Regular User
Sunday, 27 December 2015 16:48
14332
ke/hs/rg/nbl
Date : 00.00.00
Name of the Patient : Abc Xyzan Shlmn / M / 59 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O raised blood pressure on 00.00.00 with slurred speech and weakness of BLE since then.
Known hypertensive.
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 are hyperintense areas on the T2 Weighted images in the periventricular white matter, bilateral corona radiata and centrum semiovale and most likely represent ischemic changes.
Lacunar infarcts which are isointense to CSF on all the pulse sequences are seen within the lentiform nuclei, thalami and fronto-parietal deep white matter bilaterally.
There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
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.
..2/.
NECK MRA :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Altered signal within the periventricular white matter, bilateral corona radiata and centrum semiovale represent ischemic changes.
2. Lacunar infarcts in the lentiform nuclei, thalami and fronto-parietal deep white matter bilaterally.
3. Mild cerebral and cerebellar atrophy.
4. No significant abnormality is detected on the intracranial and neck MRA on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzan Shlmn / M / 59 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O raised blood pressure on 00.00.00 with slurred speech and weakness of BLE since then.
Known hypertensive.
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 are hyperintense areas on the T2 Weighted images in the periventricular white matter, bilateral corona radiata and centrum semiovale and most likely represent ischemic changes.
Lacunar infarcts which are isointense to CSF on all the pulse sequences are seen within the lentiform nuclei, thalami and fronto-parietal deep white matter bilaterally.
There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
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.
..2/.
NECK MRA :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Altered signal within the periventricular white matter, bilateral corona radiata and centrum semiovale represent ischemic changes.
2. Lacunar infarcts in the lentiform nuclei, thalami and fronto-parietal deep white matter bilaterally.
3. Mild cerebral and cerebellar atrophy.
4. No significant abnormality is detected on the intracranial and neck MRA on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14331
ke/hs/rg/nl.
Date : 00.00.00
Name of the Patient : Abc XyzD. lmn / M / 32 yrs.
Referred by : Dr. Abc Xyzmath.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches and pain on the right side of the face upto the neck with generalized weakness all over the body since 15 days.
H/O fever prior to this.
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 :
The right cerebellar hemisphere appears to be swollen. This is hypointense to gray matter on the T1 Weighted images and turns hyperintense on the proton, T2 Weighted and FLAIR images. There is mass effect with indentation upon the right lateral aspect of the fourth ventricle and slight effacement of the quadrigeminal cistern on the right side. Mild indentation upon the inferior tectum is also noted. There is a slight shift of the fourth ventricle to the left.
There is gyral thickening in the right occipital lobe and it is hyperintense on the FLAIR images.
There is mild dilatation of both the lateral and third ventricles. There is slight effacement of the cerebral cortical sulci bilaterally and this may suggest increased intracranial tension. No obvious vascular anomaly is identified on this study. Incidental note is made of right maxillary sinusitis.
There is slight herniation of the cerebellar tonsils through the foramen magnum.
IMPRESSION :
The MRI features are suggestive of :
1. A large infarct involving the the right cerebellar hemisphere as described and a smaller one involving the right occipital lobe.
2. Mild dilatation of both the lateral and third ventricles.
Date : 00.00.00
Name of the Patient : Abc XyzD. lmn / M / 32 yrs.
Referred by : Dr. Abc Xyzmath.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches and pain on the right side of the face upto the neck with generalized weakness all over the body since 15 days.
H/O fever prior to this.
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 :
The right cerebellar hemisphere appears to be swollen. This is hypointense to gray matter on the T1 Weighted images and turns hyperintense on the proton, T2 Weighted and FLAIR images. There is mass effect with indentation upon the right lateral aspect of the fourth ventricle and slight effacement of the quadrigeminal cistern on the right side. Mild indentation upon the inferior tectum is also noted. There is a slight shift of the fourth ventricle to the left.
There is gyral thickening in the right occipital lobe and it is hyperintense on the FLAIR images.
There is mild dilatation of both the lateral and third ventricles. There is slight effacement of the cerebral cortical sulci bilaterally and this may suggest increased intracranial tension. No obvious vascular anomaly is identified on this study. Incidental note is made of right maxillary sinusitis.
There is slight herniation of the cerebellar tonsils through the foramen magnum.
IMPRESSION :
The MRI features are suggestive of :
1. A large infarct involving the the right cerebellar hemisphere as described and a smaller one involving the right occipital lobe.
2. Mild dilatation of both the lateral and third ventricles.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14330
ke/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 15 yrs.
Referred by : Dr. Abc Xyzla.
Examination : M.R.I. of the Sella & Perisellar region.
CLINICAL PROFILE :
C/O headaches since 7-8 months with loss of appetite and weight.
Patient is blind since the age of 4 years.
CT Scan s/o craniopharyngioma with hydrocephalus.
H/O right parietal and left frontal V.P. Shunt.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
5 mm thick T2 Weighted axial images.
5 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a large ill-defined extra-axial mass lesion seen in the suprasellar cistern extending into the right temporal region and measures approximately 3.0 x 4.2 x .4.6 cms. This lesion is hyperintense to the white matter on the T1 Weighted images and turns hyperintense on the T2 Weighted images. There is slight indentation upon the third ventricle by a portion of the lesion which is isointense to fat on the T1 Weighted images and turns hypointense on the T2 Weighted images. Certain areas of this lesion are of intermediate signal intensity on the T1 Weighted images and turn hyperintense on the T2 Weighted images. There is mass effect with compression upon the body of the right lateral ventricle and slight shift of the midline structures to the left. There is slight indentation upon the right cerebral peduncle.
The pituitary gland is compressed by this lesion.
A burr hole is noted in the right posterior parietal region. A ventriculostomy tube is seen to traverse through the right parietal lobe and the tip is seen to lie in the body of the right lateral ventricle. A shunt tube tract is seen in the left frontal region.
There is slight fullness of both the lateral ventricles.
The fourth ventricle is normal.
IMPRESSION :
In a known C/O craniopharyngioma, the MRI features are suggestive of :
1. A large extra-axial mass lesion in the suprasellar cistern extending into the right temporal region measursing approximately 3.0 x 4.2 x .4.6 cms.as described.
2. Post-shunt status.
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 15 yrs.
Referred by : Dr. Abc Xyzla.
Examination : M.R.I. of the Sella & Perisellar region.
CLINICAL PROFILE :
C/O headaches since 7-8 months with loss of appetite and weight.
Patient is blind since the age of 4 years.
CT Scan s/o craniopharyngioma with hydrocephalus.
H/O right parietal and left frontal V.P. Shunt.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
5 mm thick T2 Weighted axial images.
5 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a large ill-defined extra-axial mass lesion seen in the suprasellar cistern extending into the right temporal region and measures approximately 3.0 x 4.2 x .4.6 cms. This lesion is hyperintense to the white matter on the T1 Weighted images and turns hyperintense on the T2 Weighted images. There is slight indentation upon the third ventricle by a portion of the lesion which is isointense to fat on the T1 Weighted images and turns hypointense on the T2 Weighted images. Certain areas of this lesion are of intermediate signal intensity on the T1 Weighted images and turn hyperintense on the T2 Weighted images. There is mass effect with compression upon the body of the right lateral ventricle and slight shift of the midline structures to the left. There is slight indentation upon the right cerebral peduncle.
The pituitary gland is compressed by this lesion.
A burr hole is noted in the right posterior parietal region. A ventriculostomy tube is seen to traverse through the right parietal lobe and the tip is seen to lie in the body of the right lateral ventricle. A shunt tube tract is seen in the left frontal region.
There is slight fullness of both the lateral ventricles.
The fourth ventricle is normal.
IMPRESSION :
In a known C/O craniopharyngioma, the MRI features are suggestive of :
1. A large extra-axial mass lesion in the suprasellar cistern extending into the right temporal region measursing approximately 3.0 x 4.2 x .4.6 cms.as described.
2. Post-shunt status.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14329
ke/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzh Shlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 0000 and headaches.
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 altered signal intensity in the brain parenchyma.
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.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyzh Shlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 0000 and headaches.
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 altered signal intensity in the brain parenchyma.
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.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14328
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O seizures 3 days back with low back pain.
H/O Abdominal Kochs detected in December 0000. On AKT.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L5-S1 intervertebral disc.
Spina bifida is noted at the L5.
There is a small postero-central disc herniation at the L5-S1 level indenting the dural theca anteriorly.
A minimal posterior disc bulge is noted at the L4-L5 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
R>
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
20.0 mm at L2-L3
19.0 mm at L3-L4
16.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
Degenerated L5-S1 intervertebral disc with a small postero-central disc herniation at that level.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O seizures 3 days back with low back pain.
H/O Abdominal Kochs detected in December 0000. On AKT.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L5-S1 intervertebral disc.
Spina bifida is noted at the L5.
There is a small postero-central disc herniation at the L5-S1 level indenting the dural theca anteriorly.
A minimal posterior disc bulge is noted at the L4-L5 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
R>
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
20.0 mm at L2-L3
19.0 mm at L3-L4
16.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
Degenerated L5-S1 intervertebral disc with a small postero-central disc herniation at that level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14327
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O seizures 3 days back.
H/O abdominal kochs detected in December 0000. On AKT.
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.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The hippocampal complex is unremarkable on either side.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O seizures 3 days back.
H/O abdominal kochs detected in December 0000. On AKT.
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.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The hippocampal complex is unremarkable on either side.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14326
Date : 00.00.00
Name of the Patient : Abc Xyzhandlmn / M / 23 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O single episode of seizure on 00.00.00.
Alleged H/O RTA with injury to the right side of face 4 years 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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a small, well marginated, CSF signal intensity lesion on all the pulse sequences in the left inferior frontal and frontal cortex. This lesion most likely represents an area of cystic encephalomalacia, ? the sequelae of previous trauma.
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 slight prominence of the cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the maxillary antra bilaterally.
IMPRESSION :
Altered signal in the left inferior frontal and frontal cortex as described, most likely represents an area of cystic encephalomalacia, ? the sequelae of previous trauma.
Name of the Patient : Abc Xyzhandlmn / M / 23 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O single episode of seizure on 00.00.00.
Alleged H/O RTA with injury to the right side of face 4 years 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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a small, well marginated, CSF signal intensity lesion on all the pulse sequences in the left inferior frontal and frontal cortex. This lesion most likely represents an area of cystic encephalomalacia, ? the sequelae of previous trauma.
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 slight prominence of the cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the maxillary antra bilaterally.
IMPRESSION :
Altered signal in the left inferior frontal and frontal cortex as described, most likely represents an area of cystic encephalomalacia, ? the sequelae of previous trauma.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14325
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzJayklmn / F / 36 yrs.
Referred by : Dr. Abc Xyzrman.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches since 2 years.
C/O giddiness with occasional nausea since 1 month.
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 no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc XyzJayklmn / F / 36 yrs.
Referred by : Dr. Abc Xyzrman.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches since 2 years.
C/O giddiness with occasional nausea since 1 month.
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 no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14324
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzed Almn / M / 22 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 2 years with numbness in the lower lumbar region.
H/O fall 2 1/2 years back.
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.
6 mm thick T1 Weighted and T2 Weighted axial images.
The dorsal spine was screened with 4 mm thick T1 Weighted sagittal images.
OBSERVATION :
The L3 vertebral body is as marked on the film.
There is Grade I spondylolisthesis of the L5 over the S1 vertebra with probable spondylolysis at L5, bilaterally.
There are ill-defined, hyperintense areas on the T2 Weighted images in the L4, L5 and S1 vertebral bodies. These areas appear hypointense on the T1 Weighted images. The L5-S1 intervertebral disc is also reduced in height and appears hyperintense on the T2 Weighted images. Similar signal intensity changes are noted in the D12 and L1 vertebral bodies and the D12-L1 intervertebral disc. The D12 and L1 vertebral bodies are slightly wedged, anteriorly. Altered signal is also noted in the sacral ala on the right and in the left iliac bone adjacent to the left sacro-iliac joint. Involvement of the left sacro-iliac joint per se is noted.
..2/.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the prevertebral and paravertebral soft tissues at the L5 and S1 vertebral levels and in the anterior epidural space over the L4 to S1 vertebral levels. This lesion also appears hyperintense on the T2 Weighted images. Encasement of the L5 nerve roots in the neural foramen bilaterally is noted.
At the D12 and L1 vertebral levels, soft tissue lesion is noted in the anterior epidural space and in the right paravertebral region involving the right psoas muscle. Indentation on the lower dorsal spinal cord at the D12/L1 levels is also noted. The lower dorsal spinal cord at these levels show a subtle hyperintense signal on the T2 Weighted images which suggest cord edema/ischemia.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
IMPRESSION :
Altered signal in the D12, L1, L4, L5 and S1 vertebral bodies and the D12-L1 and L5-S1 intervertebral discs most likely suggest osteitis with discitis, probably tuberculous in etiology. Paravertebral and anterior epidural soft tissue lesion at these levels would represent granulation/abscess. There is mild cord compression at the D12 and L1 levels with subtle cord signal alteration suggesting cord edema/ischemia.
The possibility of these lesions representing neoplasm seems less likely.
Altered signal is also noted in the ala of the sacrum on the right, left iliac bone adjacent to the left sacro-iliac joint and the left sacro-iliac joint per se.
Date : 00.00.00
Name of the Patient : Abc Xyzed Almn / M / 22 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 2 years with numbness in the lower lumbar region.
H/O fall 2 1/2 years back.
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.
6 mm thick T1 Weighted and T2 Weighted axial images.
The dorsal spine was screened with 4 mm thick T1 Weighted sagittal images.
OBSERVATION :
The L3 vertebral body is as marked on the film.
There is Grade I spondylolisthesis of the L5 over the S1 vertebra with probable spondylolysis at L5, bilaterally.
There are ill-defined, hyperintense areas on the T2 Weighted images in the L4, L5 and S1 vertebral bodies. These areas appear hypointense on the T1 Weighted images. The L5-S1 intervertebral disc is also reduced in height and appears hyperintense on the T2 Weighted images. Similar signal intensity changes are noted in the D12 and L1 vertebral bodies and the D12-L1 intervertebral disc. The D12 and L1 vertebral bodies are slightly wedged, anteriorly. Altered signal is also noted in the sacral ala on the right and in the left iliac bone adjacent to the left sacro-iliac joint. Involvement of the left sacro-iliac joint per se is noted.
..2/.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the prevertebral and paravertebral soft tissues at the L5 and S1 vertebral levels and in the anterior epidural space over the L4 to S1 vertebral levels. This lesion also appears hyperintense on the T2 Weighted images. Encasement of the L5 nerve roots in the neural foramen bilaterally is noted.
At the D12 and L1 vertebral levels, soft tissue lesion is noted in the anterior epidural space and in the right paravertebral region involving the right psoas muscle. Indentation on the lower dorsal spinal cord at the D12/L1 levels is also noted. The lower dorsal spinal cord at these levels show a subtle hyperintense signal on the T2 Weighted images which suggest cord edema/ischemia.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
IMPRESSION :
Altered signal in the D12, L1, L4, L5 and S1 vertebral bodies and the D12-L1 and L5-S1 intervertebral discs most likely suggest osteitis with discitis, probably tuberculous in etiology. Paravertebral and anterior epidural soft tissue lesion at these levels would represent granulation/abscess. There is mild cord compression at the D12 and L1 levels with subtle cord signal alteration suggesting cord edema/ischemia.
The possibility of these lesions representing neoplasm seems less likely.
Altered signal is also noted in the ala of the sacrum on the right, left iliac bone adjacent to the left sacro-iliac joint and the left sacro-iliac joint per se.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14323
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzChaurlmn / F / 11 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the right hip joint since 1 year with a limp and inability to bend RLE.
EXAMINATION :
M.R.I of both hips was performed using the following parameters:
6 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) sagittal images.
OBSERVATION :
There is seen an expansile lesion in the right ischial bone, which appears hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. Probable fracture to the right ischial bone is noted. There is thickening of the synovium of the right hip joint with a right hip joint effusion. There is slight loss of normal contour of the right acetabulum. The epiphysis of the right femoral head is slightly hypointense on the T1 Weighted images. The trochanters and the neck of the right femur show normal signal intensity. The articular cartilage overlying the right femoral head is unremarkable. Minimal extension of the right ischial lesion is noted along the right lateral pelvic wall. There is slight decrease in the bulk of the muscles around the right hip joint.
The visualized left hip joint is unremarkable.
Small, subcentimeter inguinal lymph nodes are noted bilaterally.
IMPRESSION :
Slightly expansile right ischial bone with altered signal and a probable fracture through it is not specific for a single etiology. An infective lesion (probably tuberculous) is a likely possibility in view of the associated synovitis and right hip joint effusion.
A neoplastic process cannot be entirely excluded.
Date : 00.00.00
Name of the Patient : Abc XyzChaurlmn / F / 11 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the right hip joint since 1 year with a limp and inability to bend RLE.
EXAMINATION :
M.R.I of both hips was performed using the following parameters:
6 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) sagittal images.
OBSERVATION :
There is seen an expansile lesion in the right ischial bone, which appears hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. Probable fracture to the right ischial bone is noted. There is thickening of the synovium of the right hip joint with a right hip joint effusion. There is slight loss of normal contour of the right acetabulum. The epiphysis of the right femoral head is slightly hypointense on the T1 Weighted images. The trochanters and the neck of the right femur show normal signal intensity. The articular cartilage overlying the right femoral head is unremarkable. Minimal extension of the right ischial lesion is noted along the right lateral pelvic wall. There is slight decrease in the bulk of the muscles around the right hip joint.
The visualized left hip joint is unremarkable.
Small, subcentimeter inguinal lymph nodes are noted bilaterally.
IMPRESSION :
Slightly expansile right ischial bone with altered signal and a probable fracture through it is not specific for a single etiology. An infective lesion (probably tuberculous) is a likely possibility in view of the associated synovitis and right hip joint effusion.
A neoplastic process cannot be entirely excluded.
Published in
MRI Reports