MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13944

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

Name of the Patient : Abc Xyzh Sonalmn / M / 53 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O weakness of the RUE and RLE with bladder involvement.
H/O suprapubic cystotomy done 2 1/2 years back.
Known C/O TBM.

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.

3 mm thick T2 Weighted coronal images.

OBSERVATION :

There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.

There is seen an ill-marginated, most likely intradural - extramedullary mass lesion in the spinal canal to the right of the cervical spinal cord at the C4 vertebral level measuring approximately 1.0 x 0.8 x 2.1 cms. This lesion is nearly isointense to the normal cord on the T1 Weighted images and appears hypointense on the T2 Weighted images. The lesion has a broad base towards the dural theca. There is resultant cord compression and displacement of the cervical spinal cord to the left, at that level. The cervical spinal cord along its entire extent appears slightly swollen and shows a hyperintense signal on the T2 Weighted images which suggest cord edema/ischemia.



There is a fairly large, postero-central and right postero-lateral (foraminal) disc herniations with peridiscal osteophytes at the C5-C6 level with right neural foraminal narrowing.

A right paracentral protruded disc with peridiscal osteophytes is noted at the C4-C5 level.

A small postero-central protruded disc is noted at the C2-C3 level.

The cervical vertebral bodies show spotty fatty marrow changes. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

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

IMPRESSION :

1. An approximately 1.0 x 0.8 x 2.1 cms. sized intradural - extramedullary mass lesion in the spinal canal to the right of the cervical spinal cord at the C4 vertebral level, follows the signal characteristics of a tuberculoma (patient is a known C/O TBM). The possibility of this lesion being intramedullary in location cannot be entirely excluded. The possibility of this lesion representing a meningioma also seems less likely.

2. Altered cord signal in the cervical region suggest cord edema/ischemia.
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3. A fairly large, postero-central and right postero-lateral (foraminal) disc herniations with peridiscal osteophytes at the C5-C6 level with right neural foraminal narrowing.

4. A right paracentral protruded disc with peridiscal osteophytes at the C4-C5 level.

5. A small postero-central protruded disc at the C2-C3 level.

A contrast enhanced scan is essential.


Sunday, 27 December 2015 16:48

13943

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

Name of the Patient : Abc Xyz Lakdalmn / F / 76 yrs.
Referred by : Dr. Abc Xyzakdawala.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O memory impairement since 1 1/2 months.
Known hypertensive.

EXAMINATION :

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

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

OBSERVATION :

There are ill-defined, hyperintense areas in the periatrial deep white matter on the T2 Weighted and FLAIR images which are ischemic in etiology.

There is slight fullness of both the lateral ventricles. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

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

Incidentally noted is an empty sella.

INTRACRANIAL MRA :

The vertebro-basilar system is ectatic.






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 in the neck appear tortuous. The carotid bifurcations are unremarkable. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

Altered signal in the periatrial deep white matter is ischemic in etiology.

No significant abnormality is detected on the intracranial and neck MRA on this study.



Sunday, 27 December 2015 16:48

13942

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

Name of the Patient : Abc XyzA. Rlmn / M / 13 mnths.
Referred by : Dr. Abc Xyzsbekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever 2 months back treated for respiratory track infection from 00.00.00 to 00.00.00.
C/O delayed milestones.

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 T2 Weighted coronal images.

OBSERVATION :

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

The myelination pattern is normal for the patients age.

There is mild fullness of both the lateral, third and the fourth ventricles. There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

Mild fullness of the ventricular system with slight sulcal space prominence.

No other abnormality is detected on this study.





Sunday, 27 December 2015 16:48

13941

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

Name of the Patient : Abc Xylmn / F / 60 yrs.
Referred by : Dr. Abc Xyzgaonkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain to the RLE with paresthesias since 1 year which has increased 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 reduction in height of the L5-S1 intervertebral disc and loss of water content of the lumbar intervertebral discs.

There is a fairly large postero-central disc herniation at the L5-S1 level with thecal sac compression and indentation on the S1 nerve roots bilaterally. Bilateral far lateral disc bulges and facetal arthropathy are also noted at this level.

A posteriorly bulging disc with peridiscal osteophytes is seen at the L4-L5 level with bilateral neural foraminal narrowing.

Left and right postero-lateral disc bulge is noted at the L3-L4 level with bilateral neural foraminal narrowing.

Anterior disc herniations with anterior peridiscal osteophytes are noted in the lumbar region.


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 :

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

IMPRESSION :

1. A fairly large postero-central disc herniation at the L5-S1 level with indentation on the S1 nerve roots bilaterally. Facetal arthropathy is also noted with canal stenosis at this level.

2. A posteriorly bulging disc with peridiscal osteophytes at the L4-L5 level with bilateral neural foraminal narrowing.

3. Left and right postero-lateral disc bulge at the L3-L4 level with bilateral neural foraminal narrowing.


Sunday, 27 December 2015 16:48

13940

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

Name of the Patient : Abc Xyzdevi Ylmn / F / 30 yrs.
Referred by : Dr. Abc Xyzah.
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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

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

The hippocampal complex is unremarkable on either side.

There is minimal fullness of the left lateral ventricle as compared to the right (normal variant). The third and the fourth ventricles are normal. There is slight prominence of the cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

Slight prominence of the cerebellar folia bilaterally.

No other significant abnormality is detected on this study.


Sunday, 27 December 2015 16:48

13939

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

Name of the Patient : Abc Xyzlallmn / M / 36 yrs.
Referred by : Dr. Abc Xyzndhi / Dr. Abc Xyzpta.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the LUE since 4 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.

OBSERVATION :

There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.

There is a postero-central and left postero-lateral disc herniation with peridiscal osteophytes at the C6-C7 level with left neural foraminal narrowing.

A small postero-central disc herniation with peridiscal osteophytes is noted at the C4-C5 level, indenting the cervical spinal cord anteriorly.

Small postero-central disc herniation is noted at the C5-C6 level.

Small postero-central protruded disc is seen at the C3-C4 level.

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

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

IMPRESSION :

1. A postero-central and left postero-lateral disc herniation with peridiscal osteophytes at the C6-C7 level with left neural foraminal narrowing.

2. A small postero-central disc herniation with peridiscal osteophytes at the C4-C5 level, indenting the cervical spinal cord anteriorly.

3. Small postero-central disc herniation at the C5-C6 level.


Sunday, 27 December 2015 16:48

13938

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

Name of the Patient : Abc Xyzang lmn / M / 63 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures. On anti-epileptics.

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

The hippocampal complex on either side is unremarkable.

There is 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. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the ethmoidal air cells bilaterally and the left frontal sinus.

IMPRESSION :

Age related cerebral cortical atrophy.

No other significant abnormality is detected on this study.


Sunday, 27 December 2015 16:48

13937

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

Name of the Patient : Abc Xyzidevi Plmn / F / 45 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 4 months.
H/O fall +.

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.

The brain was screened with 5 mm thick T1 Weighted sagittal images and 5 mm thick T2 Weighted axial images.

The dorsal spine was screened with 5 mm thick T2 Weighted sagittal images.

OBSERVATION :

There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.

Small postero-central protruded discs are noted at the C2-C3, C3-C4 and C6-C7 levels.

The cervical vertebral bodies show spotty fatty marrow changes. 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.

Screening images of the brain and the dorsal spine do not reveal any significant feature of note, except for inflammatory changes in the ethmoidal air cells and mastoid air cells bilaterally.

IMPRESSION :

Small postero-central protruded discs at the C2-C3, C3-C4 and C6-C7 levels.

No significant abnormality is detected on the screening images of the dorsal spine and brain.




Sunday, 27 December 2015 16:48

13936

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

Name of the Patient : Abc Xyzhore Palmn / M / 48 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE.

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 seen an intradural, CSF signal intensity lesion on all the pulse sequences, extending over the L3 to the S1/S2 vertebral levels. The walls of the lesion are not well-defined. The intrathecal nerve roots over the L2 to S2 vertebral levels are displaced anteriorly. The antero-posterior dimension of this lesion is about 11.0 mms. The intrathecal nerve roots are however well-identified separately from each other.

There is slight loss of water content of the L4-L5 and L5-S1 intervertebral discs. Small posterior disc bulges are noted at the L4-L5 and L5-S1 levels.

Facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels.

The rest of 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 S2 level.

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

19.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
16.0 mm at L4-L5
16.0 mm at L5-S1.

IMPRESSION :

1. An intradural, CSF signal intensity lesion extending over the L3 to the S1/S2 vertebral levels with anterior displacement of the intrathecal nerve roots as described, most likely represents an intradural arachnoid cyst.

The possibility of the intrathecal nerve roots being displaced anteriorly due to arachnoiditis cannot be entirely excluded, though less likely.

2. Small posterior disc bulges at the L4-L5 and L5-S1 levels.

3. Facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.


Sunday, 27 December 2015 16:48

13935

Written by
sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc XyzAgalmn / M / 37 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in low back and both hip region since 2-3 years which is increased since 15 days.

EXAMINATION :

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

5 mm thick T1 Weighted and STIR coronal images.

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

5 mm thick Proton density sagittal images.

OBSERVATION :

The femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. Minimal fluid is noted within the hip joint on either side.

The musculature surrounding both the hip joints and the visualized pelvis is normal.

IMPRESSION :

No significant abnormality is detected on this study.