MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13815

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

Name of the Patient : Abc XyzDlmn / M / 43 yrs.
Referred by : Dr. Abc Xyzhta (Shah).
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O momentary unconsciousness.
Now C/O numbness in the LUE and LLE since 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 coronal images.

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

OBSERVATION :

BRAIN :

There is evidence of a well-defined area following CSF signal intensity characteristics on all the pulse sequences within the thalamus on the left side. This would represent a lacunar infarct. Adjacent to this are areas of hyperintensity on the proton, T2 Weighted and FLAIR images and this would represent gliotic/ischemic changes.

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



INTRACRANIAL MRA :

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 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 a lacunar infarct within the left thalamus with adjacent areas of altered signal may represent gliotic/ischemic changes.

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

Sunday, 27 December 2015 16:48

13814

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

Name of the Patient : Abc Xyza Islmn / F / 53 yrs.
Referred by : Dr. Abc Xyz Ansari.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 2 months.
H/O lifting heavy weights.

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.

3 mm thick T1 Weighted coronal images.

OBSERVATION :

There is loss of water content of the lower lumbar intervertebral discs.

Postero-central disc herniations are seen to indent the thecal sac at the L3-L4 and L4-L5 levels.

A small postero-central disc herniation is seen to indent both the traversing S1 nerve roots at the L5-S1 level.

Bilateral far lateral (extraforaminal) disc herniations are seen at the L4-L5 level. The facet joints at this level show hypertrophic degenerative changes, with canal stenosis

The facet joints bilaterally at the L5-S1 level and on the left side at the L3-L4 level show degenerative changes.



Well-circumscribed lesions which are isointense to CSF are seen along the nerve roots within the spinal canal at the S1 vertebral level and these would represent Tarlovs (perineurial) cysts.

A focal lesion on all the pulse sequences is seen within the L1 vertebral body and this most likely represent a hemangioma with high fat content.

The rest of the lumbar vertebral bodies 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 S1 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
15.0 mm at L2-L3
15.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

1. Postero-central disc herniations at the L3-L4 and L4-L5 levels.

2. Hypertrophic facetal arthropathy at the L4-L5 level with canal stenosis.
..3/.












- 3 - Scan-00004



3. Facetal arthropathy bilaterally at the L5-S1 level and on the left side at the L3-L4 level.

4. A small postero-central disc herniation indenting both the traversing S1 nerve roots at the L5-S1 level.

5 Tarlovs perineurial cysts at the S1 level.

6. A tight canal at the L3-L4 level.

Sunday, 27 December 2015 16:48

13813

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

Name of the Patient : Abc Xyzdin Almn / M / 17 yrs.
Referred by : Dr. Abc Xyzlal.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O injury to the right side of the head.
C/O headaches, blurred vision of the right eye with pain since 1 1/2 weeks.

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 T1 Weighted and STIR coronal images.
5 mm thick FLAIR coronal images.
3 mm thick T1 Weighted and oblique sagittal images.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

The optic nerves are normal in their course and calibre and show normal signal intensity on the STIR images bilaterally. The intraocular lens bilaterally appear to be in their normal position.

No extracerebral collection is identified on this study.

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.

Incidental note is made of bilateral maxillary sinusitis.

IMPRESSION :

Normal study of the Brain.


Sunday, 27 December 2015 16:48

13811

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

Name of the Patient : Abc Xyz Ulmn / M / 25 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating 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 L5-S1 and L4-L5 intervertebral discs show loss of water content.

There is a posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac and left neural foraminal narrowing. The L4-L5 facet joints show hypertrophic degenerative changes. Ligamentum flavum hypertrophy is also noted at this level with resultant central and lateral canal stenosis.

A small postero-central disc herniation is seen at the L5-S1 level.

The L3-L4 and L5-S1 facet joints show mild degenerative changes.

The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
..2/.









>

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 D12 level and the thecal sac terminates at the L5 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
12.0 mm at L3-L4
10.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. A posterior disc herniation at the L4-L5 level with left neural foraminal narrowing, facetal arthropathy, ligamentum flavum hypertrophy and resultant central and lateral canal stenosis.

2. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.


Sunday, 27 December 2015 16:48

13810

Written by
ks/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzchandra Ghoglmn / M / 82 yrs.
Referred by : Dr. Abc Xyzagwati / Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O altered sensorium with right sided weakness.
H/O HT.

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 :

Irregularly defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the periventricular white matter, corona radiata and centrum semiovale bilaterally. These are isointense to hypointense to white matter on the T1 Weightd images and are most likely ischemic in etiology.

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

There is no obvious evidence of an intracerebral bleed on this scan.

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 within the periventricular white matter, corona radiata and centrum semiovale bilaterally and these are most likely ischemic in etiology.


Sunday, 27 December 2015 16:48

13809

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

Name of the Patient : Abc Xyzndra Palmn / M / 22 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 1 year.

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.

4 mm thick T1 Weighted coronal images.

OBSERVATION :

There is a well-defined intradural-extramedullary mass lesion at the L3 and L4 vertebral levels which measures approximately 3.2 x 2.0 x 1.5 cms. This lesion is iso to hyperintense to the cord on the T1 Weighted images and turns hyperintense on the T2 Weighted images. The roots appear adherent to this lesion.

A small hyperintense lesion is noted just inferior to the above mentioned lesion on the T1 Weighted images and follows fat signal intensity.

Hyperintense signal is seen at the S3 level on the T1 Weighted images and follows fat signal intensity characteristics on all the pulse sequences. This would represent a lipoma of the filum terminale.


- 3 - Scan-00009


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.

A perineural cyst is seen at the S3 level.

IMPRESSION :

The MRI features are suggestive of an intradural extramedullary lesion measuring approximately 3.2 x 2.0 x 1.5 cms. at the L3 and L4 vertebral levels.

The possibilities to be considered are :

1. Congenital tumors like dermoid/epidermoid.

2. Nerve sheath tumor like neurofibroma.

Sunday, 27 December 2015 16:48

13808

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

Name of the Patient : Abc XyzSollmn / M / 65 yrs.
Referred by : Dr. Abc Xyzhansali.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE since 4-5 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 mild retroplacement of the L2 vertebra over the L3 vertebra. The lumbar intervertebral discs except at the L5-S1 level show loss of water content.

Posterior disc herniations are seen to indent the thecal sac and narrow both neural foramina at the L2-L3 and L3-L4 levels.

A small posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level.

Bilateral far lateral (extraforaminal) disc herniations are seen at the L3-L4 and L4-L5 levels and on the right side at the L2-L3 level. Far lateral (extraforaminal) disc bulges are seen on the left side at the L2-L3 level and on the right side at the L1-L2 level.

A posterior disc bulge is seen at the L1-L2 level.



There is facetal hypertrophy at the L2-L3, L3-L4 and L4-L5 levels.

Anterior disc herniations are noted in the lumbar region.

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 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
13.0 mm at L5-S1.

IMPRESSION :

1. Retroplacement of the L2 over the L3 vertebra.

2. Posterior disc herniations at the L2-L3 and L3-L4 levels.

3. A small posterior disc herniation at the L4-L5 level.

4. Hypertrophic facetal arthropathy at the L2-L3, L3-L4 and L4-L5 levels.

5. Tight canal at the L2-L3, L3-L4 and L4-L5 levels.



Sunday, 27 December 2015 16:48

13807

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

Name of the Patient : Abc XyzIngalmn / M / 18 yrs.
Referred by : Dr. Abc Xyzhirsagar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O fever since 1 month with generalized weakness, giddiness, ataxia and slurred speech since 8 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.

5 mm thick T1 Weighted sagittal 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

13806

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

Name of the Patient : Abc XyzDalmn / M / 87 yrs.
Referred by : Dr. Abc Xyzcha.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 6 months radiating to BLE with paresthesias (left more than right) since 1 month.

EXAMINATION :

M.R.I of the lumbo-sacral spine was performed using the following parameters :

5 mm thick T1 Weighted sagittal images.
5 mm thick T1 Weighted axial images.

The pelvis and the sacro-iliac joints were studied with the help of 5 mm thick T1 Weighted and STIR coronal images and 7 mm thick T1 Weighted and T2 Weighted axial images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is replacement of the normal marrow of the sacral ala bilaterally by hypointense areas on the T1 Weighted images. These are seen to turn hyperintense on the T2 Weighted and STIR images. Few areas are noted within the sacrum which are nearly isointense to CSF on the T1 Weighted images and would represent necrosis. Similar well-circumscribed areas are also noted in the iliac bones bilaterally. There is slight involvement of the adjacent soft tissues.

Well-circumscribed hypointense areas are noted on the T1 Weighted images within the L5 and L1 vertebral bodies and the head of the femur on the right side. There is suspicious involvement of the neck of the left femur and the D4 vertebral body. These are seen to turn hyperintense on the T2 Weighted and STIR images.
- 2 - Scan-00006

There is scoliosis of the lumbar spine with convexity to the left. Left lateral subluxation of the L2 over the L3 is noted. There is retroplacement of the L2 over the L3 vertebra.

Diffuse posterior disc bulges with peridiscal osteophytes are noted at the L5-S1 level. Severe facetal hypertrophic arthropathy is seen at this level with ligamentum flavum hypertrophy and resultant tight canal.

Posterior peridiscal osteophytes are seen at the L2-L3, L3-L4 and the L4-L5 levels with bilateral neural foraminal narrowing. Facetal arthropathy is also noted. There is ligamentum flavum hypertrophy at the L4-L5 level.

Large anterior peridiscal osteophytes are seen in the lower lumbar region.

Diffuse fatty changes are seen in the lumbar vertebral bodies.

The lumbar 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 level.

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

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


- 3 - Scan-00006


The dorsal spine was screened with the help of 5 mm thick T1 Weighted sagittal images and shows mild degenerative changes with focal fatty changes. A hemangioma with fatty content is noted in the D10 vertebra. There is slight wedging of the D11 vertebral body with focal fatty changes probably osteoporosis. Suspicious involvement of D4 is noted.

IMPRESSION :

The MRI features are suggestive of :

1. Altered signal in the sacrum, iliac bones, head of the right femur, neck of the left femur and the L5 and L1 vertebral bodies may represent metastasis.

The possibility of this being an infective process is considered unlikely.

2. Diffuse posterior disc bulges with peridiscal osteophytes at the L5-S1 level with severe facetal hypertrophic arthropathy, ligamentum flavum hypertrophy and resultant tight canal at this level.


Sunday, 27 December 2015 16:48

13805

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

Name of the Patient : Abc Xyzon Siganplmn / M / 25 yrs.
Referred by : Dr. Abc Xyznshah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE since February 0000.

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 postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac and both the traversing S1 nerve roots at the L5-S1 level. This intervertebral disc shows loss of water content.

There is a posterior disc bulge at the L4-L5 level.

Schmorls nodes are noted in the inferior aspect of the D11 vertebral body and the superior aspect of the S1 vertebral body.

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 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 :

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

IMPRESSION :

The MRI features are suggestive of a postero-central disc herniation with peridiscal osteophytes at the L5-S1 level.