Showing posts with label post-contrast sagittal and axial t1 weighted images. Show all posts
Showing posts with label post-contrast sagittal and axial t1 weighted images. Show all posts

Thursday, 17 October 2013

MRI EXAMINATION OF THE CERVICAL SPINE WITH AND WITHOUT CONTRAST


MRI EXAMINATION OF THE CERVICAL SPINE WITH AND WITHOUT CONTRAST

FINDINGS:               Sagittal T1 and T2, axial T2 gradient echo images, and post-contrast sagittal and axial T1 weighted images were obtained on the Open MRI in Fort Pierce.  The vertebral bodies appear in relatively good alignment.  There are degenerative changes.  The cord shows no significant signal abnormality.  After administration of contrast, there is no significant abnormal enhancing lesion or mass to the vertebral bodies or cord.

At the level of C2-C3, there is no significant disc herniation, central canal stenosis, or neuroforaminal narrowing.  There are degenerative changes of the facet joints.

At the level of C3-C4, there is slight indentation on the anterior thecal sac and mild central canal stenosis.  There are also slight degenerative changes causing indentation on the exiting nerve roots, but no significant impingement.  There is no significant abnormal enhancement.

At the level of C4-C5, there is indentation on the anterior thecal sac and mild central canal stenosis, but no significant neuroforaminal narrowing or abnormal enhancement.

At the level of C5-C6, there is no significant disc herniation, central canal stenosis, neuroforaminal narrowing, or abnormal enhancement.

At the level of C6-C7, there is diffuse disc herniation with central canal prominence causing mild central canal stenosis.  There is no significant neuroforaminal narrowing.  There is no significant abnormal enhancement.

At the level of C7-T1, there is no significant disc herniation, central canal stenosis, or neuroforaminal narrowing.  There are degenerative changes of the facet joints.  There is no abnormal enhancement.

IMPRESSION:         Changes consistent with spinal stenosis as discussed above for each of the levels.  There is slight exaggeration of the normal curvature.  There is no significant abnormal enhancement. 

Would recommend further evaluation as clinically necessary.

Thank you for the referral.

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Wednesday, 9 October 2013

MRI EXAMINATION OF THE LUMBAR SPINE WITH AND WITHOUT CONTRAST



MRI EXAMINATION OF THE LUMBAR SPINE WITH AND WITHOUT CONTRAST

INDICATION FOR STUDY:         Trauma.  Pain.  No prior studies for comparison.

FINDINGS:               Sagittal T1 and T2, axial T1 and T2, and post-contrast sagittal and axial T1 weighted images were obtained on the Open MRI at Fort Pierce.  The vertebral bodies appear in relatively good alignment.  There is desiccation and slight disc space loss at L5-S1.  The remainder of the disc appear well hydrated.  The conus and nerve roots within the thecal sac show no gross abnormality.

At the levels of L1-L2 through L4-L5, there is slight indentation on the thecal sac from ligament flavum hypertrophy, but no significant central canal stenosis or neuroforaminal narrowing.  There is congenitally small canal.

At the L5-S1 level, there is a diffuse disc herniation with indentation on the anterior thecal sac.  There is motion artifact on the axial post-contrast images.  There is no significant abnormal enhancement around the thecal sac or neuroforaminal regions.  There is no significant neuroforaminal narrowing at this level.

IMPRESSION:         Slight degenerative disc disease, desiccation of the disc, and disc space loss at L5-S1 with diffuse disc herniation causing indentation on the anterior thecal sac and nerve roots within the thecal sac.  No significant abnormal enhancement around the thecal sac or neuroforaminal regions.  Please see comments above.


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