See Real Examples of Radily Explanations

CLINICAL HISTORY: 45-year-old female with persistent cough and dyspnea.

TECHNIQUE: Non-contrast CT chest performed with 5mm axial images reconstructed in coronal and sagittal planes.

COMPARISON: None.

FINDINGS:
Lungs: Scattered ground-glass opacities are noted in the bilateral upper lobes measuring up to 8mm. No consolidation, pleural effusion, or pneumothorax. No pulmonary nodules or masses identified.

Airways: The trachea and mainstem bronchi are patent. No significant bronchial wall thickening.

Heart: Normal cardiac silhouette. No pericardial effusion.

Mediastinum: No lymphadenopathy. Mediastinal contours are within normal limits.

Bones: No aggressive osseous lesions. Mild degenerative changes of the thoracic spine.

IMPRESSION:
1. Scattered ground-glass opacities in bilateral upper lobes, differential includes atypical infection, organizing pneumonia, or early interstitial lung disease. Clinical correlation and possible follow-up imaging recommended.
2. Mild degenerative spine changes.

CLINICAL HISTORY: 62-year-old male with new onset headaches and subjective memory difficulty.

TECHNIQUE: MRI brain without and with contrast. Sagittal T1, axial T2, FLAIR, DWI, and post-contrast T1 sequences obtained.

COMPARISON: None.

FINDINGS:
Brain Parenchyma: Scattered T2/FLAIR hyperintensities in the periventricular and subcortical white matter, consistent with chronic small vessel ischemic changes. No acute infarction on DWI. No mass, hemorrhage, or abnormal enhancement.

Ventricles/CSF Spaces: Mild generalized cerebral volume loss appropriate for age. Ventricles are normal in size and configuration.

Extra-axial Spaces: No extra-axial fluid collections or mass lesions.

Vascular: Normal flow voids in major intracranial vessels. No aneurysm or vascular malformation.

Orbits/Sinuses: Mild mucosal thickening in the maxillary sinuses bilaterally. Orbits are unremarkable.

Bones/Soft Tissues: No abnormal marrow signal. Visualized soft tissues are unremarkable.

IMPRESSION:
1. Chronic small vessel ischemic changes, mild, age-appropriate.
2. No acute intracranial abnormality, mass, or hemorrhage.
3. Mild maxillary sinus disease.

CLINICAL HISTORY: 38-year-old male with lower back pain radiating to right leg for 6 weeks.

TECHNIQUE: MRI lumbar spine without contrast. Sagittal T1, T2, and STIR sequences with axial T2 images.

COMPARISON: None.

FINDINGS:
Alignment: Normal lumbar lordosis. No spondylolisthesis.

Vertebral Bodies: Normal vertebral body height and signal. No compression fracture or marrow replacement.

Disc Spaces:
L1-L2 through L3-L4: Normal disc height and signal. No herniation or stenosis.
L4-L5: Mild disc desiccation. Small right paracentral disc protrusion measuring 3mm without significant canal or foraminal stenosis.
L5-S1: Moderate disc desiccation. Moderate-sized right posterolateral disc extrusion measuring 7mm, displacing the descending right S1 nerve root. Mild central canal stenosis. Moderate right foraminal stenosis.

Spinal Canal: Mild central canal stenosis at L5-S1 due to disc extrusion. Otherwise, the spinal canal is patent.

Facet Joints: Mild facet arthropathy at L4-L5 and L5-S1.

Paraspinal Soft Tissues: Unremarkable.

Conus Medullaris: Normal position at L1 level.

IMPRESSION:
1. L5-S1 moderate right posterolateral disc extrusion with right S1 nerve root displacement, correlating with right leg radicular symptoms.
2. Mild central canal stenosis at L5-S1.
3. Small disc protrusion at L4-L5 without significant nerve compression.