Regular User
Sunday, 27 December 2015 16:48
14017
hs/bv/rg/nl
/26 Date : 00.00.00
Name of the Patient : Abc Xyz Dlmn / F / 5 yrs.
Referred by : Dr. Abc Xyzmdani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right hemiplegia since 5 days and fever (since 1 day) with ? seizure.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is evidence of a large irregularly defined space occupying lesion within the basal ganglia on the left side. This lesion is iso to hypointense to gray matter on all the pulse sequences. Patchy hypointense areas are seen within this lesion on the T1 Weighted images which turn hyperintense on the T2 Weighted images and are suggestive of necrotic areas. After contrast administration, this lesion shows intense enhancement with a whorl like pattern. Also seen are areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images adjacent to this lesion and would
- 2 - Scan-00007/26
represent perilesional edema. This edema is seen to extend into the left fronto-temporo-parietal lobes, left cerebral peduncle and the pons. There is resultant compression upon the third and the left lateral ventricles with a shift of the midline to the right side. Also seen is effacement of the left perimesencephalic cistern and left Sylvian fissure. There is evidence of left uncal herniation and compression upon the left cerebral peduncle.
A smaller similar lesion with perilesional edema is noted along the gyri in the right frontal lobe.
There is mild dilatation of the right lateral ventricle with periventricular hyperintensities on the proton, T2 Weighted and FLAIR images (CSF ooze).
The fourth ventricle is normal.
IMPRESSION :
The MRI features are suggestive of space occupying lesions in the left basal ganglia and right frontal lobe with mass effect and contrast enhancement as described. This is not specific for a single diagnosis. This most likely represents an infective process like tuberculosis.
This is less likely to represent a neoplastic process like multicentric glioma or metastasis.
/26 Date : 00.00.00
Name of the Patient : Abc Xyz Dlmn / F / 5 yrs.
Referred by : Dr. Abc Xyzmdani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right hemiplegia since 5 days and fever (since 1 day) with ? seizure.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is evidence of a large irregularly defined space occupying lesion within the basal ganglia on the left side. This lesion is iso to hypointense to gray matter on all the pulse sequences. Patchy hypointense areas are seen within this lesion on the T1 Weighted images which turn hyperintense on the T2 Weighted images and are suggestive of necrotic areas. After contrast administration, this lesion shows intense enhancement with a whorl like pattern. Also seen are areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images adjacent to this lesion and would
- 2 - Scan-00007/26
represent perilesional edema. This edema is seen to extend into the left fronto-temporo-parietal lobes, left cerebral peduncle and the pons. There is resultant compression upon the third and the left lateral ventricles with a shift of the midline to the right side. Also seen is effacement of the left perimesencephalic cistern and left Sylvian fissure. There is evidence of left uncal herniation and compression upon the left cerebral peduncle.
A smaller similar lesion with perilesional edema is noted along the gyri in the right frontal lobe.
There is mild dilatation of the right lateral ventricle with periventricular hyperintensities on the proton, T2 Weighted and FLAIR images (CSF ooze).
The fourth ventricle is normal.
IMPRESSION :
The MRI features are suggestive of space occupying lesions in the left basal ganglia and right frontal lobe with mass effect and contrast enhancement as described. This is not specific for a single diagnosis. This most likely represents an infective process like tuberculosis.
This is less likely to represent a neoplastic process like multicentric glioma or metastasis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14016
ke/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzshidlmn / M / 78 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the BUE with paresthesias since 6 months.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of normal cervical curvature.
A large posterior disc herniation with posterior peridiscal osteophytes is seen at the C3-C4 level with anterior compression of the spinal cord. There is superior and inferior migration of the disc posterior to the C2 and C4 vertebrae. The spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. This is isointense to the cord on the T1 Weighted images and is suggestive of cord edema/ischemia. The C3-C4 facet joints show hypertrophic degenerative changes with ligamentum flavum hypertrophy and a resultant tight canal at this level.
There is a posterior and right postero-lateral disc herniation at the C5-C6 level and a posterior disc herniation at the C6-C7 level with anterior indentation of
>
the cord and mild bilateral neural foraminal narrowing, right more than left at the C5-C6 level. There is mild left neural foraminal narrowing also at the C6-C7 level. The spinal cord at the C5-C6 and C6-C7 levels shows subtle hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. This is isointense to the cord on the T1 Weighted images representing cord edema/ischemia. The C5-C6 facet joints bilaterally show degenerative changes.
A small posterior disc bulge is noted at the C4-C5 level and postero-central disc protrusion at the C7-D1 level with anterior indentation of the thecal sac. There is mild left neural foraminal narrowing at the C6-C7 level. Anterior disc herniations are noted at the C5-C6 and C6-C7 levels. The cervical intervertebral discs show loss of water content.
Fatty changes are seen in the cervical vertebral bodies.
The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. A large posterior disc herniation with posterior peridiscal osteophytes at the C3-C4 level with cord compression and cord edema/ischemia at this level with canal stenosis.
2. A posterior and right postero-lateral disc herniation at the C5-C6 level and posterior disc herniation at the C6-C7 level with cord edema/ischemia at these levels and tight canal.
Date : 00.00.00
Name of the Patient : Abc Xyzshidlmn / M / 78 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the BUE with paresthesias since 6 months.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of normal cervical curvature.
A large posterior disc herniation with posterior peridiscal osteophytes is seen at the C3-C4 level with anterior compression of the spinal cord. There is superior and inferior migration of the disc posterior to the C2 and C4 vertebrae. The spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. This is isointense to the cord on the T1 Weighted images and is suggestive of cord edema/ischemia. The C3-C4 facet joints show hypertrophic degenerative changes with ligamentum flavum hypertrophy and a resultant tight canal at this level.
There is a posterior and right postero-lateral disc herniation at the C5-C6 level and a posterior disc herniation at the C6-C7 level with anterior indentation of
>
the cord and mild bilateral neural foraminal narrowing, right more than left at the C5-C6 level. There is mild left neural foraminal narrowing also at the C6-C7 level. The spinal cord at the C5-C6 and C6-C7 levels shows subtle hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. This is isointense to the cord on the T1 Weighted images representing cord edema/ischemia. The C5-C6 facet joints bilaterally show degenerative changes.
A small posterior disc bulge is noted at the C4-C5 level and postero-central disc protrusion at the C7-D1 level with anterior indentation of the thecal sac. There is mild left neural foraminal narrowing at the C6-C7 level. Anterior disc herniations are noted at the C5-C6 and C6-C7 levels. The cervical intervertebral discs show loss of water content.
Fatty changes are seen in the cervical vertebral bodies.
The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. A large posterior disc herniation with posterior peridiscal osteophytes at the C3-C4 level with cord compression and cord edema/ischemia at this level with canal stenosis.
2. A posterior and right postero-lateral disc herniation at the C5-C6 level and posterior disc herniation at the C6-C7 level with cord edema/ischemia at these levels and tight canal.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14015
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Dhargalmn / M / 48 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE since 1 1/2 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 sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film.
There is loss of water content of the L1-L2 and L4-L5 interverebral discs.
There is minimal forward translation of the L4 vertebra over the L5 vertebra without obvious spondylolysis.
A small posterior disc herniation is noted at the L4-L5 level. There is also hypertrophic facetal arthropathy and resultant lateral recess stenosis at this level. There is bilateral neural foraminal narrowing at the L4-L5 level with impingement of the exiting left L4 nerve root. Bilateral far lateral (extraforaminal) disc herniations are noted at this level.
Right far lateral (extraforaminal) disc bulges are noted at the L2-L3 and L3-L4 levels.
There is slight anterior wedging of the L1 vertebral body without change in signal intensity. A hemangioma with fat content (hyperintense on all the pulse sequences) is noted in the D12 vertebral body.
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 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
15.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. Minimal forward translation of the L4 vertebra over the L5 vertebra without obvious spondylolysis.
3. A small posterior disc herniation at the L4-L5 level with hypertrophic facetal arthropathy and resultant lateral recess stenosis.
4. Bilateral far lateral (extraforaminal) disc herniations at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyz Dhargalmn / M / 48 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE since 1 1/2 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 sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film.
There is loss of water content of the L1-L2 and L4-L5 interverebral discs.
There is minimal forward translation of the L4 vertebra over the L5 vertebra without obvious spondylolysis.
A small posterior disc herniation is noted at the L4-L5 level. There is also hypertrophic facetal arthropathy and resultant lateral recess stenosis at this level. There is bilateral neural foraminal narrowing at the L4-L5 level with impingement of the exiting left L4 nerve root. Bilateral far lateral (extraforaminal) disc herniations are noted at this level.
Right far lateral (extraforaminal) disc bulges are noted at the L2-L3 and L3-L4 levels.
There is slight anterior wedging of the L1 vertebral body without change in signal intensity. A hemangioma with fat content (hyperintense on all the pulse sequences) is noted in the D12 vertebral body.
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 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
15.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. Minimal forward translation of the L4 vertebra over the L5 vertebra without obvious spondylolysis.
3. A small posterior disc herniation at the L4-L5 level with hypertrophic facetal arthropathy and resultant lateral recess stenosis.
4. Bilateral far lateral (extraforaminal) disc herniations at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14014
ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzbali Shlmn / M / 36 yrs.
Referred by : Dr. Abc Xyzurke.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to BUE with paresthesias and weakness of BLE (left more than right) and BUE.
H/O fall from scooter.
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.
The dorsal spine was screened with 5 mm thick T2 Weighted sagittal images.
OBSERVATION :
There is cerebellar tonsillar ectopia and the tip of the cerebral tonsil is seen to lie 1.2 cms below the foramen magnum, posterior to the cervical spinal cord.
The cervical spinal cord shows presence of a CSF signal intensity lesion on all the pulse sequences. This lesion is ill-defined and shows presence of septae and represents a syrinx. The syrnix is seen to extend from the C1-C2 to the D7 vertebral level.
The clivus is placed horizontally.
There are small posterior disc herniations with posterior peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels.
Small posterior disc herniations are also noted at the C2-C3 and C3-C4 levels. The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region is unremarkable.
The dorsal spinal cord appears to be of slightly smaller in calibre as compared to normal.
A small posterior disc herniation with peridiscal osteophytes is noted at the D11-D12 level.
IMPRESSION :
The MRI features are suggestive of :
1. Chiari malformation.
2. Small posterior disc herniations with posterior peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzbali Shlmn / M / 36 yrs.
Referred by : Dr. Abc Xyzurke.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to BUE with paresthesias and weakness of BLE (left more than right) and BUE.
H/O fall from scooter.
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.
The dorsal spine was screened with 5 mm thick T2 Weighted sagittal images.
OBSERVATION :
There is cerebellar tonsillar ectopia and the tip of the cerebral tonsil is seen to lie 1.2 cms below the foramen magnum, posterior to the cervical spinal cord.
The cervical spinal cord shows presence of a CSF signal intensity lesion on all the pulse sequences. This lesion is ill-defined and shows presence of septae and represents a syrinx. The syrnix is seen to extend from the C1-C2 to the D7 vertebral level.
The clivus is placed horizontally.
There are small posterior disc herniations with posterior peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels.
Small posterior disc herniations are also noted at the C2-C3 and C3-C4 levels. The cervical intervertebral discs show loss of water content.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region is unremarkable.
The dorsal spinal cord appears to be of slightly smaller in calibre as compared to normal.
A small posterior disc herniation with peridiscal osteophytes is noted at the D11-D12 level.
IMPRESSION :
The MRI features are suggestive of :
1. Chiari malformation.
2. Small posterior disc herniations with posterior peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14013
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 30 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 3 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 are minimal posterior disc bulges with slight facetal hypertrophy at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the 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 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
9.0 mm at L5-S1.
IMPRESSION :
Minimal posterior disc bulges with slight facetal hypertrophy at the L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 30 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 3 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 are minimal posterior disc bulges with slight facetal hypertrophy at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the 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 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
9.0 mm at L5-S1.
IMPRESSION :
Minimal posterior disc bulges with slight facetal hypertrophy at the L4-L5 and L5-S1 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14012
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc XyzGlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weakness of BUE and BLE with paresthesias since 0000.
H/O fall and injury to forehead.
H/O Operation in April 0000 for a dorsal arachnoid cyst (details unavailable).
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 C2-C3, C3-C4, C5-C6 and C7-D1 intervertebral discs.
A small right paracentral protruded disc with peridiscal osteophytes is noted at the C5-C6 level.
The cervical vertebral bodies and the remaining intervertebral discs 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/.
>
The dorsal spine was screened with 5 mm thick T1 Weighted and T2 Weighted sagittal images. Slight loss of water content of some of the dorsal intervertebral discs is noted. A hemangioma with fat content is noted in the D8 vertebral body.
Laminectomy of D4, D5 and D6 vertebrae is noted with post-operative changes in the posterior soft tissues at these levels. The dorsal spinal cord appears smaller in calibre without change in signal intensity. There is no cord compression.
IMPRESSION :
1. A small right paracentral protruded disc with peridiscal osteophytes at the C5-C6 level.
2. Post-operative status in the dorsal region with atrophy of the dorsal spinal cord without obvious change is signal intensity. There is no cord compression.
Date : 00.00.00
Name of the Patient : Abc XyzGlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weakness of BUE and BLE with paresthesias since 0000.
H/O fall and injury to forehead.
H/O Operation in April 0000 for a dorsal arachnoid cyst (details unavailable).
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 C2-C3, C3-C4, C5-C6 and C7-D1 intervertebral discs.
A small right paracentral protruded disc with peridiscal osteophytes is noted at the C5-C6 level.
The cervical vertebral bodies and the remaining intervertebral discs 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/.
>
The dorsal spine was screened with 5 mm thick T1 Weighted and T2 Weighted sagittal images. Slight loss of water content of some of the dorsal intervertebral discs is noted. A hemangioma with fat content is noted in the D8 vertebral body.
Laminectomy of D4, D5 and D6 vertebrae is noted with post-operative changes in the posterior soft tissues at these levels. The dorsal spinal cord appears smaller in calibre without change in signal intensity. There is no cord compression.
IMPRESSION :
1. A small right paracentral protruded disc with peridiscal osteophytes at the C5-C6 level.
2. Post-operative status in the dorsal region with atrophy of the dorsal spinal cord without obvious change is signal intensity. There is no cord compression.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14011
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Manslmn / F / 65 yrs.
Referred by : Dr. Abc Xyzcha.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 3-4 years.
H/O fall 15-20 days back with weakness of BLE (left more than right).
H/O cervical lymphadenopathy since 6 months. On AKT since then.
H/O Pulmonary kochs 25 years ago. Received AKT.
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.
7 mm thick T1 Weighted and T2 Weighted axial images.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and 5 mm thick T2 Weighted axial images.
SOME IMAGES SHOW MOTION ARTIFACTS.
OBSERVATION :
The D9 and D10 vertebral bodies show an ill-defined, hypointense signal on the T1 Weighted images which remains hypointense on the T2 Weighted images. Slight irregularity of the cortical endplates adjacent to the D9-D10 intervertebral disc is noted. A posterior peridiscal osteophyte is noted at the D9-D10 level, indenting the dorsal spinal cord at that level. There is also facetal hypertrophy and resultant canal stenosis at this level. The D9 nerve roots are impinged in the neural foramen at the D9-D10 level bilaterally. The dorsal spinal cord at this level shows a hyperintense signal on the T2 Weighted images which suggest cord edema/contusion/ischemia.
Minimal left paravertebral soft tissue lesion is noted at the D9-D10 and D10-D11 levels which is hypointense on all the pulse sequences.
The rest of the visualized dorso-lumbar vertebral bodies show spotty fatty marrow changes which suggest osteoporotic changes. The D11 vertebral body is reduced in height. The visualized dorso-lumbar intervertebral discs show loss of water content. The facet joints and the visualized prevertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level.
Screening images of the lumbo-sacral spine reveal reduction in height of the L5-S1 disc. There is Grade II spondylolisthesis of the L5 over the S1 vertebra with spondylolysis at L5, bilaterally. Resultant pseudoposterior disc herniation is noted at the L5-S1 level with bilateral neural foraminal narrowing.
Posterior disc bulges are noted at the rest of the lumbar disc levels with slight bilateral neural foraminal narrowing. Mild facetal hypertrophy is also noted in the lumbar region. The lumbar vertebral bodies also show spotty fatty marrow changes.
A focal hypointense signal on the T1 Weighted images is noted in the ala of the sacrum on the left.
IMPRESSION :
1. Osteoporotic changes in the visualized dorsal and lumbar vertebrae.
..3/.
- 3 - Scan-00001
2. Altered signal of the D9 and D10 vertebral bodies as described is not specific for a single etiology. This changes may represent osteoporotic fractures (recent h/o fall) or may represent long standing infective lesion (sclerotic changes, past h/o pulmonary kochs, tuberculous cervical lymphadinitis). The possibility of a neoplasm although less likely, cannot be entirely excluded.
3. Posterior peridiscal osteophyte at the D9-D10 level with facetal hypertrophy and resultant canal stenosis. Altered cord signal at this level suggest cord edema/contusion/ischemia.
4. Grade II spondylolisthesis of the L5 over the S1 vertebra with spondylolysis at L5, bilaterally, with a pseudoposterior disc herniation at the L5-S1 level.
5. Posterior disc bulges and facetal hypertrophy in the lumbar region as described.
Date : 00.00.00
Name of the Patient : Abc Xyz Manslmn / F / 65 yrs.
Referred by : Dr. Abc Xyzcha.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 3-4 years.
H/O fall 15-20 days back with weakness of BLE (left more than right).
H/O cervical lymphadenopathy since 6 months. On AKT since then.
H/O Pulmonary kochs 25 years ago. Received AKT.
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.
7 mm thick T1 Weighted and T2 Weighted axial images.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and 5 mm thick T2 Weighted axial images.
SOME IMAGES SHOW MOTION ARTIFACTS.
OBSERVATION :
The D9 and D10 vertebral bodies show an ill-defined, hypointense signal on the T1 Weighted images which remains hypointense on the T2 Weighted images. Slight irregularity of the cortical endplates adjacent to the D9-D10 intervertebral disc is noted. A posterior peridiscal osteophyte is noted at the D9-D10 level, indenting the dorsal spinal cord at that level. There is also facetal hypertrophy and resultant canal stenosis at this level. The D9 nerve roots are impinged in the neural foramen at the D9-D10 level bilaterally. The dorsal spinal cord at this level shows a hyperintense signal on the T2 Weighted images which suggest cord edema/contusion/ischemia.
Minimal left paravertebral soft tissue lesion is noted at the D9-D10 and D10-D11 levels which is hypointense on all the pulse sequences.
The rest of the visualized dorso-lumbar vertebral bodies show spotty fatty marrow changes which suggest osteoporotic changes. The D11 vertebral body is reduced in height. The visualized dorso-lumbar intervertebral discs show loss of water content. The facet joints and the visualized prevertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level.
Screening images of the lumbo-sacral spine reveal reduction in height of the L5-S1 disc. There is Grade II spondylolisthesis of the L5 over the S1 vertebra with spondylolysis at L5, bilaterally. Resultant pseudoposterior disc herniation is noted at the L5-S1 level with bilateral neural foraminal narrowing.
Posterior disc bulges are noted at the rest of the lumbar disc levels with slight bilateral neural foraminal narrowing. Mild facetal hypertrophy is also noted in the lumbar region. The lumbar vertebral bodies also show spotty fatty marrow changes.
A focal hypointense signal on the T1 Weighted images is noted in the ala of the sacrum on the left.
IMPRESSION :
1. Osteoporotic changes in the visualized dorsal and lumbar vertebrae.
..3/.
- 3 - Scan-00001
2. Altered signal of the D9 and D10 vertebral bodies as described is not specific for a single etiology. This changes may represent osteoporotic fractures (recent h/o fall) or may represent long standing infective lesion (sclerotic changes, past h/o pulmonary kochs, tuberculous cervical lymphadinitis). The possibility of a neoplasm although less likely, cannot be entirely excluded.
3. Posterior peridiscal osteophyte at the D9-D10 level with facetal hypertrophy and resultant canal stenosis. Altered cord signal at this level suggest cord edema/contusion/ischemia.
4. Grade II spondylolisthesis of the L5 over the S1 vertebra with spondylolysis at L5, bilaterally, with a pseudoposterior disc herniation at the L5-S1 level.
5. Posterior disc bulges and facetal hypertrophy in the lumbar region as described.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14010
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzsen Mahilmn / M / 58 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with early extrapyramidal signs.
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 and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a small bright focus on the proton, T2 Weighted and FLAIR images in the pons, centrally. This lesion is isointense to normal brain parenchyma on the T1 Weighted images and most likely represents an ischemic focus.
Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The normal lens is not visualized in the right eye (h/o cataract surgery).
Inflammatory changes are noted in the left mastoid air cells.
IMPRESSION :
1. Altered signal in the pons, centrally most likely represents an ischemic focus.
2. Mild age related cerebral cortical atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyzsen Mahilmn / M / 58 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with early extrapyramidal signs.
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 and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a small bright focus on the proton, T2 Weighted and FLAIR images in the pons, centrally. This lesion is isointense to normal brain parenchyma on the T1 Weighted images and most likely represents an ischemic focus.
Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The normal lens is not visualized in the right eye (h/o cataract surgery).
Inflammatory changes are noted in the left mastoid air cells.
IMPRESSION :
1. Altered signal in the pons, centrally most likely represents an ischemic focus.
2. Mild age related cerebral cortical atrophy.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14009
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzalmn / M / 33 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE with paresthesias since 1 year which has increased since 20-25 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L4-L5 and L5-S1 intervertebral discs.
A small posterior disc bulge is noted at the L4-L5 level.
Facetal hypertrophy is seen at the L4-L5 and L5-S1 levels bilaterally and on the right side at the L3-L4 level.
Hypointense areas on all the pulse sequences are seen within the superior aspect of the S1 vertebral body (? sclerosis - ? significance).
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 L1 level and the thecal sac terminates at the S1 level.
Fat is noted in the filum terminale at the L2 and L3 vertebral levels.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
15.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
1. Degenerated L4-L5 disc with a small posterior disc bulge at that level.
2. Facetal hypertrophy at the L4-L5 and L5-S1 levels bilaterally and on the right side at the L3-L4 level.
Date : 00.00.00
Name of the Patient : Abc Xyzalmn / M / 33 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE with paresthesias since 1 year which has increased since 20-25 days.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the L4-L5 and L5-S1 intervertebral discs.
A small posterior disc bulge is noted at the L4-L5 level.
Facetal hypertrophy is seen at the L4-L5 and L5-S1 levels bilaterally and on the right side at the L3-L4 level.
Hypointense areas on all the pulse sequences are seen within the superior aspect of the S1 vertebral body (? sclerosis - ? significance).
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 L1 level and the thecal sac terminates at the S1 level.
Fat is noted in the filum terminale at the L2 and L3 vertebral levels.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
15.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
1. Degenerated L4-L5 disc with a small posterior disc bulge at that level.
2. Facetal hypertrophy at the L4-L5 and L5-S1 levels bilaterally and on the right side at the L3-L4 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14008
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzakant Jalmn / M / 17 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
Alleged H/O fall from a height on 00.00.00 with weakness of BLE.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The L5 vertebral body is as marked on the film. Please correlate with plain radiographs.
There is evidence of a burst fracture of the L3 vertebral body with retropulsion of a fractured fragment compressing the thecal sac at that level. There is a break of the superior and inferior cortical endplates of the L3 vertebra with the L2-L3 and L3-L4 intervertebral discs appearing hyperintense on the T2 Weighted images suggesting ruptured discs. The L3 vertebral body and upper half of the L4 vertebral body appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images, which suggests bone bruise. Fracture of the laminae of the L3 vertebra is also noted.
Posteriorly bulging discs are noted at the L3-L4 and L4-L5 levels.
Ill-defined, hyperintense signal on the T2 Weighted images is noted in the paravertebral soft tissues bilaterally in the lumabr region may suggest soft tissue injury. Probably minimal epidural and intradural hemorrhage is also noted in the lumbar region.
..2/.
Mild facetal hypertrophy is seen at the L2-L3, L3-L4 and L4-L5 levels.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints are unremarkable.
The conus medullaris terminates at the L2 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 :
17.0 mm at L1-L2
12.0 mm at L2-L3
15.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. Burst fracture of the L3 vertebral body with retropulsion of a fractured fragment compressing the thecal sac at that level. Fracture of the L3 laminae is also noted.
2. Traumatic rupture of the L2-L3 and L3-L4 intervertebral discs.
3. Altered signal of the L3 vertebral body and upper half of the L4 vertebral body suggests bone bruise.
4. Altered signal in the paravertebral soft tissues bilaterally in the lumbar region may suggest soft tissue injury. Probably minimal epidural and intradural hemorrhage is also noted in the lumbar region.
Date : 00.00.00
Name of the Patient : Abc Xyzakant Jalmn / M / 17 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
Alleged H/O fall from a height on 00.00.00 with weakness of BLE.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The L5 vertebral body is as marked on the film. Please correlate with plain radiographs.
There is evidence of a burst fracture of the L3 vertebral body with retropulsion of a fractured fragment compressing the thecal sac at that level. There is a break of the superior and inferior cortical endplates of the L3 vertebra with the L2-L3 and L3-L4 intervertebral discs appearing hyperintense on the T2 Weighted images suggesting ruptured discs. The L3 vertebral body and upper half of the L4 vertebral body appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images, which suggests bone bruise. Fracture of the laminae of the L3 vertebra is also noted.
Posteriorly bulging discs are noted at the L3-L4 and L4-L5 levels.
Ill-defined, hyperintense signal on the T2 Weighted images is noted in the paravertebral soft tissues bilaterally in the lumabr region may suggest soft tissue injury. Probably minimal epidural and intradural hemorrhage is also noted in the lumbar region.
..2/.
Mild facetal hypertrophy is seen at the L2-L3, L3-L4 and L4-L5 levels.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints are unremarkable.
The conus medullaris terminates at the L2 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 :
17.0 mm at L1-L2
12.0 mm at L2-L3
15.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. Burst fracture of the L3 vertebral body with retropulsion of a fractured fragment compressing the thecal sac at that level. Fracture of the L3 laminae is also noted.
2. Traumatic rupture of the L2-L3 and L3-L4 intervertebral discs.
3. Altered signal of the L3 vertebral body and upper half of the L4 vertebral body suggests bone bruise.
4. Altered signal in the paravertebral soft tissues bilaterally in the lumbar region may suggest soft tissue injury. Probably minimal epidural and intradural hemorrhage is also noted in the lumbar region.
Published in
MRI Reports