Regular User
Sunday, 27 December 2015 16:48
14247
ke.bv.rg.
Date : 00.00.00
Name of the Patient : Abc XyzSalalmn / F / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 2 years.
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 scoliosis of the lumbar spine with convexity to the left. There is clockwise rotational anomaly of the upper lumbar vertebrae.
There is partial sacralization of the L5 vertebral body on the left side and slight forward translation of the L3 over the L4 vertebral body.
A diffuse posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The L4-L5 facet joints show degenerative changes.
A right postero-lateral disc herniation is noted at the L3-L4 level with right neural foraminal narrowing. The L3-L4 facet joints bilaterally, (right more than left) show degenerative changes.
A small right paracentral disc herniation with peridiscal osteophytes is seen at the L5-S1 level with anterior indentation of the thecal sac. Schmorls nodes are noted in the lumbar region. The lumbar intervertebral discs show loss of water content. There are Type II degenerative changes in the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc.
The L1-L2 and L2-L3 facet joints on the right side and the L5-S1 facet joints on the left side show degenerative changes.
The rest of the lumbar vertebral bodies reveal normal signal intensity. 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 :
13.0 mm at L1-L2
14.0 mm at L2-L3
9.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Scoliosis of the lumbar spine with convexity to the left.
2. Partial sacralization of the L5 vertebral body on the left side with forward translation of the L3 over the L4 vertebra.
..3/.
- 3 - Scan-00007
3. A diffuse posterior disc herniation at the L4-L5 level with facetal arthropathy.
4. A right postero-lateral disc herniation at the L3-L4 level.
5. A small right paracentral disc herniation with peridiscal osteophytes at the L5-S1 level.
6. Facetal arthropathy in the lumbar region.
Date : 00.00.00
Name of the Patient : Abc XyzSalalmn / F / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 2 years.
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 scoliosis of the lumbar spine with convexity to the left. There is clockwise rotational anomaly of the upper lumbar vertebrae.
There is partial sacralization of the L5 vertebral body on the left side and slight forward translation of the L3 over the L4 vertebral body.
A diffuse posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The L4-L5 facet joints show degenerative changes.
A right postero-lateral disc herniation is noted at the L3-L4 level with right neural foraminal narrowing. The L3-L4 facet joints bilaterally, (right more than left) show degenerative changes.
A small right paracentral disc herniation with peridiscal osteophytes is seen at the L5-S1 level with anterior indentation of the thecal sac. Schmorls nodes are noted in the lumbar region. The lumbar intervertebral discs show loss of water content. There are Type II degenerative changes in the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc.
The L1-L2 and L2-L3 facet joints on the right side and the L5-S1 facet joints on the left side show degenerative changes.
The rest of the lumbar vertebral bodies reveal normal signal intensity. 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 :
13.0 mm at L1-L2
14.0 mm at L2-L3
9.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Scoliosis of the lumbar spine with convexity to the left.
2. Partial sacralization of the L5 vertebral body on the left side with forward translation of the L3 over the L4 vertebra.
..3/.
- 3 - Scan-00007
3. A diffuse posterior disc herniation at the L4-L5 level with facetal arthropathy.
4. A right postero-lateral disc herniation at the L3-L4 level.
5. A small right paracentral disc herniation with peridiscal osteophytes at the L5-S1 level.
6. Facetal arthropathy in the lumbar region.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14245
ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 6 months.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is beaking of the cerebellar tonsils and the tip is seen to lie at the level of the foramen magnum.
A lacunar infarct is seen in the right corona radiata (scans 103.13, 102.13, 104.13)
Hyperintense foci are seen in both periventricular regions adjacent to the frontal horns, both centrum semiovale and left corona radiata on the proton and T2 Weighted images and these may be ischemic in etiology.
The hippocampus complex on either side is unremarkable.
There is mild dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic, with indentation upon the ventral aspect of the pons.
Incidental note is made of bilateral maxillary polyps and mild inflammatory changes in the ethmoidal air cells.
IMPRESSION :
The MRI features are suggestive of :
1. Beaking of the cerebellar tonsils with the tip seen to lie at the level of the foramen magnum.
2. Ischemic changes in the periventricular regions, left corona radiata and centrum semiovale bilaterally.
3. Lacunar infarct in the right corona radiata.
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 6 months.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is beaking of the cerebellar tonsils and the tip is seen to lie at the level of the foramen magnum.
A lacunar infarct is seen in the right corona radiata (scans 103.13, 102.13, 104.13)
Hyperintense foci are seen in both periventricular regions adjacent to the frontal horns, both centrum semiovale and left corona radiata on the proton and T2 Weighted images and these may be ischemic in etiology.
The hippocampus complex on either side is unremarkable.
There is mild dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic, with indentation upon the ventral aspect of the pons.
Incidental note is made of bilateral maxillary polyps and mild inflammatory changes in the ethmoidal air cells.
IMPRESSION :
The MRI features are suggestive of :
1. Beaking of the cerebellar tonsils with the tip seen to lie at the level of the foramen magnum.
2. Ischemic changes in the periventricular regions, left corona radiata and centrum semiovale bilaterally.
3. Lacunar infarct in the right corona radiata.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14244
hs/bv/nl/rg.
/48 Date : 00.00.00
Name of the Patient : Abc Xyz Mahlmn / F / 52 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias in BLE since 1 1/2 months.
Similar complaints 1 year 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.
5 mm thick T1 Weighted and T2 Weighted axial images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted sagittal images (with fat saturation).
6 mm thick T1 Weighted axial images (with fat saturation).
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There appears to be sacralization of the L5 vertebra and the L1 vertebra is as marked on the film. Please correlate with plain radiographs.
There is evidence of an intradural lesion extending over the L2-L3 disc level to the L5-S1 disc level with posterior scalloping of the L4 and L5 vertebral bodies. This lesion is hyperintense to CSF but hypointense to normal marrow on the T1 Weighted images and hyperintense to both on the T2 Weighted images. After contrast administration, the lesion
..2/.
- 2 - Scan-00004/48
is seen to enhance peripherally whereas the centre remains hypointense. The CSF within the thecal sac below this lesion is hyperintense on all the pulse sequences and this may be due to the block superiorly. The nerve roots below the L2-L3 level are not well-visualized and cannot be differentiated from the lesion per se.
Mild posterior disc bulges are noted at the L3-L4 and L4-L5 levels. The L4-L5 facet joints show mild degenerative changes.
The L3-L4 intervertebral disc shows mild loss of water content.
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-L1 level and the thecal sac terminates at the S1-S2 level.
The cervico-dorsal spine was screened with 5 mm thick T1 Weighted sagittal images (with fat saturation) after contrast administration and there is no focal area of enhancement within the cervico-dorsal spinal cord or along the meninges.
IMPRESSION :
The MRI features are suggestive of a mass lesion within the thecal sac extending over the L2-L3 to the L5-S1 disc levels as described. The differential diagnosis would include a nerve sheath tumor or an ependymoma.
There also appears to be sacralization of the L5 vertebra. Please correlate with plain radiographs.
/48 Date : 00.00.00
Name of the Patient : Abc Xyz Mahlmn / F / 52 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias in BLE since 1 1/2 months.
Similar complaints 1 year 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.
5 mm thick T1 Weighted and T2 Weighted axial images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted sagittal images (with fat saturation).
6 mm thick T1 Weighted axial images (with fat saturation).
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There appears to be sacralization of the L5 vertebra and the L1 vertebra is as marked on the film. Please correlate with plain radiographs.
There is evidence of an intradural lesion extending over the L2-L3 disc level to the L5-S1 disc level with posterior scalloping of the L4 and L5 vertebral bodies. This lesion is hyperintense to CSF but hypointense to normal marrow on the T1 Weighted images and hyperintense to both on the T2 Weighted images. After contrast administration, the lesion
..2/.
- 2 - Scan-00004/48
is seen to enhance peripherally whereas the centre remains hypointense. The CSF within the thecal sac below this lesion is hyperintense on all the pulse sequences and this may be due to the block superiorly. The nerve roots below the L2-L3 level are not well-visualized and cannot be differentiated from the lesion per se.
Mild posterior disc bulges are noted at the L3-L4 and L4-L5 levels. The L4-L5 facet joints show mild degenerative changes.
The L3-L4 intervertebral disc shows mild loss of water content.
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-L1 level and the thecal sac terminates at the S1-S2 level.
The cervico-dorsal spine was screened with 5 mm thick T1 Weighted sagittal images (with fat saturation) after contrast administration and there is no focal area of enhancement within the cervico-dorsal spinal cord or along the meninges.
IMPRESSION :
The MRI features are suggestive of a mass lesion within the thecal sac extending over the L2-L3 to the L5-S1 disc levels as described. The differential diagnosis would include a nerve sheath tumor or an ependymoma.
There also appears to be sacralization of the L5 vertebra. Please correlate with plain radiographs.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14243
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 37 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radicular pain to BLE and paresthesias since 1 year.
H/O fall from steps 4 months 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.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film.
Minimal posterior disc bulges are noted at the L3-L4 and L4-L5 levels.
Type I degenerative changes are seen in the antero-superior surface of the L3 vertebra.
Schmorls nodes are seen in the inferior surface of the D12 and L1 vertebrae.
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 D12-L1 level and the thecal sac terminates at the S1 level.
Fat is noted in the filum terminale over the L1 to L3 vertebral levels.
..2/.
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
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 37 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radicular pain to BLE and paresthesias since 1 year.
H/O fall from steps 4 months 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.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film.
Minimal posterior disc bulges are noted at the L3-L4 and L4-L5 levels.
Type I degenerative changes are seen in the antero-superior surface of the L3 vertebra.
Schmorls nodes are seen in the inferior surface of the D12 and L1 vertebrae.
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 D12-L1 level and the thecal sac terminates at the S1 level.
Fat is noted in the filum terminale over the L1 to L3 vertebral levels.
..2/.
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
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14242
ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyza Dlmn / F / 42 yrs.
Referred by : Dr. Abc Xyznkhara / Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache and neck pain radiating to BUE and the LLE with paresthesias since 2 years.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a small posterior disc bulge at the L5-S1 level with anterior indentation of the thecal sac.
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-L2 level and the thecal sac terminates at the S2-S3 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
15.0 mm at L2-L3
14.0 mm at L3-L4
15.0 mm at L4-L5
12.0 mm at L5-S1.
Scan-00002
The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images which does not reveal any diagnostic feature of note. The visualized dorsal spinal cord and the conus cauda show normal signal intensity.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyza Dlmn / F / 42 yrs.
Referred by : Dr. Abc Xyznkhara / Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache and neck pain radiating to BUE and the LLE with paresthesias since 2 years.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a small posterior disc bulge at the L5-S1 level with anterior indentation of the thecal sac.
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-L2 level and the thecal sac terminates at the S2-S3 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
15.0 mm at L2-L3
14.0 mm at L3-L4
15.0 mm at L4-L5
12.0 mm at L5-S1.
Scan-00002
The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images which does not reveal any diagnostic feature of note. The visualized dorsal spinal cord and the conus cauda show normal signal intensity.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14241
ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyza Dlmn / F / 44 yrs.
Referred by : Dr. Abc Xyznkhara / Dr. Abc Xyzhah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O backache and neck pain radiating to BUE and the LLE with paresthesias since 2 years.
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 curvature.
The C4-C5, C5-C6 and C6-C7 intervertebral discs show loss of water content.
A postero-central and left postero-lateral disc herniation with small peridiscal osteophytes is seen at the C5-C6 level with anterior indentation of the spinal cord and mild left neural foraminal narrowing.
Small posterior disc herniations with small peridiscal osteophytes are seen at the C4-C5 and C6-C7 levels.
A small posterior disc bulge is noted at the C3-C4 level.
Diffuse fatty changes are noted within the cervical vertebral bodies. The remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
R>
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. A postero-central and left postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level.
2. Small posterior disc herniations with peridiscal osteophytes at the C4-C5 and C6-C7 levels.
Date : 00.00.00
Name of the Patient : Abc Xyza Dlmn / F / 44 yrs.
Referred by : Dr. Abc Xyznkhara / Dr. Abc Xyzhah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O backache and neck pain radiating to BUE and the LLE with paresthesias since 2 years.
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 curvature.
The C4-C5, C5-C6 and C6-C7 intervertebral discs show loss of water content.
A postero-central and left postero-lateral disc herniation with small peridiscal osteophytes is seen at the C5-C6 level with anterior indentation of the spinal cord and mild left neural foraminal narrowing.
Small posterior disc herniations with small peridiscal osteophytes are seen at the C4-C5 and C6-C7 levels.
A small posterior disc bulge is noted at the C3-C4 level.
Diffuse fatty changes are noted within the cervical vertebral bodies. The remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
R>
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. A postero-central and left postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level.
2. Small posterior disc herniations with peridiscal osteophytes at the C4-C5 and C6-C7 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14240
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzJasalmn / M / 47 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since mid July 0000.
C/O radicular pain to the LLE with paresthesias since May 0000.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L2-L3 and L4-L5 intervertebral discs.
There is sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film.
There is a fairly large, left paracentral and left postero-lateral disc herniation with peridiscal osteophyte at the L4-L5 level with left neural foraminal narrowing and indentation on the traversing left L5 nerve root. The left L4 nerve root is impinged in the left neural foramen at the L4-L5 level. There is also facetal hypertrophy at this level.
A postero-central and left postero-lateral disc herniation is noted at the L3-L4 level with left neural foraminal narrowing.
Small postero-central protruded discs are noted at the L1-L2 and L2-L3 levels.
..2/.
The facet joints at the L2-L3 and L3-L4 levels appear slightly hypertrophied.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
15.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
Screening, T2 Weighted sagittal images of the dorsal spine reveal a small, postero-central protruded disc at the D10-D11 level.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. A fairly large, left paracentral and left postero-lateral disc herniation with peridiscal osteophyte at the L4-L5 level with left neural foraminal narrowing and indentation on the traversing left L5 nerve root. The left L4 nerve root is impinged in the left neural foramen at the L4-L5 level.
3. A postero-central and left postero-lateral disc herniation at the L3-L4 level.
4. Small postero-central protruded discs at the L1-L2 and L2-L3 levels.
5. Slight hypertrophy of the facet joints at the L2-L3 and L3-L4 levels.
Date : 00.00.00
Name of the Patient : Abc XyzJasalmn / M / 47 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since mid July 0000.
C/O radicular pain to the LLE with paresthesias since May 0000.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L2-L3 and L4-L5 intervertebral discs.
There is sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film.
There is a fairly large, left paracentral and left postero-lateral disc herniation with peridiscal osteophyte at the L4-L5 level with left neural foraminal narrowing and indentation on the traversing left L5 nerve root. The left L4 nerve root is impinged in the left neural foramen at the L4-L5 level. There is also facetal hypertrophy at this level.
A postero-central and left postero-lateral disc herniation is noted at the L3-L4 level with left neural foraminal narrowing.
Small postero-central protruded discs are noted at the L1-L2 and L2-L3 levels.
..2/.
The facet joints at the L2-L3 and L3-L4 levels appear slightly hypertrophied.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
15.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
Screening, T2 Weighted sagittal images of the dorsal spine reveal a small, postero-central protruded disc at the D10-D11 level.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. A fairly large, left paracentral and left postero-lateral disc herniation with peridiscal osteophyte at the L4-L5 level with left neural foraminal narrowing and indentation on the traversing left L5 nerve root. The left L4 nerve root is impinged in the left neural foramen at the L4-L5 level.
3. A postero-central and left postero-lateral disc herniation at the L3-L4 level.
4. Small postero-central protruded discs at the L1-L2 and L2-L3 levels.
5. Slight hypertrophy of the facet joints at the L2-L3 and L3-L4 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14239
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzA.H. lmn / M / 28 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O vehicular accident on 00.00.00 at 3.00 pm with head trauma and altered sensorium.
H/O seizure and vomiting +.
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 is seen a communited, depressed fracture of the skull vault in the left posterior parietal and temporo-parietal region.
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the left posterior temporo-parietal cortex, right inferior temporal region and in the right inferior frontal region. These lesions appear hypointense to normal grey matter on the T1 Weighted images and most likely represent cortical contusions, in the given clinical setting. A hypointense focus on the T2 Weighted images within the lesion in the right inferior frontal region may represent a haemorrhagic focus. A suspicious cortical contusion is noted in the right high parietal region.
There is seen an extracerebral (most likely extradural) collection in the left fronto-temporo-parietal region with a maximum width of about 1.1 cms. This lesion is isointense to the normal white matter on the T1 Weighted images and appears heterogeneously hyperintense on the T2 Weighted images and represents an extradural hematoma. Resultant slight effacement of the sulcal spaces is noted.
Soft tissue in the left frontal sinus may represent hemorrhage.
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.
Subgaleal hematoma is noted over the left hemicranium and in the high parietal region on the right.
Incidentally noted is a cavum septum pellucidum.
IMPRESSION :
1. A communited, depressed fracture of the skull vault in the left posterior parietal and temporo-parietal region.
2. Altered signal in the left posterior temporo-parietal cortex, right inferior temporal region and in the right inferior frontal region represents cortical contusions, in the given clinical setting.
3. An extracerebral (most likely extradural) hematoma in the left fronto-temporo-parietal region with a maximum width of about 1.1 cms.
4. Subgaleal hematoma over the left hemicranium and in the high parietal region on the right.
Date : 00.00.00
Name of the Patient : Abc XyzA.H. lmn / M / 28 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O vehicular accident on 00.00.00 at 3.00 pm with head trauma and altered sensorium.
H/O seizure and vomiting +.
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 is seen a communited, depressed fracture of the skull vault in the left posterior parietal and temporo-parietal region.
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the left posterior temporo-parietal cortex, right inferior temporal region and in the right inferior frontal region. These lesions appear hypointense to normal grey matter on the T1 Weighted images and most likely represent cortical contusions, in the given clinical setting. A hypointense focus on the T2 Weighted images within the lesion in the right inferior frontal region may represent a haemorrhagic focus. A suspicious cortical contusion is noted in the right high parietal region.
There is seen an extracerebral (most likely extradural) collection in the left fronto-temporo-parietal region with a maximum width of about 1.1 cms. This lesion is isointense to the normal white matter on the T1 Weighted images and appears heterogeneously hyperintense on the T2 Weighted images and represents an extradural hematoma. Resultant slight effacement of the sulcal spaces is noted.
Soft tissue in the left frontal sinus may represent hemorrhage.
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.
Subgaleal hematoma is noted over the left hemicranium and in the high parietal region on the right.
Incidentally noted is a cavum septum pellucidum.
IMPRESSION :
1. A communited, depressed fracture of the skull vault in the left posterior parietal and temporo-parietal region.
2. Altered signal in the left posterior temporo-parietal cortex, right inferior temporal region and in the right inferior frontal region represents cortical contusions, in the given clinical setting.
3. An extracerebral (most likely extradural) hematoma in the left fronto-temporo-parietal region with a maximum width of about 1.1 cms.
4. Subgaleal hematoma over the left hemicranium and in the high parietal region on the right.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14237
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzMohalmn / F / 39 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O Theco-peritoneal shunt done on 00.00.00.
For follow-up.
Known hypertensive.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
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.
A mega cisterna magna is noted.
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.
An empty sella is noted.
IMPRESSION :
An empty sella.
No other significant abnormality is detected on this study.
The patient is status post-theco-peritoneal shunt in 0000.
As compared to the previous CT Scan dated 00.00.00, there is no significant change in the size of the ventricles.
Date : 00.00.00
Name of the Patient : Abc XyzMohalmn / F / 39 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O Theco-peritoneal shunt done on 00.00.00.
For follow-up.
Known hypertensive.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
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.
A mega cisterna magna is noted.
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.
An empty sella is noted.
IMPRESSION :
An empty sella.
No other significant abnormality is detected on this study.
The patient is status post-theco-peritoneal shunt in 0000.
As compared to the previous CT Scan dated 00.00.00, there is no significant change in the size of the ventricles.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14236
sb/ke/nl/rg.
/8 Date : 00.00.00
Name of the Patient : Abc Xyzari A. Salmn / M / 73 yrs.
Referred by : Dr. Abc Xyzrdiwala.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O sudden fall with right sided weakness and loss of speech at 9.30 am on 00.00.00.
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.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
BRAIN :
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the head of the left caudate nucleus and left lentiform nucleus. These lesions appear hypointense to normal white matter on the T1 Weighted images and most likely represent a recent ischemic lesions.
Small bright foci on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and in the frontal and parietal deep white matter and centrum semiovale also represents ischemic lesions.
Both the lateral, 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.
..2/.
- 2 - Scan-00006/8
There is no evidence of hemorrhage on this study.
INTRACRANIAL MRA :
The left middle cerebral artery and its branches are not visualized. A proximal 7.0 mms stump of the left MCA is identified.
The right posterior cerebral artery appears slightly hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, right middle cerebral, basilar, vertebral and left posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
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 in the head of the left caudate nucleus and left lentiform nucleus most likely represent recent ischemic lesions.
2. Small bright foci on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and in the frontal and parietal deep white matter and centrum semiovale also represent ischemic lesions.
3. A proximal 7.0 mms stump of the left middle cerebral artery is identified. The distal left middle cerebral artery and its branches are not well visualized on this study and may suggest left MCA thrombosis.
/8 Date : 00.00.00
Name of the Patient : Abc Xyzari A. Salmn / M / 73 yrs.
Referred by : Dr. Abc Xyzrdiwala.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O sudden fall with right sided weakness and loss of speech at 9.30 am on 00.00.00.
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.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
BRAIN :
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the head of the left caudate nucleus and left lentiform nucleus. These lesions appear hypointense to normal white matter on the T1 Weighted images and most likely represent a recent ischemic lesions.
Small bright foci on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and in the frontal and parietal deep white matter and centrum semiovale also represents ischemic lesions.
Both the lateral, 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.
..2/.
- 2 - Scan-00006/8
There is no evidence of hemorrhage on this study.
INTRACRANIAL MRA :
The left middle cerebral artery and its branches are not visualized. A proximal 7.0 mms stump of the left MCA is identified.
The right posterior cerebral artery appears slightly hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, right middle cerebral, basilar, vertebral and left posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
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 in the head of the left caudate nucleus and left lentiform nucleus most likely represent recent ischemic lesions.
2. Small bright foci on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and in the frontal and parietal deep white matter and centrum semiovale also represent ischemic lesions.
3. A proximal 7.0 mms stump of the left middle cerebral artery is identified. The distal left middle cerebral artery and its branches are not well visualized on this study and may suggest left MCA thrombosis.
Published in
MRI Reports