MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13770

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

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

CLINICAL PROFILE :

C/O backache radiating to the RLE and RUE with paresthesias since 6-7 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 the L3-L4 and L4-L5 intervertebral discs.

Small postero-central disc herniations with peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels indenting the dural theca anteriorly.

There is slight increase in the epidural fat at the L5 and S1 vertebral levels with a trifoliate configuration of the thecal sac suggesting epidural lipomatosis.

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-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 :

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

IMPRESSION :

1. Small postero-central disc herniations with small peridiscal osteophytes at the L3-L4 and L4-L5 levels.

2. Slight increase in the epidural fat at the L5 and S1 vertebral levels suggest epidural lipomatosis.


Sunday, 27 December 2015 16:48

13769

Written by
sb/hs/rg/
Date : 00.00.00

Name of the Patient : Abc Xylmn / M / 82 yrs.
Referred by : Dr. Abc Xyzhimani.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O Parkinsonism 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 and Fast Scan (T2 *)coronal images.

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

OBSERVATION :

BRAIN :

Lacunar infarcts (iso to hyperintense to CSF) are noted in the thalamus, corona radiata and centrum semiovale bilaterally.

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally and in the subcortical and deep white matter in the fronto-parietal regions bilaterally. These lesions appear hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.

There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures.
R>
INTRACRANIAL MRA :

The left vertebral artery appears hypoplastic when compared to the right.

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

NECK MRA :

The left vertebral artery in the neck also appears hypoplastic when compared to the right.

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. Lacunar infarcts in the thalamus, corona radiata and centrum semiovale bilaterally.

2. Altered signal in the periventricular white matter bilaterally and in the subcortical and deep white matter in the fronto-parietal regions bilaterally most likely represent ischemic changes.

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

Sunday, 27 December 2015 16:48

13768

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

Name of the Patient : Abc XyzMarchawlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Right Ankle & Foot.

CLINICAL PROFILE :

C/O severe pain and swelling over the right foot since 1 month.
Exploration of the right ankle on 00.00.00. Dirty fluid aspirated.

EXAMINATION :

M.R.I. of the right ankle and foot was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

4 mm thick T1 Weighted and STIR coronal images.

4 mm thick T1 Weighted and GRASS sagittal images.

OBSERVATION :

There is an ill-defined, hypointense signal on the T1 Weighted images involving the distal end of the tibia, laterally, dome of the talus, posteriorly and along the medial and posterior margin of the lateral malleolus. This signal appears hyperintense on the T2 Weighted and STIR images. Similar signal change is noted in the calcaneum and navicular bones adjacent to the calcaneo-navicular joint.

There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images around the lateral, anterior and posterior margins of the right ankle. This lesion also appears hyperintense on the T2 Weighted and STIR images. Similar soft tissue lesion is noted between the lateral malleolus and the talus and the sustenteculum tali.
..2/.







Scar of previous surgery is noted along the posterior margin of the lateral malleolus, with susceptibility artifacts in that region.

There is evidence of altered signal (hypointense on the T1 eighted images and hyperintense on the T2 Weighted images) in the subcutaneous fat around the right foot and right ankle which suggests cellulitis.

The rest of the visualized bones of the right ankle and foot show normal signal intensity.

The visualized tendons and ligament show normal signal intensity. No joint effusion is evident.

IMPRESSION :

1. Post-operative status.

2. Altered signal in the distal end of the tibia, lateral malleolus, talus, calcaneum and navicular bones as described is not specific for a single etiology. These changes most likely represent osteitis, in the given clinical setting. Soft tissue around the right ankle joint may represent inflammatory/infective granulation tissue. There is also evidence of cellulitis in the subcutaneous fat around the right foot and ankle.

The possibility of these changes being due to a neoplasm seems less likely.





Sunday, 27 December 2015 16:48

13767

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

Name of the Patient : Abc XyzGailmn / M / 45 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 1 1/2 months.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is slight retrolisthsesis of the L4 over the L5 vertebral body.

A right paracentral disc herniation with peridiscal osteophyte is seen at the L4-L5 level with antero-lateral indentation of the thecal sac. Inferior migration of the disc fragment is noted with indentation upon the traversing right L5 nerve root. This disc is dessicated and shows loss of water content.

Small postero-central disc protrusion is seen at the L3-L4 level. This disc shows loss of water content.

The L3-L4 and L4-L5 facet joints appear slightly hypertrophied.

The lumbar vertebral bodies and the remianing 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-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 :

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

IMPRESSION :

1. Slight retrolisthsesis of the L4 over the L5 vertebral body.

2. A right paracentral disc herniation with peridiscal osteophyte at the L4-L5 level with inferior migration of the disc fragment indenting the traversing right L5 nerve root.

3. Small postero-central disc protrusion at the L3-L4 level.
Sunday, 27 December 2015 16:48

13766

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

Name of the Patient : Abc Xyzeet Slmn / M / 28 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 3 years.
C/O irrelevant and rowdy behaviour since 15 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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

FEW IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.

OBSERVATION :

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

The hippocampal complex is unremarkable on either side.

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

13765

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

Name of the Patient : Abc Xyztali Mulmn / M / 44 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with paresthesias in BLE since 4 years.
H/O fever since 1 month.

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 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.

A mild posterior disc bulge is noted at the L3-L4 level.

The L2-L3 and L3-L4 facet joints show mild degenerative changes.

The lumbar vertebral bodies and intervertebral discs 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 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
14.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

1. A posterior disc herniation at the L4-L5 level.

2. Mild facetal arthropathy at the L2-L3, L3-L4 and L4-L5 levels.


Sunday, 27 December 2015 16:48

13764

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

Name of the Patient : Abc Xyzammed Mulmn / M / 72 yrs.
Referred by : Dr. Abc Xyzorude.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE with paresthesias.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is slight forward translation of the L4 vertebra over the L5 vertebra.

There is a postero-central disc herniation with peridiscal osteophytes at the L4-L5 level with anterior indentation of the thecal sac. A free fragment is seen to migrate superiorly into the right lateral recess of the L4 vertebra and superior aspect of the right neural foramen with impingement of the traversing and exiting portion of the right L4 nerve root.

There are small posterior disc herniations at the L2-L3 and L3-L4 levels with anterior indentation of the thecal sac and mild neural foraminal narrowing bilaterally at these levels.

Anterior disc herniations are also noted at the L2-L3, L3-L4 and L4-L5 levels.

Schmorls nodes are seen at the superior aspect of the L3 and L1 vertebral bodies. The lumbar intervertebral discs except for the L5-S1 disc show loss of water content.



The lumbar facet joints show mild degenerative changes. Mild ligamentum flavum hypertrophy is noted at the L4-L5 level.

The lumbar vertebral bodies reveal normal signal intensity. 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-S2 level.

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

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

IMPRESSION :

1. Slight forward translation of the L4 vertebra over the L5 vertebra.

2. A postero-central disc herniation with peridiscal osteophytes at the L4-L5 level with canal stenosis. A free fragment is seen to migrate superiorly into the right lateral recess of the L4 vertebra and superior portion of the right L4-L5 neural foramina with impingement of the traversing and exiting portion of the right L4 nerve root.

3. Small posterior disc herniations at the L2-L3 and L3-L4 levels.

4. Mild facetal arthropathy in the lumbar region.
Sunday, 27 December 2015 16:48

13763

Written by
ke/hs/nl/nl
/63 Date : 00.00.00

Name of the Patient : Abc Xyznlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzilotri.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O weakness of BLE since 6 days.
Alleged H/O fall from height.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

8 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is anterior wedging of the D8 vertebral body with a mild angular kyphus at that level. There is posterior bulging of the vertebral body with indentation upon the spinal cord. The spinal cord over the D6 to D9-D10 levels shows a hyperintense signal on the T2 Weighted images. This is iso to hypointense to normal cord on the T1 Weighted images and would represent cord edema/contusion in the given clinical setting.

There is replacement of the normal marrow of the D6, D8 and D9 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images and would represent bone bruise/edema. There appears to be a fracture of the left lamina and spinous process of the D8 vertebra.

Large bilateral pleural collections are seen which is hyperintense on the T1 Weighted and T2 Weighted images and may represent altered blood, in the given clinical setting of trauma.



The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L1 level.

IMPRESSION :

In the given clinical setting of trauma, the MRI features are suggestive of :

1. Anterior wedging of the D8 vertebral body with mild angular kyphus at that level with cord signal alteration over the D6 to D9-D10 levels would represent cord edema/contusion.

2. Altered signal of the D6, D8 and D9 vertebral bodies would represent bone bruise/edema.

3. Large bilateral pleural collections (? haemorrhagic).

Radiologically, similar findings may be seen with infective or neoplastic processes.



Sunday, 27 December 2015 16:48

13762

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

Name of the Patient : Abc Xyzl Mlmn / M / 69 yrs.
Referred by : Dr. Abc Xyzhru.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O single episode of momentary blackout 3-4 days back.
C/O tingling in the head since then.
Known hypertensive.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images.

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

OBSERVATION :

There are hyperintense areas on the T2 Weighted images in the frontal and parietal periventricular white matter, bilaterally.

There is moderate dilatation of both the lateral, third and the fourth ventricles. Turbulence is noted in the superior portion of the fourth ventricle, aqueduct and third ventricle.

There is mild prominence of the cerebral cortical sulci.

The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Incidental note is made of an empty sella, bilateral maxillary polyps and inflammatory changes in the ethmoidal air cells and sphenoid and frontal sinuses.

INTRACRANIAL MRA :

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




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

NECK MRA :

The left vertebral artery in the neck is also hypoplastic.

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

IMPRESSION :

1. Areas of ischemia/infarction in the frontal and parietal periventricular deep white matter.

2. Moderate dilatation of the ventricular system which is disproportionate to the degree of cerebral atrophy. Normal pressure hydrocephalus should be ruled out.

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

Sunday, 27 December 2015 16:48

13761

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

Name of the Patient : Abc Xlmn / F / 16 yrs.
Referred by : Dr. Abc XyzGawhale.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O pain in the upper dorsal region since 2 months.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

8 mm thick T1 Weighted and T2 Weighted axial images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

Few mid dorsal intervertebral discs show loss of water content.

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

The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L2 level.

IMPRESSION :

No significant abnormality is detected within the dorsal spine on this study.