MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13930

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

Name of the Patient : Abc Xyz S. Prajalmn / F / 15 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures.
CT Scan dated 00.00.00 revealed ring enhancing lesions in the left cerebral hemisphere.
At present patient C/O headaches and vomiting.

EXAMINATION :

M.R.I of the brain (plain scan as requested) was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

4 mm thick FLAIR coronal images.

3 mm thick T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

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

The previously identified lesions in the left parafalcine region on the CT Scan are no longer visualized on this study.

There is mild prominence of the cerebellar folia bilaterally.

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.
..2/.







Inflammatory changes are seen within the sphenoid sinus and both maxillary sinuses.

IMPRESSION :

Mild prominence of the cerebellar folia bilaterally.

No other significant abnormality is detected within the brain on this study.

Sunday, 27 December 2015 16:48

13929

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

Name of the Patient : Abc XyzN. Vallmn / F / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

C/O pain in the cervico-dorsal region with weakness of BLE with paresthesias.

EXAMINATION :

M.R.I of the cervico-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 near complete collapse of the D5 vertebral body. There is collapse with anterior wedging of the D4 vertebral body with a resultant kyphus.

Areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images are seen to involve the D3, D4, D5 and D6 vertebral bodies, the D3, D4 and D5 pedicles and superior aspect of the D8 vertebral body on the right side. The D4-D5 and D5-D6 intervertebral discs are seen to be involved.

There is extension of this pathologic process into the pre and paravertebral soft tissues over the D2-D3 to D6-D7 levels. This lesion is hypointense with a hyperintense rim on the T1 Weighted images and hyperintense with a hypointense rim on the T2 Weighted images and most likely represents an abscess.
Scan-00009

Also seen is similar extension into the anterior epidural space over the D4 to D6 vertebral levels with compression upon the cord. The cord over these levels shows a hyperintense signal on the T2 Weighted images (iso to hypointense to normal cord on the T1 Weighted images) suggestive of cord edema/ischemia/myelitis.
There is probable encasement of the corresponding nerve roots over these levels.

There is involvement of the D3-D4, D4-D5 and D5-D6 costo-vertebral joints.

The rest of the visualized cervico-dorsal vertebral bodies and intervertebral discs are unremarkable.

IMPRESSION :

The MRI features are suggestive of a pathologic process involving the D3, D4, D5, D6 and D8 vertebrae and the D4-D5 and D5-D6 intervertebral discs with extension into the soft tissues with cord compression and cord edema/ischemia/myelitis as described. This most likely represents an infective pathology like tuberculosis.

The possibility of this being a neoplastic process like a small cell tumor is less likely.



Sunday, 27 December 2015 16:48

13928

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

Name of the Patient : Abc Xyzmmed A. Plmn / M / 11 yrs.
Referred by : Dr. Abc Xyzrawala / Dr. Abc Xyzka.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches.
H/O weakness of the LUE and LLE since 40 days and inability to speak 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.

5 mm thick T2 Weighted and FLAIR coronal images.

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial and coronal images with magnetization transfer.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are irregularly defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images involving the gyri in the right parietal and right occipital lobes and within the right paraatrial white matter and posterior aspect of the thalamus on the right side. These do not enhance after contrast administration.

There is mild prominence of the cerebellar folia bilaterally.






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 :

The MRI features are suggestive of areas of altered signal intensity involving the gyri in the right parietal and right occipital lobes and within the right paraatrial white matter and posterior aspect of the thalamus on the right side.
These are not specific for a single etiology. The differential diagnosis may include :

1. Encephalitis/ADEM.

2. Ischemia/infarction.

3. Metabolic disorders (like mitochondrial cytopathies) (less likely.





Sunday, 27 December 2015 16:48

13925

Written by
hs/sb/nl/rg.
/27 Date : 00.00.00

Name of the Patient : Abc Xyzpa B. Poolmn / M / 54 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O giddiness since 1 month.
H/O right sided hemiparesis with loss of speech since 00.00.00.
Known hypertensive/diabetic.

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 evidence of a diffuse area of hyperintensity on the T2 Weighted images within the left fronto-temporal lobes. Areas of hyperintensity on the T1 Weighted images suggestive of subacute blood are seen within this lesion. This lesion would represent a hemorrhagic infarct.

Small hyperintense areas on the T2 Weighted images are noted within the right lentiform nucleus and left paraatrial white matter and these are most likely ischemic in etiology.

A lacunar infarct is seen in the pons.

There is mild fullness of the ventricular system. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

A hyperintense signal is seen within the intracranial left internal carotid artery on the T2 Weighted images.
Scan-00005


The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

INTRACRANIAL & NECK MRA :

The left internal carotid artery is not visualized from its origin over its entire length. The left middle cerebral artery and its branches are attenuated.

The petrous, cavernous and supraclinoid segments of the right internal carotid artery show normal signal and calibre. The visualized anterior cerebral, right middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

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. A haemorrhagic infarct within the left fronto-temporal lobe.

2. Non-visualization of the left internal carotid artery from its origin over its entire length with attenuation of the left middle cerebral artery and its branches.



Sunday, 27 December 2015 16:48

13924

Written by
hs/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzao Salgaolmn / M / 68 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O giddiness with ataxia and speech disturbances.
H/O HT.

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 an area following CSF signal characteristics in the inferior aspect of the left cerebellar hemisphere and would represent an area of cystic encephalomalacia.

Hyperintense areas on the T2 Weighted images are seen within the corona radiata, centrum semiovale, lentiform nuclei and periventricular white matter bilaterally and the right thalamus.

Lacunar infarcts are seen in the lentiform nuclei, left cerebellar hemisphere and right corona radiata.

There is mild fullness of the ventricular system. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

There is no shift of the midline structures.

INTRACRANIAL MRA :

There is slight vessel wall irregularity of the P1 segment of both the posterior cerebral arteries, the M1 segment of the left middle cerebral artery and both anterior cerebral arteries.
..2/.





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The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized right middle cerebral, basilar and vertebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

NECK MRA :

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 MRI features are suggestive of :

1. Cystic encephalomalacia in the left cerebellar hemisphere, inferiorly.

2. Areas of hyperintensity on the T2 Weighted images within the corona radiata, centrum semiovale, lentiform nuclei and periventricular white matter bilaterally and the right thalamus and these are most likely ischemic in etiology.

3. Lacunar infarcts in the lentiform nuclei, left cerebellar hemisphere and right corona radiata.

4. Slight irregularity of the vessels involving the P1 segment of both the posterior cerebral arteries, the M1 segment of the left middle cerebral artery and both anterior cerebral arteries and this may represent atherosclerotic changes.



Sunday, 27 December 2015 16:48

13922

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

Name of the Patient : Abc Xyz R. Dhlmn / F / 12 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 2-3 months.

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 mild fullness of both the lateral ventricles (right more than left). The 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.

Inflammatory changes are seen within the posterior ethmoidal air cells on the left side.

IMPRESSION :

No significant abnormality is detected within the brain on this study.

Sunday, 27 December 2015 16:48

13921

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

Name of the Patient : Abc Xyzya Bapardlmn / F / 7 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches and vomiting since 2-3 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 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.

IMPRESSION :

Normal study of the Brain.
Sunday, 27 December 2015 16:48

13920

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

Name of the Patient : Abc Xyzndan Palmn / M / 45 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O numbness of the left side of the face and weakness in the LUE since evening of 00.00.00.

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.

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.

There is no obvious evidence of an intracerebral haemorrhage on this study.

IMPRESSION :

Normal study of the Brain.
Sunday, 27 December 2015 16:48

13919

Written by
sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz P. lmn / F / 33 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headadches.
C/O diminished vision and watering of eyes.

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 STIR coronal 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 slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

The visualized optic nerves appear normal in course and show normal signal intensity.

IMPRESSION :

No significant abnormality is detected on this study.

Sunday, 27 December 2015 16:48

13918

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

Name of the Patient : Abc Xyza Sullmn / M / 20 yrs.
Referred by : Dr. Abc Xyzni
Examination : M.R.I. of the Left Foot and Ankle.

CLINICAL PROFILE :

C/O swelling of the left foot with a haemorrhagic discharge (on and off) since 3 years.
Clinical diagnosis - actinomycosis.

EXAMINATION :

M.R.I. of the left foot and ankle was performed using the following parameters :

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

4 mm thick T1 Weighted and STIR coronal images.

4 mm thick T1 Weighted and GRASS sagittal images.

OBSERVATION :

There is evidence of swelling of the left foot. Hypointense signal on the T1 Weighted images is seen in the subcutaneous soft tissues on the dorsum of the left foot, laterally and in the midsegment of the sole of the left foot. This lesion appears hyperintense on the T2 Weighted and STIR images. The lesion on the dorsum of the foot appears to be a small collection of fluid/pus. There is an ill-marginated, intermediate signal intensity lesion on the T1 Weighted images (hyperintense to normal muscle on the T1 Weighted images) in the plantar group of muscles, which appears hyperintense on the T2 Weighted and STIR images. The lesion is seen to extend into the first interdigital space, superiorly and upto the subcutaneous fat and probably the skin surface, with an ulcer inferiorly. The plantar aponeurosis is most likely breached by this lesion.


The visualized bones of the left foot and ankle show normal alignment and signal intensity. No obvious bone destruction or erosion is evident.

IMPRESSION :

Altered signal in the plantar group of muscles, with extensions as described, is most likely inflammatory in etiology. Altered signal in the subcutaneous tissues on the dorsal and the plantar aspect of the foot would suggest cellulitis. No obvious bony lesion is identified on this scan.