MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13867

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

Name of the Patient : Abc Xyz Dablmn / M / 28 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (right more than left) since 4 months.
H/O Pulmonary kochs 3-4 years back. Received AKT.

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 :

The L5 vertebral body is as marked on the film.

The L2 and L3 vertebral bodies adjacent to the L2-L3 disc show an ill-defined hypointense signal on the T1 Weighted images which turn hyperintense on the T2 Weighted images. The L2-L3 intervertebral disc also appears hyperintense on the T2 Weighted images. Break in the cortical endplates of L2 and L3 vertebrae adjacent to the L2-L3 disc is noted.

There is an intermediate signal intensity mass lesion on the T1 Weighted images in the left psoas muscle, extending over L1 to L4 vertebral levels. This lesion appears hyperintense on the T2 Weighted images and is in continuity of the L2-L3 disc. Extension of this soft tissue lesion into the left neural foramen at the L2-L3 level is noted with encasement of the left L2 nerve root. Similar changes are also noted in the right psoas muscle but to a much lesser extent.


Small posterior disc bulges are noted at the L3-L4 and L4-L5 levels. Facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels.

The pedicles of the lumbar vertebrae appear congenitally short in their antero-posterior dimensions.

The rest of 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
14.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

Altered signal of the L2 and L3 vertebral bodies and of the L2-L3 intervertebral disc suggest osteitis with discitis, most likely tuberculous in etiology. A left psoas abscess is noted as described. A much smaller right psoas abscess is also seen.

The possibility of the above described lesion being a neoplasm seems less likely.


Sunday, 27 December 2015 16:48

13866

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzK. Jalmn / M / 36 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE 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 partial sacralization of the L5 vertebra on the left.

There is loss of water content of the L4-L5 intervertebral disc.

There is a fairly large, left paracentral extruded disc at the L4-L5 level with left neural foraminal narrowing. Inferior migration of the disc fragment is noted in the left lateral recess of L5, indenting the traversing left L5 nerve root. Slight facetal hypertrophy is also noted at this level.

A small posterior disc bulge is noted at the L3-L4 level with slight factal hypertrophy at that level.

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.
..2/.







The conus medullaris terminates at the D12-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 :

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

IMPRESSION :

1. Partial sacralization of the L5 vertebra on the left.

2. A fairly large, left paracentral extruded disc at the L4-L5 level with inferior migration of the disc fragment in the left lateral recess of L5, indenting the traversing left L5 nerve root. Slight facetal hypertrophy is also noted at this level with canal stenosis.


Sunday, 27 December 2015 16:48

13863

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

Name of the Patient : Abc Xyzha S. Tilmn / F / 48 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O fever with chills 15 days back with weakness of BLE.
C/O swaying while walking and slurred speech since 5 days.
H/O similar complaints in the 0000. Recovered.

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.

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

OBSERVATION :

BRAIN :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the left corona radiata and centrum semiovale and in the fronto-parietal deep white matter bilaterally. These are isointense to normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

There is slight prominence of the cerebellar folia with mild fullness of the fourth ventricle.

Both the lateral and third ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
..2/.






INTRACRANIAL MRA :

The left posterior communicating artery appears to be directly continuing as the posterior cerebral artery.

The right vertebral artery is hypoplastic.

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

NECK MRA :

The right vertebral artery in the neck also appears hypoplastic.

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

IMPRESSION :

1. Areas of ischemia/infarction in the left corona radiata and centrum semiovale and in the fronto-parietal deep white matter bilaterally.

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

Sunday, 27 December 2015 16:48

13862

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Klmn / M / 57 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the LUE with paresthesias 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 water content of the cervical intervertebral discs.

Posteriorly herniated discs with peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels. Degenerative changes of the joints of Luschka and the facet joints, bilaterally, is also noted at these levels, with bilateral neural foraminal narrowing.

Small posterior disc bulges with peridiscal osteophytes are noted at the C4-C5 and C3-C4 levels.

Minimal degenerative change is noted in the atlanto-axial region with marginal sclerosis at the odontoid tip.

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

The cervico-medullary junction is unremarkable.

IMPRESSION :

1. Posteriorly herniated discs with peridiscal osteophytes at the C5-C6 and C6-C7 levels.

2. Degenerative change of the joints of Luschka and the facet joints, bilaterally at C5-C6 and C6-C7 levls.

3. Degenerative change in the atlanto-axial region.

Sunday, 27 December 2015 16:48

13861

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz. Plmn / M / 66 yrs.
Referred by : Dr. Abc Xyzcha.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain in the RLE since 3 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 loss of water content of nearly all the lumbar intervertebral discs except the L5-S1 disc.

Small posterior disc bulges are noted at the L2-L3, L3-L4 and L4-L5 levels. Far lateral disc bulges are noted at the L2-L3 and L4-L5 levels.

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

The visualized dorso-lumbo-sacral vertebral bodies show spotty fatty marrow changes suggesting osteoporosis.

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 :

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

IMPRESSION :

1. Small posterior disc bulges at the L2-L3, L3-L4 and L4-L5 levels.

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

3. Spotty fatty changes in the visualized dorso-lumbo-sacral vertebral bodies suggests osteoporotic changes.
Sunday, 27 December 2015 16:48

13859

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

Name of the Patient : Abc Xyzed Hlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Dorsal Spine.
(Post-contrast Study)
CLINICAL PROFILE :

C/O backache with fever since 2-3 months.
C/O weakness of BLE with bladder involvement since 20-22 days.

EXAMINATION :

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

4 mm thick T1 Weighted sagittal images.

5 mm thick T1 Weighted axial images.

The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and the cervical spine was screened with 4 mm thick T1 Weighted sagittal images.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There are patchy areas of enhancement within the dorsal spinal cord. Also seen is enhancement in the region of the conus-cauda and along the intrathecal nerve roots in the lumbar region.

IMPRESSION :

In view of the pattern of enhancement the lesion within the dorsal spine (please see previous scan 00006 dated 00.00.00)
most likely represents myelitis with presence of arachnoiditis in the lumbar region.

The possibility of this being a neoplastic process is less likely.


Sunday, 27 December 2015 16:48

13857

Written by
hs/sb/nl/nl
/59 Date : 00.00.00

Name of the Patient : Abc Xyza Nlmn / F / 22 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O altered sensorium 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 FLAIR coronal images.

After administration of contrast, the following parameters were used :

5 mm thick T1 Weighted axial images with magnetization transfer.

5 mm thick T1 Weighted coronal and sagittal images.

OBSERVATION :

There is gyral thickening in both the cerebral hemispheres and they show a hyperintense signal on the proton, T2 Weighted and FLAIR images. Areas with similar signal characteristics are noted within the hippocampus and para-atrial white matter bilaterally and splenium of the corpus callosum.

After contrast administration, there is no focal area of abnormal enhancement within the brain parenchyma or along the meninges on the scan.

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 - Scan-00007/59



Note is made of inflammatory changes in the ethmoidal air cells and sphenoid sinus.

The cervical spine was screened with the help of 4 mm thick T2 Weighted sagittal images and does not reveal any diagnostic feature of note.

IMPRESSION :

The MRI features are suggestive of altered signal involving the gyri in the cerebral hemispheres bilaterally and within the hippocampus and the para-atrial white matter bilaterally and splenium of the corpus callosum and this is not specific for a single diagnosis.

The differential diagnosis would include :

1. Hypoxic ischemic changes (? poisoning).

2. Viral encephalitis.

3. Post-epilepsy status.



Sunday, 27 December 2015 16:48

13856

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

Name of the Patient : Abc Xyz Cholmn / M / 66 yrs.
Referred by : Dr. Abc Xyzsani.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O giddiness.

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 are small areas of hyperintensity on the T2 Weighted images within the pons, thalamus, lentiform nuclei, periventricular white matter, the white matter in the fronto-parietal lobes bilaterally and in the left middle cerebellar peduncle.

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

There is mild fullness of the ventricular system.

There is no shift of the midline structures.

Inflammatory changes are seen in the left maxillary sinus.

INTRACRANIAL MRA :

There is a slight narrowing of the cavernous segment of the left internal carotid artery with a plaque at its antero-lateral aspect.






The A1 segment of the left anterior cerebral artery is hypoplastic.

The petrous, cavernous and supraclinoid segments of the right internal carotid artery and the petrous and supraclinoid segments of the left internal carotid artery show normal signal and calibre. The visualized right 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 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. Areas of altered signal intensity within the pons, thalamus, lentiform nuclei, periventricular white matter, the white matter in the fronto-parietal lobes bilaterally and in the left middle cerebral peduncle are most likely ischemic in etiology.

2. Slight narrowing of the cavernous segment of the left internal carotid artery with a plaque at its antero-lateral aspect.



Sunday, 27 December 2015 16:48

13855

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

Name of the Patient : Abc Xyzz Jalmn / F / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE 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 very mild posterior disc bulge is seen at the L5-S1 level.

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

Note is made of a cystic lesion, anterior to the sacrum on the left side. This may represent an ovarian cyst (An ultrasound of the pelvis may be worthwhile).

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 D12-L1
15.0 mm at L1-L2
15.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

No significant abnormality is detected within the lumbo-sacral spine on this study.
Sunday, 27 December 2015 16:48

13854

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

Name of the Patient : Abc Xyz Paidlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain with pain radiating to the LUE with paresthesias and wasting since 2-4 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 :

A large postero-central and left postero-lateral disc extrusion is seen to indent the cord and the left C7 nerve root at the C6-C7 level.

A posterior and left postero-lateral disc extrusion is seen to indent the cord and the left C6 nerve root at the C5-C6 level.

There is narrowing of the left neural foramen at the C5-C6 and C6-C7 levels.

Posterior disc bulges are seen at the C3-C4 and C4-C5 levels.

There is slight sclerosis of the tip of the odontoid process.






The cervical intervertebral discs show loss of water content.

The cervical vertebral bodies 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 :

The MRI features are suggestive of :

1. A large postero-central and left postero-lateral disc extrusion indenting the left C7 nerve root at the C6-C7 level.

2. A postero-central and left postero-lateral disc extrusion indenting the left C6 nerve root at the C5-C6 level.