MRI Reports (3472)
MRI Reports Database
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 62 yrs.
Referred by : Dr. Abc Xyzankhla.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with pain radiating to the RUE and LLE for which patient was operated in August 0000 (surgical details unavailable).
Now C/O weakness in the LLE and index finger and thumb of both hands.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 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. Slight retroplacement of the C4 vertebra in relation to the C3 and C5 vertebrae is noted.
There is evidence of laminectomy of the C2 to C6 vertebrae with post-operative changes in the soft tissues in the posterior cervical region over these levels. Slight retroplacement of the thecal sac is noted over these levels. A very small, approximately 8.0 x 4.0 mms sized collection is noted posterior to the thecal sac at the C3-C4 level (scans 102.4, 105.7).
Posteriorly bulging discs with fairly large posterior peridiscal osteophytes are noted over the C3-C4 to C6-C7 levels, indenting the dural theca anteriorly. Slight bilateral neural foraminal narrowing is noted at the C3-C4, C4-C5 and C5-C6 levels.
..2/.
The cervical spinal cord appears slightly smaller in calibre over the C3 to C5 vertebral levels and shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images, centrally, over these levels.
The facet joints at the C3-C4, C4-C5, C5-C6 and C6-C7 levels bilaterally show hypertrophic degenerative changes.
The C6 vertebral body shows a focal hypointense signal on the T1 Weighted images to the right of the midline, posteriorly. This lesion appears hyperintense on the T2 Weighted images and may represent bone edema/focal hemangioma.
The rest of 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.
IMPRESSION :
1. Post-operative status.
2. Posteriorly bulging discs with fairly large posterior peridiscal osteophytes over the C3-C4 to C6-C7 levels, with bilateral neural foraminal narrowing at the C3-C4, C4-C5 and C5-C6 levels.
3. Atrophy of the cervical spinal cord over the C3 to C5 vertebral levels with altered signal, centrally, suggesting myelomalacic changes.
4. Hypertrophic facetal arthropathy at the C3-C4, C4-C5, C5-C6 and C6-C7 levels bilaterally.
Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 62 yrs.
Referred by : Dr. Abc Xyzankhla.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with pain radiating to the RUE and LLE for which patient was operated in August 0000 (surgical details unavailable).
Now C/O weakness in the LLE and index finger and thumb of both hands.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 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. Slight retroplacement of the C4 vertebra in relation to the C3 and C5 vertebrae is noted.
There is evidence of laminectomy of the C2 to C6 vertebrae with post-operative changes in the soft tissues in the posterior cervical region over these levels. Slight retroplacement of the thecal sac is noted over these levels. A very small, approximately 8.0 x 4.0 mms sized collection is noted posterior to the thecal sac at the C3-C4 level (scans 102.4, 105.7).
Posteriorly bulging discs with fairly large posterior peridiscal osteophytes are noted over the C3-C4 to C6-C7 levels, indenting the dural theca anteriorly. Slight bilateral neural foraminal narrowing is noted at the C3-C4, C4-C5 and C5-C6 levels.
..2/.
The cervical spinal cord appears slightly smaller in calibre over the C3 to C5 vertebral levels and shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images, centrally, over these levels.
The facet joints at the C3-C4, C4-C5, C5-C6 and C6-C7 levels bilaterally show hypertrophic degenerative changes.
The C6 vertebral body shows a focal hypointense signal on the T1 Weighted images to the right of the midline, posteriorly. This lesion appears hyperintense on the T2 Weighted images and may represent bone edema/focal hemangioma.
The rest of 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.
IMPRESSION :
1. Post-operative status.
2. Posteriorly bulging discs with fairly large posterior peridiscal osteophytes over the C3-C4 to C6-C7 levels, with bilateral neural foraminal narrowing at the C3-C4, C4-C5 and C5-C6 levels.
3. Atrophy of the cervical spinal cord over the C3 to C5 vertebral levels with altered signal, centrally, suggesting myelomalacic changes.
4. Hypertrophic facetal arthropathy at the C3-C4, C4-C5, C5-C6 and C6-C7 levels bilaterally.
Published in
MRI Reports
hs/sb/rg/nl
/6 Date : 00.00.00
Name of the Patient : Abc Xyznisa Hulmn / F / 61 yrs.
Referred by : Dr. Abc Xyzpadia.
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.
The pelvis was screened with 5 mm thick T2 Weighted (with fat saturation) axial images.
OBSERVATION :
There is mild retroplacement of the L3 over the L4 and the L4 over the L5 vertebrae.
A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level.
There are posterior disc bulges at the L3-L4 and L5-S1 levels.
Left postero-lateral and left far lateral disc protrusions are seen to narrow the left neural foramen and indent the exiting left L5 nerve root at the L5-S1 level. A right far lateral (extraforaminal) disc bulge is noted at the L3-L4 level.
The facet joints bilaterally at the L5-S1 level and on the left side at the L4-L5 level show hypertrophic degenerative changes. Facetal hypertrophy is seen bilaterally at the L2-L3 and L3-L4 levels and on the right side at the L4-L5 level.
- 2 - Scan-00004/6
The lumbar intervertebral discs show loss of water content.
Anterior disc herniations with peridiscal osteophytes are noted at the L2-L3 and L3-L4 levels. Few of the lumbar vertebral bodies show areas of fatty replacement of normal marrow.
The visualized pre and paravertebral soft tissues are unremarkable.
There is evidence of an area of hyperintensity on the T2 Weighted images in the right adnexal region and this may represent a bowel loop/cystic lesion (further evaluation would be worthwhile).
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 :
14.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A posterior disc herniation with canal stenosis
at the L4-L5 level.
2. Posterior disc bulges at the L3-L4 and L5-S1 levels with a tight canal at the L5-S1 level.
..3/.
- 3 - Scan-00004/6
3. Left postero-lateral and left far lateral disc protrusions at the L5-S1 level.
4. Hypertrophic facetal arthropathy bilaterally at the L5-S1 level and on the left side at the L4-L5 level.
5. Facetal hypertrophy bilaterally at the L2-L3 and L3-L4 levels and on the right side at the L4-L5 level.
/6 Date : 00.00.00
Name of the Patient : Abc Xyznisa Hulmn / F / 61 yrs.
Referred by : Dr. Abc Xyzpadia.
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.
The pelvis was screened with 5 mm thick T2 Weighted (with fat saturation) axial images.
OBSERVATION :
There is mild retroplacement of the L3 over the L4 and the L4 over the L5 vertebrae.
A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level.
There are posterior disc bulges at the L3-L4 and L5-S1 levels.
Left postero-lateral and left far lateral disc protrusions are seen to narrow the left neural foramen and indent the exiting left L5 nerve root at the L5-S1 level. A right far lateral (extraforaminal) disc bulge is noted at the L3-L4 level.
The facet joints bilaterally at the L5-S1 level and on the left side at the L4-L5 level show hypertrophic degenerative changes. Facetal hypertrophy is seen bilaterally at the L2-L3 and L3-L4 levels and on the right side at the L4-L5 level.
- 2 - Scan-00004/6
The lumbar intervertebral discs show loss of water content.
Anterior disc herniations with peridiscal osteophytes are noted at the L2-L3 and L3-L4 levels. Few of the lumbar vertebral bodies show areas of fatty replacement of normal marrow.
The visualized pre and paravertebral soft tissues are unremarkable.
There is evidence of an area of hyperintensity on the T2 Weighted images in the right adnexal region and this may represent a bowel loop/cystic lesion (further evaluation would be worthwhile).
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 :
14.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A posterior disc herniation with canal stenosis
at the L4-L5 level.
2. Posterior disc bulges at the L3-L4 and L5-S1 levels with a tight canal at the L5-S1 level.
..3/.
- 3 - Scan-00004/6
3. Left postero-lateral and left far lateral disc protrusions at the L5-S1 level.
4. Hypertrophic facetal arthropathy bilaterally at the L5-S1 level and on the left side at the L4-L5 level.
5. Facetal hypertrophy bilaterally at the L2-L3 and L3-L4 levels and on the right side at the L4-L5 level.
Published in
MRI Reports
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzan A. Kattulmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with difficulty in swallowing solids and decreased hearing on the left side.
Known hypertensive/diabetic.
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.
MR cisternogram was obtained in the coronal plane.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is seen an ill-marginated, fairly large, intermediate signal intensity mass lesion on the T1 Weighted images in the posterior nasopharyngeal wall. This lesion appears heterogeneously hyperintense on the proton and T2 Weighted images. Subtle signal change of the clivus is noted in this region. There is involvement of the longus capitus muscles as also the fossa of Rosenmuller, with effacement of the pharyngo tympanic tubes. Extension of the lesion around the carotid canals at the skull base is noted, bilaterally, with probable involvement of the left petrous tip. There is however, no extension of the lesion into the cavernous sinuses on either side. No definite evidence of involvement of the pterygoid muscles is noted. No obvious intracranial extensions of the lesion is also noted.
Lacunar infarcts are noted in the right lentiform nucleus, bilateral thalami and in the right centrum semiovale.
Small bright foci on the proton and T2 Weighted images in the posterior parietal periventricular white matter bilaterally and in the frontal deep white matter bilaterally most likely represent ischemic changes.
The seventh and eighth cranial nerve complex appears unremarkable on either side.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is 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 ethmoidal and mastoid air cells and in the maxillary and sphenoid sinuses.
IMPRESSION :
1. Fairly large mass lesion in the posterior nasopharyngeal wall with extensions and signal characteristics as described is not specific for a single etiology. This most likely represents a nasopharyngeal carcinoma.
2. Lacunar infarcts in the right lentiform nucleus, bilateral thalami and in the right centrum semiovale.
3. Areas of ischemia in the posterior parietal periventricular white matter bilaterally and in the frontal deep white matter bilaterally.
A contrast enhanced scan would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyzan A. Kattulmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with difficulty in swallowing solids and decreased hearing on the left side.
Known hypertensive/diabetic.
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.
MR cisternogram was obtained in the coronal plane.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is seen an ill-marginated, fairly large, intermediate signal intensity mass lesion on the T1 Weighted images in the posterior nasopharyngeal wall. This lesion appears heterogeneously hyperintense on the proton and T2 Weighted images. Subtle signal change of the clivus is noted in this region. There is involvement of the longus capitus muscles as also the fossa of Rosenmuller, with effacement of the pharyngo tympanic tubes. Extension of the lesion around the carotid canals at the skull base is noted, bilaterally, with probable involvement of the left petrous tip. There is however, no extension of the lesion into the cavernous sinuses on either side. No definite evidence of involvement of the pterygoid muscles is noted. No obvious intracranial extensions of the lesion is also noted.
Lacunar infarcts are noted in the right lentiform nucleus, bilateral thalami and in the right centrum semiovale.
Small bright foci on the proton and T2 Weighted images in the posterior parietal periventricular white matter bilaterally and in the frontal deep white matter bilaterally most likely represent ischemic changes.
The seventh and eighth cranial nerve complex appears unremarkable on either side.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is 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 ethmoidal and mastoid air cells and in the maxillary and sphenoid sinuses.
IMPRESSION :
1. Fairly large mass lesion in the posterior nasopharyngeal wall with extensions and signal characteristics as described is not specific for a single etiology. This most likely represents a nasopharyngeal carcinoma.
2. Lacunar infarcts in the right lentiform nucleus, bilateral thalami and in the right centrum semiovale.
3. Areas of ischemia in the posterior parietal periventricular white matter bilaterally and in the frontal deep white matter bilaterally.
A contrast enhanced scan would be worthwhile.
Published in
MRI Reports
hs/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzra Glmn / M / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O tremors in the RUE with giddiness and headaches.
Known C/O Wilsons disease.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick FLAIR coronal images.
OBSERVATION :
There are small areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the left periatrial white matter, thalamus on the left side and the frontal white matter bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images.
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.
Note is made of pansinusitis and enlarged adenoids.
IMPRESSION :
The MRI features are suggestive of altered signal within the left periatrial white matter, thalamus on the left side and the frontal white matter bilaterally and are not specific for a single etiology. (? ischemia/? demyelination).
Date : 00.00.00
Name of the Patient : Abc Xyzra Glmn / M / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O tremors in the RUE with giddiness and headaches.
Known C/O Wilsons disease.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick FLAIR coronal images.
OBSERVATION :
There are small areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the left periatrial white matter, thalamus on the left side and the frontal white matter bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images.
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.
Note is made of pansinusitis and enlarged adenoids.
IMPRESSION :
The MRI features are suggestive of altered signal within the left periatrial white matter, thalamus on the left side and the frontal white matter bilaterally and are not specific for a single etiology. (? ischemia/? demyelination).
Published in
MRI Reports
hs/ke/rg.
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / F / 23 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE since 1 1/2 years. Also C/O loss of appetite/weight.
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 areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images within the L2, L4, L5 and S2 vertebral bodies. There is slight extension of the pathologic process into the prevertebral soft tissues on the left side at the L4 and L5 levels.
There appears to be an ulcer in the back at the L5 level. Areas of intermediate signal intensity on the T1 Weighted images are seen to extend from the ulcer into the interspinous soft tissues at the L4/L5 level. This is seen to communicate with a posterior epidural component at the L5 vertebral level. There is probable involvement of the adjacent spinous processes.
The cervico-dorsal spine was screened with 5 mm thick T1 Weighted sagittal images and 5 mm thick T2 Weighted axial images through the region of interest. Hypointense areas are seen to involve the D5, D6, D7, D9 and D10 vertebral bodies with extension of this pathologic process into the prevertebral soft tissues at the D5 level and over the D8 to the D10 levels.
..2/.
The rest of the visualized vertebrae in the spinal axis appear to be more hypointense than the normal on the T1 Weighted images (? preponderance of haematopoeitic marrow).
The lumbar intervertebral discs reveal normal signal intensity.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1-S2 level.
IMPRESSION :
The MRI features are suggestive of a pathologic process involving the D5, D6, D7, D9, D10, L2, L4, L5 and S2 vertebral bodies with an ulcer in the back at the L5 level and epidural extension as described is not specific for a single etiology.
The differential diagnosis would include,
1. Infective processes (? tuberculosis).
2. Neoplastic process (? small cell tumor).
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / F / 23 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE since 1 1/2 years. Also C/O loss of appetite/weight.
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 areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images within the L2, L4, L5 and S2 vertebral bodies. There is slight extension of the pathologic process into the prevertebral soft tissues on the left side at the L4 and L5 levels.
There appears to be an ulcer in the back at the L5 level. Areas of intermediate signal intensity on the T1 Weighted images are seen to extend from the ulcer into the interspinous soft tissues at the L4/L5 level. This is seen to communicate with a posterior epidural component at the L5 vertebral level. There is probable involvement of the adjacent spinous processes.
The cervico-dorsal spine was screened with 5 mm thick T1 Weighted sagittal images and 5 mm thick T2 Weighted axial images through the region of interest. Hypointense areas are seen to involve the D5, D6, D7, D9 and D10 vertebral bodies with extension of this pathologic process into the prevertebral soft tissues at the D5 level and over the D8 to the D10 levels.
..2/.
The rest of the visualized vertebrae in the spinal axis appear to be more hypointense than the normal on the T1 Weighted images (? preponderance of haematopoeitic marrow).
The lumbar intervertebral discs reveal normal signal intensity.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1-S2 level.
IMPRESSION :
The MRI features are suggestive of a pathologic process involving the D5, D6, D7, D9, D10, L2, L4, L5 and S2 vertebral bodies with an ulcer in the back at the L5 level and epidural extension as described is not specific for a single etiology.
The differential diagnosis would include,
1. Infective processes (? tuberculosis).
2. Neoplastic process (? small cell tumor).
Published in
MRI Reports
hs/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzrasingh Sollmn / M / 17 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 7 years.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are seen within the paranasal sinuses.
IMPRESSION :
No abnormality is detected within the brain per se on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzrasingh Sollmn / M / 17 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 7 years.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are seen within the paranasal sinuses.
IMPRESSION :
No abnormality is detected within the brain per se on this study.
Published in
MRI Reports
hs/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzYlmn / F / 24 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O irregular menses.
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.
OBSERVATION :
The pituitary gland is normal in its size, contour and location and reveals normal signal intensity. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable. The cavernous sinuses and suprasellar cistern are unremarkable.
Septae are noted in the sphenoid sinus.
There is no focal area of altered signal intensity within the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is noted.
IMPRESSION :
No abnormality is detected within the sella and perisellar region on this study.
Date : 00.00.00
Name of the Patient : Abc XyzYlmn / F / 24 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O irregular menses.
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.
OBSERVATION :
The pituitary gland is normal in its size, contour and location and reveals normal signal intensity. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable. The cavernous sinuses and suprasellar cistern are unremarkable.
Septae are noted in the sphenoid sinus.
There is no focal area of altered signal intensity within the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is noted.
IMPRESSION :
No abnormality is detected within the sella and perisellar region on this study.
Published in
MRI Reports
hs/sb/rg/nl
/8 Date : 00.00.00
Name of the Patient : Abc XyzNerulmn / M / 70 yrs.
Referred by : Dr. Abc Xyzvade.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with tingling since 2-3 months.
H/O ? spinal surgery in May 0000.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The L5 vertebra appears to be sacralized and the L1 vertebra is as marked on the film.
There is laminectomy of the L3, L4 and L5 vertebrae with post-operative changes in the posterior soft tissues.
There is Grade II spondylolisthesis of the L3 vertebra over the L4 vertebra. There is spondylolysis of the L3 vertebra bilaterally.
There is a pseudo-posterior disc bulge with peridiscal osteophytes indenting the thecal sac and narrowing both neural foramina at the L3-L4 level. An anterior disc herniation is noted at this level. Type I/II/III degenerative changes are seen within the L3 and L4 vertebral bodies adjacent to the L3-L4 intervertebral disc.
Scan-00007/8
The L3-L4 facet joints show hypertrophic degenerative changes with severe canal stenosis. Bilateral far lateral (extraforaminal) disc herniations are seen at this level. There is impingement of the foraminal portion of both the exiting L3 nerve roots at this level.
Hypointense areas on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen within the anterior epidural space at the L3-L4 and L4 levels. This may represent scar tissue.
The intrathecal nerve roots over the L3 to S1 vertebral levels are irregular and clumped with some of them plastered to the periphery of the thecal sac.
The L1-L2, L2-L3 and L4-L5 facet joints show hypertrophic degenerative changes.
There is a postero-central disc herniation at the L4-L5 level.
The lumbar intervertebral discs show loss of water content.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
15.0 mm at L2-L3
10.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
..3/.
- 3 - Scan-00007/8
IMPRESSION :
The MRI features are suggestive of :
1. Post-operative status.
2. Grade II spondylolisthesis of the L3 vertebra over the L4 vertebra with spondylolysis of the L3 vertebra bilaterally.
3. Scar tissue within the anterior epidural space at the L3-L4 and L4 levels.
4. Severe hypertrophic facetal arthropathy with canal stenosis and impingement of the foraminal portion of both the exiting L3 nerve roots at the L3-L4 level.
5. A postero-central disc herniation at the L4-L5 level.
6. Hypertrophic facetal arthropathy at the L1-L2, L2-L3 and L4-L5 levels.
7. A pseudo-posterior disc bulge with peridiscal osteophytes at the L3-L4 level.
8. Arachnoiditis over the L3 to the S1 levels.
/8 Date : 00.00.00
Name of the Patient : Abc XyzNerulmn / M / 70 yrs.
Referred by : Dr. Abc Xyzvade.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with tingling since 2-3 months.
H/O ? spinal surgery in May 0000.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The L5 vertebra appears to be sacralized and the L1 vertebra is as marked on the film.
There is laminectomy of the L3, L4 and L5 vertebrae with post-operative changes in the posterior soft tissues.
There is Grade II spondylolisthesis of the L3 vertebra over the L4 vertebra. There is spondylolysis of the L3 vertebra bilaterally.
There is a pseudo-posterior disc bulge with peridiscal osteophytes indenting the thecal sac and narrowing both neural foramina at the L3-L4 level. An anterior disc herniation is noted at this level. Type I/II/III degenerative changes are seen within the L3 and L4 vertebral bodies adjacent to the L3-L4 intervertebral disc.
Scan-00007/8
The L3-L4 facet joints show hypertrophic degenerative changes with severe canal stenosis. Bilateral far lateral (extraforaminal) disc herniations are seen at this level. There is impingement of the foraminal portion of both the exiting L3 nerve roots at this level.
Hypointense areas on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen within the anterior epidural space at the L3-L4 and L4 levels. This may represent scar tissue.
The intrathecal nerve roots over the L3 to S1 vertebral levels are irregular and clumped with some of them plastered to the periphery of the thecal sac.
The L1-L2, L2-L3 and L4-L5 facet joints show hypertrophic degenerative changes.
There is a postero-central disc herniation at the L4-L5 level.
The lumbar intervertebral discs show loss of water content.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
15.0 mm at L2-L3
10.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
..3/.
- 3 - Scan-00007/8
IMPRESSION :
The MRI features are suggestive of :
1. Post-operative status.
2. Grade II spondylolisthesis of the L3 vertebra over the L4 vertebra with spondylolysis of the L3 vertebra bilaterally.
3. Scar tissue within the anterior epidural space at the L3-L4 and L4 levels.
4. Severe hypertrophic facetal arthropathy with canal stenosis and impingement of the foraminal portion of both the exiting L3 nerve roots at the L3-L4 level.
5. A postero-central disc herniation at the L4-L5 level.
6. Hypertrophic facetal arthropathy at the L1-L2, L2-L3 and L4-L5 levels.
7. A pseudo-posterior disc bulge with peridiscal osteophytes at the L3-L4 level.
8. Arachnoiditis over the L3 to the S1 levels.
Published in
MRI Reports
ke/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzn Malhlmn / M / 71 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O tremulousness of the RUE since 4-5 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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the periatrial white matter bilaterally. These are iso to hypointense to the white matter on the T1 Weighted images and are probably ischemic in etiology.
There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is mild fullness of the third and both the lateral ventricles.
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of pansinusitis.
IMPRESSION :
The MRI features are suggestive of :
1. Altered signal in the periatrial white matter bilaterally which is probably ischemic in etiology.
2. Mild cerebellar and cerebral atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyzn Malhlmn / M / 71 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O tremulousness of the RUE since 4-5 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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the periatrial white matter bilaterally. These are iso to hypointense to the white matter on the T1 Weighted images and are probably ischemic in etiology.
There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is mild fullness of the third and both the lateral ventricles.
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of pansinusitis.
IMPRESSION :
The MRI features are suggestive of :
1. Altered signal in the periatrial white matter bilaterally which is probably ischemic in etiology.
2. Mild cerebellar and cerebral atrophy.
Published in
MRI Reports
ke/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xlmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
Alleged H/O vehicular accident 4-5 years back.
C/O low back pain and difficulty in squatting.
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 appears to be sacralization of the L5 vertebra and the D11 vertebra is as marked on the film. Please correlate with plain radiographs.
Very minimal posterior disc bulges are seen at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
18.0 mm at L2-L3
16.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.
The cervico-dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and which does not reveal any significant feature of note.
IMPRESSION :
The MRI features are suggestive of sacralization of the L5 vertebra. Please correlate with plain radiographs.
Date : 00.00.00
Name of the Patient : Abc Xlmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
Alleged H/O vehicular accident 4-5 years back.
C/O low back pain and difficulty in squatting.
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 appears to be sacralization of the L5 vertebra and the D11 vertebra is as marked on the film. Please correlate with plain radiographs.
Very minimal posterior disc bulges are seen at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
18.0 mm at L2-L3
16.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.
The cervico-dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and which does not reveal any significant feature of note.
IMPRESSION :
The MRI features are suggestive of sacralization of the L5 vertebra. Please correlate with plain radiographs.
Published in
MRI Reports
More...
ke/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Zlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzzzare.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O numbness in the thumb and index fingers of the right hand since 2 days.
Known diabetic/hypertensive.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are ill-defined, hyperintense areas in the posterior parietal, periventricular deep white matter which may be ischemic in etiology. Similar smaller foci are noted in the frontal deep white matter bilaterally.
There is mild dilatation of both the lateral ventricles. The 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.
Incidental note is made of an empty sella.
The cervical spine was screened with 4 mm thick T2 Weighted sagittal images which shows small posterior disc bulges with peridiscal osteophytes over the C3-C4 to C6-C7 levels.
IMPRESSION :
1. Hyperintense areas in the periventricular deep white matter and in the frontal deep white matter bilaterally may be ischemic in etiology.
2. Small posterior disc bulges with peridiscal osteophytes over the C3-C4 to C6-C7 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz Zlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzzzare.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O numbness in the thumb and index fingers of the right hand since 2 days.
Known diabetic/hypertensive.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are ill-defined, hyperintense areas in the posterior parietal, periventricular deep white matter which may be ischemic in etiology. Similar smaller foci are noted in the frontal deep white matter bilaterally.
There is mild dilatation of both the lateral ventricles. The 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.
Incidental note is made of an empty sella.
The cervical spine was screened with 4 mm thick T2 Weighted sagittal images which shows small posterior disc bulges with peridiscal osteophytes over the C3-C4 to C6-C7 levels.
IMPRESSION :
1. Hyperintense areas in the periventricular deep white matter and in the frontal deep white matter bilaterally may be ischemic in etiology.
2. Small posterior disc bulges with peridiscal osteophytes over the C3-C4 to C6-C7 levels.
Published in
MRI Reports
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzv Ylmn / M / 29 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
H/O sudden onset of retention of urine with weakness of BLE on 00.00.00.
H/O fever since 2 months.
EXAMINATION :
M.R.I of the cervico-dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
8 mm thick T1 Weighted and Fast Scan (T2 *) and 10 mm thick T2 Weighted axial images.
OBSERVATION :
There is slight increase in diameter of the cervical spinal cord. There is an ill-defined, hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images in the cervico-dorsal spinal cord, centrally, extending over the C2 to the tip of conus medullaris. This lesion appears hypointense to normal cord on the T1 Weighted images.
There are ill-defined, hyperintense areas on the T2 Weighted and Fast Scan (T2 *) images in the posterior paraspinal muscles in the cervical and upper dorsal regions. This signal appears iso to slightly hypointense to normal muscle on the T1 Weighted images.
The visualized cervico-dorsal vertebral bodies show preponderance of hematopoeitic marrow. The visualized intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
There is no cord compression.
The conus medullaris terminates at the L2 level.
IMPRESSION :
Slight increase in the diameter of the cervico-dorsal spinal cord with altered signal in the cervical and dorsal spinal cords, centrally most likely suggest myelitis in the given clinical setting. Altered signal in the posterior paraspinal soft tissues in the cervical and upper dorsal regions would represent inflammatory/ischemic changes.
Date : 00.00.00
Name of the Patient : Abc Xyzv Ylmn / M / 29 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
H/O sudden onset of retention of urine with weakness of BLE on 00.00.00.
H/O fever since 2 months.
EXAMINATION :
M.R.I of the cervico-dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
8 mm thick T1 Weighted and Fast Scan (T2 *) and 10 mm thick T2 Weighted axial images.
OBSERVATION :
There is slight increase in diameter of the cervical spinal cord. There is an ill-defined, hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images in the cervico-dorsal spinal cord, centrally, extending over the C2 to the tip of conus medullaris. This lesion appears hypointense to normal cord on the T1 Weighted images.
There are ill-defined, hyperintense areas on the T2 Weighted and Fast Scan (T2 *) images in the posterior paraspinal muscles in the cervical and upper dorsal regions. This signal appears iso to slightly hypointense to normal muscle on the T1 Weighted images.
The visualized cervico-dorsal vertebral bodies show preponderance of hematopoeitic marrow. The visualized intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
There is no cord compression.
The conus medullaris terminates at the L2 level.
IMPRESSION :
Slight increase in the diameter of the cervico-dorsal spinal cord with altered signal in the cervical and dorsal spinal cords, centrally most likely suggest myelitis in the given clinical setting. Altered signal in the posterior paraspinal soft tissues in the cervical and upper dorsal regions would represent inflammatory/ischemic changes.
Published in
MRI Reports
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Gonsalmn / M / 67 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 1 months and sudden onset of weakness of BLE since 2 days.
H/O Surgery for Ca prostate 1 1/2 years ago.
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 an ill-defined, hypointense signal on the T1 Weighted images in nearly all the lumbar and sacral vertebral bodies. This signal appears iso to slightly hypointense to the normal marrow on the T2 Weighted images. The posterior elements of most the vertebrae also seem to be involved.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the epidural space, circumferentially at the L2 vertebral level. This lesion appears slightly hyperintense on the T2 Weighted images. There is resultant thecal sac compression and clumping of the intrathecal nerve root, centrally at this level. Destruction of the right pedicle, right transverse process and right lamina of L2 vertebra is noted.
The lumbar intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
The lower dorsal spinal cord shows normal signal intensity.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
Screening T1 Weighted coronal images of the pelvic bones reveal ill-defined hyperintense signal in the iliac bones bilaterally.
Screening T1 Weighted sagittal images of the cervico-dorsal region reveal involvement of nearly all the cervico-dorsal vertebrae and their posterior elements. No obvious cord compression is noted on this study.
IMPRESSION :
1. In a known C/O Ca prostate, altered signal in nearly all the vertebrae of the spinal axis including the pelvic bones would represent metastatis.
2. Thecal sac compression at the L2 vertebral level by circumferential epidural soft tissue at this level and destruction of the right pedicle, transverse process and lamina of L2 vertebra.
Date : 00.00.00
Name of the Patient : Abc Xyz Gonsalmn / M / 67 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 1 months and sudden onset of weakness of BLE since 2 days.
H/O Surgery for Ca prostate 1 1/2 years ago.
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 an ill-defined, hypointense signal on the T1 Weighted images in nearly all the lumbar and sacral vertebral bodies. This signal appears iso to slightly hypointense to the normal marrow on the T2 Weighted images. The posterior elements of most the vertebrae also seem to be involved.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the epidural space, circumferentially at the L2 vertebral level. This lesion appears slightly hyperintense on the T2 Weighted images. There is resultant thecal sac compression and clumping of the intrathecal nerve root, centrally at this level. Destruction of the right pedicle, right transverse process and right lamina of L2 vertebra is noted.
The lumbar intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
The lower dorsal spinal cord shows normal signal intensity.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
Screening T1 Weighted coronal images of the pelvic bones reveal ill-defined hyperintense signal in the iliac bones bilaterally.
Screening T1 Weighted sagittal images of the cervico-dorsal region reveal involvement of nearly all the cervico-dorsal vertebrae and their posterior elements. No obvious cord compression is noted on this study.
IMPRESSION :
1. In a known C/O Ca prostate, altered signal in nearly all the vertebrae of the spinal axis including the pelvic bones would represent metastatis.
2. Thecal sac compression at the L2 vertebral level by circumferential epidural soft tissue at this level and destruction of the right pedicle, transverse process and lamina of L2 vertebra.
Published in
MRI Reports
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzaghralmn / M / 15 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O fall with left sided hemiplegia in 0000 from which patient has recovered partially.
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 volume loss in the right posterior parietal region. CSF signal intensity lesion on all the pulse sequences is noted in the right posterior parietal region which represents an area of cystic encephalomalacia. Perilesional white matter hyperintense signal on the proton, T2 Weighted and FLAIR images in that region most likely represents gliotic changes.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally and in the corona radiata and centrum semiovale bilaterally. These lesions appear hypointense to normal white matter on the T1 Weighted images. Involvement of the genu and splenium of the corpus callosum is noted.
There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci bilaterally.
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. Volume loss in the right posterior parietal region with altered signal as described represents cystic encephalomalacia with perilesional gliotic change most likely the sequelae of a previous vascular insult.
2. Altered signal in the periventricular white matter bilaterally and in the corona radiata and centrum semiovale bilaterally is not specific for a single etiology. Ischemic changes or demyelinating lesions may be considered as differential diagnosis.
Date : 00.00.00
Name of the Patient : Abc Xyzaghralmn / M / 15 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O fall with left sided hemiplegia in 0000 from which patient has recovered partially.
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 volume loss in the right posterior parietal region. CSF signal intensity lesion on all the pulse sequences is noted in the right posterior parietal region which represents an area of cystic encephalomalacia. Perilesional white matter hyperintense signal on the proton, T2 Weighted and FLAIR images in that region most likely represents gliotic changes.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally and in the corona radiata and centrum semiovale bilaterally. These lesions appear hypointense to normal white matter on the T1 Weighted images. Involvement of the genu and splenium of the corpus callosum is noted.
There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci bilaterally.
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. Volume loss in the right posterior parietal region with altered signal as described represents cystic encephalomalacia with perilesional gliotic change most likely the sequelae of a previous vascular insult.
2. Altered signal in the periventricular white matter bilaterally and in the corona radiata and centrum semiovale bilaterally is not specific for a single etiology. Ischemic changes or demyelinating lesions may be considered as differential diagnosis.
Published in
MRI Reports