MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13608

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

Name of the Patient : Abc Xyzin Rodrilmn / M / 14 mnths.
Referred by : Dr. Abc Xyzubchandani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O high grade fever since 00.00.00.
C/O seizures on 00.00.00 with weakness of the LUE since 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.

SOME IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.

OBSERVATION :

There is no area of abnormal signal intensity in the brain parenchyma. Hyperintense areas seen in the posterior parietal regions represent terminal areas of myelination.

There is 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 :

Fullness of both the lateral ventricles.

If meningitis is strongly suspected clinically, a CSF examination/contrast enhanced scan would be worthwhile.
Sunday, 27 December 2015 16:48

13607

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

Name of the Patient : Abc Xyzar Khlmn / M / 5 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures.

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 abnormal area of altered signal intensity in the brain parenchyma. Hyperintense areas seen within both parietal regions represent terminal areas of myelination (scan 102.13).

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.

Incidental note is made of enlarged adenoids.

IMPRESSION :

Normal study of the Brain.


Sunday, 27 December 2015 16:48

13606

Written by
ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzik Nlmn / M / 1 1/2 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O TB Meningitis with hydrocephalus.
A V.P.Shunt was placed 15 days ago.

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 T2 Weighted and FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

The pons and the lower portion of the medulla appear swollen. A lesion which is hypointense to the white matter on the T1 Weighted images is seen in the pons on the right side anteriorly and which is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. Hyperintense areas are also noted extending into the right middle cerebellar peduncle and the lower portion of the midbrain. Hypointense areas on the T2 Weighted and Proton images are seen within the lesion in the pons with a probable exophytic component. The fourth ventricle is slightly reduced in its antero-posterior dimension.

An intermediate signal intensity is seen within the aqueduct on the T1 Weighted images which is heterogeneously hyperintense on the proton and T2 Weighted images.



- 2 - Scan-00006


There is severe dilatation of the third and both the lateral ventricles with periventricular hypointensities (CSF ooze). There is resultant thinning of the corpus callosum. A ventriculostomy tube is seen to traverse from the right posterior parietal region superior to the body of the right lateral ventricle and extending anteriorly into the frontal parafalcine region.

A hypointense area is seen in the tip of the frontal horn of the right lateral ventricle (scans 103.10) on the T1 Weighted images and which is seen to bloom on the proton and T2 Weighted images and may represent air.

There is mild prominence of the cerebellar folia bilaterally.

IMPRESSION :

1. Post-shunt status with a ventriculostomy tube seen to traverse from the right posterior parietal region superior to the body of the right lateral ventricle with the tip in the right frontal parafalcine region.

2. Altered signal in the pons is not specific for a single etiology ? granulomas (? neoplastic process like an
astrocytoma)

3. ? debris ?? haemorrhage ? exudates in the aqueduct with severe dilatation of both the lateral and the third ventricles.

A contrast enhanced scan would be worthwhile.
Sunday, 27 December 2015 16:48

13605

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

Name of the Patient : Abc XyzBlmn / M / 75 yrs.
Referred by : Dr. Abc Xyzmdar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE since 5-6 months with burning sensation.

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 partial sacralization of the L5 vertebra and the L5 vertebra is as marked on the film.

There is reduction in height of the L4-L5 intervertebral disc and loss of water content of the lumbar intervertebral discs.

A posterior disc herniation with posterior peridiscal osteophytes is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing and indentation upon the foraminal portion of the L4 nerve roots. The thecal sac appears triangular in shape. The L4-L5 facet joints show degenerative changes, right more than left. Mild ligamentum flavum hypertrophy is noted at the L5 level.

A small posterior disc herniation with peridiscal osteophytes is seen at the L3-L4 level with bilateral far lateral disc bulges. A left far lateral disc bulge is noted at the L2-L3 level.

Anterior disc herniations with peridiscal osteophytes are seen at the D11-D12, D12-L1, L1-L2 and L2-L3 levels.
..2/.





The lumbar facet joints show degenerative changes.

There is replacement of the normal marrow of the D11 and D12 vertebral bodies by hypointense areas on the T1 Weighted images which are seen to turn hyperintense on the T2 Weighted images. This may represent marrow edema/Type I degenerative changes.

Type II degenerative changes are noted in the L4 and L5 vertebrae adjacent to the L4-L5 intervertebral disc and the L3 vertebral body adjacent to the L2-L3 disc.

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

The conus medullaris terminates at the D12 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 :

11.0 mm at L1-L2
10.0 mm at L2-L3
8.0 mm at L3-L4
6.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. A posterior disc herniation with posterior peridiscal osteophytes at the L4-L5 level with indentation upon the foraminal portion of the L4 nerve roots with the L4-L5 facet joints showing degenerative changes, right more than left, with tight lumbar canal.

2. A small posterior disc herniation with peridiscal osteophytes at the L3-L4 level and bilateral far lateral disc bulges at this level.

3. Degenerative changes of the lumbar facet joints.

Sunday, 27 December 2015 16:48

13604

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

Name of the Patient : Abc Xyz Salmn / F / 19 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache with fever since 4 months with weakness of BLE since 6-7 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.

6 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is near complete collapse of the D5 vertebral body. Also seen is anterior wedging of the D4 vertebral body.

Areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images are seen to involve the D1 to the D7 vertebral bodies and the pedicles of the D3, D4 and D5 vertebrae. The D10 vertebral body also shows subtle hypointense signal on the T1 Weighted images. There is also involvement of the D4-D5 and D5-D6 intervertebral discs.

There is extension of this pathologic process into the anterior epidural space over the D3 to D6 vertebral levels with resultant cord compression. The cord over these levels shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia/myelitis.






This pathologic process is also seen to extend into the pre and paravertebral soft tissues over the D1 to the D7 vertebral levels. This lesion is seen to be hypointense with a hyperintense rim on the T1 Weighted images and hyperintense with a hypointense rim on the T2 Weighted images and most likely represents an abscess. Also seen is involvement of the costo-vertebral and costo-transverse joints at the D4, D5 and D6 vertebral levels.

The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.

The lumbo-sacral spine was screened with 4 mm thick T1 Weighted sagittal images and is unremarkable.

IMPRESSION :

The MRI features are suggestive of a pathologic process involving the D1 to the D7 vertebral bodies and D4-D5 and D5-D6 intervertebral disc with extensions and cord edema/isclmn / Myelitis as described. This most likely represents an infective etiology like tuberculosis.

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

Sunday, 27 December 2015 16:48

13603

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

Name of the Patient : Abc Xyzanglmn / M / 71 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (left more than right) with numbness in the LLE.

EXAMINATION :

M.R.I of the lumbo-sacral 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 :

Posterior disc herniations are seen to indent the thecal sac and narrow both neural foramina at the L3-L4 and L4-L5 levels. A disc portion is seen to lie within the left lateral recess of the L4 vertebra with resultant impingement of the traversing left L4 nerve root.

A postero-central disc herniation is seen to indent the thecal sac at the L5-S1 level.

Bilateral far lateral (extraforaminal) disc herniations are noted at the L3-L4 level. Bilateral far lateral (extraforaminal) disc bulges are noted at the L2-L3 and L4-L5 levels.

The L4-L5 and L5-S1 facet joints show severe hypertrophic degenerative changes. Mild hypertrophic degenerative changes of the facet joints are noted at the L1-L2, L2-L3 and L3-L4 levels. There is ligamentum flavum hypertrophy at the L5 level.

- 2 - Scan-00003


The lumbar intervertebral discs show loss of water content. The lumbar vertebral bodies show spotty areas of fatty replacement of normal marrow suggestive of osteoporotic changes.

A cortical cyst is noted at the superior pole of the right kidney.

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 :

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

IMPRESSION :

The MRI features are suggestive of :

1. Posterior disc herniations at the L3-L4 and L4-L5 levels with canal stenosis at these levels. A disc portion is seen to lie within the left lateral recess of the L4 vertebra with resultant impingement of the traversing left L4 nerve root.
..3/.









- 3 - Scan-00003



2. A postero-central disc herniation at the L5-S1 level.

3. Bilateral far lateral (extraforaminal) disc herniations at the L3-L4 level.

4. Severe hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels.

5. Mild hypertrophic facetal arthropathy at the L1-L2, L2-L3 and L3-L4 levels.


Sunday, 27 December 2015 16:48

13602

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

Name of the Patient : Abc Xyzen Sagalmn / F / 44 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with tingling.
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 :

The L1-L2, L3-L4 and L4-L5 intervertebral discs show loss of water content.

There is scoliosis of the lumbar spine with convexity to the left and clockwise rotational anomaly of the upper lumbar vertebrae.

Postero-central disc herniations are seen at the L3-L4 and L4-L5 levels with anterior indentation of the thecal sac. The L3-L4 facet joints bilaterally and the L4-L5 facet joint on the left side show degenerative changes.

A small left far lateral disc bulge is seen at the L2-L3 level and a postero-central disc protrusion at the L5-S1 level.

Schmorls node is seen in the superior aspect of the L2 vertebral body.


Hypointense area is seen in the left sacral ala on the T1 Weighted images which is seen to turn heterogeneously hyperintense on the T2 Weighted images ? inflammatory. The left sacro-iliac joint appears spared by the pathology.

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

IMPRESSION :

1. Scoliosis of the lumbar spine with convexity to the left side.

2. Postero-central disc herniations at the L3-L4 and L4-L5 levels with degenerative changes of the L3-L4 facet joints bilaterally and the L4-L5 facet joint on the left side.

3. A small left far lateral disc bulge at the L2-L3 level.

4. Altered signal in the left sacral ala with sparing of the left sacro-iliac joint, ? inflammatory.


Sunday, 27 December 2015 16:48

13601

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

Name of the Patient : Abc Xyz Nlmn / F / 42 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 5-6 years.
H/O evening fever since 1-2 years.
H/O L5 laminectomy with discectomy of L5-S1 in September 0000.

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 intervertebral disc shows loss of water content.

There are post-operative changes in the posterior soft tissues at the L5 and S1 levels with laminectomy of the L5 vertebra.

A postero-central disc herniation is seen at the L5-S1 level with anterior indentation of the thecal sac and the S1 nerve roots bilaterally.

A posterior and a left postero-lateral disc herniation is noted at the L4-L5 level with anterior indentation of the thecal sac and left neural foraminal narrowing. The L4-L5 facet joint on the left shows mild degenerative change.

A small posterior disc bulge is seen at the L3-L4 level. This intervertebral disc shows slight loss of water content.
..2/.






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

IMPRESSION :

1. Post-operative status.

2. A postero-central disc herniation at the L5-S1 level with indentation upon the S1 nerve roots.

3. A posterior and a left postero-lateral disc herniation at the L4-L5 level with tight lumbar canal at this level.



Sunday, 27 December 2015 16:48

13600

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

Name of the Patient : Abc Xyzi Shlmn / M / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O loss of sensation in the LLE since 1 month with dragging of the LLE.

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 conus medullaris terminates at the L1 level.

IMPRESSION :

Normal study of Dorsal Spine.

Sunday, 27 December 2015 16:48

13599

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

Name of the Patient : Abc Xyzl Palmn / M / 55 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right hemiparesis with slurred speech since 15 days with decreased hearing since 6 years.
Known hypertensive. 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.

OBSERVATION :

There is evidence of a well-defined wedge shaped area which is isointense to CSF on all the pulse sequences within the left temporal lobe. This is surrounded by hypointense areas on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images and would represent gliotic changes. This lesion in toto would represent an area of cystic encephalomalacia.

Multiple areas which are iso to hyperintense to CSF on all the pulse sequences are noted within the right periatrial white matter, left corona radiata, head of the caudate nuclei, pons and the lentiform nuclei. These would represent lacunar infarcts. A few of these are surrounded by hyperintense areas on the proton, T2 Weighted and FLAIR images which would represent gliotic changes.

Areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the periventricular white matter and the white matter in the fronto-parietal lobes bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.
..2/.







There is mild fullness of the third and both the lateral ventricles. Also seen is mild prominence of the cerebral cortical sulci bilaterally.

The fourth ventricle is 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 :

1. An area of cystic encephalomalacia within the left temporal lobe.

2. Lacunar infarcts within the right periatrial white matter, left corona radiata, head of the caudate nuclei, pons and the lentiform nuclei.

3. Altered signal within the periventricular white matter and the white matter in the fronto-parietal lobes bilaterally are most likely ischemic in etiology.