MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13696

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

Name of the Patient : Abc Xyzankar Jailmn / M / 45 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the LUE with paresthesias since 2 months.

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 herniations with small posterior peridiscal osteophytes at the C4-C5, C5-C6 and the C6-C7 levels with anterior indentation of the cord. The joints of Luschka on the left side at the C5-C6 and C6-C7 levels show degenerative changes with left neural foraminal narrowing. Facetal arthropathy is noted at the C4-C5, C5-C6 and C6-C7 levels.

The cervical intervertebral discs show loss of water content.

A congenital block D1/D2 vertebrae is noted.

The cervical vertebral bodies show normal signal intensity. The rest of 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.
..2/.





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IMPRESSION :

1. Small posterior disc herniations with small posterior peridiscal osteophyes at the C4-C5, C5-C6 and the C6-C7 levels.

2. Slight degenerative changes of the joints of Luschka on the left side at the C5-C6 and C6-C7 levels.

3. Congenital block D1/D2 vertebrae.

4. Facetal arthropathy at the C4-C5, C5-C6 and C6-C7 levels.

Sunday, 27 December 2015 16:48

13695

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

Name of the Patient : Abc XyzS. Lalmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE since 4 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 replacement of the normal marrow of the L2 and the L3 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The pedicles of these vertebrae bilaterally and right transverse process of the L2 vertebra are involved by the pathology. The superior and inferior cortical endplates of the L3 and L2 vertebral bodies are breached with involvement of the L2-L3 intervertebral disc. There is pre and right paravertebral soft tissue extension over the L2 to the L4 levels. This lesion is slightly hyperintense to the muscles on the T1 Weighted images and turns heterogeneously hyperintense on the T2 Weighted images and most probably represents an abscess. Few hypointense areas are seen within this lesion on all the pulse sequences which may represent calcification/paramagnetic substances. Anterior and right lateral epidural soft tissue extension is seen over the L2 and L3 vertebral levels. There is encroachment into the right L2-L3 neural foramina with encasement of the foraminal portion of the right L2 nerve root.


Small posterior disc bulges are seen at the L4-L5 and L5-S1 levels. The facet joints at these levels appear hypertrophied.

Suspicious, altered signal is noted in the L4 body.

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-L2 level and the thecal sac terminates at the S2 level.

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

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

IMPRESSION :

The MRI features are suggestive of a pathologic process involving the L2 and L3 vertebrae and the L2-L3 intervertebral disc with extensions as described. This most likely represents an infective lesion like tuberculosis.

The possibility of this being a neoplastic process like a small cell tumor is less likely.

Sunday, 27 December 2015 16:48

13693

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

Name of the Patient : Abc Xyzant R. Glmn / M / 24 yrs.
Referred by : Dr. Abc Xyzolakia.
Examination : M.R.I. of the Left Shoulder.

CLINICAL PROFILE :

C/O pain in the left shoulder since 1 1/2 years.

EXAMINATION :

M.R.I of the left shoulder was performed using the following parameters :

4 mm thick GRASS axial images.

7 mm thick T1 Weighted axial images.

4 mm thick T2 Weighted (with fat saturation) sagittal images.

4 mm thick T1 Weighted, Proton and T2 Weighted (with fat saturation) coronal images.

OBSERVATION :

The head of the left humerus shows normal contour and the head and upper shaft of the left humerus show normal signal intensity. The visualized scapula appears normal. The glenoid labrum is unremarkable. The biceps tendon in the biciptical groove shows normal signal intensity.

The articular cartilage of the head of the left humerus appears normal. There is no joint effusion.

The tendinous insertion of the supraspinatus muscle shows normal signal intensity. There is no evidence of fluid in the subdeltoid bursa. There is no evidence of a tear of the supraspinatus muscle. The soft tissues around the left shoulder joint are unremarkable.




There is no obvious bone erosion or destruction seen.

The acromio-clavicular joint shows evidence of osteophytes along its superior margin. The acromion process is seen to be sloping posteriorly and laterally.

The visualized axilla is unremarkable.

IMPRESSION :

Osteophytes along the superior margin of the acromio-clavicular joint suggesting degenerative changes.

No other abnormality is detected on this study.



Sunday, 27 December 2015 16:48

13692

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

Name of the Patient : Abc XyzSlmn / F / 60 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis with slurred speech since 1 day.
C/O convulsions at 3.0 pm. on 00.00.00 with altered sensorium.

EXAMINATION :

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

5 mm thick T1 Weighted and proton density axial images.

5 mm thick FLAIR and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton density and FLAIR images in the periventricular white matter bilaterally and bilateral corona radiata and centrum semiovale. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represent 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. No obvious vascular anomaly is identified on this study.

There is no evidence of haemorrhage.

IMPRESSION :

Altered signal in the periventricular white matter bilaterally and bilateral corona radiata and centrum semiovale most likely represent ischemic changes.

Sunday, 27 December 2015 16:48

13691

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

Name of the Patient : Abc Xylmn / F / 28 yrs.
Referred by : Dr. Abc Xyzdakia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures on 00.00.00 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 T1 Weighted and T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

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 slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

No significant abnormality is detected on this study.



Sunday, 27 December 2015 16:48

13690

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzD. Honlmn / M / 59 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O paresthesias in BLE with speech disturbances since 00.00.00.
Known diabetic. On Rx.

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 :

Ill-defined, hyperintense signal on the proton and T2 Weighted images in the pons, centrally may represent ischemic lesions.

There is mild fullness of both the lateral and the third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Prominent perivascular spaces are noted in the cerebellar hemispheres bilaterally.

There is no evidence of intracranial haemorrhage on this study.
..2/.




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 :

1. Altered signal in the pons, centrally may represent ischemic lesions.

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

Sunday, 27 December 2015 16:48

13689

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

Name of the Patient : Abc Xyzsh Shanlmn / M / 13 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O neurocysticercosis.
For follow up.

EXAMINATION :

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

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

5 mm thick FLAIR coronal images.

3 mm thick T2 Weighted coronal images through the region of interest.

OBSERVATION :

There is still seen a small, well marginated approximately 8.0 mms sized hyperintense lesion with a hypointense rim on the T2 Weighted images in the subcortical white matter in the left high parietal region, best appreciated on the thin sections coronal images (scan 106.7). This lesion is not well identified on the T1 Weighted images, but follows CSF signal on the FLAIR images (scan 105.10). There is minimal perilesional edema.

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.

Inflammatory changes are noted in the ethmoidal air cells and maxillary sinuses bilaterally.



IMPRESSION :

An approximately 8.0 mms diameter sized lesion in the subcortical white matter in the left high parietal region follows the signal characteristics of a cysticercus.

As compared to the previous MRI dated 00.00.00 (scan no:00005), there is decrease in the size of the lesion and the perilesional edema.

Sunday, 27 December 2015 16:48

13688

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

Name of the Patient : Abc Xyzati Glmn / F / 54 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE 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 loss of water content of the L3-L4, L4-L5 and L5-S1
intervertebral discs.

There is a postero-central and left paracentral disc herniation at the L4-L5 level with slight inferior migration of the disc indenting the traversing left L5 nerve root.

A small left postero-lateral and left far lateral disc bulge with peridiscal osteophyte is noted at the L3-L4 level.

Slight facetal hypertrophy is noted at the L3-L4 and L4-L5 levels.

The lumbar vertebral bodies show fatty marrow changes. The remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
Scan-00008


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 :

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. A postero-central and left paracentral disc herniation at the L4-L5 level with slight inferior migration of the disc indenting the traversing left L5 nerve root.

2. A small left postero-lateral and left far lateral disc bulge with peridiscal osteophyte at the L3-L4 level.

3. Slight facetal hypertrophy at the L3-L4 and L4-L5 levels.


Sunday, 27 December 2015 16:48

13687

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

Name of the Patient : Abc Xyz Molmn / F / 4 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Past H/O draining of a multilobulated right subdural collection in September 0000.
For follow-up.

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 volume loss in the right cerebral hemisphere. There is an ill-defined, hypointense signal on the T1 Weighted images along the right fronto-temporo-parietal cortex and subcortical white matter. This lesion appears hyperintense on the proton, T2 Weighted and FLAIR images and represents gliotic/encephalomalacic changes, most likely the sequelae of previous insult. Resultant mild dilatation of the right lateral ventricle is noted as compared to the left with mild pull of the midline structures to the right. Minimal prominence of the CSF space overlying the right fronto-temporo-parietal convexity is noted.

Slight thinning of the genu and body of the corpus callosum is noted.







There is mild fullness of the left lateral ventricle. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.

IMPRESSION :

Volume loss in the right fronto-temporo-parietal region with altered signal in the right fronto-temporo-parietal cortex as described, most likely is the sequelae of a previous insult.

The patient is status post-operative for multiple loculated subdural collections.

As compared to the previous MRI dated 00.00.00, (scan no:0000), there is no significant change noted.

Sunday, 27 December 2015 16:48

13686

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

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

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias. ? ankylosing spondylitis.

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 :

The L5-S1 intervertebral disc shows a hyperintense signal on all the pulse sequences which may suggest discal calcification. A small posterior and bilateral far lateral disc bulge is noted at the L5-S1 level.

The facet joints in the lumbar region, more so at the L3-L4, L4-L5 and L5-S1 levels, appear hypertrophied. The facet joint space is not well visualized and the facets are probably ankylosed.

The visualized sacro-iliac joint space, anteriorly is also not well-defined, with probable ankylosis of the sacro-iliac joints.

Focal fatty marrow changes are noted in the visualized dorso-lumbo-sacral vertebrae and the iliac bones. The remaining intervertebral discs show normal signal intensity.


The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the 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 :

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

IMPRESSION :

1. Altered signal in the L5-S1 disc most likely suggests a calcified disc.

2. Facetal hypertrophy in the lumbar region, as described, with probable ankylosis of the facet joints may suggest ankylosing spondylitis.

3. Ankylosis of the sacro-iliac joints, anteriorly.

4. Fatty marrow changes in the visualized vertebrae, may suggest osteoporosis.