MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13834

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

Name of the Patient : Abc Xyzl Galmn / M / 75 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating 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 :

There is a large, diffuse, posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The L4-L5 facet joints show mild degenerative changes. Ligamentum flavum hypertrophy is also noted with resultant severe canal stenosis at this level.

A posterior and bilateral far lateral disc bulge with peridiscal osteophyte is seen at the L5-S1 level, with bilateral neural foraminal narrowing.

A right and left postero-lateral disc bulge is seen at the L3-L4 level with bilateral neural foraminal narrowing.

Small posterior disc bulges are noted at the L1-L2 and L2-L3 levels. Anterior disc herniations are seen in the lower dorsal and lumbar region. Schmorls nodes are also noted in the lumbar region. The lumbar intervertebral discs show loss of water content. Hypointense areas are seen within the L4-L5 disc on all the pulse sequences which would represent calcification/vacuum phenomena.

Type II degenerative changes are seen in the lumbar vertebral bodies adjacent to the intervertebral disc with slight anterior wedging of the D12, L1 and L2 vertebral bodies.

The lumbar facet joints show mild degenerative changes.
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 :

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

Incidental note is made of large cortical cyst in the upper pole of the right kidney.

IMPRESSION :

The MRI features are suggestive of degenerated lumbar spine with :

1. A large, diffuse, posterior disc herniation at the L4-L5 level with bilateral neural foraminal narrowing, facetal arthropathy, ligamentum flavum hypertrophy with resultant severe canal stenosis at this level.
..3/.












- 3 - Scan-00004



2. A posterior and bilateral far lateral disc bulge with peridiscal osteophyte at the L5-S1 level.

3. A right and left postero-lateral disc bulge at the L3-L4 level.

4. Small posterior disc bulges at the L1-L2 and L2-L3 levels.


Sunday, 27 December 2015 16:48

13833

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

Name of the Patient : Abc Xyzk Kuvlmn / M / 6 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever since 00.00.00.
C/O loss of consciousness with vomiting since 00.00.00.
C/O left sided convulsions since 2 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.

3 mm thick T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a hypointense area on the T1 Weighted images within the right thalamus. This is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images.

The hippocampal complex on either side is unremarkable.

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 :

Altered signal within the right thalamus is not specific for a single etiology.

The possibilities to be considered are :

1. Infarct, (? venous).
2. Encephalitis.
3. ?? mytochondrial encephalopathy.

Sunday, 27 December 2015 16:48

13832

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

Name of the Patient : Abc Xyzudan lmn / M / 82 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O right sided hemiparesis (1st in 0000 and 2nd in 0000). Recovered.
C/O altered sensorium since 3 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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

There is an area in the left parieto-occipital region which is seen to follow CSF signal intensity characteristics on all the pulse sequences. Hyperintense areas are noted on the proton, T2 Weighted and FLAIR images at the periphery of this lesion which would represent gliosis. There is dilatation of the occipital horn and atrium of the left lateral ventricle. This lesion would represent an area of cystic encephalomalacia.

Hyperintense areas are seen on the proton, T2 Weighted and FLAIR images in the pons, right thalamus and the periventricular deep white matter. These are hypointense to normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction. Similar areas are noted in bilateral corona radiata and bilateral centrum semiovale.








Lacunar infarcts and prominent perivascular spaces are seen in the lentiform nuclei and head of the caudate nuclei bilaterally and the left thalamus.

There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci, Sylvian fissures, basal cisterns and the cerebellar folia bilaterally.

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

IMPRESSION :

1. Areas of cystic encephalomalacia in the left parieto-occipital region, the sequelae of previous vascular insult.

2. Altered signal in the pons, right thalamus, periventricular deep white matter, bilateral corona radiata and bilateral centrum semiovale are suggestive of areas of ischemia/ infarction.

3. Cerebral and cerebellar atrophy.

Sunday, 27 December 2015 16:48

13830

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

Name of the Patient : Abc Xyznnisha lmn / F / 50 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O difficulty in walking since 10 years.
C/O incoordination of hand since 3 years.
C/O dysarthria 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 is prominence of the cerebellar folia bilaterally with resultant dilatation of the fourth ventricle. The middle cerebellar peduncles, pons and the cerebral peduncles also appear slightly atrophic. The olivary bulges are identified.

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

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

IMPRESSION :

The MRI features are suggestive of ponto-cerebellar atrophy and mild dilatation of the ventricular system.


Sunday, 27 December 2015 16:48

13829

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

Name of the Patient : Abc Xyz Salmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O visual defect bilaterally (inability to see to the extreme right and left, respectively since 1 week).
C/O tingling in the LUE since 1 week.

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 ill-defined, hyperintense area on the T2 Weighted images along the right posterior parietal cortex and subcortical white matter. This lesion most likely represents a recent ischemic lesion.

There is a suspicious hypointense signal on the T1 Weighted sagittal images in the right posterior parietal deep white matter, which appears hyperintense on the T2 Weighted images and most likely represents an old ischemic lesion.

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 slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures.

Incidentally noted are inflammatory changes in the right maxillary antrum and a Thornwaldts cyst in the posterior pharyngeal wall.


INTRACRANIAL MRA :

The right vertebral artery and the A1 segment of the right anterior cerebral artery appear hypoplastic.

There is irregularity and narrowing of the mid segment of the right middle cerebral artery with resultant stenosis. The Sylvian branches of the right 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, left 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 is also hypoplastic.

The common carotid arteries and their bifurcations and the left vertebral artery are unremarkable. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

1. A recent ischemic lesion in the right posterior parietal cortex.

2. A suspicious old ischemic lesion in the right posterior parietal deep white matter.

3. Irregularity and narrowing of the mid segment of the right middle cerebral artery with resultant stenosis.


Sunday, 27 December 2015 16:48

13828

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

Name of the Patient : Abc XyzPrabhudlmn / M / 31 yrs.
Referred by : Dr. Abc Xyzrman.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O momentary haziness with mild headaches.

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.

OBSERVATION :

Areas which are iso to hyperintense to CSF on all the pulse sequences is seen within the posterior aspect of the left cerebellar hemisphere. These would represent areas of cystic encephalomalacia.

A focus with similar signal characteristics is seen within the thalamus on the left side and would represent a lacune.

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 :

1. Areas of cystic encephalomalacia within the posterior aspect of the left cerebellar hemisphere.

2. A lacune within the thalamus on the left side.

Sunday, 27 December 2015 16:48

13827

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

Name of the Patient : Abc Xyzbanu Hlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 12 years.

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 all the lumbar intervertebral discs and reduction in height of the L4-L5 and L5-S1 intervertebral discs.

There is a fairly large, postero-central disc herniation with peridiscal osteophyte at the L5-S1 level, with thecal sac compression and bilateral neural foraminal narrowing. Left far lateral disc bulge is also noted at this level.

A postero-central disc herniation with peridiscal osteophyte is noted at the L4-L5 level, indenting the dural theca anteriorly.

Type II degenerative marrow changes are noted adjacent to the L4-L5 intervertebral disc.







The rest of the lumbar vertebral bodies 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 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
16.0 mm at L2-L3
18.0 mm at L3-L4
18.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. A fairly large, postero-central disc herniation with peridiscal osteophyte at the L5-S1 level, with bilateral neural foraminal narrowing.

2. A postero-central disc herniation with peridiscal osteophyte at the L4-L5 level.

Sunday, 27 December 2015 16:48

13826

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

Name of the Patient : Abc Xyza lmn / F / 9 mnths.
Referred by : Dr. Abc Xyzdar / Dr. Abc Xyzarmar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O delayed milestones.
FTND.

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 :

Ill-defined, hyperintense signal on the proton and T2 Weighted images in the periventricular white matter bilaterally, more on the right side and in the right centrum semiovale, most likely represents unmyelinated white matter fibres.

There is mild to moderate dilatation of both the lateral ventricles. The septum pellucidum is not visualized. The third ventricle and the frontal horns of the lateral ventricles are well differentiated. The interhemispheric fissure is well formed. The corpus callosum is also well identified, but appears thin, probably the result of ventricular dilatation. The left optic nerve is well identified. The right optic nerve is also seen and is smaller than the left.

The head of the caudate nucleus, thalamus and the lentiform nucleus on the right side appear hypoplastic as compared to the left.

The fourth ventricle and posterior fossa are unremarkable.




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 suggest absence of the septum pellucidum with dilated lateral ventricles, hypoplastic head of the caudate nucleus, thalamus and the lentiform nucleus on the right side, well differentiated frontal horns and the anterior interhemispheric fissure and a small right optic nerve. Septo-optic dysplasia should be ruled out. Lobar holoprocencephaly is less likely.

Sunday, 27 December 2015 16:48

13825

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

Name of the Patient : Abc Xyzha Shlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with radiation of pain to the LLE 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 :

The lumbar intervertebral discs show slight loss of water content.

A right paracentral disc extrusion is seen to indent the thecal sac at the L1-L2 level. A disc fragment is seen to lie posterior to the L2 vertebral body on the right side.

A posteriorly bulging disc with a right paracentral disc protrusion is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level.

Mild posterior disc bulges are noted at the L3-L4 and L5-S1 levels.

The L3-L4 and L4-L5 facet joints show mild degenerative changes.






Fat is seen within the filum terminale over the L2 to L4 vertebral levels.

The lumbar vertebral bodies reveal normal signal intensity. The remaining 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 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
17.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A right paracentral disc extrusion at the L1-L2 level.

2. A posteriorly bulging disc with a right paracentral disc protrusion at the L4-L5 level.

Sunday, 27 December 2015 16:48

13823

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

Name of the Patient : Abc Xyzkalalmn / F / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with fever since 7-8 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 slight scoliosis of the lumbar spine with slight convexity to the right side.

A small, postero-central disc protrusion is noted at the L5-S1 level. Slight facetal hypertrophy is also noted at this level.

Focal fatty marrow changes are noted in the L4 and L5 vertebral bodies.

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 :

17.0 mm at L1-L2
16.0 mm at L2-L3
17.0 mm at L3-L4
15.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

1. Slight scoliosis of the lumbar spine with slight convexity to the right side.

2. A small, postero-central disc protrusion at the L5-S1 level with slight facetal hypertrophy at this level.