MRI Reports (3472)
MRI Reports Database
hs/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzAbdulla Hlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 2 months.
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 lumbar intervertebral discs show loss of water content.
A small posterior disc herniation is seen to indent the thecal sac and narrow both the neural foramina at the L4-L5 level. Bilateral far lateral (extraforaminal) disc herniations are noted at this level.
There is a postero-central disc herniation indenting the thecal sac at the D12-L1 level.
Bilateral far lateral (extraforaminal) disc bulges are noted at the L2-L3 and L3-L4 levels.
A mild posterior disc bulge is noted at the L5-S1 level. The right L5-S1 facet joint shows hypertrophic degenerative changes.
Facetal hypertrophy is noted at the L4-L5 level.
Anterior disc herniations with peridiscal osteophytes are seen over the L1-L2 to L4-L5 levels.
The lumbar vertebral bodies 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 :
14.0 mm at L1-L2
13.0 mm at L2-L3
14.0 mm at L3-L4
13.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A small posterior disc herniation and bilateral far lateral (extraforaminal) disc herniations
with facetal hypertrophy at the L4-L5 level
2. Postero-central disc herniation at the D12-L1 level.
3. Hypertrophic facetal arthropathy at the L5-S1 level on the right side.
Date : 00.00.00
Name of the Patient : Abc XyzAbdulla Hlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 2 months.
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 lumbar intervertebral discs show loss of water content.
A small posterior disc herniation is seen to indent the thecal sac and narrow both the neural foramina at the L4-L5 level. Bilateral far lateral (extraforaminal) disc herniations are noted at this level.
There is a postero-central disc herniation indenting the thecal sac at the D12-L1 level.
Bilateral far lateral (extraforaminal) disc bulges are noted at the L2-L3 and L3-L4 levels.
A mild posterior disc bulge is noted at the L5-S1 level. The right L5-S1 facet joint shows hypertrophic degenerative changes.
Facetal hypertrophy is noted at the L4-L5 level.
Anterior disc herniations with peridiscal osteophytes are seen over the L1-L2 to L4-L5 levels.
The lumbar vertebral bodies 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 :
14.0 mm at L1-L2
13.0 mm at L2-L3
14.0 mm at L3-L4
13.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A small posterior disc herniation and bilateral far lateral (extraforaminal) disc herniations
with facetal hypertrophy at the L4-L5 level
2. Postero-central disc herniation at the D12-L1 level.
3. Hypertrophic facetal arthropathy at the L5-S1 level on the right side.
Published in
MRI Reports
hs/bv/rg.
Date : 00.00.00
Name of the Patient : Abc XyzMandlmn / M / 41 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache.
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 L4-L5 and L5-S1 intervertebral discs show loss of water content and the L4-L5 disc appears reduced in height.
A postero-central disc herniation is seen to indent the thecal sac at the L5-S1 level.
Postero-central and left postero-lateral disc protrusions are seen to indent the thecal sac and narrow the left neural foramen respectively at the L4-L5 level. The left L4-L5 facet joint shows degenerative changes.
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-L2 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
17.0 mm at L2-L3
17.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A postero-central disc herniation at the L5-S1 level.
2. Postero-central and left postero-lateral disc protrusions at the L4-L5 level.
3. Facetal arthropathy at the L4-L5 level on the left side.
Date : 00.00.00
Name of the Patient : Abc XyzMandlmn / M / 41 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache.
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 L4-L5 and L5-S1 intervertebral discs show loss of water content and the L4-L5 disc appears reduced in height.
A postero-central disc herniation is seen to indent the thecal sac at the L5-S1 level.
Postero-central and left postero-lateral disc protrusions are seen to indent the thecal sac and narrow the left neural foramen respectively at the L4-L5 level. The left L4-L5 facet joint shows degenerative changes.
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-L2 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
17.0 mm at L2-L3
17.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A postero-central disc herniation at the L5-S1 level.
2. Postero-central and left postero-lateral disc protrusions at the L4-L5 level.
3. Facetal arthropathy at the L4-L5 level on the left side.
Published in
MRI Reports
sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
(Post-contrast Study).
CLINICAL PROFILE :
C/O weakness of BLE with pain and paresthesias since 8 months.
EXAMINATION :
The cervico-dorsal region was screened with 4 mm thick T1 Weighted and T2 Weighted sagittal images.
After administration of contrast, 4 mm thick T1 Weighted sagittal and coronal (with fat saturation) images and 6 mm thick T1 Weighted axial images (with and without fat saturation) were obtained.
OBSERVATION :
There is still seen an ill-defined hyperintense signal on the T2 Weighted images in the upper dorsal spinal cord over D2 to D6 vertebral levels.
The dorsal spinal cord over these levels appears slightly swollen.
After contrast administration, focal enhancement is noted along the right antero-lateral margin of the dorsal spinal cord at the D3-D4 and D4 levels (scan 106.6 & 106.7).
No abnormal meningeal enhancement is noted.
IMPRESSION :
Increase in size in the dorsal spinal cord over the D2 to D6 vertebral levels with altered signal and focal enhancement in that region as described is not specific for a single etiology. A neoplasm or demyelination may be considered as differential diagnosis.
As compared to the previous MRI dated 00.00.00 (Study No.00009), there seems to be slight proximal increase in the extent of the lesion upto the D2 vertebral level on the present study.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
(Post-contrast Study).
CLINICAL PROFILE :
C/O weakness of BLE with pain and paresthesias since 8 months.
EXAMINATION :
The cervico-dorsal region was screened with 4 mm thick T1 Weighted and T2 Weighted sagittal images.
After administration of contrast, 4 mm thick T1 Weighted sagittal and coronal (with fat saturation) images and 6 mm thick T1 Weighted axial images (with and without fat saturation) were obtained.
OBSERVATION :
There is still seen an ill-defined hyperintense signal on the T2 Weighted images in the upper dorsal spinal cord over D2 to D6 vertebral levels.
The dorsal spinal cord over these levels appears slightly swollen.
After contrast administration, focal enhancement is noted along the right antero-lateral margin of the dorsal spinal cord at the D3-D4 and D4 levels (scan 106.6 & 106.7).
No abnormal meningeal enhancement is noted.
IMPRESSION :
Increase in size in the dorsal spinal cord over the D2 to D6 vertebral levels with altered signal and focal enhancement in that region as described is not specific for a single etiology. A neoplasm or demyelination may be considered as differential diagnosis.
As compared to the previous MRI dated 00.00.00 (Study No.00009), there seems to be slight proximal increase in the extent of the lesion upto the D2 vertebral level on the present study.
Published in
MRI Reports
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzti Gurchlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE with paresthesias and weakness of BLE since 1 year.
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.
OBSERVATION :
The D8 and L3 vertebral bodies are as marked on the film.
There is central and anterior wedging of the D10, D11, D12 and L1 vertebral bodies with a kyphus at these levels. The D7 to L3 vertebral bodies appear hypointense on the T1 Weighted images and remain predominantly hypointense on the T2 Weighted images with focal hyperintense areas within. The D10-D11, D12-L1 and L1-L2 intervertebral discs also seem to be involved by the pathology with irregularity of the adjacent cortical endplates.
There is an intermediate signal intensity mass lesion on the T1 Weighted images in the anterior epidural space over D10 to L1 vertebral levels. This lesion appears heterogeneously hyperintense on the T2 Weighted images. Part of the lesion inferiorly, seems to be calcified and appears hypointense on all the pulse sequences. There is resultant cord compression over the D10 to L1 vertebral levels. The lower dorsal spinal cord over these levels shows a hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia/myelomalacia.
..2/.
There is also prevertebral and paravertebral soft tissue lesion (of similar signal characteristics as the anterior epidural lesion) extending over the D8 to L2 vertebral levels. Multiple septae are noted within this lesion. A fairly large, left paravertebral lesion is noted extending from the L1 vertebral level, inferiorly, along the left psoas muscle, upto the pelvic region.
The rest of the visualized dorso-lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints at the D10-D11 level appears slightly hypertrophied.
The conus medullaris terminates at the L1 level.
IMPRESSION :
Altered signal of the D7 to L3 vertebrae with central and anterior wedging of the D10, D11, D12 and L1 vertebral bodies and the D10-D11, D12-L1 and L1-L2 intervertebral discs as described, most likely represents osteitis with discitis, probably tuberculous in etiology.
Soft tissue mass lesion in the anterior epidural space over D10 to L1 vertebral levels, in the pre and paravertebral soft tissues over the D8 to L2 vertebral levels and along the left psoas muscle as described would represent granulation tissue/abscess. There is cord compression over the D10 to L1 vertebral levels with cord signal alteration suggesting cord edema/ischemia/myelomalacia.
The possibility of this lesion representing a neoplasm seems less likely.
Date : 00.00.00
Name of the Patient : Abc Xyzti Gurchlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE with paresthesias and weakness of BLE since 1 year.
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.
OBSERVATION :
The D8 and L3 vertebral bodies are as marked on the film.
There is central and anterior wedging of the D10, D11, D12 and L1 vertebral bodies with a kyphus at these levels. The D7 to L3 vertebral bodies appear hypointense on the T1 Weighted images and remain predominantly hypointense on the T2 Weighted images with focal hyperintense areas within. The D10-D11, D12-L1 and L1-L2 intervertebral discs also seem to be involved by the pathology with irregularity of the adjacent cortical endplates.
There is an intermediate signal intensity mass lesion on the T1 Weighted images in the anterior epidural space over D10 to L1 vertebral levels. This lesion appears heterogeneously hyperintense on the T2 Weighted images. Part of the lesion inferiorly, seems to be calcified and appears hypointense on all the pulse sequences. There is resultant cord compression over the D10 to L1 vertebral levels. The lower dorsal spinal cord over these levels shows a hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia/myelomalacia.
..2/.
There is also prevertebral and paravertebral soft tissue lesion (of similar signal characteristics as the anterior epidural lesion) extending over the D8 to L2 vertebral levels. Multiple septae are noted within this lesion. A fairly large, left paravertebral lesion is noted extending from the L1 vertebral level, inferiorly, along the left psoas muscle, upto the pelvic region.
The rest of the visualized dorso-lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints at the D10-D11 level appears slightly hypertrophied.
The conus medullaris terminates at the L1 level.
IMPRESSION :
Altered signal of the D7 to L3 vertebrae with central and anterior wedging of the D10, D11, D12 and L1 vertebral bodies and the D10-D11, D12-L1 and L1-L2 intervertebral discs as described, most likely represents osteitis with discitis, probably tuberculous in etiology.
Soft tissue mass lesion in the anterior epidural space over D10 to L1 vertebral levels, in the pre and paravertebral soft tissues over the D8 to L2 vertebral levels and along the left psoas muscle as described would represent granulation tissue/abscess. There is cord compression over the D10 to L1 vertebral levels with cord signal alteration suggesting cord edema/ischemia/myelomalacia.
The possibility of this lesion representing a neoplasm seems less likely.
Published in
MRI Reports
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzmar lmn / M / 37 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Left Great Toe.
CLINICAL PROFILE :
C/O pain, tenderness and swelling of the left greater toe since 4-5 years. Previous H/O surgery of the left great toe, details not available.
Non-diabetic.
EXAMINATION :
M.R.I of the left great toe was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted (with fat saturation) coronal images.
4 mm thick T1 Weighted and GRASS sagittal images.
4 mm thick T1 Weighted and STIR axial images.
OBSERVATION :
The patient is status post-operative (details not available).
There is seen an ill-defined, hypointense signal on the T1 Weighted images at the distal end of the proximal phalanx of the left great toe, along its margin. This lesion appears heterogeneously hyperintense on the T2 Weighted and STIR images. Probable erosion of the medial and inferior margins of the proximal phalanx at the site of the lesion is noted. A hypointense signal, more pronounced on the T2 Weighted and STIR images, in the centre of the above described lesion may represent a calcific/ossific/sclerotic lesion.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images around the distal end of the proximal phalanx of the left great toe and the proximal interphalangeal
joint which appears hyperintense on the T2 Weighted and STIR images. Inferior displacement of the flexor tendon of the left great toe is noted.
No definite involvement of the interphalangeal joint is noted.
IMPRESSION :
Altered signal at the distal end of the proximal phalanx of the left great toe, as described is not specific for a single etiology.
Osteomyelitis with a sequestrum (a hypointense lesion on all the pulse sequences) is a likely possibility. A neoplasm cannot be entirely excluded.
Soft tissue around the lesion and around the interphalangeal joint may represent effusion/granulation tissue.
As compared to the previous MRI dated 00.00.00, there is an increase in the extent of the lesion.
The patient is status post-operative (details unavailable).
Date : 00.00.00
Name of the Patient : Abc Xyzmar lmn / M / 37 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Left Great Toe.
CLINICAL PROFILE :
C/O pain, tenderness and swelling of the left greater toe since 4-5 years. Previous H/O surgery of the left great toe, details not available.
Non-diabetic.
EXAMINATION :
M.R.I of the left great toe was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted (with fat saturation) coronal images.
4 mm thick T1 Weighted and GRASS sagittal images.
4 mm thick T1 Weighted and STIR axial images.
OBSERVATION :
The patient is status post-operative (details not available).
There is seen an ill-defined, hypointense signal on the T1 Weighted images at the distal end of the proximal phalanx of the left great toe, along its margin. This lesion appears heterogeneously hyperintense on the T2 Weighted and STIR images. Probable erosion of the medial and inferior margins of the proximal phalanx at the site of the lesion is noted. A hypointense signal, more pronounced on the T2 Weighted and STIR images, in the centre of the above described lesion may represent a calcific/ossific/sclerotic lesion.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images around the distal end of the proximal phalanx of the left great toe and the proximal interphalangeal
joint which appears hyperintense on the T2 Weighted and STIR images. Inferior displacement of the flexor tendon of the left great toe is noted.
No definite involvement of the interphalangeal joint is noted.
IMPRESSION :
Altered signal at the distal end of the proximal phalanx of the left great toe, as described is not specific for a single etiology.
Osteomyelitis with a sequestrum (a hypointense lesion on all the pulse sequences) is a likely possibility. A neoplasm cannot be entirely excluded.
Soft tissue around the lesion and around the interphalangeal joint may represent effusion/granulation tissue.
As compared to the previous MRI dated 00.00.00, there is an increase in the extent of the lesion.
The patient is status post-operative (details unavailable).
Published in
MRI Reports
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzriben lmn / F / 76 yrs.
Referred by : Dr. Abc Xyzrman.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE, paresthesias and difficulty in walking.
Alleged H/O fall 1 month 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 loss of water content of the lumbar intervertebral discs.
There is a small left postero-lateral disc bulge at the L5-S1 level with slight left neural foraminal narrowing.
Posterior and bilateral far lateral disc herniations are noted at the L3-L4 and L4-L5 levels with thecal sac compression and bilateral neural foraminal narrowing. Indentation on the traversing L4 and L5 nerve roots respectively is noted at these levels.
A fairly large, postero-central and left paracentral disc herniation is noted at the L2-L3 level with indentation on the traversing left L3 nerve root. Slight superior migration of the disc fragment is noted. Bilateral far lateral (extraforaminal) disc herniations are seen at the L2-L3 level and on the right side at the L1-L2 level.
The pedicles of the lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
Facetal hypertrophy is noted in the dorso-lumbar and lumbar regions bilaterally.
The visualized dorso-lumbar vertebral bodies show spotty fatty marrow changes. 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 :
13.0 mm at L1-L2
13.0 mm at L2-L3
9.0 mm at L3-L4
6.0 mm at L4-L5
8.0 mm at L5-S1.
Screening T2 Weighted sagittal images of the dorsal spine do not reveal any other significant feature of note.
IMPRESSION :
1. A small left postero-lateral disc bulge at the L5-S1 level with slight left neural foraminal narrowing.
2. Posterior and bilateral far lateral disc herniations at the L3-L4 and L4-L5 levels with bilateral neural foraminal narrowing and indentation on the traversing L4 and L5 nerve roots respectively at these levels.
..3/.
- 3 - Scan-00005
3. A fairly large, postero-central and left paracentral disc herniation at the L2-L3 level with indentation on the traversing left L3 nerve root. Slight superior migration of the disc fragment is noted.
4. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
5. Facetal hypertrophy in the dorso-lumbar and lumbar regions bilaterally.
6. Lumbar canal stenosis, maximum at the L2-L3, L3-L4 and L4-L5 levels.
7. Far lateral (extraforaminal) disc herniations bilaterally at the L2-l3 level and on the right side at the L1-L2 level.
Date : 00.00.00
Name of the Patient : Abc Xyzriben lmn / F / 76 yrs.
Referred by : Dr. Abc Xyzrman.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE, paresthesias and difficulty in walking.
Alleged H/O fall 1 month 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 loss of water content of the lumbar intervertebral discs.
There is a small left postero-lateral disc bulge at the L5-S1 level with slight left neural foraminal narrowing.
Posterior and bilateral far lateral disc herniations are noted at the L3-L4 and L4-L5 levels with thecal sac compression and bilateral neural foraminal narrowing. Indentation on the traversing L4 and L5 nerve roots respectively is noted at these levels.
A fairly large, postero-central and left paracentral disc herniation is noted at the L2-L3 level with indentation on the traversing left L3 nerve root. Slight superior migration of the disc fragment is noted. Bilateral far lateral (extraforaminal) disc herniations are seen at the L2-L3 level and on the right side at the L1-L2 level.
The pedicles of the lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
Facetal hypertrophy is noted in the dorso-lumbar and lumbar regions bilaterally.
The visualized dorso-lumbar vertebral bodies show spotty fatty marrow changes. 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 :
13.0 mm at L1-L2
13.0 mm at L2-L3
9.0 mm at L3-L4
6.0 mm at L4-L5
8.0 mm at L5-S1.
Screening T2 Weighted sagittal images of the dorsal spine do not reveal any other significant feature of note.
IMPRESSION :
1. A small left postero-lateral disc bulge at the L5-S1 level with slight left neural foraminal narrowing.
2. Posterior and bilateral far lateral disc herniations at the L3-L4 and L4-L5 levels with bilateral neural foraminal narrowing and indentation on the traversing L4 and L5 nerve roots respectively at these levels.
..3/.
- 3 - Scan-00005
3. A fairly large, postero-central and left paracentral disc herniation at the L2-L3 level with indentation on the traversing left L3 nerve root. Slight superior migration of the disc fragment is noted.
4. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
5. Facetal hypertrophy in the dorso-lumbar and lumbar regions bilaterally.
6. Lumbar canal stenosis, maximum at the L2-L3, L3-L4 and L4-L5 levels.
7. Far lateral (extraforaminal) disc herniations bilaterally at the L2-l3 level and on the right side at the L1-L2 level.
Published in
MRI Reports
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzbhai Mamlmn / M / 51 yrs.
Referred by : Dr. Abc Xyzanavati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, vomiting and dysphagia with acute onset of paresthesias.
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.
3 mm thick T2 Weighted coronal images through the brainstem.
2D Phase contrast angiography images were also obtained.
OBSERVATION :
There is a hyperintense signal on the proton, T2 Weighted and FLAIR images in the right lateral medulla, posteriorly. This lesion appears iso to hypointense to normal white matter on the T1 Weighted images and represents a right lateral medullary infarct.
There are ill-defined hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and bilateral centrum semiovale. These lesion appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.
Lacunar infarcts are noted in the left cerebellar hemisphere, head of right caudate nucleus, left posterior parietal periventricular white matter and in the left centrum semiovale.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally. There is no shift of the midline structures.
The limited phase contrast angiographic images do not show any significant feature of note.
IMPRESSION :
1. A right lateral medullary infarct.
2. Altered signal in the posterior parietal periventricular white matter bilaterally and bilateral centrum semiovale most likely represent ischemic changes.
3. Lacunar infarcts in the left cerebellar hemisphere, head of right caudate nucleus, left posterior parietal periventricular white matter and in the left centrum semiovale.
Date : 00.00.00
Name of the Patient : Abc Xyzbhai Mamlmn / M / 51 yrs.
Referred by : Dr. Abc Xyzanavati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, vomiting and dysphagia with acute onset of paresthesias.
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.
3 mm thick T2 Weighted coronal images through the brainstem.
2D Phase contrast angiography images were also obtained.
OBSERVATION :
There is a hyperintense signal on the proton, T2 Weighted and FLAIR images in the right lateral medulla, posteriorly. This lesion appears iso to hypointense to normal white matter on the T1 Weighted images and represents a right lateral medullary infarct.
There are ill-defined hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and bilateral centrum semiovale. These lesion appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.
Lacunar infarcts are noted in the left cerebellar hemisphere, head of right caudate nucleus, left posterior parietal periventricular white matter and in the left centrum semiovale.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally. There is no shift of the midline structures.
The limited phase contrast angiographic images do not show any significant feature of note.
IMPRESSION :
1. A right lateral medullary infarct.
2. Altered signal in the posterior parietal periventricular white matter bilaterally and bilateral centrum semiovale most likely represent ischemic changes.
3. Lacunar infarcts in the left cerebellar hemisphere, head of right caudate nucleus, left posterior parietal periventricular white matter and in the left centrum semiovale.
Published in
MRI Reports
sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzl G. lmn / M / 55 yrs.
Referred by : Dr. Abc Xyzstak / Dr. Abc Xyzghela.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O deviation of mouth towards left side with headaches and weakness of the right great toe since 00.00.00.
EXAMINATION :
M.R.I. of the brain was performed using the following parameters:
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
BRAIN :
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the left posterior parietal and bilateral frontal regions and in the right periatrial white matter. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures.
Inflammatory changes are noted in the maxillary sinuses bilaterally and in the frontal sinus and ethmoidal air cells on the left side.
..2/.
INTRACRANIAL MRA :
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
Altered signal in the subcortical white matter in the left posterior parietal and bilateral frontal regions and in the right periatrial white matter most likely represents ischemic changes.
No significant abnormality is detected on the intracranial and neck MRA on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzl G. lmn / M / 55 yrs.
Referred by : Dr. Abc Xyzstak / Dr. Abc Xyzghela.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O deviation of mouth towards left side with headaches and weakness of the right great toe since 00.00.00.
EXAMINATION :
M.R.I. of the brain was performed using the following parameters:
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
BRAIN :
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the left posterior parietal and bilateral frontal regions and in the right periatrial white matter. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures.
Inflammatory changes are noted in the maxillary sinuses bilaterally and in the frontal sinus and ethmoidal air cells on the left side.
..2/.
INTRACRANIAL MRA :
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
Altered signal in the subcortical white matter in the left posterior parietal and bilateral frontal regions and in the right periatrial white matter most likely represents ischemic changes.
No significant abnormality is detected on the intracranial and neck MRA on this study.
Published in
MRI Reports
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzAkolalmn / M / 70 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE and paresthesias.
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 L1-L2, L2-L3 and L5-S1 intervertebral discs.
There is slight central and anterior wedging of the L3 and L4 vertebral bodies. The L3-L4 disc space appears slightly widened. The L3-L4 and L4-L5 intervertebral discs appear hyperintense on the T2 Weighted images.
The L3 and L4 vertebral bodies adjacent to the L3-L4 disc appears hypointense on all the pulse sequences.
Generalized bulge of the L3-L4 and L4-L5 intervertebral discs is noted, with thecal sac compression and bilateral neural foraminal narrowing. Postero-lateral and far lateral disc herniations are also noted at these levels with indentation on the foraminal and extraforaminal segments of the L3 and L4 nerve roots.
Scan-00002
A left far lateral disc bulge with peridiscal osteophyte is noted at the L2-L3 level minimally indenting the extraforaminal segment of the left L2 nerve root.
Hypertrophic facetal arthropathy is noted at the L5-S1 level on the right and at the L4-L5 level bilaterally. Facetal hypertrophy is noted at the L5-S1 level on the left and at the L1-L2, L2-L3 and L3-L4 levels bilaterally.
The intrathecal nerve roots over the L4 and L5 vertebral levels appear clumped, centrally. There is significant canal stenosis at the L3-L4 and L4-L5 levels.
A scar is noted in the posterior soft tissues in the lumbar region at the L3 and L4 vertebral levels.
Anterior disc herniations with peridiscal osteophytes is noted in the lumbar region.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-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
16.0 mm at L2-L3
9.0 mm at L3-L4
8.0 mm at L4-L5
13.0 mm at L5-S1.
..3/.
- 3 - Scan-00002
IMPRESSION :
1. Slight central and anterior wedging of the L3 and L4 vertebral bodies with altered signal adjacent to the L3-L4 disc and altered signal of the L3-L4 and L4-L5 intervertebral discs may be the sequelae of previous osteitis and discitis.
2. Generalized bulge of the L3-L4 and L4-L5 intervertebral discs with postero-lateral and far lateral disc herniations at these levels with indentation on the foraminal and extraforaminal segments of the L3 and L4 nerve roots.
3. A left far lateral disc bulge with peridiscal osteophyte at the L2-L3 level minimally indenting the extraforaminal segment of the left L2 nerve root.
4. Hypertrophic facetal arthropathy at the L5-S1 level on the right and at the L4-L5 level bilaterally.
5. Facetal hypertrophy at the L5-S1 level on the left and at the L1-L2, L2-L3 and L3-L4 levels bilaterally.
6. Significant canal stenosis at the L3-L4 and L4-L5 levels.
As compared to the previous MRI (study no:0000) dated 00.00.0000, the L3 and L4 vertebral bodies now appear wedged with altered signal of the L3-L4 and L4-L5 intervertebral discs. There is increase in the degree of canal stenosis of the L3-L4 and L4-L5 levels.
Date : 00.00.00
Name of the Patient : Abc XyzAkolalmn / M / 70 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE and paresthesias.
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 L1-L2, L2-L3 and L5-S1 intervertebral discs.
There is slight central and anterior wedging of the L3 and L4 vertebral bodies. The L3-L4 disc space appears slightly widened. The L3-L4 and L4-L5 intervertebral discs appear hyperintense on the T2 Weighted images.
The L3 and L4 vertebral bodies adjacent to the L3-L4 disc appears hypointense on all the pulse sequences.
Generalized bulge of the L3-L4 and L4-L5 intervertebral discs is noted, with thecal sac compression and bilateral neural foraminal narrowing. Postero-lateral and far lateral disc herniations are also noted at these levels with indentation on the foraminal and extraforaminal segments of the L3 and L4 nerve roots.
Scan-00002
A left far lateral disc bulge with peridiscal osteophyte is noted at the L2-L3 level minimally indenting the extraforaminal segment of the left L2 nerve root.
Hypertrophic facetal arthropathy is noted at the L5-S1 level on the right and at the L4-L5 level bilaterally. Facetal hypertrophy is noted at the L5-S1 level on the left and at the L1-L2, L2-L3 and L3-L4 levels bilaterally.
The intrathecal nerve roots over the L4 and L5 vertebral levels appear clumped, centrally. There is significant canal stenosis at the L3-L4 and L4-L5 levels.
A scar is noted in the posterior soft tissues in the lumbar region at the L3 and L4 vertebral levels.
Anterior disc herniations with peridiscal osteophytes is noted in the lumbar region.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-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
16.0 mm at L2-L3
9.0 mm at L3-L4
8.0 mm at L4-L5
13.0 mm at L5-S1.
..3/.
- 3 - Scan-00002
IMPRESSION :
1. Slight central and anterior wedging of the L3 and L4 vertebral bodies with altered signal adjacent to the L3-L4 disc and altered signal of the L3-L4 and L4-L5 intervertebral discs may be the sequelae of previous osteitis and discitis.
2. Generalized bulge of the L3-L4 and L4-L5 intervertebral discs with postero-lateral and far lateral disc herniations at these levels with indentation on the foraminal and extraforaminal segments of the L3 and L4 nerve roots.
3. A left far lateral disc bulge with peridiscal osteophyte at the L2-L3 level minimally indenting the extraforaminal segment of the left L2 nerve root.
4. Hypertrophic facetal arthropathy at the L5-S1 level on the right and at the L4-L5 level bilaterally.
5. Facetal hypertrophy at the L5-S1 level on the left and at the L1-L2, L2-L3 and L3-L4 levels bilaterally.
6. Significant canal stenosis at the L3-L4 and L4-L5 levels.
As compared to the previous MRI (study no:0000) dated 00.00.0000, the L3 and L4 vertebral bodies now appear wedged with altered signal of the L3-L4 and L4-L5 intervertebral discs. There is increase in the degree of canal stenosis of the L3-L4 and L4-L5 levels.
Published in
MRI Reports
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzudlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE.
C/O weakness of BLE since 2 1/2 years.
H/O fall prior to this.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is evidence of facetal hypertrophy at the D9-D10 level bilaterally with resultant cord compression. The dorsal spinal cord at this level shows a hyperintense signal on the T2 Weighted images which suggest cord edema/ischemia/gliosis.
Facetal hypertrophy, but to a lesser extent is also noted at the D11-D12 level and the D4-D5 levels with mild compromise of the dorsal canal at these levels.
The visualized dorsal vertebral bodies show normal signal intensity. The intervertebral discs show loss of water content. The visualized pre and paravertebral soft tissues are unremarkable.
Screening, T2 Weighted sagittal images of the cervical cord shows a posterior peridiscal osteophyte at the C5-C6 level and smaller, postero-central protruded discs with peridiscal osteophytes at the C3-C4, C4-C5 and C6-C7 levels.
IMPRESSION :
1. Facetal hypertrophy at the D9-D10 level bilaterally with resultant cord compression and cord signal alteration suggesting cord edema/ischemia/gliosis.
2. Facetal hypertrophy, but to a lesser extent at the D11-D12 level and the D4-D5 levels with mild compromise of the dorsal canal at these levels.
3. A posterior peridiscal osteophyte at the C5-C6 level.
Date : 00.00.00
Name of the Patient : Abc Xyzudlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE.
C/O weakness of BLE since 2 1/2 years.
H/O fall prior to this.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is evidence of facetal hypertrophy at the D9-D10 level bilaterally with resultant cord compression. The dorsal spinal cord at this level shows a hyperintense signal on the T2 Weighted images which suggest cord edema/ischemia/gliosis.
Facetal hypertrophy, but to a lesser extent is also noted at the D11-D12 level and the D4-D5 levels with mild compromise of the dorsal canal at these levels.
The visualized dorsal vertebral bodies show normal signal intensity. The intervertebral discs show loss of water content. The visualized pre and paravertebral soft tissues are unremarkable.
Screening, T2 Weighted sagittal images of the cervical cord shows a posterior peridiscal osteophyte at the C5-C6 level and smaller, postero-central protruded discs with peridiscal osteophytes at the C3-C4, C4-C5 and C6-C7 levels.
IMPRESSION :
1. Facetal hypertrophy at the D9-D10 level bilaterally with resultant cord compression and cord signal alteration suggesting cord edema/ischemia/gliosis.
2. Facetal hypertrophy, but to a lesser extent at the D11-D12 level and the D4-D5 levels with mild compromise of the dorsal canal at these levels.
3. A posterior peridiscal osteophyte at the C5-C6 level.
Published in
MRI Reports
More...
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Khalmn / F / 9 yrs.
Referred by : Dr. Abc Xyzubchandani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick T2 Weighted and Fast Scan (T2 *) coronal images through the region of interest.
OBSERVATION :
There is no focal area of altered signal intensity in 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 identified on this study.
IMPRESSION :
No abnormality detected within the brain on this study.
If clinically indicated a contrast enhanced scan would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyz Khalmn / F / 9 yrs.
Referred by : Dr. Abc Xyzubchandani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 mm thick T2 Weighted and Fast Scan (T2 *) coronal images through the region of interest.
OBSERVATION :
There is no focal area of altered signal intensity in 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 identified on this study.
IMPRESSION :
No abnormality detected within the brain on this study.
If clinically indicated a contrast enhanced scan would be worthwhile.
Published in
MRI Reports
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Khurlmn / F / 22 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE (left more than right) since 6 months with numbness.
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 L4 vertebral body appears hypointense on the T1 Weighted images and heterogeneously hyperintense on the T2 Weighted images. Erosion of the posterior and left lateral margin of the L4 vertebral body is noted with involvement of the left pedicle of L4. There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the anterior epidural space and in the left paravertebral region at the L4 vertebral level, which appears hyperintense on the T2 Weighted images. Resultant indentation and probable encasement of the traversing L4 nerve roots bilaterally is noted. There is also extension of the soft tissue lesion in the left neural foramen at the L4-L5 level. The L3-L4 and L4-L5 intervertebral discs show slight loss of water content.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and right paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
16.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
Altered signal of the L4 vertebral body with erosion of the posterior and left lateral margin of this vertebra with involvement of the left pedicle of L4 as described, most likely represents osteitis, probably tuberculous osteitis. Anterior epidural space and in the left paravertebral soft tissue lesion at the L4 vertebral level may represent granulation tissue.
The possibility of this lesion representing a small cell tumor may be considered as a differential diagnosis.
Date : 00.00.00
Name of the Patient : Abc Xyz Khurlmn / F / 22 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE (left more than right) since 6 months with numbness.
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 L4 vertebral body appears hypointense on the T1 Weighted images and heterogeneously hyperintense on the T2 Weighted images. Erosion of the posterior and left lateral margin of the L4 vertebral body is noted with involvement of the left pedicle of L4. There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the anterior epidural space and in the left paravertebral region at the L4 vertebral level, which appears hyperintense on the T2 Weighted images. Resultant indentation and probable encasement of the traversing L4 nerve roots bilaterally is noted. There is also extension of the soft tissue lesion in the left neural foramen at the L4-L5 level. The L3-L4 and L4-L5 intervertebral discs show slight loss of water content.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and right paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
16.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
Altered signal of the L4 vertebral body with erosion of the posterior and left lateral margin of this vertebra with involvement of the left pedicle of L4 as described, most likely represents osteitis, probably tuberculous osteitis. Anterior epidural space and in the left paravertebral soft tissue lesion at the L4 vertebral level may represent granulation tissue.
The possibility of this lesion representing a small cell tumor may be considered as a differential diagnosis.
Published in
MRI Reports
hs/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz M. Rilmn / F / 20 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain & Intracranial
MR Venogram.
CLINICAL PROFILE :
C/O left sided hemiplegia with loss of consciousness since 3 days.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
MR Venogram was obtained using 2D TOF sequence.
OBSERVATION :
Brain :
There is evidence of an irregularly defined area of hypointensity on the T1 Weighted images which turns hyperintense on the proton, T2 Weighted and FLAIR images within the right fronto-parietal lobes. There is involvement of the cortical grey matter as well as the underlying deep white matter. A smaller area with similar signal characteristics is seen in the left high frontal lobe. There is effacement of the cerebral cortical sulci adjacent to these lesions.
Areas of hyperintensity on the T1 Weighted images are noted within the lesion in the right fronto-parietal lobes. Some of these turn hyperintense on the T2 Weighted images whereas a few remain hypointense and would represent subacute blood. This lesion is seen to compress upon the third and right lateral ventricles with a shift of the midline structures to the left. Also seen is right uncal herniation, transtentorial herniation and compression upon the midbrain on the right side.
..2/.
- 2 -
The normal flow void signal is not evidence within the anterior aspect of the superior sagittal sinus. The fourth ventricle is normal.
MR Venogram :
The normal flow signal is not seen within the anterior aspect of the superior sagittal sinus and this may suggest a thrombosis.
A streak of flow is seen within the left transverse sinus (? hypoplastic sinus ? thrombosed with partial recanalization).
On the MRV the rest of the visualized dural and deep venous sinuses show normal flow characteristics.
IMPRESSION :
The MRI/MRV features are suggestive of :
1. A large haemorrhagic infarct (most likely venous) within the right fronto-parietal lobes with mass effect and right uncal herniation and transtentorial herniation as described.
2. A smaller infarct (most likely venous) in the left high frontal lobe.
3. Thrombosis of the anterior aspect of the superior sagittal sinus.
4. A streak of flow within the left transverse sinus (? hypoplastic sinus, ? thrombosed with partial recanalization).
Date : 00.00.00
Name of the Patient : Abc Xyz M. Rilmn / F / 20 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain & Intracranial
MR Venogram.
CLINICAL PROFILE :
C/O left sided hemiplegia with loss of consciousness since 3 days.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
MR Venogram was obtained using 2D TOF sequence.
OBSERVATION :
Brain :
There is evidence of an irregularly defined area of hypointensity on the T1 Weighted images which turns hyperintense on the proton, T2 Weighted and FLAIR images within the right fronto-parietal lobes. There is involvement of the cortical grey matter as well as the underlying deep white matter. A smaller area with similar signal characteristics is seen in the left high frontal lobe. There is effacement of the cerebral cortical sulci adjacent to these lesions.
Areas of hyperintensity on the T1 Weighted images are noted within the lesion in the right fronto-parietal lobes. Some of these turn hyperintense on the T2 Weighted images whereas a few remain hypointense and would represent subacute blood. This lesion is seen to compress upon the third and right lateral ventricles with a shift of the midline structures to the left. Also seen is right uncal herniation, transtentorial herniation and compression upon the midbrain on the right side.
..2/.
- 2 -
The normal flow void signal is not evidence within the anterior aspect of the superior sagittal sinus. The fourth ventricle is normal.
MR Venogram :
The normal flow signal is not seen within the anterior aspect of the superior sagittal sinus and this may suggest a thrombosis.
A streak of flow is seen within the left transverse sinus (? hypoplastic sinus ? thrombosed with partial recanalization).
On the MRV the rest of the visualized dural and deep venous sinuses show normal flow characteristics.
IMPRESSION :
The MRI/MRV features are suggestive of :
1. A large haemorrhagic infarct (most likely venous) within the right fronto-parietal lobes with mass effect and right uncal herniation and transtentorial herniation as described.
2. A smaller infarct (most likely venous) in the left high frontal lobe.
3. Thrombosis of the anterior aspect of the superior sagittal sinus.
4. A streak of flow within the left transverse sinus (? hypoplastic sinus, ? thrombosed with partial recanalization).
Published in
MRI Reports
hs/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Mhlmn / F / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 1 year.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is mild forward translation of the L3 vertebra over the L4 vertebra and mild retroplacement of the L2 vertebra over the L3 vertebra.
A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. A disc portion is seen to lie within the left lateral recess of the L5 vertebra with impingement of the traversing left L5 nerve root.
Postero-lateral (foraminal) disc herniations are seen to narrow the neural foramina bilaterally at the L2-L3 and L3-L4 levels.
There is a posterior disc bulge at the L5-S1 level. Bilateral far lateral (extraforaminal) disc bulges are noted over the L2-L3 to L5-S1 levels.
The L3-L4 and L4-L5 facet joints show hypertrophic degenerative changes. Facetal hypertrophy is seen at the L5-S1 level.
There is mild ligamentum flavum hypertrophy at the L4-L5, L5 and L5-S1 levels.
The pedicles of the lumbar vertebrae appear to be congenitally short in their antero-posterior dimensions.
A Schmorls node is seen at the inferior aspect of the L2 vertebral body.
The lumbar intervertebral discs show loss of water content. Anterior disc herniations with peridiscal osteophytes are seen at the L2-L3, L3-L4 and L4-L5 levels.
The lumbar vertebral bodies 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 S2 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
12.0 mm at L2-L3
9.0 mm at L3-L4
9.0 mm at L4-L5
11.0 mm at L5-S1.
The cervico-dorsal spine was screened with 5 mm thick T1 Weighted sagittal images and the C5 and C6 vertebral bodies show areas of hypointensity. If clinically indicated a dedicated study of the cervical spine may be performed.
..3/.
- 3 - Scan-00007
IMPRESSION :
The MRI features are suggestive of :
1. A posterior disc herniation at the L4-L5 level with a disc portion seen to lie within the left lateral recess of the L5 vertebra with impingement of the traversing left L5 nerve root.
2. Postero-lateral (foraminal) disc herniations
at the L2-L3 and L3-L4 levels.
3. Hypertrophic facetal arthropathy at the L3-L4 and L4-L5 levels and facetal hypertrophy at the L5-S1 level.
4. Mild ligamentum flavum hypertrophy at the L4-L5, L5 and L5-S1 levels.
5. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
6. Canal stenosis at the L3-L4 and L4-L5 levels and a tight canal at the L2-L3 level.
Date : 00.00.00
Name of the Patient : Abc Xyz Mhlmn / F / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 1 year.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is mild forward translation of the L3 vertebra over the L4 vertebra and mild retroplacement of the L2 vertebra over the L3 vertebra.
A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. A disc portion is seen to lie within the left lateral recess of the L5 vertebra with impingement of the traversing left L5 nerve root.
Postero-lateral (foraminal) disc herniations are seen to narrow the neural foramina bilaterally at the L2-L3 and L3-L4 levels.
There is a posterior disc bulge at the L5-S1 level. Bilateral far lateral (extraforaminal) disc bulges are noted over the L2-L3 to L5-S1 levels.
The L3-L4 and L4-L5 facet joints show hypertrophic degenerative changes. Facetal hypertrophy is seen at the L5-S1 level.
There is mild ligamentum flavum hypertrophy at the L4-L5, L5 and L5-S1 levels.
The pedicles of the lumbar vertebrae appear to be congenitally short in their antero-posterior dimensions.
A Schmorls node is seen at the inferior aspect of the L2 vertebral body.
The lumbar intervertebral discs show loss of water content. Anterior disc herniations with peridiscal osteophytes are seen at the L2-L3, L3-L4 and L4-L5 levels.
The lumbar vertebral bodies 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 S2 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
12.0 mm at L2-L3
9.0 mm at L3-L4
9.0 mm at L4-L5
11.0 mm at L5-S1.
The cervico-dorsal spine was screened with 5 mm thick T1 Weighted sagittal images and the C5 and C6 vertebral bodies show areas of hypointensity. If clinically indicated a dedicated study of the cervical spine may be performed.
..3/.
- 3 - Scan-00007
IMPRESSION :
The MRI features are suggestive of :
1. A posterior disc herniation at the L4-L5 level with a disc portion seen to lie within the left lateral recess of the L5 vertebra with impingement of the traversing left L5 nerve root.
2. Postero-lateral (foraminal) disc herniations
at the L2-L3 and L3-L4 levels.
3. Hypertrophic facetal arthropathy at the L3-L4 and L4-L5 levels and facetal hypertrophy at the L5-S1 level.
4. Mild ligamentum flavum hypertrophy at the L4-L5, L5 and L5-S1 levels.
5. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
6. Canal stenosis at the L3-L4 and L4-L5 levels and a tight canal at the L2-L3 level.
Published in
MRI Reports