MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13959

Written by
hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyziben Sollmn / F / 84 yrs.
Referred by : Dr. Abc Xyzh Shah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Patient is in semiconscious state since 1 day.
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 and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

Irregularly defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the pons, corona radiata, centrum semiovale and periventricular white matter bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology. Small areas with similar signal characteristics are noted within the thalamus and lentiform nuclei bilaterally.

Lacunar infarcts (iso to hyperintense to CSF) are noted within the pons, both lentiform nuclei and left thalamus.

There is fullness of the third and both the lateral ventricles. There is mild prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces.

Note is made of an empty sella.
Scan-00009



There is ectasia of the vertebro-basilar system. There is no shift of the midline structures.

A polyp is seen in the sphenoid sinus. Inflammatory changes are noted within the ethmoidal air cells.

The normal lens are not visualized, consistent with previous cataract surgery.

IMPRESSION :

The MRI features are suggestive of :

1. Areas of altered signal intensity within the pons, corona radiata, centrum semiovale, periventricular white matter bilaterally, in the thalamus and lentiform nuclei bilaterally.

2. Lacunar infarcts within the pons, both lentiform nuclei and left thalamus.

3. Age related cerebral atrophy.


Sunday, 27 December 2015 16:48

13958

Written by
hs/ke/rg/nl.
Date : 00.00.00

Name of the Patient : Abc Xyzheb Nlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with radiation of pain to BLE with 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 :

A small posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina (right more than left) with impingement of the foraminal portion of the exiting right L4 nerve root at the L4-L5 level. A small right far lateral (extraforaminal) disc herniation is seen to indent the extraforaminal portion of the exiting right L4 nerve root at this level.

Mild posterior disc bulges are noted at the L3-L4 and L5-S1 levels. Posterior peridiscal osteophytes are seen at the D11-D12 level.

There is anterior wedging of the D12 vertebral body. A Schmorls node is noted at its superior aspect with adjacent Type II degenerative changes.

The lumbar facet joints show mild degenerative changes. The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.

The D10-D11, D11-D12 and L4-L5 intervertebral discs show loss of water content.
..2/.




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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 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
15.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A small posterior disc herniation with impingement of the foraminal portion of the exiting right L4 nerve root at the L4-L5 level.

2. A small right far lateral (extraforaminal) disc herniation indenting the extraforaminal portion of the exiting right L4 nerve root at the L4-L5 level.

3. Mild facetal arthropathy in the lumbar region.

4. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.
Sunday, 27 December 2015 16:48

13957

Written by

sb.ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzhankar Mlmn / M / 22 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O neurogenic bladder with paraparesis since 4 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.

5 mm thick FLAIR coronal images.

OBSERVATION :

There are small bright foci on the proton, T2 Weighted and FLAIR images in the insular cortex bilaterally, left lentiform nucleus posteriorly and left thalamus. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.

There is mild dilatation of both the lateral and third 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.













IMPRESSION :

Altered signal in the insular cortex bilaterally, left lentiform nucleus posteriorly and left thalamus are not specific for a single etiology. Possibilities to be considered are :

1. Demyelination.

2. Ischemia.

Mild dilatation of both the lateral and third ventricles.

As compared to the previous MRI (study no:00000) dated 00.00.00, there is slight increase in the degree of the ventricular dilatation on the present study. The left thalamic lesion is a new lesion.



Sunday, 27 December 2015 16:48

13956

Written by
hs/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyznisa Huslmn / F / 70 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures and vomiting.
Alleged H/O head injury.
H/O HT.

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.

MR Cisternogram was obtained in the sagittal plane.

OBSERVATION :

There is evidence of a fairly well-defined extra-axial mass lesion in the right frontal region, measuring approximately 1.3 x 1.1 x 1.3 cms. This lesion is near isointense to gray matter on the T1 Weighted images and turns hypointense on the T2 Weighted images. It is seen to indent the right frontal lobe. The underlying brain parenchyma shows a hyperintense signal on the proton, T2 Weighted and FLAIR images, which may represent perilesional edema.

Diffuse, irregularly defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the periventricular white matter, corona radiata and centrum semiovale bilaterally. These are isointense to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology. Smaller areas with similar signal characteristics are evident within the lentiform nuclei bilaterally and right thalamus.


There is a lacunar infarct (isointense to hyperintense to CSF) within the head of the right caudate nucleus.

There is slight fullness of the third and both the lateral ventricles. Note is made of an empty sella. There is prominence of the cerebral cortical sulci bilaterally. Also seen is mild prominence of the basal cisternal spaces and cerebellar folia bilaterally.

An air-fluid level is noted within the right maxillary sinus (? inflammatory changes, ? blood).

The fourth ventricle is normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

The cervical spine was screened with 4 mm thick T2 Weighted sagittal images and shows degenerative changes.

IMPRESSION :

The MRI features are suggestive of :

1. An extra-axial mass lesion measuring approximately 1.3 x 1.1 x 1.3 cms in the right frontal region. This most likely represents a meningioma.

2. Areas of altered signal intensity within the periventricular white matter, corona radiata, centrum semiovale, and in the lentiform nuclei bilaterally and right thalamus are most likely ischemic in etiology

3. A lacunar infarct in the head of the right caudate nucleus.
Sunday, 27 December 2015 16:48

13955

Written by
sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzar Tanalmn / M / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O fever with giddiness and gait ataxia since 4 months.
H/O involuntary closure of both eyes with inability to swallow 6 days back. Recovered within 3 days.
C/O occasional diplopia.

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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There are small bright foci on the proton, T2 Weighted and FLAIR images in the midbrain, posteriorly, left thalamus, left insular cortex and in the left frontal deep white matter. These lesions appear isointense to normal white matter on the T1 Weighted images.

There is a very thin, subdural collection over the left cerebral convexity with a maximum width of about 4.0 mms. This lesion is hyperintense on all the pulse sequences. Similar signal intensity lesion is noted in the subdural space in the right fronto-temporo-occipital region.

Both the lateral, third and the fourth ventricles are normal. There is prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.


IMPRESSION :

1. A very small, subdural collection/hematomas over the left cerebral convexity and in the right fronto-temporo-occipital region.

2. Altered signal in the midbrain, posteriorly, left thalamus, left insular cortex and in the left frontal deep white matter is not specific for a single etiology.

These changes may represent :

a. Ischemic lesions.

b. Shearing injuries (in view of the bilateral very small subdural hematomas.

c. The possibility of demyelinating lesions is less likely.

d. Meningitis unlikely.




Sunday, 27 December 2015 16:48

13954

Written by
hs/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzra lmn / M / 46 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O unexplained fall with head injury.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images.

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

OBSERVATION :

There is no focal area of altered signal intensity within the
brain parenchyma.

There is hypoplasia of the inferior cerebellar vermis. Also seen is fullness of the fourth ventricle.

Both the lateral and the third ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Inflammatory changes are noted within the right maxillary sinus, ethmoidal air cells and sphenoid sinus.

INTRACRANIAL MRA :

The calibre of the supraclinoid segment of the left internal carotid artery is slightly less as compared to the opposite side.







The petrous and cavernous segments of the left internal carotid artery and the petrous, cavernous and supraclinoid segments of the right internal carotid artery 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 left vertebral artery appears to be arising from the aortic arch.

The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

The MRA features are suggestive of :

1. Slightly smaller calibre of the supraclinoid segment of the left internal carotid artery (? normal variant).

2. The left vertebral artery is seen to arise from the aortic arch.



Sunday, 27 December 2015 16:48

13953

Written by
hs/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzar B. Jamsandlmn / M / 49 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in both hips.
H/O alcoholism.
H/O steroids intake for asthama.

EXAMINATION :

M.R.I of both hips was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

5 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

Diffuse, irregularly defined areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted and STIR images are seen within the head and neck of the femur, bilaterally and the right acetabulum.

The left femoral head has an irregular contour with irregularity of the overlying articular cartilage. The left acetabular margin is also irregular. Effusion is seen within both hip joints (left more than right).

The right iliacus muscle is bulky and is hyperintense on the STIR images. There is probable involvement of the visualized right psoas muscle.

There is slight enlargement of the prostate gland.



IMPRESSION :

The MRI features are suggestive of :

1. Altered signal of the head and neck of the femur bilaterally and the right acetabulum with joint effusions (? avascular necrosis ? an infective process).

2. Bulky right iliacus muscle with altered signal may represent an infective pathology. A dedicated study of the pelvis and lumbar region may be worthwhile.
Sunday, 27 December 2015 16:48

13952

Written by
hs/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzag S. lmn / M / 13 yrs.
Referred by : Dr. Abc Xyzlke.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Patient has been operated for craniosynostosis at the age of 15 days. Development was normal.
H/O TBM at the age of 10 years with left hemiplegia. Subsequently the patient has shown mental backwardness.
H/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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are fairly well-defined areas which are near isointense to CSF on all the pulse sequences within the head of the right caudate nucleus and the right lentiform nucleus. Few areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton and T2 Weighted images are noted adjacent to these lesions and would represent gliotic changes. These lesions would represent lacunar infarcts.

The right cerebral hemisphere appears a little smaller as compared to the left side.

There is fullness of both the lateral ventricles, right more than left. Also seen is mild fullness of the third and fourth ventricles.

The head appears to be brachycephalic/turricephalic.
..2/.







The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of lacunar infarcts within the
the head of the right caudate nucleus and the right lentiform nucleus.

Patient is a known C/O craniosynostosis with a brachycephalic/ turricephalic skull.


Sunday, 27 December 2015 16:48

13951

Written by
sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Lokhlmn / F / 22 yrs.
Referred by : Dr. Abc XyzSandu.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O hearing loss on the left side since childhood and decreased hearing on the right side with pain since 3 months. Also C/O
headaches and pain on the right side of face since 15 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 coronal images.

5 mm thick T1 Weighted sagittal images.

MR Cisternogram was obtained in the coronal plane.

OBSERVATION :

There is no focal area of altered signal intensity in the brain parenchyma.

The seventh and eighth cranial nerve complex is unremarkable on either side.

The left posterior cerebral artery appears to be a continuation of the left posterior communicating artery and this may be a normal variant.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

IMPRESSION :

No significant abnormality detected within the brain on this study.


Sunday, 27 December 2015 16:48

13950

Written by
sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz. Glmn / M / 62 yrs.
Referred by : Dr. Abc Xyzrekh.
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 :

There is central wedging of the L4 vertebral body. The L2, L4 and S1 vertebral bodies show a hypointense signal on the T1 Weighted images which appears slightly hyperintense on the T2 Weighted images. Herniation of the L3-L4 and L4-L5 intervertebral discs into the body of L4 is noted. The posterior margins of the L2 and L4 vertebral bodies are seen to be bulging with resultant thecal sac compression and bilateral neural foraminal narrowing. The superior cortical endplate of L4 is seen to be breached.

Posteriorly bulging discs are noted at the L1-L2 and L2-L3 levels.

Slight facetal hypertrophy is noted in the lumbar region.

The lateral and anterior margins of the L2 and L4 vertebral bodies are also seen to be bulging with minimal soft tissue in the pre and paravertebral regions at these levels and impingement of the L4 nerve roots in the corresponding neural foramen at the L4-L5 level bilaterally.


The lumbar intervertebral discs show slight loss of water content.

The rest of the lumbar vertebral bodies show fatty marrow changes.

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 :

14.0 mm at L1-L2
10.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
14.0 mm at L5-S1.

Screening, T1 Weighted sagittal images of the cervico-dorsal region reveals altered signal of the D4 vertebral body with a fairly large left paravertebral soft tissue lesion at the D4 and D5 vertebral levels.

Incidentally noted is altered signal in the right iliac bone and a focal altered signal in the left iliac bone posteriorly.

Small renal parenchymal cysts are noted on the left side.

IMPRESSION :

1. Alterd signal of the L2, L4, S1 and also the D4 vertebral bodies and the iliac bones on either side as described is not specific for a single etiology. The differential diagnosis would include,

a. Metastasis.
..3/.







- 3 - Scan-00000



b. Round cell tumor.

c. An infective etiology is less likely.

2. Soft tissue mass lesion in the left paravertebral region at the D4 and D5 vertebral levels is of ? etiology, ? primary lung neoplasm, ?? soft tissue component of the D4 vertebral lesion, ?? lymphnodal enlargement.