.
Screening T1 Weighted coronal images of the sacro-iliac joints and T1 Weighted sagittal images of the cervico-dorsal region do not reveal any significant feature of note.
IMPRESSION :
1. Sclerosis of the left pedicle of the L3 vertebra without obvious nidus or lysis.
2. A small posterior and left postero-lateral disc bulge at the L4-L5 level with slight left neural foraminal
narrowing.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14445
hs/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzen lmn / F / 83 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O ? right sided CVA.
Known diabetic/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.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the fronto-parietal lobes and periventricular white matter bilaterally, within the pons on the right side and within the anterior aspect of the right temporal lobe. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.
Lacunar infarcts (iso to hyperintense to CSF) are seen within the head of the left caudate nucleus and the right corona radiata. These are seen to have a hyperintense rim on the proton and FLAIR images and which may represent gliotic changes.
There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. Also seen is mild prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally.
There is evidence of a lesion which is isointense to normal cortical bone on all the pulse sequences arising from the right frontal bone and this may reprsent an osteoma.
R>
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The normal lens is not visualized within both the globes and this may be the result of previous surgery.
IMPRESSION :
The MRI features are suggestive of :
1. Areas of altered signal intensity within the fronto-parietal lobes and periventricular white matter bilaterally, within the pons on the right side and within the anterior aspect of the right temporal lobe and these are most likely ischemic in etiology.
2. Lacunar infarcts within the head of the left caudate nucleus and the right corona radiata.
Date : 00.00.00
Name of the Patient : Abc Xyzen lmn / F / 83 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O ? right sided CVA.
Known diabetic/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.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the fronto-parietal lobes and periventricular white matter bilaterally, within the pons on the right side and within the anterior aspect of the right temporal lobe. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.
Lacunar infarcts (iso to hyperintense to CSF) are seen within the head of the left caudate nucleus and the right corona radiata. These are seen to have a hyperintense rim on the proton and FLAIR images and which may represent gliotic changes.
There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. Also seen is mild prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally.
There is evidence of a lesion which is isointense to normal cortical bone on all the pulse sequences arising from the right frontal bone and this may reprsent an osteoma.
R>
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The normal lens is not visualized within both the globes and this may be the result of previous surgery.
IMPRESSION :
The MRI features are suggestive of :
1. Areas of altered signal intensity within the fronto-parietal lobes and periventricular white matter bilaterally, within the pons on the right side and within the anterior aspect of the right temporal lobe and these are most likely ischemic in etiology.
2. Lacunar infarcts within the head of the left caudate nucleus and the right corona radiata.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14444
hs/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzni Sukhatalmn / F / 2 yrs.
Referred by : Dr. Abc Xyzathak.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever since 15 days with semiconsciousness since 2 days.
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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is moderate dilatation of the third, fourth and both the lateral ventricles and of the aqueduct. Signal void within the fourth ventricle, aqueduct and the posterior third ventricle may reflect turbulent flow. Periventricular hypointensities on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images may represent CSF ooze.
There is effacement of the cerebral cortical sulci which may represent increased intracranial tension.
There is hypoplasia of the inferior cerebellar vermis.
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 moderate communicating hydrocephalus (meningitis should be excluded).
Date : 00.00.00
Name of the Patient : Abc Xyzni Sukhatalmn / F / 2 yrs.
Referred by : Dr. Abc Xyzathak.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever since 15 days with semiconsciousness since 2 days.
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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is moderate dilatation of the third, fourth and both the lateral ventricles and of the aqueduct. Signal void within the fourth ventricle, aqueduct and the posterior third ventricle may reflect turbulent flow. Periventricular hypointensities on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images may represent CSF ooze.
There is effacement of the cerebral cortical sulci which may represent increased intracranial tension.
There is hypoplasia of the inferior cerebellar vermis.
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 moderate communicating hydrocephalus (meningitis should be excluded).
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14443
ke/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 34 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with paresthesias in BLE since 15 days.
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 D7 vertebral body.
There is replacement of the normal marrow by hypointense areas on the T1 Weighted images of the D5, D6, D7 and D8 vertebral bodies. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The pedicles of the D7 and D8 vertebrae and the D6-D7 and D7-D8 intervertebral discs are involved by the pathology.
There is pre and paravertebral soft tissue extension over the D6 to the D8 vertebral levels. This is of intermediate signal intensity on the T1 Weighted images and turns hyperintense on the T2 Weighted images. Anterior and right lateral epidural extension is seen over the D6 to D8 vertebral levels with compression of the spinal cord, maximum at the D7 vertebral level. The spinal cord over these levels shows a subtle hyperintense signal on the T2 Weighted images. This is isointense to normal cord on the T1 Weighted images and is suggestive of cord edema/ischemia/myelitis. Extension into the D6-D7 and D7-D8 neural foramina on the right side is seen.
Note is made of bilateral pleural reaction (left more than right).
..2/.
R>
The rest of the visualized dorsal vertebral bodies and intervertebral discs are unremarkable. The facet joints are unremarkable.
The conus medullaris terminates at the L1 level.
The cervico-dorsal spine was screened with 5 mm thick T1 Weighted sagittal images and shows hypointense areas replacing normal marrow of the C7 vertebral body.
IMPRESSION :
The MRI features are suggestive of an infective process involving the C7, D5, D6, D7 and D8 vertebrae with collapse of the D7 vertebra and extensions as described. There is cord compression and cord edema/ischemia/myelitis over the D6 to D8 level. This most probably represents a granulomatous infective process like tuberculosis.
The possibility of this being a neoplastic process like a round cell tumor cannot be entirely excluded.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 34 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with paresthesias in BLE since 15 days.
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 D7 vertebral body.
There is replacement of the normal marrow by hypointense areas on the T1 Weighted images of the D5, D6, D7 and D8 vertebral bodies. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The pedicles of the D7 and D8 vertebrae and the D6-D7 and D7-D8 intervertebral discs are involved by the pathology.
There is pre and paravertebral soft tissue extension over the D6 to the D8 vertebral levels. This is of intermediate signal intensity on the T1 Weighted images and turns hyperintense on the T2 Weighted images. Anterior and right lateral epidural extension is seen over the D6 to D8 vertebral levels with compression of the spinal cord, maximum at the D7 vertebral level. The spinal cord over these levels shows a subtle hyperintense signal on the T2 Weighted images. This is isointense to normal cord on the T1 Weighted images and is suggestive of cord edema/ischemia/myelitis. Extension into the D6-D7 and D7-D8 neural foramina on the right side is seen.
Note is made of bilateral pleural reaction (left more than right).
..2/.
R>
The rest of the visualized dorsal vertebral bodies and intervertebral discs are unremarkable. The facet joints are unremarkable.
The conus medullaris terminates at the L1 level.
The cervico-dorsal spine was screened with 5 mm thick T1 Weighted sagittal images and shows hypointense areas replacing normal marrow of the C7 vertebral body.
IMPRESSION :
The MRI features are suggestive of an infective process involving the C7, D5, D6, D7 and D8 vertebrae with collapse of the D7 vertebra and extensions as described. There is cord compression and cord edema/ischemia/myelitis over the D6 to D8 level. This most probably represents a granulomatous infective process like tuberculosis.
The possibility of this being a neoplastic process like a round cell tumor cannot be entirely excluded.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14442
sb/ke/nl/rg.
/452 Date : 04/00.00.00
Name of the Patient : Abc Xyzti Palmn / F / 72 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O progressive left hemiparesis since 15-20 days.
Known hypertensive.
H/O vaginal hysterectomy with bilateral salpingo-oophrectomy done in July 0000 for well differentiated Ca uterus (Grade I).
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is seen a fairly large, approximately 4.5 x 3.5 x 3.5 cms sized predominantly hypointense mass lesion on the T1 Weighted images in the right deep temporo-parietal region. This lesion appears predominantly hyperintense on the proton, T2 Weighted and FLAIR images. There is mild perilesional edema with effacement of the right Sylvian cistern and mild indentation of the right lateral and third ventricles. On the Fast Scan (T2 *) images, there are focal areas which seem to bloom, peripherally, which may suggest calcification/hemosiderin deposit within the lesion. After contrast administration, there is uniform enhancement of the lesion except for some non-enhancing cystic/necrotic areas within it.
..2/.
There are small bright foci on the proton and T2 Weighted images in the left external capsular region and in the pons which may represent ischemic changes.
The left lateral and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. There is mild bulge of the midline structures to the left. No obvious vascular anomaly is identified on this study.
There is no other focal area of abnormal enhancement within the brain parenchyma or the meninges.
IMPRESSION :
An approximately 4.5 x 3.5 x 3.5 cms sized enhancing mass lesion in the right deep temporo-parietal region as described is not specific for a single etiology.
A metastatic lesion, glial cell tumor or a lymphoma may be considered as differential diagnosis.
/452 Date : 04/00.00.00
Name of the Patient : Abc Xyzti Palmn / F / 72 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O progressive left hemiparesis since 15-20 days.
Known hypertensive.
H/O vaginal hysterectomy with bilateral salpingo-oophrectomy done in July 0000 for well differentiated Ca uterus (Grade I).
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is seen a fairly large, approximately 4.5 x 3.5 x 3.5 cms sized predominantly hypointense mass lesion on the T1 Weighted images in the right deep temporo-parietal region. This lesion appears predominantly hyperintense on the proton, T2 Weighted and FLAIR images. There is mild perilesional edema with effacement of the right Sylvian cistern and mild indentation of the right lateral and third ventricles. On the Fast Scan (T2 *) images, there are focal areas which seem to bloom, peripherally, which may suggest calcification/hemosiderin deposit within the lesion. After contrast administration, there is uniform enhancement of the lesion except for some non-enhancing cystic/necrotic areas within it.
..2/.
There are small bright foci on the proton and T2 Weighted images in the left external capsular region and in the pons which may represent ischemic changes.
The left lateral and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. There is mild bulge of the midline structures to the left. No obvious vascular anomaly is identified on this study.
There is no other focal area of abnormal enhancement within the brain parenchyma or the meninges.
IMPRESSION :
An approximately 4.5 x 3.5 x 3.5 cms sized enhancing mass lesion in the right deep temporo-parietal region as described is not specific for a single etiology.
A metastatic lesion, glial cell tumor or a lymphoma may be considered as differential diagnosis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14441
hs/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 52 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) 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 :
The L5 vertebra is as marked on the film.
Posterior disc herniations with peridiscal osteophytes are seen to narrow both neural foramina at the L4-L5 and L5-S1 levels with mild indentation upon the thecal sac at the L4-L5 level.
A right far lateral (extraforaminal) disc herniation is seen to indent the extraforaminal portion of the exiting right L5 nerve root at the L5-S1 level.
Posterior disc bulges with peridiscal osteophytes are seen to indent the thecal sac at the L1-L2, L2-L3 and L3-L4 levels. Bilateral far lateral (extraforaminal) disc bulges are noted at the L3-L4 and L4-L5 levels and on the right side at the L2-L3 level.
The L4-L5 and L5-S1 facet joints show hypertrophic degenerative changes. Facetal hypertrophy is seen at the L3-L4 level.
There is ligamentum flavum hypertrophy at the L4-L5 level.
..2/.
R> Schmorls nodes are seen in the dorso-lumbar region.
Type II degenerative changes are seen in the L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc.
The lumbar intervertebral discs show loss of water content.
The rest of the lumbar vertebral bodies 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 :
11.0 mm at L1-L2
12.0 mm at L2-L3
16.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.
A cystic lesion is seen in the pelvis on the right side and further evaluation would be worthwhile.
IMPRESSION :
The MRI features are suggestive of :
1. Posterior disc herniations with peridiscal osteophytes and hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels.
2. A right far lateral (extraforaminal) disc herniation at the L5-S1 level.
..3/.
- 3 - Scan-00001
3. Posterior disc bulges with peridiscal osteophytes at the L1-L2, L2-L3 and L3-L4 levels.
4. Facetal hypertrophy at the L3-L4 level.
5. Ligamentum flavum hypertrophy at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 52 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) 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 :
The L5 vertebra is as marked on the film.
Posterior disc herniations with peridiscal osteophytes are seen to narrow both neural foramina at the L4-L5 and L5-S1 levels with mild indentation upon the thecal sac at the L4-L5 level.
A right far lateral (extraforaminal) disc herniation is seen to indent the extraforaminal portion of the exiting right L5 nerve root at the L5-S1 level.
Posterior disc bulges with peridiscal osteophytes are seen to indent the thecal sac at the L1-L2, L2-L3 and L3-L4 levels. Bilateral far lateral (extraforaminal) disc bulges are noted at the L3-L4 and L4-L5 levels and on the right side at the L2-L3 level.
The L4-L5 and L5-S1 facet joints show hypertrophic degenerative changes. Facetal hypertrophy is seen at the L3-L4 level.
There is ligamentum flavum hypertrophy at the L4-L5 level.
..2/.
R> Schmorls nodes are seen in the dorso-lumbar region.
Type II degenerative changes are seen in the L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc.
The lumbar intervertebral discs show loss of water content.
The rest of the lumbar vertebral bodies 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 :
11.0 mm at L1-L2
12.0 mm at L2-L3
16.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.
A cystic lesion is seen in the pelvis on the right side and further evaluation would be worthwhile.
IMPRESSION :
The MRI features are suggestive of :
1. Posterior disc herniations with peridiscal osteophytes and hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels.
2. A right far lateral (extraforaminal) disc herniation at the L5-S1 level.
..3/.
- 3 - Scan-00001
3. Posterior disc bulges with peridiscal osteophytes at the L1-L2, L2-L3 and L3-L4 levels.
4. Facetal hypertrophy at the L3-L4 level.
5. Ligamentum flavum hypertrophy at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14440
ke/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzarayan Agalmn / M / 42 yrs.
Referred by : Dr. Abc Xyzpta.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the LUE with paresthesias since 2-3 months.
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 loss of normal cervical lordosis.
A right postero-lateral disc herniation with peridiscal osteophytes is seen at the C4-C5 level with right antero-lateral indentation of the cord and right neural foraminal narrowing.
A postero-central and a left postero-lateral disc herniation with peridiscal osteophytes is noted at the C5-C6 level with anterior indentation of the cord and left neural foraminal narrowing. Mild indentation upon the left C6 nerve root is also noted.
A small postero-central disc herniation with posterior peridiscal osteophytes is also seen at the C6-C7 level. A posterior disc bulge is noted at the C3-C4 level.
The C4-C5 and C5-C6 facet joints show degenerative changes.
There is a hyperintense focus on the Fast Scan (T2 *) images within the right side of the cord at the C4 level and this may represents edema/gliosis (se/im 105/9).
..2/.
The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. A right postero-lateral disc herniation with peridiscal osteophytes at the C4-C5 level.
2. A postero-central and a left postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level with mild indentation upon the left C6 nerve root.
3. A small postero-central disc herniation peridiscal osteophytes at the C6-C7 level.
4. Altered signal within the cord on the right side at the C4 level may represent edema/gliosis.
Date : 00.00.00
Name of the Patient : Abc Xyzarayan Agalmn / M / 42 yrs.
Referred by : Dr. Abc Xyzpta.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the LUE with paresthesias since 2-3 months.
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 loss of normal cervical lordosis.
A right postero-lateral disc herniation with peridiscal osteophytes is seen at the C4-C5 level with right antero-lateral indentation of the cord and right neural foraminal narrowing.
A postero-central and a left postero-lateral disc herniation with peridiscal osteophytes is noted at the C5-C6 level with anterior indentation of the cord and left neural foraminal narrowing. Mild indentation upon the left C6 nerve root is also noted.
A small postero-central disc herniation with posterior peridiscal osteophytes is also seen at the C6-C7 level. A posterior disc bulge is noted at the C3-C4 level.
The C4-C5 and C5-C6 facet joints show degenerative changes.
There is a hyperintense focus on the Fast Scan (T2 *) images within the right side of the cord at the C4 level and this may represents edema/gliosis (se/im 105/9).
..2/.
The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. A right postero-lateral disc herniation with peridiscal osteophytes at the C4-C5 level.
2. A postero-central and a left postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level with mild indentation upon the left C6 nerve root.
3. A small postero-central disc herniation peridiscal osteophytes at the C6-C7 level.
4. Altered signal within the cord on the right side at the C4 level may represent edema/gliosis.
Published in
MRI Reports