MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13755

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

Name of the Patient : Abc Xyz R. Kulmn / M / 12 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O sudden onset of bifrontal headaches with auditory and visual hallucinations since 15 days.
H/O vomiting and diarrhea for 2 days prior to this.

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 T2 Weighted coronal images.

5 mm thick FLAIR coronal images.

OBSERVATION :

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

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 :

Normal study of the Brain.
Sunday, 27 December 2015 16:48

13754

Written by
ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Anwar Dlmn / M / 16 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

H/O fall while playing football 2 weeks ago with difficulty in bending and straightening the RLE.
C/O pain and swelling over the right knee joint with limitation of joint movements and clicking since then.

EXAMINATION :

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

4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and STIR coronal images.
5 mm thick GRASS axial images.

OBSERVATION :

Menisci

There is a curvilinear hyperintense signal on all pulse sequences within the posterior horn of the medial meniscus reaching upto the superior and the inferior articular surface and displaced medially, and would represent a Grade III meniscal signal (meniscal tear - bucket handle).

The anterior and posterior horns of the lateral meniscus and anterior horn of the medial meniscus reveal normal configuration and signal characteristics.

Cruciate Ligaments :

The anterior cruciate is not well-identified. Intermediate signal intensity lesion is seen along the course of the anterior cruciate ligament on the T1 Weighted images. This is seen to turn hyperintense on the Gradient and STIR images and would represent partial tear/strain of the anterior cruciate ligament.
..2/.




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 :

There is streaking of the Hoffas fat pad with minimal amount of fluid.

Articular cartilage and bones :

Ill-defined hyperintense areas are seen within the epiphysis of the tibia, medially as well as laterally (more so medially) on the STIR images. These are hypointense to the normal marrow on the T1 Weighted images. This is suggestive of bone bruise/edema. Similar signal is also noted in the medial femoral condyle.
There is suggestion of fracture of the tibial plateau medially (scan 106/7).

The articular cartilage overlying the patella, tibia and femur appears normal.

Effusion is seen within the right knee joint and the suprapatellar bursa.

IMPRESSION :

The MRI features are suggestive of :

1. Bucket handle tear (meniscal tear) within the posterior horn of the medial meniscus of the right knee joint.

2. Partial tear/strain of the anterior cruciate ligament.

3. Bone bruise/edema within the proximal epiphysis of the tibia, medially as well as laterally and in the medial femoral condyle.

4. Fracture of the tibial plateau medially.
Sunday, 27 December 2015 16:48

13753

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

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

CLINICAL PROFILE :

C/O headaches since many years (on & off).

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 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.

Incidental note is made of mild inflammatory tissue in the ethmoidal air cells and right maxillary sinus.

IMPRESSION :

Normal study of the Brain.
Sunday, 27 December 2015 16:48

13752

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

Name of the Patient : Abc Xyzraya B. Dlmn / M / 52 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to BUE (left more than right) with paresthesias since 15 days.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

There are small posterior disc bulges at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels with anterior indentation of the thecal sac. The cervical intervertebral discs show loss of water content.

Posterior peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.

The C4-C5 and C5-C6 facet joints show degenerative changes.

Focal fatty changes are seen in the upper cervical vertebral bodies.

The rest of the cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The cervical spinal cord reveals normal signal intensity.


The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

The MRI features are suggestive of :

1. Small posterior disc bulges at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels.

2. Posterior peridiscal osteophytes at the C5-C6 and C6-C7 levels.

3. Facetal arthropathy at the C4-C5 and C5-C6 levels.

Sunday, 27 December 2015 16:48

13751

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

Name of the Patient : Abc XyzKhanvilmn / M / 70 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (left more than right) with paresthesias 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 a left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with antero-lateral compression of the thecal sac and bilateral neural foraminal narrowing, left more than right. Mild ligamentum flavum and facetal hypertrophy is seen at this level with resultant canal stenosis.

Left and right postero-lateral disc herniations with peridiscal osteophytes are seen at the L2-L3 and L3-L4 levels with bilateral neural foraminal narrowing. The L2-L3 facet joints show mild degenerative changes.

Schmorls nodes are noted in the inferior aspect of the L2 and L3 vertebral bodies and the superior aspect of the L5 vertebral body. Anterior disc herniations with peridiscal osteophytes are seen at the L2-L3, L3-L4 and L4-L5 levels. The lumbar intervertebral discs show loss of water content.

Type II degenerative changes are noted in the lower lumbar vertebrae.
R>
The rest of 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 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
12.0 mm at L3-L4
9.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with mild ligamentum flavum and facetal hypertrophy and resultant canal stenosis.

2. Bilateral postero-lateral disc herniations with peridiscal osteophytes at the L2-L3 and L3-L4 levels with mild facetal arthropathy at the L2-L3 level.



Sunday, 27 December 2015 16:48

13750

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

Name of the Patient : Abc XyzDlmn / F / 65 yrs.
Referred by : Dr. Abc Xyzre.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

H/O transthoracic excision of Kochs granulation tissue at D5 with bone and disc material grafting.
C/O backache since 2 months.
H/O fall in March 0000.

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 :

There is past h/o transthoracic excision of tuberculous granulation tissue at D5 vertebral level with bone and disc material grafting. The D5 vertebral body is not well-identified, probably the sequelae of previous infection/surgery. A kyphus is noted at the D4/D5/D6 levels.

Subtle hypointense singal on all pulse sequences is noted along the inferior margin of the D4 vertebra. The intervening disc/bone graft between D4 and D6 vertebrae appears hypointense on all the pulse sequences and is seen to minimally indent the dural theca anteriorly. Bilateral neural foraminal narrowing is also noted at this level.

A Schmorls node/herniated disc is seen along the superior margin of the D6 vertebral body.

Subtle hyperintense signal on the T2 Weighted images is noted in the dorsal spinal cord at the D5 and D6 vertebral levels which may suggest cord ischemia/gliosis.
..2/.




R>
There is anterior wedging of the D12 vertebral body with fatty marrow changes. Indentation on the anterior dural theca at this level is noted by the postero-superior margin of the D12 vertebral body.

The rest of the visualized dorsal vertebral bodies show spotty fatty marrow changes. The dorsal intervertebral discs show loss of water content. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12-L1 level.

IMPRESSION :

1. Post-operative status with non-visualization of the D5 vertebral body with bone/disc graft at that level.

2. Subtle altered signal in the dorsal spinal cord at the D5 and D6 vertebral levels may suggests cord ischemia/gliosis.

3. Anterior wedging of the D12 vertebral body with fatty marrow changes is ? the sequelae of previous trauma/infection.

As compared to the previous MRI dated 00.00.00 (scan no.0000), there is near complete resolution of the previous identified osteitis and granulation tissue.
Sunday, 27 December 2015 16:48

13749

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

Name of the Patient : Abc Xyz Wlmn / F / 5 yrs.
Referred by : Dr. Abc Xyzarmar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever 9 days back.
C/O seizure 5 days back with drowsiness since then.

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 T2 Weighted and FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

After administration of contrast, the following parameters were used :

5 mm thick T1 Weighted axial images with magnetization transfer

3 mm thick T1 Weighted coronal images with magnetization transfer.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is an ill-defined, hyperintense area on the proton, T2 Weighted and FLAIR images in the left cerebral peduncle, involving the substantial nigra, with slight extension into the subthalamus superiorly. This lesion is hypointense to normal white matter on the T1 Weighted images. Similar signal is also noted in the right cerebral peduncle as well as the periaqueductal grey matter.

After administration of contrast, there is no enhancement within this lesion. There is no other abnormal area of enhancement within the brain parenchyma or the meninges.
..2/.





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 altered signal in the left cerebral peduncle with slight extension into the subthalamus superiorly, in the right cerebral peduncle as well as the periaqueductal grey matter. These changes are not specific for a single diagnosis. The differential diagnosis would include :

1. Demyelination (acute disseminated encephalomyelitis).

2. Brain-stem encephalitis.

3. ?? ischemia (less likely).
Sunday, 27 December 2015 16:48

13748

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

Name of the Patient : Abc Xyz lmn / F / 27 yrs.
Referred by : Dr. Abc Xyzolakia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

H/O fall 8 years back with low back pain radiating to BLE (left more than right) with paresthesias since then.

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 facet joint on the right side and the L4-L5 facet joint on the left side show mild degenerative changes.

No obvious fracture in the region of the coccyx is seen on this study.

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











The 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 :

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

IMPRESSION :

No significant abnormality is detected on this study.

Sunday, 27 December 2015 16:48

13746

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

Name of the Patient : Abc Xyz R.lmn / M / 32 yrs.
Referred by : Dr. Abc Xyzrekh.
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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

A large postero-central disc extrusion is seen to indent the thecal sac at the L5-S1 level. A disc portion is seen to lie in the anterior epidural space at the S1 level with resultant impingement of the traversing S1 nerve roots bilaterally, left more than right.

A posterior disc bulge is noted at the L4-L5 level.

The L5-S1 facet joints show degenerative changes. The L5-S1 intervertebral disc shows loss of water content.

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 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 :

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

IMPRESSION :

The MRI features are suggestive of :

1. A large postero-central disc extrusion with a tight canal at the L5-S1 level. A disc portion is seen to lie in the anterior epidural space at the S1 level with resultant impingement of the traversing S1 nerve roots bilaterally, left more than right.

2. Facetal arthropathy at the L5-S1 level.
Sunday, 27 December 2015 16:48

13745

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

Name of the Patient : Abc Xyzai Niklmn / F / 80 yrs.
Referred by : Dr. Abc Xyzasde.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

H/O fall 8 days back with backache and weakness of the RUE and RLE since then.

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 anterior wedging of the D11, L1, L2 and L3 vertebral bodies. The lower dorsal and lumbar vertebrae show fatty changes, suggestive of osteoporosis.

There is slight central wedging of the D12 vertebral body which shows hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images and would represent bone edema, the sequelae of a compression fracture.

Small posterior disc bulges are seen at the L3-L4 and L4-L5 levels with anterior indentation of the thecal sac. Left far lateral disc bulge is noted at the L4-L5 level.

Small posterior disc protrusions are seen at the D11-D12, D12-L1 and L1-L2 levels. The upper lumbar intervertebral discs show loss of water content.

The lumbar facet joints show 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 S1 level.

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

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

Incidentally noted is a gallsteone.

IMPRESSION :

The MRI features are suggestive of :

1. Altered signal of the lower dorsal and lumbar vertebrae suggests osteoporosis. Anterior wedging of the D11, L1, L2 and L3 vertebral bodies may be the sequelae of osteoporotic fractures.

2. Slight central wedging of the D12 vertebral body with altered signal would represent compression fracture, with bone edema, the sequalae of previous trauma, superimposed on an osteoporotic spine.

3. Small posterior disc bulges at the L3-L4 and L4-L5 levels and a left far lateral disc bulge at the L4-L5 level.

4. Small posterior disc protrusions at the D11-D12, D12-L1 and L1-L2 levels.

5. Degenerative changes of the lumbar facet joints.

6. Gallstone in the visualized gallbladder.