MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13849

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

Name of the Patient : Abc Xyz Shlmn / F / 18 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

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.

3 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is seen an approximately 8.0 x 11.0 x 8.0 mms sized lesion in the cerebellar vermis, slightly to the right of the midline. This lesion appears iso to slightly hypointense to normal white matter on the T1 Weighted images and is relatively more hypointense on the proton and T2 Weighted images. There is mild perilesional edema/gliosis.

There is mild fullness of both the lateral ventricles. 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.

IMPRESSION :

A lesion in the cerebellar vermis as described follows the signal characteristics of a tuberculoma.

As compared to the previous MRI (study no:00001) dated 00.00.00, there is a decrease in the size of the lesion and in the degree of perilesional edema.




Sunday, 27 December 2015 16:48

13848

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

Name of the Patient : Abc Xyzh Gorvlmn / M / 34 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
(Post-contrast Study).

CLINICAL PROFILE :

C/O neckpain with paresthesias in BLE.
H/O neck manipulation prior to this (in a saloon).
MRI contrast study to r/o granuloma.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.
After administration of contrast the following parameters were obtained :
4 mm thick T1 Weighted axial and sagittal images.

OBSERVATION :

The spinal cord at the C1-C2 level still shows a hyperintense signal on the T2 Weighted images and is isointense to cord on the T1 Weighted images. After administration of contrast there is no enhancement in the spinal cord or the meninges.

The brain was screeend with 5 mm thick T2 Weighted axial images and after administration of contrast 5 mm thick T1 Weighted axial images with magnetization transfer were obtained and which does not reveal any diagnostic feature of note.

There is a left postero-lateral disc herniation at the C5-C6 level with antero-lateral indentation of the cord and left neural foraminal narrowing.

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Small posterior disc bulge is seen at the C4-C5 level and a small disc protrusion at the C3-C4 level. Posterior peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels.

IMPRESSION :

Cord signal alteration at the C1-C2 level is suggestive of
a cord contusion in the given clinical setting.




Sunday, 27 December 2015 16:48

13847

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

Name of the Patient : Abc Xyzta S. Vilalmn / F / 28 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the S. I. and Hip Joints.

CLINICAL PROFILE :

C/O pain in the right hip since 1 1/2 years.

EXAMINATION :

M.R.I of the S. I. and hip joints 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.

OBSERVATION :

Areas of hypointensity on the T1 Weighted images which turn slightly hyperintense on the STIR and T2 Weighted images are seen within the sacral ala and left iliac wing. Areas of hypointensity on all the pulse sequences are seen within the right iliac wing and may represent sclerotic changes.

The femoral head and the acetabulum reveal normal signal intensity bilaterally. The articular cartilages are unremarkable. There is no effusion within both the hip joints.

The uterus is bulky and a left adnexal cyst is noted.

IMPRESSION :

The MRI features are suggestive of bilateral osteitis condensans ilia. The possibility of bilateral sacroilitis is less likely.

No significant abnormality detected within the hip joints on this study.

Sunday, 27 December 2015 16:48

13846

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

Name of the Patient : Abc Xyza Dlmn / F / 25 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE 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 appears to be sacralization of the L5 vertebra and the L1 vertebra is as marked on the film. Please correlate with plain radiographs.

There is mild retroplacement of the L4 vertebra over the L5 vertebra.

A postero-central disc extrusion is seen to indent the thecal sac at the L4-L5 level. This intervertebral disc shows loss of water content.

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 D12-L1 level and the thecal sac terminates at the S2 level.

- 2 - Scan-00006


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

18.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
13.0 mm at L4-L5
7.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Sacralization of the L5 vertebra. Please correlate with plain radiographs.

2. A postero-central disc extrusion with a tight canal at
the L4-L5 level.




Sunday, 27 December 2015 16:48

13845

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

Name of the Patient : Abc Xyza Khuslmn / F / 52 yrs.
Referred by : Dr. Abc Xyzni
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

H/O fall 3-4 months ago.
C/O pain and swelling in the right knee joint with locking.

EXAMINATION :

M.R.I of the right knee joint was performed using the following parameters :

4 mm thick T1 Weighted, proton and GRASS sagittal images.

4 mm thick T1 Weighted and STIR coronal images.

4 mm thick Fast Scan (T2 *) axial images.

OBSERVATION :

Menisci

There is a complex tear of the posterior horn of the medial meniscus. A fluid collection is seen in connection within the posterior horn of the lateral meniscus and may represent a parameniscal cyst.

The anterior horn of the lateral and medial menisci reveal normal configuration and signal characteristics.

Cruciate Ligaments :

The anterior cruciate ligament is not well-visualized. Areas of intermediate signal intensity are seen along the course of the anterior cruciate ligament and this may suggest a partial tear/strain.

The posterior cruciate ligament shows normal contour and signal characteristics.
..2/.






Collateral Ligaments and the Patellar Tendon :

The medial and lateral collateral ligaments and the patellar tendon are normal.

Hoffas Fat Pad :

The posterior margin of the Hoffas fat pad is irregular and this may suggest synovial thickening.

An effusion is seen in the right knee joint.

Articular cartilage and bones :

The articular cartilage overlying the patella is thinned out and irregular.

A subchondral cyst (hypointense on the T1 Weighted images and hyperintense on the GRASS and STIR images) is seen along the medial condyle of the femur. Hypointense areas on the T1 Weighted images which turn hyperintense on the T2 Weighted and STIR images are seen within the lateral tibial plateau and this may represent bone edema/bruise.

Osteophytic lipping is seen along the patello-femoro-tibial joint.

IMPRESSION :

The MRI features are suggestive of :

1. A complex tear of the posterior horn of the medial meniscus.
..3/.











- 3 - Scan-00005


2. A parameniscal cyst along the posterior horn of the lateral meniscus.

3. A right knee joint effusion with synovial thickening.

4. A probable partial tear/strain of the anterior cruciate ligament.

5. Chondromalacia patellae.

6. Osteoarthritic changes around the right knee joint.

7. Bone bruise/edema in the lateral tibial plateau.



Sunday, 27 December 2015 16:48

13844

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

Name of the Patient : Abc Xyza Khlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzh.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to right shoulder 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 :

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.

The left lobe of the thyroid gland is larger than the right.

IMPRESSION :

No significant abnormality is detected on this study.
Sunday, 27 December 2015 16:48

13843

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

Name of the Patient : Abc Xyz K. lmn / M / 29 yrs.
Referred by : Dr. Abc Xyzrmani / Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with burning sensation since 6 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 appears to be partial sacralization of the L5 vertebra on the right side and it as marked on the film. Please correlate with plain radiographs.

There is a mild posterior disc bulge at the L4-L5 level. Slight facetal hypertrophy is noted at this level.

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

The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and is 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 :

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

IMPRESSION :

The MRI features are suggestive of :

1. Partial sacralization of the L5 vertebra on the right side.

2. A mild posterior disc bulge at the L4-L5 level with slight facetal hypertrophy at that level.


Sunday, 27 December 2015 16:48

13842

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

Name of the Patient : Abc Xyz. Balmn / M / 63 yrs.
Referred by : Dr. Abc Xyznshah.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O right hip pain.

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 T1 Weighted sagittal images.

OBSERVATION :

The right femoral head is irregularly defined as is the right acetabular surface. Subtle hyperintense areas are seen in the subchondral aspect of the right femoral head on the T2 Weighted and STIR images. There is thinning of the articular cartilage overlying the right femoral head. Minimal periarticular osteophytic lipping is noted.

The left hip joint is unremarkable.

There is no effusion within both the hip joints.

There is slight enlargement of the prostate gland.

IMPRESSION :

The MRI features are suggestive of osteoarthritic changes affecting the right hip joint.

Sunday, 27 December 2015 16:48

13840

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

Name of the Patient : Abc Xyzhai lmn / M / 49 yrs.
Referred by : Dr. Abc Xyzshar.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache since 2 years.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

6 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

Few lower dorsal intervertebral discs show loss of water content.

The visualized dorsal spinal cord shows normal signal intensity.

There is anterior wedging of the D6 and D8 vertebral bodies without any change in signal intensity.

The visualized dorso-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.

The cervico-dorsal spine was screened with 4 mm thick T2 Weighted sagittal images which show posterior disc bulges with peridiscal osteophytes at the C5-C6 and C6-C7 levels.






The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images which does not reveal any diagnostic feature of note.

IMPRESSION :

No significant abnormality is detected on this study.

Sunday, 27 December 2015 16:48

13839

Written by
sb/hs/rg.
/00001 Date : 00.00.00

Name of the Patient : Abc Xyz G. Klmn / F / 67 yrs.
Referred by : Dr. Abc Xyzaria / Dr. Abc Xyztrak.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O left sided hemiparesis on 00.00.00 from which patient recovered in 10 minutes.
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 coronal 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 posterior parietal periventricular white matter bilaterally. These appear isointense to hypointense to normal white matter on the T1 Weighted images and most likely represents ischemic changes. Small bright foci on the proton, T2 Weighted and FLAIR images are noted in the subcortical and deep white matter in the frontal and parietal regions bilaterally and these may also represent ischemic changes.

Prominent perivascular spaces are noted in the cerebral hemispheres bilaterally.

There is mild fullness of both the lateral and the third ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline
structures.
..2/.

- 2 - Scan-00009/00001


INTRACRANIAL MRA :

The right vertebral artery and the A1 segment of the right anterior cerebral artery appear hypoplastic. The vertebro-basilar system appears ectatic.

Slight irregularity and narrowing of the M1 segment of the left middle cerebral artery in its mid-segment is noted. The Sylvian branches of the left middle cerebral artery are however well-identified.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, right 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 bifurcations and the left vertebral artery appear normal. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

1. Altered signal in the posterior parietal periventricular white matter bilaterally most likely represents ischemic changes.

2. Small foci of altered signal in the subcortical and deep white matter in the frontal and parietal regions bilaterally also represent ischemic changes.

3. Hypoplastic right vertebral artery and the A1 segment of the right anterior cerebral artery.

4. Slight irregularity and narrowing of the M1 segment of the left middle cerebral artery in its mid-segment may be atherosclerotic in etiology.