Regular User
Sunday, 27 December 2015 16:48
14214
sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc XyzSollmn / F / 38 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the LUE with paresthesias since 1 month.
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 and loss of water content of the cervical intervertebral discs.
There is a fairly large, left postero-lateral extruded disc at the C4-C5 level with left neural foraminal narrowing and indentation on the left C5 nerve root. Slight superior and inferior migration of the disc fragment is noted.
A smaller, postero-central disc herniation is noted at the C5-C6 level.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
..2/.
IMPRESSION :
1. A fairly large, left postero-lateral extruded disc at the C4-C5 level with left neural foraminal narrowing and indentation on the left C5 nerve root.
2. A smaller, postero-central disc herniation at the C5-C6 level.
Date : 00.00.00
Name of the Patient : Abc XyzSollmn / F / 38 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the LUE with paresthesias since 1 month.
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 and loss of water content of the cervical intervertebral discs.
There is a fairly large, left postero-lateral extruded disc at the C4-C5 level with left neural foraminal narrowing and indentation on the left C5 nerve root. Slight superior and inferior migration of the disc fragment is noted.
A smaller, postero-central disc herniation is noted at the C5-C6 level.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
..2/.
IMPRESSION :
1. A fairly large, left postero-lateral extruded disc at the C4-C5 level with left neural foraminal narrowing and indentation on the left C5 nerve root.
2. A smaller, postero-central disc herniation at the C5-C6 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14213
Date : 00.00.00
Name of the Patient : Abc Xyzi Pinlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzzare.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O sudden onset of paraplegia since 4 days with bladder incontinence since 1 day.
EXAMINATION :
M.R.I of the dorso-lumbar 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 slight wedging of the D7 and D8 vertebral bodies. The D7 and D8 vertebral bodies appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. The D7-D8 intervertebral disc also seems to be involved.
There is a prevertebral, paravertebral and anterior epidural soft tissue lesion over D7 to D8 vertebral levels. This lesion is of intermediate signal intensity on the T1 Weighted images and appears hyperintense on the T2 Weighted images. There is resultant cord compression and cord signal alteration (hyperintense on the T2 Weighted images) suggesting cord edema/ischemia.
The rest of the visualized dorso-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.
IMPRESSION :
Altered signal D7 and D8 vertebral bodies and the D7-D8 intervertebral disc most likely represents osteitis with discitis probably tuberculous in etiology. There is resultant cord compression and cord signal alteration at these levels suggesting cord edema/ischemia.
The possibility of a neoplasm is less likely.
Name of the Patient : Abc Xyzi Pinlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzzare.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O sudden onset of paraplegia since 4 days with bladder incontinence since 1 day.
EXAMINATION :
M.R.I of the dorso-lumbar 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 slight wedging of the D7 and D8 vertebral bodies. The D7 and D8 vertebral bodies appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. The D7-D8 intervertebral disc also seems to be involved.
There is a prevertebral, paravertebral and anterior epidural soft tissue lesion over D7 to D8 vertebral levels. This lesion is of intermediate signal intensity on the T1 Weighted images and appears hyperintense on the T2 Weighted images. There is resultant cord compression and cord signal alteration (hyperintense on the T2 Weighted images) suggesting cord edema/ischemia.
The rest of the visualized dorso-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.
IMPRESSION :
Altered signal D7 and D8 vertebral bodies and the D7-D8 intervertebral disc most likely represents osteitis with discitis probably tuberculous in etiology. There is resultant cord compression and cord signal alteration at these levels suggesting cord edema/ischemia.
The possibility of a neoplasm is less likely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14212
ke/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzli lmn / M / 45 yrs.
Referred by : Dr. Abc Xyzchile / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
Known C/O multiple myeloma detected 2 years back. Received 5 cycles of Chemotherapy.
C/O backache with pain radiating to BLE.
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.
5 & 6 mm thick T1 Weighted coronal images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is wedging of the D4, D5 and the D12 vertebral bodies. These vertebral bodies show hypointense signal on the T1 Weighted images and which is slightly hyperintense to normal marrow on the T2 Weighted images. Slight wedging of the D7 and D8 vertebral bodies is also seen.
A Schmorls node is noted at the inferior aspect of the D8 vertebral body and at the superior aspect of the D12 vertebral body.
The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity.
The visualized dorsal spinal cord reveals normal signal intensity.
..2/.
>
The conus medullaris terminates at the L1 level.
There is a lobulated lesion in the right extrapleural space at the D8 and D9 levels. This lesion is hyperintense to normal muscle on the T1 Weighted images and is heterogeneously hyperintense on the T2 Weighted images (? arising from the right D8 rib).
A suspicious soft tissue lesion is seen in the hilar region of the spleen (se/im 103/7) ? lymphnode. Further evaluation with ultrasonography would be worthwhile.
The cervico-dorsal spine and the lumbar spine were screened with 4 mm thick T1 Weighted sagittal images and which shows slight wedging of the L2 vertebral body with a subtle hypointense signal. No diagnostic abnormality is noted in the cervical spine.
IMPRESSION :
In a known C/O myeloma, the MRI features are suggestive of wedging and altered signal of the D4, D5, D12 and L2 vertebral bodies as described (? due to multiple myeloma ? compression fracture).
Also seen is wedging of the D7 and D8 vertebral bodies.
Date : 00.00.00
Name of the Patient : Abc Xyzli lmn / M / 45 yrs.
Referred by : Dr. Abc Xyzchile / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
Known C/O multiple myeloma detected 2 years back. Received 5 cycles of Chemotherapy.
C/O backache with pain radiating to BLE.
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.
5 & 6 mm thick T1 Weighted coronal images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is wedging of the D4, D5 and the D12 vertebral bodies. These vertebral bodies show hypointense signal on the T1 Weighted images and which is slightly hyperintense to normal marrow on the T2 Weighted images. Slight wedging of the D7 and D8 vertebral bodies is also seen.
A Schmorls node is noted at the inferior aspect of the D8 vertebral body and at the superior aspect of the D12 vertebral body.
The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity.
The visualized dorsal spinal cord reveals normal signal intensity.
..2/.
>
The conus medullaris terminates at the L1 level.
There is a lobulated lesion in the right extrapleural space at the D8 and D9 levels. This lesion is hyperintense to normal muscle on the T1 Weighted images and is heterogeneously hyperintense on the T2 Weighted images (? arising from the right D8 rib).
A suspicious soft tissue lesion is seen in the hilar region of the spleen (se/im 103/7) ? lymphnode. Further evaluation with ultrasonography would be worthwhile.
The cervico-dorsal spine and the lumbar spine were screened with 4 mm thick T1 Weighted sagittal images and which shows slight wedging of the L2 vertebral body with a subtle hypointense signal. No diagnostic abnormality is noted in the cervical spine.
IMPRESSION :
In a known C/O myeloma, the MRI features are suggestive of wedging and altered signal of the D4, D5, D12 and L2 vertebral bodies as described (? due to multiple myeloma ? compression fracture).
Also seen is wedging of the D7 and D8 vertebral bodies.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14211
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzari Kanthlmn / F / 43 yrs.
Referred by : Dr. Abc Xyzantharia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fall and numbness in BLE on 00.00.00.
Now C/O numbness on the right side of the face since then. Also C/O headaches (migraine) since 5 years.
Known hypertensive. On Rx.
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.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
No extracerebral collection is identified on this study.
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.
Inflammatory changes are noted in the sphenoid sinus.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyzari Kanthlmn / F / 43 yrs.
Referred by : Dr. Abc Xyzantharia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fall and numbness in BLE on 00.00.00.
Now C/O numbness on the right side of the face since then. Also C/O headaches (migraine) since 5 years.
Known hypertensive. On Rx.
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.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
No extracerebral collection is identified on this study.
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.
Inflammatory changes are noted in the sphenoid sinus.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14210
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzal V. Glmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O difficulty in swallowing solid and liquid since 10 months.
C/O repetitive mannerism and laughs continuously.
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 and T2 Weighted sagittal images.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and in the subcortical white matter in the frontal regions bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the sphenoid sinus.
Incidentally noted is occipitalization of the atlas with the atlanto-dens interval measuring approximately 3.0 mms.
IMPRESSION :
1. Altered signal in the posterior parietal periventricular white matter bilaterally and in the subcortical white matter in the frontal regions bilaterally most likely represent ischemic changes.
2. Mild cerebral cortical and cerebellar atrophy.
3. Occipitalization of the atlas with the atlanto-dens interval measuring approximately 3.0 mms.
Date : 00.00.00
Name of the Patient : Abc Xyzal V. Glmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O difficulty in swallowing solid and liquid since 10 months.
C/O repetitive mannerism and laughs continuously.
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 and T2 Weighted sagittal images.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and in the subcortical white matter in the frontal regions bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the sphenoid sinus.
Incidentally noted is occipitalization of the atlas with the atlanto-dens interval measuring approximately 3.0 mms.
IMPRESSION :
1. Altered signal in the posterior parietal periventricular white matter bilaterally and in the subcortical white matter in the frontal regions bilaterally most likely represent ischemic changes.
2. Mild cerebral cortical and cerebellar atrophy.
3. Occipitalization of the atlas with the atlanto-dens interval measuring approximately 3.0 mms.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14209
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzm B. Ganglmn / M / 43 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain with weakness and numbness in all four extremities and gait imbalance since 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.
3 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
3 mm thick T1 Weighted coronal images.
OBSERVATION :
There is loss of water content of the cervical intervertebral discs.
There is seen a dumb-bell shaped lesion in the cervical spinal canal on the right extending over the C4 and C5 vertebral levels and extending out into the right paravertebral region through the right neural foramen at the C4-C5 level. This lesion is predominantly iso to hypointense when compared to the normal cord on the T1 Weighted images and appears hyperintense on the T2 Weighted and Fast Scan (T2 *) images. This lesion is most likely intradural and extramedullary in location. There is cord compression and displacement of the cord to the left over the C4 to C6 vertebral levels. The cervical spinal cord at these levels shows a hyperintense signal on the Fast Scan (T2 *) images suggesting cord edema/ischemia. Erosion of the right lateral margin of the C5 vertebral body is noted. The right vertebral artery at this level is displaced anteriorly.
- 2 - Scan-00009
Small postero-central protruded discs are noted at the C2-C3 and C3-C4 levels.
A small posterior disc herniation with peridiscal osteophytes is noted at the C5-C6 level.
A right paracentral disc herniation with peridiscal osteophytes is noted at the C6-C7 level.
Degenerative changes of the joints of Luschka are noted at the C5-C6 level bilaterally and facetal hypertrophy is noted on the left at the C3-C4, C4-C5 and C5-C6 levels.
The rest of the cervical vertebral bodies show normal signal intensity. The visualized prevertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. An intradural and extramedullary dumb-bell shaped lesion extending over the C4 and C5 vertebral levels with cord compression as described represents a nerve sheath tumor. Cord signal alteration may suggest cord edema/ischemia.
2. Small postero-central protruded discs at the C2-C3 and C3-C4 levels.
..3/.
- 3 - Scan-00009
3. A small posterior disc herniation with peridiscal osteophytes at the C5-C6 level.
4. A right paracentral disc herniation with peridiscal osteophytes at the C6-C7 level.
5. Degenerative changes of the joints of Luschka at the C5-C6 level bilaterally and facetal hypertrophy on the left at the C3-C4, C4-C5 and C5-C6 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzm B. Ganglmn / M / 43 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain with weakness and numbness in all four extremities and gait imbalance since 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.
3 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
3 mm thick T1 Weighted coronal images.
OBSERVATION :
There is loss of water content of the cervical intervertebral discs.
There is seen a dumb-bell shaped lesion in the cervical spinal canal on the right extending over the C4 and C5 vertebral levels and extending out into the right paravertebral region through the right neural foramen at the C4-C5 level. This lesion is predominantly iso to hypointense when compared to the normal cord on the T1 Weighted images and appears hyperintense on the T2 Weighted and Fast Scan (T2 *) images. This lesion is most likely intradural and extramedullary in location. There is cord compression and displacement of the cord to the left over the C4 to C6 vertebral levels. The cervical spinal cord at these levels shows a hyperintense signal on the Fast Scan (T2 *) images suggesting cord edema/ischemia. Erosion of the right lateral margin of the C5 vertebral body is noted. The right vertebral artery at this level is displaced anteriorly.
- 2 - Scan-00009
Small postero-central protruded discs are noted at the C2-C3 and C3-C4 levels.
A small posterior disc herniation with peridiscal osteophytes is noted at the C5-C6 level.
A right paracentral disc herniation with peridiscal osteophytes is noted at the C6-C7 level.
Degenerative changes of the joints of Luschka are noted at the C5-C6 level bilaterally and facetal hypertrophy is noted on the left at the C3-C4, C4-C5 and C5-C6 levels.
The rest of the cervical vertebral bodies show normal signal intensity. The visualized prevertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. An intradural and extramedullary dumb-bell shaped lesion extending over the C4 and C5 vertebral levels with cord compression as described represents a nerve sheath tumor. Cord signal alteration may suggest cord edema/ischemia.
2. Small postero-central protruded discs at the C2-C3 and C3-C4 levels.
..3/.
- 3 - Scan-00009
3. A small posterior disc herniation with peridiscal osteophytes at the C5-C6 level.
4. A right paracentral disc herniation with peridiscal osteophytes at the C6-C7 level.
5. Degenerative changes of the joints of Luschka at the C5-C6 level bilaterally and facetal hypertrophy on the left at the C3-C4, C4-C5 and C5-C6 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14208
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzlah Chaudlmn / M / 47 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O depression since 5 years. On antidepressant since 2 months.
C/O heaviness of head, numbness on the right side of face and tongue with inability to taste from the right side and inability to smell since 2 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.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
OBSERVATION :
There is a wedge shaped hyperintense signal on the proton, T2 Weighted and FLAIR images in the left high frontal cortex. This lesion appears hypointense on the T1 Weighted images with a peripheral marginal, hyperintensity. Minimal volume loss is noted in that region. A similar signal intensity lesion is noted in the right high frontal cortex (scan 105.15).
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.
Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells bilaterally.
IMPRESSION :
Altered signal in the left high frontal cortex most likely represents an ischemic lesion. Evidence of petechial haemorrhage is noted. Similar lesion is noted in the right high frontal cortex.
Date : 00.00.00
Name of the Patient : Abc Xyzlah Chaudlmn / M / 47 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O depression since 5 years. On antidepressant since 2 months.
C/O heaviness of head, numbness on the right side of face and tongue with inability to taste from the right side and inability to smell since 2 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.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
OBSERVATION :
There is a wedge shaped hyperintense signal on the proton, T2 Weighted and FLAIR images in the left high frontal cortex. This lesion appears hypointense on the T1 Weighted images with a peripheral marginal, hyperintensity. Minimal volume loss is noted in that region. A similar signal intensity lesion is noted in the right high frontal cortex (scan 105.15).
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.
Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells bilaterally.
IMPRESSION :
Altered signal in the left high frontal cortex most likely represents an ischemic lesion. Evidence of petechial haemorrhage is noted. Similar lesion is noted in the right high frontal cortex.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14207
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc XyzGaolmn / F / 42 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O swelling over the RLE (since 5 years) with change in voice since 2 months.
Known hypertensive/diabetic. On Rx.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial images with magnetization transfer.
3 mm thick T1 Weighted sagittal and coronal images.
3 mm thick T1 Weighted delayed coronal images were also obtained.
OBSERVATION :
There is seen a well-marginated, approximately 8.0 x 7.0 x 6.0 mms sized hypointense lesion on the T1 Weighted images in the anterior pituitary gland to the left of the midline. This lesion appears hyperintense on the T2 Weighted images.
The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable.
..2/.
R>
The cavernous sinuses and the suprasellar cistern are also unremarkable.
After administration of contrast, the lesion in the anterior pituitary gland initially does not enhance. On the delayed images this lesion fills up with contrast.
The T2 Weighted axial images of the brain reveal prominent perivascular spaces (which appear as confluent lesions) in the cerebellar hemispheres bilaterally. There is no abnormal enhancement in the brain parenchyma or the meninges.
Inflammatory changes are noted in the left maxillary sinus and sphenoid sinus.
IMPRESSION :
An approximately 8.0 x 7.0 x 6.0 mms sized lesion in the anterior pituitary gland to the left of the midline with enhancing pattern as described most likely represents a pituitary microadenoma.
Date : 00.00.00
Name of the Patient : Abc XyzGaolmn / F / 42 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O swelling over the RLE (since 5 years) with change in voice since 2 months.
Known hypertensive/diabetic. On Rx.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial images with magnetization transfer.
3 mm thick T1 Weighted sagittal and coronal images.
3 mm thick T1 Weighted delayed coronal images were also obtained.
OBSERVATION :
There is seen a well-marginated, approximately 8.0 x 7.0 x 6.0 mms sized hypointense lesion on the T1 Weighted images in the anterior pituitary gland to the left of the midline. This lesion appears hyperintense on the T2 Weighted images.
The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable.
..2/.
R>
The cavernous sinuses and the suprasellar cistern are also unremarkable.
After administration of contrast, the lesion in the anterior pituitary gland initially does not enhance. On the delayed images this lesion fills up with contrast.
The T2 Weighted axial images of the brain reveal prominent perivascular spaces (which appear as confluent lesions) in the cerebellar hemispheres bilaterally. There is no abnormal enhancement in the brain parenchyma or the meninges.
Inflammatory changes are noted in the left maxillary sinus and sphenoid sinus.
IMPRESSION :
An approximately 8.0 x 7.0 x 6.0 mms sized lesion in the anterior pituitary gland to the left of the midline with enhancing pattern as described most likely represents a pituitary microadenoma.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14206
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O wasting and weakness with paresthesias in the LUE 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 water content of all the cervical intervertebral discs except the C2-C3 disc. There is loss of normal ventral bulge of the cervical spinal cord, centrally and more to the left of the midline over the C5 to C7 vertebral levels. The cervical spinal cord appears smaller in calibre over these levels. No obvious signal change is identified in the cervical spinal cord at these levels.
Minimal posterior disc bulges are noted at the C3-C4, C4-C5 and C5-C6 levels.
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.
T2 Weighted axial images of the brain do not reveal any significant feature of note.
..2/.
IMPRESSION :
Loss of normal ventral bulge of the cervical spinal cord, centrally and more to the left of the midline over the C5 to C7 vertebral levels may suggest anterior horn cell disease.
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O wasting and weakness with paresthesias in the LUE 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 water content of all the cervical intervertebral discs except the C2-C3 disc. There is loss of normal ventral bulge of the cervical spinal cord, centrally and more to the left of the midline over the C5 to C7 vertebral levels. The cervical spinal cord appears smaller in calibre over these levels. No obvious signal change is identified in the cervical spinal cord at these levels.
Minimal posterior disc bulges are noted at the C3-C4, C4-C5 and C5-C6 levels.
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.
T2 Weighted axial images of the brain do not reveal any significant feature of note.
..2/.
IMPRESSION :
Loss of normal ventral bulge of the cervical spinal cord, centrally and more to the left of the midline over the C5 to C7 vertebral levels may suggest anterior horn cell disease.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14205
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzra D. Klmn / M / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
Known C/O tuberculosis involving the left atlanto-occipital joint with enlarged lymphnodes in the cervical region. Detected in February 0000. On AKT since then.
For follow-up.
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 still seen an ill-defined, hypointense signal on the T1 Weighted images in the left occipital condyle and the left lateral mass of C1. This lesion is predominantly hypointense on the T2 Weighted images with subtle hyperintense areas. Minimal left paravertebral soft tissue lesion is noted around the left atlanto-occipital joint.
There is loss of water content of the cervical intervertebral discs.
Posterior disc bulge with posterior peridiscal osteophytes is noted at the C3-C4 level.
The rest of the cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized prevertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
..2/.
R>
The cervico-medullary junction is unremarkable.
Small, subcentimeter lymphnodes are noted deep to the sternocleidomastoid muscles bilaterally.
IMPRESSION :
As compared to the previous MRI dated 00.00.00 (scan no.00003), there is significant resolution of the left paravertebral soft tissue lesion. Signal change in the left occipital condyle and left lateral mass of C1 may suggest sclerosis, the sequelae of healing of the previous infective lesion. There is reduction in the size of the cervical lymphnodes.
Date : 00.00.00
Name of the Patient : Abc Xyzra D. Klmn / M / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
Known C/O tuberculosis involving the left atlanto-occipital joint with enlarged lymphnodes in the cervical region. Detected in February 0000. On AKT since then.
For follow-up.
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 still seen an ill-defined, hypointense signal on the T1 Weighted images in the left occipital condyle and the left lateral mass of C1. This lesion is predominantly hypointense on the T2 Weighted images with subtle hyperintense areas. Minimal left paravertebral soft tissue lesion is noted around the left atlanto-occipital joint.
There is loss of water content of the cervical intervertebral discs.
Posterior disc bulge with posterior peridiscal osteophytes is noted at the C3-C4 level.
The rest of the cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized prevertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
..2/.
R>
The cervico-medullary junction is unremarkable.
Small, subcentimeter lymphnodes are noted deep to the sternocleidomastoid muscles bilaterally.
IMPRESSION :
As compared to the previous MRI dated 00.00.00 (scan no.00003), there is significant resolution of the left paravertebral soft tissue lesion. Signal change in the left occipital condyle and left lateral mass of C1 may suggest sclerosis, the sequelae of healing of the previous infective lesion. There is reduction in the size of the cervical lymphnodes.
Published in
MRI Reports