https://www.medmantra.com Tue, 24 Dec 2024 18:27:29 +0000 en-gb https://www.medmantra.com/item/3555-15069 https://www.medmantra.com/item/3555-15069 kebv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzTinlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided headaches since 8 days.
C/O diplopia on the left side since 4 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.

3 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted sagittal images.

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.

The optic nerves and cavernous sinuses bilaterally are unremarkable.

IMPRESSION :

Normal study of the brain.

If clinically indicated a contrast enhanced scan may be useful.


]]> finance@medmantra.com (Regular User) MRI Reports Sun, 27 Dec 2015 16:48:00 +0000 https://www.medmantra.com/item/3554-15068 https://www.medmantra.com/item/3554-15068 ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzl lmn / F / 10 yrs.
Referred by : Dr. Abc Xyzrade.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O PNET, operated in February 0000. For follow up.

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 is a large well-defined mass lesion in the right thalamus which is seen to extend superiorly into the right corona radiata and centrum semiovale and measures approximately 3.6 x 3.2 x 6.0 cms. The predominant portion of this lesion is hypointense to white matter on the T1 Weighted images and turns heterogeneously hyperintense on the proton, T2 Weighted and FLAIR images. Curvilinear hyperintense signal on the T1 Weighted images is seen at the periphery of this lesion which turns hypointense on the T2 Weighted images and would represent altered blood/calcification/paramagnetic substance deposition. An ill-defined hypointense area on the T1 Weighted images is seen antero-superior to this lesion which turns hyperintense on the proton, T2 Weighted and FLAIR images would represent edema. There is probable involvement of the body of the corpus callosum on the right side. There is mass effect with compression upon the body of the right ventricle and third ventricle with shift of the midline structures to the left.



A ventriculostomy tube tract is seen in the right posterior parietal region. Note is made of right frontal craniotomy with post-operative changes.

The fourth ventricle is normal.

No obvious vascular anomaly is identified on this study.

IMPRESSION :

In a known C/O PNET, the MRI features are suggestive of a mass lesion measuring approximately 3.6 x 3.2 x 6.0 in the right corona radiata and centrum semiovale with mass effect and extensions as described, would represent residual/recurrent tumor.

No previous investigations were available for comparison.
]]> finance@medmantra.com (Regular User) MRI Reports Sun, 27 Dec 2015 16:48:00 +0000 https://www.medmantra.com/item/3553-15067 https://www.medmantra.com/item/3553-15067 ke/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzh Llmn / M / 39 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O radicular pain in the right shoulder and in the RUE since 2 years.

EXAMINATION :

M.R.I of the cervical spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

There are postero-central disc herniations indenting the ventral aspect of the thecal sac at the C5-C6 and C6-C7 levels.

A posterior disc bulge is seen at the C4-C5 level and small postero-central disc protrusions are seen at the C2-C3 and C3-C4 levels.

Osteophytes are seen to arise from the postero-inferior margins of the C5 and C6 vertebral bodies.

The cervical intervertebral discs reveal loss of water content.

The cervical vertebral bodies reveal normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The cervical spinal cord reveals normal signal intensity.

The atlanto-axial region and the cervico-medullary junction are unremarkable.
..2/.




R>
IMPRESSION :

The MRI features are suggestive of postero-central disc herniations at the C5-C6 and C6-C7 levels and osteophytes arising from the postero-inferior margins of the C5 and C6 vertebral bodies.

As compared to the previous MRI (Study No.00000) dated 00.00.00, there is no significant change noted.
]]> finance@medmantra.com (Regular User) MRI Reports Sun, 27 Dec 2015 16:48:00 +0000 https://www.medmantra.com/item/3552-15066 https://www.medmantra.com/item/3552-15066 ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzla Palmn / F / 40 yrs.
Referred by : Dr. Abc Xyz.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the RUE with paresthesias since 1 1/2 months.

EXAMINATION :

M.R.I of the cervical spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

4 mm thick T1 Weighted and T2 Weighted coronal images.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There are small posterior disc bulges at the C3-C4, C4-C5 and C7-D1 levels with anterior indentation of the thecal sac.

Posterior peridiscal osteophytes are noted over the C3-C4 to C5-C6 levels.

There is no obvious compression upon the nerve roots by all the visualized cervical ribs.

The cervical vertebral bodies and the intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The cervical spinal cord reveals normal signal intensity.


The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

1. Small posterior disc bulges at the C3-C4, C4-C5 and C7-D1 levels.

2. Posterior peridiscal osteophytes over the C3-C4 to C5-C6 levels.

]]> finance@medmantra.com (Regular User) MRI Reports Sun, 27 Dec 2015 16:48:00 +0000 https://www.medmantra.com/item/3551-15065 https://www.medmantra.com/item/3551-15065 ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzYlmn / M / 40 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache since 15 days.
H/O vehicular accident 4 months back.

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 anterior wedging of the D6 vertebral body which follows fat signal characteristics on all the pulse sequences and is suggestive of healing.

A Schmorls node is seen in the superior aspect of the D4 vertebral body with surrounding fatty changes.

Small posterior peridiscal osteophytes are seen at the D3-D4, D4-D5 and D5-D6 levels.

Few mid-dorsal intervertebral discs show loss of water content.

The rest of the visualized dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The visualized dorsal spinal cord reveals normal signal intensity.


The conus medullaris terminates at the L1 level.

The lumbo-sacral spine was screened with 5 mm thick T1 Weighted sagittal images and shows small posterior disc herniations at the L4-L5 and L5-S1 levels.

The cervico-dorsal spine was screened with 4 mm thick T1 Weighted sagittal images and this reveals no feature of note.

IMPRESSION :

The MRI features are suggestive of :

1. Wedging of the D6 vertebral body with altered signal is most likely the sequelae of previous trauma.

2. Small posterior peridiscal osteophytes at the D3-D4, D4-D5 and D5-D6 levels.

3. Small posterior disc herniations at the L4-L5 and L5-S1 levels.


]]> finance@medmantra.com (Regular User) MRI Reports Sun, 27 Dec 2015 16:48:00 +0000 https://www.medmantra.com/item/3550-15064 https://www.medmantra.com/item/3550-15064 ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Kewalralmn / F / 18 yrs.
Referred by : Dr. Abc Xyzkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 1 month.

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 a small right postero-lateral disc protrusion at the L5-S1 level with antero-lateral indentation of the thecal asc and right neural foraminal narrowing. Mild indentation upon the right S1 nerve root is seen. This intervertebral disc shows loss of water content (scans 103.5, 104.3, 106.3, 102.5).

A small posterior disc bulge is identified at the L4-L5 level.

The lumbar vertebral bodies and the remaining 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 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 :

17.0 mm at L1-L2
19.0 mm at L2-L3
17.0 mm at L3-L4
17.0 mm at L4-L5
11.0 mm at L5-S1.

The sacro-iliac joints were screened with 5 mm thick T1 Weighted and 4 mm thick STIR coronal images and which does not reveal any diagnostic feature of note except for subtle fatty changes in the iliac bones.

IMPRESSION :

The MRI features are suggestive of a small right postero-lateral disc protrusion at the L5-S1 level with indentation upon the right S1 nerve root.


]]> finance@medmantra.com (Regular User) MRI Reports Sun, 27 Dec 2015 16:48:00 +0000 https://www.medmantra.com/item/3549-15063 https://www.medmantra.com/item/3549-15063 ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzJ. Galmn / M / 55 yrs.
Referred by : Dr. Abc Xyzonawalla.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE with paresthesias since 3 weeks.

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 posterior and bilateral postero-lateral disc herniations at the L2-L3 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing (left greater than right). There is indentation upon the foraminal portion of the left L2 nerve root. This disc appears reduced in height.

A small posterior disc bulge with bilateral postero-lateral disc herniations are seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. Mild indentation upon the extraforaminal portion of the left L4 nerve root is seen.

A small left far lateral disc bulge is noted at the L5-S1 level with mild indentation upon the extraforaminal portion of the left L5 nerve root.

A small posterior disc bulge is seen at the L3-L4 level.

The lumbar intervertebral discs except for the L1-L2 intervertebral disc show loss of water content.
..2/.








The L2-L3, L3-L4 and L4-L5 facet joints show mild degenerative changes.

The pedicles of the L2, L3 and L4 lumbar vertebrae appear congenitally short in their antero-posterior dimensions.

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 :

14.0 mm at L1-L2
7.0 mm at L2-L3
11.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Posterior and bilateral postero-lateral disc herniations at the L2-L3 level with indentation upon the foraminal portion of the left L2 nerve root and the thecal sac.
..3/.














- 3 - Scan-00003



2. A small posterior disc bulge with bilateral postero-lateral disc herniations at the L4-L5 level with mild indentation upon the extraforaminal portion of the left L4 nerve root.

3. A left far lateral disc bulge at the L5-S1 level with indentation upon the left L5 nerve root.

4. Mild facetal arthropathy at the L2-L3, L3-L4 and L4-L5 levels.

5. Congenitally short pedicles of the L2, L3 and L4 lumbar vertebrae in their antero-posterior dimensions.


]]> finance@medmantra.com (Regular User) MRI Reports Sun, 27 Dec 2015 16:48:00 +0000 https://www.medmantra.com/item/3548-15062 https://www.medmantra.com/item/3548-15062 ke/bv/rg/nl.
Date : 00.00.00

Name of the Patient : Abc Xyzben Shlmn / F / 67 yrs.
Referred by : Dr. Abc Xyzh.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache with fever since 1 month.

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.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is anterior wedging of the D8 vertebral body.
Hypointense signal is noted on all the pulse sequences along the inferior aspect of the D8 vertebra which suggests sclerosis/ compressed trabeculae. Hypointense signal is identified in the D8-D9 disc on all the pulse sequences suggesting calcification/vacuum phenomenon.

Focal fatty changes are noted in the lower dorsal vertebral body.

The visualized dorso-lumbar intervertebral discs show loss of water content.

The rest of the dorso-lumbar vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The visualized dorso-lumbar spinal cord reveals normal signal intensity.
Scan-00002


The conus medullaris terminates at the L1 level.

The lumbar spine shows mild degenerative changes with Schmorls nodes along the superior aspect of the L5 vertebra and a small posterior disc herniation at the L5-S1 level.

IMPRESSION :

The MRI features are suggestive of fracture with anterior wedging of the D8 vertebral body, probably traumatic in origin, the sequelae of osteoporosis.


]]> finance@medmantra.com (Regular User) MRI Reports Sun, 27 Dec 2015 16:48:00 +0000 https://www.medmantra.com/item/3547-15061 https://www.medmantra.com/item/3547-15061 sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzSlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 2 1/2 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 are small bright foci on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the left frontal region. These lesions appear nearly iso to hypointense to normal white matter on the T1 Weighted images.

The hippocampal complex is unremarkable on either side.

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 :

Altered signal in the subcortical white matter in the left frontal region is most likely ischemic in etiology.












4th April 0000


To,
The Divisional Manager,
The New India Assurance Co. Ltd.
Divisional Office - 000000
EMCA House, 1st Floor
289, Shahid Bhagat Singh Road
Fort
MUMBAI 400 001.


Dear Sir/Madam,


Mrs. Aruna A. Sheth, female, aged 40 years, had got an MRI brain done with us on 00.00.00 (study no:00001). Her H/O seizures was mistakenly mentioned by us in our report. We have also confirmed this with her refering physician Dr. Abc Xyzh, who confirms that she has never suffered from seizures.

The error is regretted.



Thanking you


Sincerely,







]]> finance@medmantra.com (Regular User) MRI Reports Sun, 27 Dec 2015 16:48:00 +0000 https://www.medmantra.com/item/3546-15060 https://www.medmantra.com/item/3546-15060 sb/ke/rg.
Scan No: 00000 Date : 00.00.00

Name of the Patient : Abc Xyzlata Mlmn / F /70 yrs.
Referred by : Dr. Abc XyzBhatkar.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O left sided hemiparesis 1 1/2 years ago. Recovered partially.
Similar complaints 2 months back with speech disturbance.
Altered behavioral pattern with difficulty in walking since 8 days.
Known hypertensive. On Rx.

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 T1 Weighted and T2 Weighted coronal images through the
sella and perisellar region.

5 mm thick T1 Weighted sagittal images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

BRAIN :

There is volume loss in the right temporo-parieto-occipital region. There is an ill-defined, hypointense signal on the T1 Weighted images along the cortex and the subcortical white matter in the temporo-parieto-occipital region. This lesion follows CSF signal on all the pulse sequences and represents an area of cystic encephalomalacia, most likely the sequelae of a previous vascular insult. Perilesional white matter hyperintense signal on the proton, T2 Weighted and FLAIR images would represent gliotic changes.
..2/.




There is an ill-defined, hypointense signal on the T1 Weighted images in the right inferior frontal and frontal regions, right high fronto-parietal region and in the right lentiform nucleus, head of right caudate nucleus and right corona radiata. This lesion appears hyperintense on the proton, T2 Weighted and FLAIR images and represents a subacute infarct. Peripheral hyperintense signal on the T1 Weighted images around this lesion would represent paramagnetic substance deposition.

The right cerebral peduncle appears smaller in size as compared to the left and shows a hyperintense signal on the T2 Weighted and FLAIR images due to ? ischemic changes ?? Walerian degeneration.

There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures.

The petrous and cavernous segments of the right internal carotid artery show an intraluminal signal on all the pulse sequences.

There is widening of the floor of the sella. There is seen an approximately 2.5 x 1.5 x 2.0 cms sized mass lesion in the sella, extending into the suprasellar region. This lesion is of intermediate signal on the T1 Weighted images and appears hypointense on the T2 Weighted images. Minimal indentation on the optic chiasma is noted. There is no extension of the lesion into the cavernous sinuses bilaterally.

INTRACRANIAL & NECK MRA :

The right internal carotid artery is not visualized in its entirety, from its bifurcation from the right common carotid artery in the neck (a very small, 5.0 cms long stump is noted at the right carotid bifurcation). The right external carotid artery is slightly irregular. The left common carotid artery and its bifurcation and the left vertebral artery are unremarkable. The right vertebral artery is hypoplastic.
..3/.




- 3 - Scan-00000

There is faint visualization of the supraclinoid segment of the
right internal carotid artery (? retrograde flow) and the right middle cerebral artery. The Sylvian branches of the right middle cerebral artery are faintly visualized. The right anterior cerebral artery is most likely filling from the opposite side.

Irregularity of the basilar artery is noted. The right posterior cerebral artery is also not well-identified.

The intracranial circulation on the left side appears unremarkable.

IMPRESSION :

1. Areas of cystic encephalomalacia in the right temporo-parieto-occipital region with volume loss most likely the sequelae of a previous vascular insult.

2. Altered signal in the right inferior frontal and frontal regions, right high fronto-parietal region and in the right lentiform nucleus, head of right caudate nucleus and right corona radiata most likely represent a subacute infarct.

3. An approximately 2.5 x 1.5 x 2.0 cms sized mass lesion in the sella, extending into the suprasellar region most likely represents a pituitary adenoma.

4. Non-visualization of the right internal carotid artery nearly in its entirety would suggest thrombosis of the vessels.

5. Irregularity of the basilar artery would suggest atherosclerotic changes.

6. Mild cerebral cortical and cerebellar atrophy.




]]> finance@medmantra.com (Regular User) MRI Reports Sun, 27 Dec 2015 16:48:00 +0000