MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13665

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

Name of the Patient : Abc XyzPlmn / M / 53 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE and occasionally in the RLE.
Alleged H/O fall 1 month back.

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 large postero-central disc herniation at the L4-L5 level with anterior compression of the thecal sac and resultant canal stenosis. Posterior peridiscal osteophytes are also noted at this level.

Small postero-central disc herniations are noted at the L3-L4 and L5-S1 levels with anterior indentation of the thecal sac. A posterior disc bulge is noted at the L2-L3 level.

The L2-L3, L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.

Mild facetal hypertrophy is noted at the L4-L5 and L5-S1 levels.

The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.








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
13.0 mm at L2-L3
14.0 mm at L3-L4
7.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

1. A large postero-central disc herniation with posterior peridiscal osteophytes at the L4-L5 level with resultant canal stenosis.

2. Small postero-central disc herniations at the L3-L4 and L5-S1 levels.

3. A posterior disc bulge at the L2-L3 level.

4. Facetal hypertrophy at the L4-L5 and L5-S1 levels.
Sunday, 27 December 2015 16:48

13664

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

Name of the Patient : Abc Xyz Awalmn / F / 35 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the left hip joint since 6 months.

EXAMINATION :

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

5 mm thick T1 Weighted and STIR coronal images.

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

5 mm thick Proton density sagittal images.

OBSERVATION :

There is a well-defined lesion in the neck of right femur near the greater trochanter (but sparing the same) measuring approximately 1.5 x 2.0 x 2.8 cms. This lesion is hypointense to normal marrow on the T1 Weighted images and is seen to turn hyperintense on the T2 Weighted and STIR images. The cortex appears to be intact. There is no surrounding edema. Similar lesion is noted in the roof of the acetabulum on the left, measuring approximately 2.0 cms in diameter.

The femoral heads and the right acetabulum reveal normal signal intensity. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within both the hip joints.

Slight decrease in bulk of the muscles around the left hip joint is noted.

The visualized pelvis is normal.


IMPRESSION :

Lesion in the neck of the right femur, near the greater trochanter measuring approximately 1.5 x 2.0 x 2.8 cms and in the roof of the left acetabulum as described are not specific for a single etiology. The possibilities to be considered are simple bone cysts, fibrous dysplasia or brown tumors. The possibility of a malignant lesion seems less likely.



Sunday, 27 December 2015 16:48

13663

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

Name of the Patient : Abc Xyzn Dlmn / F / 12 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O weakness of the LUE.
H/O quadriparesis at the age of 1 1/2 years.
C/O ? hypotonic CP.

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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

The cervical vertebral bodies and the intervertebral discs 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 :

No abnormality is detected within the Cervical spine on this study.



Sunday, 27 December 2015 16:48

13662

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

Name of the Patient : Abc Xyzrishna Ylmn / M / 35 yrs.
Referred by : Dr. Abc Xyzgaonkar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with fall and loss of consciousness for 10-11 days.

EXAMINATION :

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

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

5 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial and coronal images with magnetization transfer.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

After administration of contrast, there is no abnormal area of enhancement within the brain parenchyma or the meninges.

IMPRESSION :

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

13661

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

Name of the Patient : Abc XyzPerlmn / F / 51 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 0000.

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.

OBSERVATION :

There is reduction in the volume of the hippocampus on the right side with resultant mild dilatation of the temporal horn of the right lateral ventricle. Hyperintense signal is seen within the hippocampus on the T2 Weighted images. The collateral white matter is slightly thinned than normal. 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.

IMPRESSION :

The MRI features are suggestive of right mesial temporal sclerosis.

Sunday, 27 December 2015 16:48

13660

Written by
HS/SB/NL/RG.
Date : 00.00.00

Name of the Patient : Abc Xyzn Dlmn / F / 12 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O weakness of the LUE.
H/O quadriparesis at the age of 1 1/2 years.
C/O ? hypotonic CP.

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.

Inflammatory changes are seen in the sphenoid sinus.

A deviated nasal septum to the right is seen.

IMPRESSION :

No abnormality is detected within the brain on this study.



Sunday, 27 December 2015 16:48

13659

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

Name of the Patient : Abc Xyza lmn / F / 38 yrs.
Referred by : Dr. Abc Xyzve / Dr. Abc XyzVyas.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O sudden onset of fall with giddiness.

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.
4 mm thick T2 Weighted sagittal images.
3 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is suggestion of occipitalization of the posterior arch of the atlas.

There is atlanto-dens subluxation with the atlanto-dens distance measuring approximately 9.0 mms. There is indentation upon the cervico-medullary junction by the postero-superior aspect of the odontoid process.

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

There is slight fullness of both the lateral ventricles. The 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 :

1. Probable occipitalization of the posterior arch of the atlas. Correlation with plain radiographs would be worthwhile.

2. Atlanto-dens subluxation with the atlanto-dens distance measuring approximately 9.0 mms with indentation upon the cervico-medullary junction by the postero-superior aspect of the odontoid process.

Sunday, 27 December 2015 16:48

13658

Written by
ke/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzine Fernalmn / F / 27 yrs. Referred by : Dr. Abc Xyzmpat. Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE : Old C/O neurocysticercosis.
To r/o pituitary microadenoma.
EXAMINATION :
M.R.I. of the sella and perisellar region was performed using the following parameters :3 mm thick T1 Weighted and T2 Weighted coronal images.3 mm thick T1 Weighted sagittal images.
5 mm thick T2 Weighted axial images.

After administration of contrast, 3 mm thick T1 Weighted coronal and sagittal images and 5 mm thick T1 Weighted axial (with magnetization transfer) images were obtained.OBSERVATION :
The pituitary gland is normal in it's size, contour and location and reveals normal signal intensity. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable.The suprasellar cistern and cavernous sinuses on either side are unremarkable.After contrast administration, there is no focal area of abnormal enhancement in the pituitary gland.
screening images of the brain reveal a small approximately 3.0 mms diameter sized well-marginated, hypointense lesion more pronounced on the T2 Weighted images in the right fronto-temporal region, just inferior to the frontal horn of the right lateral ventricle (se/im 105/2). This lesion appears hypointense on the T2 Weighted images. There is no perilesional edema. After contrast administration, there is rim-enhancement of the above described lesion (disc like on the delayed images). The ventricular system is unremarkable. There is no midline shift. No obvious vascular anomaly is identified on this study. IMPRESSION :1. No abnormality is detected within the pituitary gland.2. An approximately 3.0 mms diameter sized hypointense rim-enhancing lesion in the right fronto-temporal region, just inferior to the frontal horn of the right lateral ventricle most likely represents a granuloma (? calcified, the exact etiology undetermined). As compared to the previous MRI dated 00.00.00 (study no.00008),
there is no significant change.
Sunday, 27 December 2015 16:48

13656

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

Name of the Patient : Abc Xyzvi Shlmn / F / 46 yrs.
Referred by : Dr. Abc Xyzesai.
Examination : M.R.I. of the Left Shoulder.

CLINICAL PROFILE :

C/O pain and limited movements of the left shoulder since 1 year.

EXAMINATION :

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

4 mm thick T1 Weighted and GRASS (with fat saturation) 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 :

There is a tear of the inferior labrum. A synovial filled cavity is seen adjacent to the inferior labrum in connection with the tear of the labrum. This is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images and would represent a paralabral cyst.

Gross effusion is seen within the left shoulder joint. This is seen to extend along the supraspinatus tendon in the subacromial region. Extension is also noted along the bicipital tendon in the bicipital groove. Hyperintense areas are seen just below the subscapularis muscle lifting the subscapularis tendon which also represents synovial fluid. Fluid is also seen in the subdeltoid region extending in between the deltoid muscle and the infraspinatus muscles. There is synovial thickening. Debris (?? loose bodies are seen within the joint effusion).




A hyperintense signal is seen within the tendon of the supraspinatus muscle and this may represent a tear. Erosions are seen in the greater tubercle at the insertion of the supraspinatus tendon.

Subtle hyperintense signal is seen in the anterior portion of the glenoid on the Gradient images (scan 109.8). This is hypointense to normal marrow on the T1 Weighted images (scan 108.8) and would represent edema. Erosion of the cortical margin is also noted.

The acromio-clavicular joint is normal.

The visualized axilla is unremarkable.

IMPRESSION :

In a known C/O rheumatoid arthritis, the MRI features are suggestive of :

1. Tear of the inferior labrum with a paralabral cyst.

2. Effusion in the left shoulder joint with extensions and synovial thickening as described.

4. Edema in the glenoid.

5. Tear of the supraspinatus tendon.



Sunday, 27 December 2015 16:48

13655

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

Name of the Patient : Abc Xyz Ranglmn / F / 65 yrs,
Referred by : Dr. Abc Xyzerkar.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O seizures since 1 1/2 years.

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 is a hyperintense area in the right temporo-occipital region on the T2 images and is isointense to CSF on the T1 Weighted images. There is resultant dilatation of the occipital horn and slight fullness of the temporal horn of the right lateral ventricle. This lesion would represent an area of cystic encephalomalacia.

There is prominence of the cerebellar folia bilaterally. There is mild prominence of the cerebral cortical sulci bilaterally.

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

INTRACRANIAL MRA :

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


NECK MRA :

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

IMPRESSION :

An area of cystic encephalomalacia in the right temporo-occipital region.

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