MRI Reports (3472)
MRI Reports Database
ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzMlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 7-8 years.
H/O spine surgery (twice) 7 years back (details unavailable).
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 L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.
There appears to be partial laminectomy of the L4 and L5 vertebral bodies with changes in the posterior soft tissues of the back.
There is slight forward translation of the L4 over the L5 vertebral body. A pseudo-posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The L4-L5 facet joints show hypertrophic degenerative changes with lateral canal stenosis.
A posterior disc herniation is seen at the L5-S1 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The L5-S1 facet joint on the right side shows gross hypertrophic degenerative change. Ligamentum flavum hypertrophy is also noted at this level with resultant canal stenosis.
A small posterior disc bulge is noted at the L3-L4 level.
There is anterior wedging of the D11 vertebral body. Hemangiomas with fatty content are noted in the D11, L1 and the L2 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 :
12.0 mm at L1-L2
12.0 mm at L2-L3
11.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Post-operative status.
..3/.
- 3 - Scan-00000
2. A pseudo-posterior disc herniation at the L4-L5 level with hypertrophic facetal arthropathy and resultant canal stenosis.
3. A posterior disc herniation at the L5-S1 level with
ligamentum flavum hypertrophy bilaterally and gross hypertrophic facetal arthropathy on the right side with resultant canal stenosis.
Date : 00.00.00
Name of the Patient : Abc XyzMlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 7-8 years.
H/O spine surgery (twice) 7 years back (details unavailable).
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 L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.
There appears to be partial laminectomy of the L4 and L5 vertebral bodies with changes in the posterior soft tissues of the back.
There is slight forward translation of the L4 over the L5 vertebral body. A pseudo-posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The L4-L5 facet joints show hypertrophic degenerative changes with lateral canal stenosis.
A posterior disc herniation is seen at the L5-S1 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The L5-S1 facet joint on the right side shows gross hypertrophic degenerative change. Ligamentum flavum hypertrophy is also noted at this level with resultant canal stenosis.
A small posterior disc bulge is noted at the L3-L4 level.
There is anterior wedging of the D11 vertebral body. Hemangiomas with fatty content are noted in the D11, L1 and the L2 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 :
12.0 mm at L1-L2
12.0 mm at L2-L3
11.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Post-operative status.
..3/.
- 3 - Scan-00000
2. A pseudo-posterior disc herniation at the L4-L5 level with hypertrophic facetal arthropathy and resultant canal stenosis.
3. A posterior disc herniation at the L5-S1 level with
ligamentum flavum hypertrophy bilaterally and gross hypertrophic facetal arthropathy on the right side with resultant canal stenosis.
Published in
MRI Reports
hs/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzs Florlmn / M / 33 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
Known C/O Kochs spine at L3-L4 level with excision of discharging sinus and drainage of cold abscess on 00.00.00.
C/O backache since 1 week.
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.
6 mm thick T1 Weighted coronal images.
OBSERVATION :
Areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen to involve the L3 and L4 vertebral bodies. The L3-L4 intervertebral disc is also involved with erosion of the adjacent cortical end-plates.
There is mild extension into the left paravertebral soft tissues over the L3-L4 to the L5-S1 levels and into the right paravertebral soft tissues at the L3-L4 and L4 levels. Mild extension into the prevertebral soft tissues is seen over the L3-L4 to the L4-L5 levels. Slight encroachment of this pathologic process is seen into the left L3-L4 neural foramen.
Posterior peridiscal osteophytes are noted at the L3-L4 level.
Posterior disc bulges are seen at the L4-L5 and L5-S1 levels. Facetal hypertrophy is noted at these levels.
..2/.
The L4-L5 intervertebral disc shows loss of water content.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints 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 :
16.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
15.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
In a known C/O tuberculosis of the spine, the MRI features are suggestive of involvement of the L3 and L4 vertebrae and L3-L4 intervertebral disc with soft tissue extensions as described.
As compared to the previous MRI (only T2 Weighted axial images were available) dated 00.00.00, there is a decrease in the size of the soft tissue component.
Date : 00.00.00
Name of the Patient : Abc Xyzs Florlmn / M / 33 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
Known C/O Kochs spine at L3-L4 level with excision of discharging sinus and drainage of cold abscess on 00.00.00.
C/O backache since 1 week.
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.
6 mm thick T1 Weighted coronal images.
OBSERVATION :
Areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen to involve the L3 and L4 vertebral bodies. The L3-L4 intervertebral disc is also involved with erosion of the adjacent cortical end-plates.
There is mild extension into the left paravertebral soft tissues over the L3-L4 to the L5-S1 levels and into the right paravertebral soft tissues at the L3-L4 and L4 levels. Mild extension into the prevertebral soft tissues is seen over the L3-L4 to the L4-L5 levels. Slight encroachment of this pathologic process is seen into the left L3-L4 neural foramen.
Posterior peridiscal osteophytes are noted at the L3-L4 level.
Posterior disc bulges are seen at the L4-L5 and L5-S1 levels. Facetal hypertrophy is noted at these levels.
..2/.
The L4-L5 intervertebral disc shows loss of water content.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints 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 :
16.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
15.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
In a known C/O tuberculosis of the spine, the MRI features are suggestive of involvement of the L3 and L4 vertebrae and L3-L4 intervertebral disc with soft tissue extensions as described.
As compared to the previous MRI (only T2 Weighted axial images were available) dated 00.00.00, there is a decrease in the size of the soft tissue component.
Published in
MRI Reports
ke/hs/nl/nl
Date :00.00.00
Name of the Patient : Abc XyzD. Tlmn / F / 62 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
C/O pain in the left knee joint (on & off).
C/O 3 episodes of locking in the last two weeks.
H/O arthroscopy 3 years back.
EXAMINATION :
M.R.I of the left 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.
5 mm thick GRASS axial images.
OBSERVATION :
Menisci
There is a linear hyperintense signal on the T1 Weighted images in the posterior horn of the medial and lateral menisci not reaching upto the articular surface and would represent Grade II meniscal signal (meniscal degeneration).
The anterior horn of the lateral and medial menisci reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior cruciate ligament is not visualized (consistent with past H/O ACL tear).
The posterior cruciate ligament shows normal contour and signal characteristics.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
Hoffas Fat Pad :
The Hoffas fat pad appears irregular, which may be the result of previous surgery.
Articular cartilage and bones :
There is slight thinning of the patellar cartilage.
The articular cartilage overlying the tibia and femur is unremarkable.
Marginal osteophytes are seen around the left knee joint.
Effusion is seen in the left knee joint.
IMPRESSION :
1. Grade II meniscal signal (meniscal degeneration) in the posterior horn of the medial and lateral menisci.
2. Effusion in the left knee joint.
Date :00.00.00
Name of the Patient : Abc XyzD. Tlmn / F / 62 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
C/O pain in the left knee joint (on & off).
C/O 3 episodes of locking in the last two weeks.
H/O arthroscopy 3 years back.
EXAMINATION :
M.R.I of the left 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.
5 mm thick GRASS axial images.
OBSERVATION :
Menisci
There is a linear hyperintense signal on the T1 Weighted images in the posterior horn of the medial and lateral menisci not reaching upto the articular surface and would represent Grade II meniscal signal (meniscal degeneration).
The anterior horn of the lateral and medial menisci reveal normal configuration and signal characteristics.
Cruciate Ligaments :
The anterior cruciate ligament is not visualized (consistent with past H/O ACL tear).
The posterior cruciate ligament shows normal contour and signal characteristics.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
Hoffas Fat Pad :
The Hoffas fat pad appears irregular, which may be the result of previous surgery.
Articular cartilage and bones :
There is slight thinning of the patellar cartilage.
The articular cartilage overlying the tibia and femur is unremarkable.
Marginal osteophytes are seen around the left knee joint.
Effusion is seen in the left knee joint.
IMPRESSION :
1. Grade II meniscal signal (meniscal degeneration) in the posterior horn of the medial and lateral menisci.
2. Effusion in the left knee joint.
Published in
MRI Reports
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzddas Panlmn / M / 84 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE with tingling since 2 months.
Alleged H/O fall prior to this.
H/O Pulmonary Kochs 1 year back. Received AKT for 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 central wedging of the L1 vertebral body. There is replacement of the normal marrow of the L1 vertebral body by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The pedicles of this vertebra are also involved. There is bulging of the body into the pre and paravertebral soft tissues. Anterior epidural extension is also noted.
There are diffuse posterior disc herniations at the L3-L4, L4-L5 and L5-S1 levels with bilateral far lateral disc bulges. The facet joints at these levels show degenerative changes with bilateral neural foraminal narrowing with a resultant tight canal.
A left postero-lateral disc herniation is seen at the L2-L3 level with left neural foraminal narrowing. Bilateral far lateral (extraforaminal) disc bulges are seen at this level.
Anterior disc herniations are noted over the L1-L2 to L4-L5 levels. Schmorls nodes are noted at the inferior aspect of the L3 vertebral body and at the superior aspect of the L2 vertebral body. The lumbar intervertebral discs except for the L3-L4 show loss of water content.
Diffuse fatty changes are seen in the lower dorsal and lumbar vertebral bodies.
The conus medullaris terminates at the D12 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
14.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.
The dorsal spine was screened with 5 mm thick T2 Weighted sagittal images and which does not reveal any diagnostic feature of note.
Incidental note is made of a cortical cyst in the upper pole of the left kidney.
..3/.
- 3 - Scan-00007
IMPRESSION :
1. Central wedging of the L1 vertebral body with altered signal is probably the sequelae of trauma (? superimposed on an osteoporotic spine).
The possibility of a neoplastic/infective process cannot be ruled out (pathologic process).
2. Diffuse posterior disc herniations at the L3-L4, L4-L5 and L5-S1 levels with facetal arthropathy with a resultant tight canal.
Date : 00.00.00
Name of the Patient : Abc Xyzddas Panlmn / M / 84 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE with tingling since 2 months.
Alleged H/O fall prior to this.
H/O Pulmonary Kochs 1 year back. Received AKT for 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 central wedging of the L1 vertebral body. There is replacement of the normal marrow of the L1 vertebral body by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The pedicles of this vertebra are also involved. There is bulging of the body into the pre and paravertebral soft tissues. Anterior epidural extension is also noted.
There are diffuse posterior disc herniations at the L3-L4, L4-L5 and L5-S1 levels with bilateral far lateral disc bulges. The facet joints at these levels show degenerative changes with bilateral neural foraminal narrowing with a resultant tight canal.
A left postero-lateral disc herniation is seen at the L2-L3 level with left neural foraminal narrowing. Bilateral far lateral (extraforaminal) disc bulges are seen at this level.
Anterior disc herniations are noted over the L1-L2 to L4-L5 levels. Schmorls nodes are noted at the inferior aspect of the L3 vertebral body and at the superior aspect of the L2 vertebral body. The lumbar intervertebral discs except for the L3-L4 show loss of water content.
Diffuse fatty changes are seen in the lower dorsal and lumbar vertebral bodies.
The conus medullaris terminates at the D12 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
14.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.
The dorsal spine was screened with 5 mm thick T2 Weighted sagittal images and which does not reveal any diagnostic feature of note.
Incidental note is made of a cortical cyst in the upper pole of the left kidney.
..3/.
- 3 - Scan-00007
IMPRESSION :
1. Central wedging of the L1 vertebral body with altered signal is probably the sequelae of trauma (? superimposed on an osteoporotic spine).
The possibility of a neoplastic/infective process cannot be ruled out (pathologic process).
2. Diffuse posterior disc herniations at the L3-L4, L4-L5 and L5-S1 levels with facetal arthropathy with a resultant tight canal.
Published in
MRI Reports
hs/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzai Almn / M / 80 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O ataxia and tremors of both hands.
Alleged H/O fall.
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 are subtle hyperintense signal on the proton, T2 Weighted and FLAIR images within the putamen bilaterally and head of the left caudate nucleus. These are near isointense to gray matter on the T1 Weighted images and may be ischemic in etiology.
There is mild fullness of the third and both the lateral ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic.
Incidental note is made of mild inflammatory changes in the left mastoid air cells.
IMPRESSION :
The MRI features are suggestive of areas of altered signal within the putamen bilaterally and head of the left caudate nucleus and these may be ischemic in etiology.
Date : 00.00.00
Name of the Patient : Abc Xyzai Almn / M / 80 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O ataxia and tremors of both hands.
Alleged H/O fall.
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 are subtle hyperintense signal on the proton, T2 Weighted and FLAIR images within the putamen bilaterally and head of the left caudate nucleus. These are near isointense to gray matter on the T1 Weighted images and may be ischemic in etiology.
There is mild fullness of the third and both the lateral ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic.
Incidental note is made of mild inflammatory changes in the left mastoid air cells.
IMPRESSION :
The MRI features are suggestive of areas of altered signal within the putamen bilaterally and head of the left caudate nucleus and these may be ischemic in etiology.
Published in
MRI Reports
hs/ke/rg.
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / F / 23 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O seizures since 0000.
C/O intracranial granuloma in the right occipital region (has received AKT for 1 year).
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.
4 mm thick FLAIR coronal images.
OBSERVATION :
There is a slight loss of volume of the right hippocampus. It shows a subtle hyperintense signal on the T2 Weighted images. Also seen is fullness of the temporal horn of the right lateral ventricle.
The left hippocampus is unremarkable.
The left 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 enlarged adenoids.
IMPRESSION :
The MRI features are suggestive of hippocampal sclerosis on the right side.
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / F / 23 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O seizures since 0000.
C/O intracranial granuloma in the right occipital region (has received AKT for 1 year).
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.
4 mm thick FLAIR coronal images.
OBSERVATION :
There is a slight loss of volume of the right hippocampus. It shows a subtle hyperintense signal on the T2 Weighted images. Also seen is fullness of the temporal horn of the right lateral ventricle.
The left hippocampus is unremarkable.
The left 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 enlarged adenoids.
IMPRESSION :
The MRI features are suggestive of hippocampal sclerosis on the right side.
Published in
MRI Reports
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzVidlmn / M / 70 yrs.
Referred by : Dr. Abc Xyz.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O momentary giddiness with perspiration and weakness - 1st episode 9 years back and 2nd episode on 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.
5 mm thick T1 Weighted sagittal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
BRAIN :
A lacunar infarct (iso to hyperintense to CSF) is noted in the left corona radiata.
Ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images are noted in the posterior parietal periventricular white matter bilaterally, right temporo-parietal white matter and in the left fronto-parietal deep white matter and thalamus. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.
There is mild dilatation of the left lateral ventricle. The right lateral, third and the fourth ventricles are normal.
..2/.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
The right vertebral artery is hypoplastic. Tortuousity of the vertebro-basilar system is noted.
There is significant stenosis of the M1 segment of the left middle cerebral artery, in its mid-segment. Slight attenuation of the Sylvian branches of the left middle cerebral artery is noted. The stenosis is identified in two places.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized 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 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. A lacunar infarct in the left corona radiata.
2. Altered signal in the posterior parietal periventricular white matter bilaterally, right temporo-parietal white matter and in the left fronto-parietal deep white matter and thalamus most likely represent ischemic changes.
3. Significant stenosis of the M1 segment of the left middle cerebral artery, in its mid-segment may be atherosclerotic in etiology.
Date : 00.00.00
Name of the Patient : Abc XyzVidlmn / M / 70 yrs.
Referred by : Dr. Abc Xyz.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O momentary giddiness with perspiration and weakness - 1st episode 9 years back and 2nd episode on 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.
5 mm thick T1 Weighted sagittal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
BRAIN :
A lacunar infarct (iso to hyperintense to CSF) is noted in the left corona radiata.
Ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images are noted in the posterior parietal periventricular white matter bilaterally, right temporo-parietal white matter and in the left fronto-parietal deep white matter and thalamus. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.
There is mild dilatation of the left lateral ventricle. The right lateral, third and the fourth ventricles are normal.
..2/.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
The right vertebral artery is hypoplastic. Tortuousity of the vertebro-basilar system is noted.
There is significant stenosis of the M1 segment of the left middle cerebral artery, in its mid-segment. Slight attenuation of the Sylvian branches of the left middle cerebral artery is noted. The stenosis is identified in two places.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized 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 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. A lacunar infarct in the left corona radiata.
2. Altered signal in the posterior parietal periventricular white matter bilaterally, right temporo-parietal white matter and in the left fronto-parietal deep white matter and thalamus most likely represent ischemic changes.
3. Significant stenosis of the M1 segment of the left middle cerebral artery, in its mid-segment may be atherosclerotic in etiology.
Published in
MRI Reports
hs/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzotilmn / F / 40 yrs.
Referred by : Dr. Abc Xyzaj / Dr. Abc Xyzavkar
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 20-25 days.
Alleged H/O fall prior to this.
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 Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with bilateral spondylolysis of the L5 vertebra, better appreciated on the plain X-rays.
There is a right paracentral disc extrusion indenting the traversing right S1 nerve root at the L5-S1 level. There is superior migration of the disc portion which is seen to lie in the right lateral recess of the L5 vertebra with indentation upon the right ventro-lateral aspect of the thecal sac. The L5-S1 intervertebral disc shows loss of water content.
A mild posterior disc bulge is noted at the L4-L5 level.
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 S1 level.
..2/.
R>
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
19.0 mm at L2-L3
16.0 mm at L3-L4
17.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with bilateral spondylolysis of the L5 vertebra.
2. A right paracentral disc extrusion indenting the traversing right S1 nerve root at the L5-S1 level with a disc portion seen to lie in the right lateral recess of the L5 vertebra.
Date : 00.00.00
Name of the Patient : Abc Xyzotilmn / F / 40 yrs.
Referred by : Dr. Abc Xyzaj / Dr. Abc Xyzavkar
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 20-25 days.
Alleged H/O fall prior to this.
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 Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with bilateral spondylolysis of the L5 vertebra, better appreciated on the plain X-rays.
There is a right paracentral disc extrusion indenting the traversing right S1 nerve root at the L5-S1 level. There is superior migration of the disc portion which is seen to lie in the right lateral recess of the L5 vertebra with indentation upon the right ventro-lateral aspect of the thecal sac. The L5-S1 intervertebral disc shows loss of water content.
A mild posterior disc bulge is noted at the L4-L5 level.
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 S1 level.
..2/.
R>
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
19.0 mm at L2-L3
16.0 mm at L3-L4
17.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with bilateral spondylolysis of the L5 vertebra.
2. A right paracentral disc extrusion indenting the traversing right S1 nerve root at the L5-S1 level with a disc portion seen to lie in the right lateral recess of the L5 vertebra.
Published in
MRI Reports
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzah Mlmn / M / 24 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache radiating to the LUE since 5 years.
EXAMINATION :
M.R.I of the 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 :
The visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The cervico-dorsal spine was screened with 4 mm thick T1 Weighted sagittal images and is unremarkable.
IMPRESSION :
Normal study of the Dorsal Spine.
Date : 00.00.00
Name of the Patient : Abc Xyzah Mlmn / M / 24 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache radiating to the LUE since 5 years.
EXAMINATION :
M.R.I of the 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 :
The visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The cervico-dorsal spine was screened with 4 mm thick T1 Weighted sagittal images and is unremarkable.
IMPRESSION :
Normal study of the Dorsal Spine.
Published in
MRI Reports
hs/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Jlmn / M / 66 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Pelvis.
CLINICAL PROFILE :
C/O pain in the hip joints (left more than right) and the LLE since 3 months with a limp on the left side.
H/O laminectomy at L1 with excision of tumor. Histopathology s/o chondrosarcoma. Received 3 sittings of radiotherapy.
To r/o metastasis.
EXAMINATION :
M.R.I of the pelvis was performed using the following parameters:
6 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial and sagittal images.
6 mm thick T1 Weighted and STIR coronal images.
OBSERVATION :
There is mild enlargement of the prostate gland.
The urinary bladder appears normal. There is no mass lesion identified on this study.
The ischio-rectal fossae on either side appear normal.
There are no abnormally enlarged pelvic lymph nodes identified. No obvious vascular anomaly is noted. There is no free fluid in the pelvis.
IMPRESSION :
Mild enlargement of the prostate gland.
No other significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz Jlmn / M / 66 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Pelvis.
CLINICAL PROFILE :
C/O pain in the hip joints (left more than right) and the LLE since 3 months with a limp on the left side.
H/O laminectomy at L1 with excision of tumor. Histopathology s/o chondrosarcoma. Received 3 sittings of radiotherapy.
To r/o metastasis.
EXAMINATION :
M.R.I of the pelvis was performed using the following parameters:
6 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial and sagittal images.
6 mm thick T1 Weighted and STIR coronal images.
OBSERVATION :
There is mild enlargement of the prostate gland.
The urinary bladder appears normal. There is no mass lesion identified on this study.
The ischio-rectal fossae on either side appear normal.
There are no abnormally enlarged pelvic lymph nodes identified. No obvious vascular anomaly is noted. There is no free fluid in the pelvis.
IMPRESSION :
Mild enlargement of the prostate gland.
No other significant abnormality is detected on this study.
Published in
MRI Reports
More...
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzra Glmn / M / 27 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
C/O pain and swelling over the left knee joint since 3 months.
EXAMINATION :
M.R.I of the left 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 T1 Weighted and GRASS axial images.
OBSERVATION :
Menisci
There is seen a linear hyperintense signal on all the pulse sequences in the posterior horn of the medial meniscus of the left knee joint reaching upto the inferior articular margin. This represents Grade III meniscal signal (meniscal tear).
The anterior horn of the medial and posterior horn of the lateral meniscus reveal normal configuration and signal characteristics.
There is seen a well marginated, fluid intensity lesion on all the pulse sequences in communication with the anterior horn of the lateral meniscus of the left knee joint. This lesion is seen to extend into the soft tissues along the anterior and lateral margins of the left knee joint space. The lateral collateral ligament is stretched by the lesion. This lesion represents a parameniscal cyst.
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendons are normal.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
The articular cartilage overlying the patella, tibia and femur appears normal.
IMPRESSION :
1. Grade III meniscal signal (meniscal tear) in the posterior horn of the medial meniscus of the left knee joint.
2. A well marginated, fluid intensity lesion on all the pulse sequences along the anterior and lateral margins of the left knee joint space, in communication with the anterior horn of the lateral meniscus, represents a parameniscal cyst.
Date : 00.00.00
Name of the Patient : Abc Xyzra Glmn / M / 27 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
C/O pain and swelling over the left knee joint since 3 months.
EXAMINATION :
M.R.I of the left 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 T1 Weighted and GRASS axial images.
OBSERVATION :
Menisci
There is seen a linear hyperintense signal on all the pulse sequences in the posterior horn of the medial meniscus of the left knee joint reaching upto the inferior articular margin. This represents Grade III meniscal signal (meniscal tear).
The anterior horn of the medial and posterior horn of the lateral meniscus reveal normal configuration and signal characteristics.
There is seen a well marginated, fluid intensity lesion on all the pulse sequences in communication with the anterior horn of the lateral meniscus of the left knee joint. This lesion is seen to extend into the soft tissues along the anterior and lateral margins of the left knee joint space. The lateral collateral ligament is stretched by the lesion. This lesion represents a parameniscal cyst.
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendons are normal.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
The articular cartilage overlying the patella, tibia and femur appears normal.
IMPRESSION :
1. Grade III meniscal signal (meniscal tear) in the posterior horn of the medial meniscus of the left knee joint.
2. A well marginated, fluid intensity lesion on all the pulse sequences along the anterior and lateral margins of the left knee joint space, in communication with the anterior horn of the lateral meniscus, represents a parameniscal cyst.
Published in
MRI Reports
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzp Ralmn / M / 23 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O paresthesias in the LLE since 8 days.
H/O fever +.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
10 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the D6-D7 intervertebral disc.
The visualized dorsal 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 visualized dorsal spinal cord shows normal signal intensity. There is no cord compression.
The conus medullaris terminates at the D12-L1 level.
The T2 Weighted sagittal images of the cervical spine do not reveal any significant feature of note.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzp Ralmn / M / 23 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O paresthesias in the LLE since 8 days.
H/O fever +.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
10 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the D6-D7 intervertebral disc.
The visualized dorsal 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 visualized dorsal spinal cord shows normal signal intensity. There is no cord compression.
The conus medullaris terminates at the D12-L1 level.
The T2 Weighted sagittal images of the cervical spine do not reveal any significant feature of note.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xylmn / F / 29 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. - Dorsal Spine (Post-contrast Study)
CLINICAL PROFILE :
C/O tingling in the LLE since 1 month.
EXAMINATION :
The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images.
After administration of contrast the following parameters were used :
7 mm thick T1 Weighted axial (with fat saturation) images.
4 mm thick T1 Weighted sagittal (with fat saturation) images.
The brain was screened with 5 mm thick T1 Weighted axial images with magnetization transfer.
OBSERVATION :
The T2 Weighted sagittal images of the dorsal spine reveal hyperintense signal within the dorsal spine cord at the D5 vertebral level and over the D9 and D10 vertebral levels. There is decrease in the extent of the signal intensity change at the D9 and D10 vertebral levels when compared to previous MRI dated 00.00.00. There is also a decrease in the focal increase in size of the dorsal cord on the previous study.
After administration of contrast, there is no focal area of abnormal enhancement in the visualized dorsal and cervical spinal cord or the brain parenchyma on this study.
The possibility of demyelinating lesions should be considered in the differential diagnosis.
Date : 00.00.00
Name of the Patient : Abc Xylmn / F / 29 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. - Dorsal Spine (Post-contrast Study)
CLINICAL PROFILE :
C/O tingling in the LLE since 1 month.
EXAMINATION :
The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images.
After administration of contrast the following parameters were used :
7 mm thick T1 Weighted axial (with fat saturation) images.
4 mm thick T1 Weighted sagittal (with fat saturation) images.
The brain was screened with 5 mm thick T1 Weighted axial images with magnetization transfer.
OBSERVATION :
The T2 Weighted sagittal images of the dorsal spine reveal hyperintense signal within the dorsal spine cord at the D5 vertebral level and over the D9 and D10 vertebral levels. There is decrease in the extent of the signal intensity change at the D9 and D10 vertebral levels when compared to previous MRI dated 00.00.00. There is also a decrease in the focal increase in size of the dorsal cord on the previous study.
After administration of contrast, there is no focal area of abnormal enhancement in the visualized dorsal and cervical spinal cord or the brain parenchyma on this study.
The possibility of demyelinating lesions should be considered in the differential diagnosis.
Published in
MRI Reports
sb/bv/nl/rg.
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.
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 and T2 Weighted sagittal images.
10 mm thick T1 Weighted and T2 Weighted axial images.
The cervical spine was screened with 4 mm thick T2 Weighted sagittal images.
OBSERVATION :
There is an ill-defined, hyperintense signal on the T2 Weighted images in the cervico-dorsal spinal cord, centrally, extending from C6 to D11 vertebral levels. This signal appears hypointense to normal cord on the T1 Weighted images. Resultant slight increase in diameter of the cervico-dorsal spinal cord over these levels is noted.
There is slight loss of water content of the mid dorsal intervertebral discs.
The visualized dorsal vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
Scan-00006
There is no cord compression.
The conus medullaris terminates at the L1 level.
IMPRESSION :
Slight increase in diameter of the cervico-dorsal spinal cord over the C6 to D11 vertebral levels as described with altered signal may represent myelitis in the given clinical setting.
The possibility of demyelination seems less likely.
A contrast enhanced scan may be worthwhile to r/o underlying pathology.
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.
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 and T2 Weighted sagittal images.
10 mm thick T1 Weighted and T2 Weighted axial images.
The cervical spine was screened with 4 mm thick T2 Weighted sagittal images.
OBSERVATION :
There is an ill-defined, hyperintense signal on the T2 Weighted images in the cervico-dorsal spinal cord, centrally, extending from C6 to D11 vertebral levels. This signal appears hypointense to normal cord on the T1 Weighted images. Resultant slight increase in diameter of the cervico-dorsal spinal cord over these levels is noted.
There is slight loss of water content of the mid dorsal intervertebral discs.
The visualized dorsal vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
Scan-00006
There is no cord compression.
The conus medullaris terminates at the L1 level.
IMPRESSION :
Slight increase in diameter of the cervico-dorsal spinal cord over the C6 to D11 vertebral levels as described with altered signal may represent myelitis in the given clinical setting.
The possibility of demyelination seems less likely.
A contrast enhanced scan may be worthwhile to r/o underlying pathology.
Published in
MRI Reports