Regular User
Sunday, 27 December 2015 16:48
14122
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 21 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the left hip joint since January 0000 with a limp.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick Proton density sagittal images.
OBSERVATION :
Minimal fluid is seen in the left hip joint.
The femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within the right hip joint.
The inferior part of the left sacro-iliac joint shows hypointense signal on the T1 Weighted images which turns hyperintense on the T2 Weighted images. The cortical margins adjacent to the joint appear fuzzy. There is also silght widening at this level (scans 105.1-105.5, 104.1-104.5).
The musculature surrounding both the hip joints and the visualized pelvis is normal.
IMPRESSION :
1. Minimal fluid in the left hip joint is probably due to synovitis.
2. Altered signal in the left sacro-iliac joint inferiorly.
The possibility of a seronegative spondyloarthropathy should be excluded.
Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 21 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the left hip joint since January 0000 with a limp.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick Proton density sagittal images.
OBSERVATION :
Minimal fluid is seen in the left hip joint.
The femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within the right hip joint.
The inferior part of the left sacro-iliac joint shows hypointense signal on the T1 Weighted images which turns hyperintense on the T2 Weighted images. The cortical margins adjacent to the joint appear fuzzy. There is also silght widening at this level (scans 105.1-105.5, 104.1-104.5).
The musculature surrounding both the hip joints and the visualized pelvis is normal.
IMPRESSION :
1. Minimal fluid in the left hip joint is probably due to synovitis.
2. Altered signal in the left sacro-iliac joint inferiorly.
The possibility of a seronegative spondyloarthropathy should be excluded.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14121
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzal lmn / M / 70 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O 2 episodes of blackouts with slurred speech since April 0000.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick T1 Weighted sagittal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally, subcortical white matter in the right fronto-temporal region and in the left insular cortex. These lesions most likely represent ischemic changes.
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 the basal cisternal spaces bilaterally. There is no shift of the midline structures.
Inflammatory changes are noted in the maxillary sinuses bilaterally and in the left mastoid air cells.
Incidentally noted is an empty sella.
INTRACRANIAL MRA :
The right vertebral artery appears hypoplastic. The left posterior cerebral artery appears as a continuation of the left posterior communicating artery from the left internal carotid artery.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and right posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The right vertebral artery in the neck is also hypoplastic.
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 posterior parietal periventricular white matter bilaterally, subcortical white matter in the right fronto-temporal region and in the left insular cortex most likely represent ischemic changes.
2. No significant abnormality is detected on the intracranial and neck MRA on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzal lmn / M / 70 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O 2 episodes of blackouts with slurred speech since April 0000.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick T1 Weighted sagittal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally, subcortical white matter in the right fronto-temporal region and in the left insular cortex. These lesions most likely represent ischemic changes.
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 the basal cisternal spaces bilaterally. There is no shift of the midline structures.
Inflammatory changes are noted in the maxillary sinuses bilaterally and in the left mastoid air cells.
Incidentally noted is an empty sella.
INTRACRANIAL MRA :
The right vertebral artery appears hypoplastic. The left posterior cerebral artery appears as a continuation of the left posterior communicating artery from the left internal carotid artery.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and right posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The right vertebral artery in the neck is also hypoplastic.
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 posterior parietal periventricular white matter bilaterally, subcortical white matter in the right fronto-temporal region and in the left insular cortex most likely represent ischemic changes.
2. No significant abnormality is detected on the intracranial and neck MRA on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14120
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzati lmn / F / 80 yrs.
Referred by : Dr. Abc Xyzsai.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered sensorium since 4 days with ? episode of hypotension.
Past H/O stroke 2 1/2 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.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
OBSERVATION :
The gyri in the left cerebral hemisphere appear swollen and appear hypointense on the T1 Weighted images and hyperintense on the proton, T2 Weighted and FLAIR images. Similar signal changes are noted in the head of the left caudate nucleus and left lentiform nucleus. Resultant effacement of the sulcal spaces in the left cerebral hemisphere is noted with indentation on the left lateral ventricle and minimal bulge of the midline structures to the right. Indentation on the left cerebral peduncle by the left medial temporal lobe is also noted.
There is a CSF signal intensity lesion on all the pulse sequences in the left occipital lobe. This represents an area of cystic encephalomalacia, most likely the sequelae of previous vascular insult.
Ill-defined hyperintense signal on the proton, T2 Weighted and FLAIR images is noted in the right high fronto-parietal cortex which also most likely represents a recent ischemic lesion.
Hyperintense signal on the proton, T2 Weighted and FLAIR images in the pons on the right, right posterior parietal periventricular white matter and in the right basal ganglionic region represents ischemic lesions.
There is mild dilatation of the right lateral ventricle. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci in the right cerebral hemisphere, the cerebellar folia and the basal cisternal spaces bilaterally. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the mastoid air cells bilaterally and in the right maxillary antrum.
There is no obvious evidence of hemorrhage on this study.
Incidentally noted is an empty sella.
IMPRESSION :
1. Altered signal along the gyri in the left cerebral hemisphere, in the head of the left caudate nucleus and left lentiform nucleus represents a recent ischemic lesion.
2. An area of cystic encephalomalacia, (most likely the sequelae of a previous vascular insult) in the left occipital lobe.
3. Altered signal in the right high fronto-parietal cortex also most likely represents a recent ischemic lesion.
4. Altered signal in the pons on the right, right posterior parietal periventricular white matter and in the right basal ganglionic region represent ischemic lesions.
Date : 00.00.00
Name of the Patient : Abc Xyzati lmn / F / 80 yrs.
Referred by : Dr. Abc Xyzsai.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered sensorium since 4 days with ? episode of hypotension.
Past H/O stroke 2 1/2 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.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
OBSERVATION :
The gyri in the left cerebral hemisphere appear swollen and appear hypointense on the T1 Weighted images and hyperintense on the proton, T2 Weighted and FLAIR images. Similar signal changes are noted in the head of the left caudate nucleus and left lentiform nucleus. Resultant effacement of the sulcal spaces in the left cerebral hemisphere is noted with indentation on the left lateral ventricle and minimal bulge of the midline structures to the right. Indentation on the left cerebral peduncle by the left medial temporal lobe is also noted.
There is a CSF signal intensity lesion on all the pulse sequences in the left occipital lobe. This represents an area of cystic encephalomalacia, most likely the sequelae of previous vascular insult.
Ill-defined hyperintense signal on the proton, T2 Weighted and FLAIR images is noted in the right high fronto-parietal cortex which also most likely represents a recent ischemic lesion.
Hyperintense signal on the proton, T2 Weighted and FLAIR images in the pons on the right, right posterior parietal periventricular white matter and in the right basal ganglionic region represents ischemic lesions.
There is mild dilatation of the right lateral ventricle. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci in the right cerebral hemisphere, the cerebellar folia and the basal cisternal spaces bilaterally. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the mastoid air cells bilaterally and in the right maxillary antrum.
There is no obvious evidence of hemorrhage on this study.
Incidentally noted is an empty sella.
IMPRESSION :
1. Altered signal along the gyri in the left cerebral hemisphere, in the head of the left caudate nucleus and left lentiform nucleus represents a recent ischemic lesion.
2. An area of cystic encephalomalacia, (most likely the sequelae of a previous vascular insult) in the left occipital lobe.
3. Altered signal in the right high fronto-parietal cortex also most likely represents a recent ischemic lesion.
4. Altered signal in the pons on the right, right posterior parietal periventricular white matter and in the right basal ganglionic region represent ischemic lesions.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14119
ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Tibrlmn / M / 21 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O road traffic accident with multiple injuries on 00.00.00.
Now disoriented with tonic/clonic convulsions.
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 a small hyperintense area on the proton, T2 Weighted and FLAIR images in the left frontal region (scans 103.15, 102.15, 104.12). This area is isointense to the white matter on the T1 Weighted images and represents a contusion.
There is another area in the subcortical white matter in the right frontal region (scans 104.11, 102.17, 102.18) on the T2 Weighted and FLAIR images which is isointense on the T1 Weighted images and represents a Shearing injury.
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.
There is no extracerebral collection on this study.
Incidental note is made of subgaleal contusion/edema in the right fronto-temporo-parietal region with bone bruise of the right zygomatic arch.
Metallic susceptibility artifacts are seen in the right occipital region.
IMPRESSION :
In a known C/O trauma, the MRI features are suggestive of a contusion in the left frontal region and a Shearing injury in the right parietal subcortical parafalcine region.
Date : 00.00.00
Name of the Patient : Abc Xyz Tibrlmn / M / 21 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O road traffic accident with multiple injuries on 00.00.00.
Now disoriented with tonic/clonic convulsions.
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 a small hyperintense area on the proton, T2 Weighted and FLAIR images in the left frontal region (scans 103.15, 102.15, 104.12). This area is isointense to the white matter on the T1 Weighted images and represents a contusion.
There is another area in the subcortical white matter in the right frontal region (scans 104.11, 102.17, 102.18) on the T2 Weighted and FLAIR images which is isointense on the T1 Weighted images and represents a Shearing injury.
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.
There is no extracerebral collection on this study.
Incidental note is made of subgaleal contusion/edema in the right fronto-temporo-parietal region with bone bruise of the right zygomatic arch.
Metallic susceptibility artifacts are seen in the right occipital region.
IMPRESSION :
In a known C/O trauma, the MRI features are suggestive of a contusion in the left frontal region and a Shearing injury in the right parietal subcortical parafalcine region.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14118
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Ralmn / M / 16 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided headaches with vomiting and giddiness.
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.
The hippocampal complex is unremarkable on either side.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyz Ralmn / M / 16 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided headaches with vomiting and giddiness.
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.
The hippocampal complex is unremarkable on either side.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14117
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzhikulmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 2 1/2 years.
Alleged H/O fall from a height with injury to head 3 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.
5 mm thick FLAIR coronal images.
3 mm thick T2 Weighted coronal images.
OBSERVATION :
There is seen an approximately 4.0 mms diameter sized, well-defined hypointense lesion best appreciated on the proton and T2 Weighted images in the left high fronto-parietal cortex (scans 102.18, 103.18), This lesion is not well identified on the T1 Weighted images. There is no perilesional edema.
A 5.0 mms diameter sized lesion which is mildly hyperintense with a hypointense rim on the proton, T2 Weighted and FLAIR images is seen in the right temporal cortex (scans 106/10, 103/6, 105/8, 102/8).
An ill-defined hypointense signal on the T1 Weighted images is noted in the left frontal cortex (scans 104.15). This lesion follows CSF signal and represents an area of cystic encephalomalacia.
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 :
1. An approximately 4.0 mms diameter sized, focal lesion in the left high fronto-parietal cortex most likely represents a calcified granuloma.
2. An approximately 5.0 mms diameter sized, focal lesion in the right temporal cortex may represent a granuloma (? calcified).
3. Altered signal in the left frontal cortex represents an area of cystic encephalomalacia.
Date : 00.00.00
Name of the Patient : Abc Xyzhikulmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 2 1/2 years.
Alleged H/O fall from a height with injury to head 3 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.
5 mm thick FLAIR coronal images.
3 mm thick T2 Weighted coronal images.
OBSERVATION :
There is seen an approximately 4.0 mms diameter sized, well-defined hypointense lesion best appreciated on the proton and T2 Weighted images in the left high fronto-parietal cortex (scans 102.18, 103.18), This lesion is not well identified on the T1 Weighted images. There is no perilesional edema.
A 5.0 mms diameter sized lesion which is mildly hyperintense with a hypointense rim on the proton, T2 Weighted and FLAIR images is seen in the right temporal cortex (scans 106/10, 103/6, 105/8, 102/8).
An ill-defined hypointense signal on the T1 Weighted images is noted in the left frontal cortex (scans 104.15). This lesion follows CSF signal and represents an area of cystic encephalomalacia.
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 :
1. An approximately 4.0 mms diameter sized, focal lesion in the left high fronto-parietal cortex most likely represents a calcified granuloma.
2. An approximately 5.0 mms diameter sized, focal lesion in the right temporal cortex may represent a granuloma (? calcified).
3. Altered signal in the left frontal cortex represents an area of cystic encephalomalacia.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14116
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Ijalmn / F / 3 1/2 yrs.
Referred by : Dr. Abc Xyzshmukh.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since the age of 1 month which has increased since 15-20 days.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
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 myelination pattern is normal for the patients age.
The hippocampal complex is unremarkable on either side.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyz Ijalmn / F / 3 1/2 yrs.
Referred by : Dr. Abc Xyzshmukh.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since the age of 1 month which has increased since 15-20 days.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
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 myelination pattern is normal for the patients age.
The hippocampal complex is unremarkable on either side.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14115
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzhlmn / F / 35 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O sudden onset of weakness of BLE since 2-3 days.
H/O dog bite 1 month back. Received ARV.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
8 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is slight increase in diameter of the dorsal spinal cord. There is an ill-defined, hyperintense signal on the T2 Weighted images in the dorsal spinal cord extending over the D1 vertebral level to D11-D12 disc level. This lesion appears hypointense to normal cord on the T1 Weighted images.
The D10 vertebral body shows evidence of a small hemangioma with fat content (hyperintense on all the pulse sequences).
The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
There is no cord compression.
The conus medullaris terminates at the L1-L2 level.
IMPRESSION :
Altered signal in the dorsal spinal cord centrally, extending over the D1 vertebral level to D11-D12 disc level most likely represents a demyelinating lesion, in the given clinical setting (h/o dog bite and subsequent ARV).
Date : 00.00.00
Name of the Patient : Abc Xyzhlmn / F / 35 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O sudden onset of weakness of BLE since 2-3 days.
H/O dog bite 1 month back. Received ARV.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
8 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is slight increase in diameter of the dorsal spinal cord. There is an ill-defined, hyperintense signal on the T2 Weighted images in the dorsal spinal cord extending over the D1 vertebral level to D11-D12 disc level. This lesion appears hypointense to normal cord on the T1 Weighted images.
The D10 vertebral body shows evidence of a small hemangioma with fat content (hyperintense on all the pulse sequences).
The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
There is no cord compression.
The conus medullaris terminates at the L1-L2 level.
IMPRESSION :
Altered signal in the dorsal spinal cord centrally, extending over the D1 vertebral level to D11-D12 disc level most likely represents a demyelinating lesion, in the given clinical setting (h/o dog bite and subsequent ARV).
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14114
ke/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 50 yrs.
Referred by : Dr. Abc Xyzaubal / Dr. Abc Xyz> Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 1 year.
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 vertebral body and the L2 vertebra is as marked on the film.
There is a small diffuse posterior and right far lateral disc herniation at the L4-L5 level with anterior indentation of the thecal sac. Anterior disc herniation is also noted at this level. This disc shows loss of water content.
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 S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
11.0 mm at L5-S1.
Focal sclerosis is noted in the right iliac bone adjacent to the right sacro-iliac joint.
IMPRESSION :
The MRI features are suggestive of :
1. Sacralization of the L5 vertebral body.
2. A diffuse posterior and right far lateral disc herniation at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 50 yrs.
Referred by : Dr. Abc Xyzaubal / Dr. Abc Xyz> Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 1 year.
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 vertebral body and the L2 vertebra is as marked on the film.
There is a small diffuse posterior and right far lateral disc herniation at the L4-L5 level with anterior indentation of the thecal sac. Anterior disc herniation is also noted at this level. This disc shows loss of water content.
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 S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
11.0 mm at L5-S1.
Focal sclerosis is noted in the right iliac bone adjacent to the right sacro-iliac joint.
IMPRESSION :
The MRI features are suggestive of :
1. Sacralization of the L5 vertebral body.
2. A diffuse posterior and right far lateral disc herniation at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14113
ke/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzw P. Mlmn / M / 67 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O 2 episodes of right facial weakness (slurred speech).
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 ill-defined, hyperintense areas on the T2 Weighted images in bilateral lentiform nuclei, corona radiata, centrum semiovale and the periatrial deep white matter. These are iso to hypointense to the white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.
An old cortical infarct is noted in the left posterior parietal cortex.
There is slight fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is prominence of the cerebral cortical sulci bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of right maxillary sinusitis.
INTRACRANIAL MRA :
The vertebro-basilar system is ectatic with indentation upon the root exit zone of the left seventh and eighth cranial nerve complex. Indentation upon the left antero-lateral aspect of the pons is also noted.
There is slight irregularity of the distal segment of the right middle cerebral artery.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, left middle cerebral, basilar, vertebral and 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. Areas of ischemia/infarction in lentiform nuclei bilaterally, corona radiata, centrum semiovale and the periatrial deep white matter.
2. Ectasia of the vertebro-basilar system with indentation upon the root exit zone of the left seventh and eighth cranial nerve complex and on the left antero-lateral aspect of the pons.
3. Slight irregularity of the distal segment of the right middle cerebral artery may be due to atherosclerosis.
Date : 00.00.00
Name of the Patient : Abc Xyzw P. Mlmn / M / 67 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O 2 episodes of right facial weakness (slurred speech).
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 ill-defined, hyperintense areas on the T2 Weighted images in bilateral lentiform nuclei, corona radiata, centrum semiovale and the periatrial deep white matter. These are iso to hypointense to the white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.
An old cortical infarct is noted in the left posterior parietal cortex.
There is slight fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is prominence of the cerebral cortical sulci bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of right maxillary sinusitis.
INTRACRANIAL MRA :
The vertebro-basilar system is ectatic with indentation upon the root exit zone of the left seventh and eighth cranial nerve complex. Indentation upon the left antero-lateral aspect of the pons is also noted.
There is slight irregularity of the distal segment of the right middle cerebral artery.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, left middle cerebral, basilar, vertebral and 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. Areas of ischemia/infarction in lentiform nuclei bilaterally, corona radiata, centrum semiovale and the periatrial deep white matter.
2. Ectasia of the vertebro-basilar system with indentation upon the root exit zone of the left seventh and eighth cranial nerve complex and on the left antero-lateral aspect of the pons.
3. Slight irregularity of the distal segment of the right middle cerebral artery may be due to atherosclerosis.
Published in
MRI Reports