MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13594

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

Name of the Patient : Abc Xyzarayan Slmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided hemiparesis with slurred speech since 12 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.

OBSERVATION :

There is evidence of an area of hypointensity on the T1 Weighted images which turns hyperintense on the proton, T2 Weighted and FLAIR images within the left corona radiata and left centrum semiovale. This most likely represents an area of ischemia/infarction.

Lacunar infarcts (iso to hyperintense to CSF) are seen within the head of the left caudate nucleus, pons, both lentiform nuclei, corona radiata bilaterally, genu of the corpus callosum on the left side and in the deep white matter in the left frontal lobe. A few of these are surrounded by hyperintense areas on the proton, T2 Weighted and FLAIR images and these may represent gliotic changes.

Areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the pons, periventricular white matter in the fronto-parietal lobes bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and these are most likely ischemic in etiology.
Scan-00004




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

Incidental note is made of an empty sella.

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 altered signal within the left corona radiata and left centrum semiovale represents an area of ischemia/infarction.

2. Lacunar infarcts within the head of the left caudate nucleus, pons, both lentiform nuclei, corona radiata bilaterally, genu of the corpus callosum on the left side and in the deep white matter in the left frontal lobe.
Sunday, 27 December 2015 16:48

13593

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

Name of the Patient : Abc XyzGawkhalmn / M / 50 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Left Knee Joint.

CLINICAL PROFILE :

C/O pain in both the knees since 1 month.

EXAMINATION :

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

4 mm thick T1 Weighted, proton and GRASS sagittal images.

4 mm thick T1 Weighted and T2 Weighted coronal images.

4 mm thick GRASS axial images.

OBSERVATION :

There is reduction in the medial tibio-femoral joint space.

Menisci

There is a linear, hyperintense signal on all the pulse sequences in the anterior and posterior horns of the medial meniscus of the left knee joint not reaching upto the articular margin. This suggests Grade II meniscal degeneration.

The anterior and posterior horns of the lateral menisci reveal normal configuration and signal characteristics.

Cruciate Ligaments :

The anterior and posterior cruciate ligaments show 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 :

The Hoffas fat pad is normal.

Articular cartilage and bones :

There is slight thinning of the articular cartilage in the medial tibio-femoral joint with reduction in joint space. Marginal osteophytes are noted around the left knee joint. There is an ill-defined, hyperintense signal on the T2 Weighted and GRASS images in the medial tibial plateau adjacent to the medial tibio-femoral joint. This signal appears hypointense to normal marrow on the T1 Weighted images and most likely represents subchondral, degenerative changes.

The patellar cartilage is unremarkable.

A small, left knee joint effusion is noted.

IMPRESSION :

Osteoarthritic changes in the left knee joint with :

1. Reduction in the medial tibio-femoral joint space.

2. Grade II meniscal signal (meniscal degeneration) in the anterior and posterior horns of the medial meniscus of the left knee joint.

3. Marginal osteophytes around the left knee joint with altered signal in the tibia adjacent to the medial tibio-femoral joint suggesting subchondral degenerative changes.

4. Small effusion in the left knee joint.


Sunday, 27 December 2015 16:48

13592

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

Name of the Patient : Abc Xyzit Mlmn / M / 14 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with LOC for 2 minutes on 00.00.00.
Similar complaints 2 years back.

EXAMINATION :

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

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

13591

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

Name of the Patient : Abc Xyzma Malmn / F / 54 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O weakness of the RLE since many years.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

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

The dorsal spine was screened with 4 mm thick T1 Weighted sagittal images and the brain was screened with 5 mm thick T2 Weighted axial images.

OBSERVATION :

There is slight loss of cervical intervertebral discs.

There is cerebellar tonsillar herniation through the foramen magnum with the tip of the tonsils lying posterior to the cervical cord at about the C1-C2 level. Mild compression of the cervico-medullary junction is noted.

There is a CSF signal intensity lesion on all the pulse sequences in the cervico-dorsal spinal cord centrally, extending over the C1-C2 to D8 vertebral levels. This lesion represents a syrinx. Resultant slight increase in the cervico-dorsal spinal cord calibre over these levels is noted.
Scan-00001


Small posterior disc bulges are noted in the cervical region.

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

The atlanto-axial region is unremarkable.

Screening images of the brain reveal mild dilatation of both the lateral ventricles. The third and fourth ventricles are noted.

Incidentally noted is an enlarged thyroid gland.

IMPRESSION :

Cerebellar tonsillar herniation through the foramen magnum, with a syrinx in the cervico-dorsal region extending from the C1-C2 level upto the D8 vertebral levels suggests a Chiari malformation.


Sunday, 27 December 2015 16:48

13590

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

Name of the Patient : Abc XyzGawkhalmn / M / 50 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

C/O pain in both the knees since 1 month.

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 T2 Weighted coronal images.
4 mm thick GRASS axial images.

OBSERVATION :

There is reduction in the medial tibio-femoral joint space and slight medial and anterior subluxation of the right femur over the right tibia.

Menisci

There is a complex linear, hyperintense signal on all the pulse sequences in the posterior horn of the medial meniscus of the right knee joint extending upto the inferior articular margin. This most likely represents a complex tear.

The anterior horn of the medial meniscus also shows evidence of a Grade III meniscal signal (meniscal tear).

The anterior and posterior horns of the lateral menisci reveal normal configuration and signal characteristics.

Cruciate Ligaments :

The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
..2/.





Collateral Ligaments and the Patellar Tendon :

The medial and lateral collateral ligaments and the patellar tendon are normal.

Hoffas Fat Pad :

The Hoffas fat pad is normal.

Articular cartilage and bones :

There is slight thinning of the articular cartilage in the medial tibio-femoral joint with reduction in joint space. Marginal osteophytes are noted around the right knee joint. There is an ill-defined, hyperintense signal on the T2 Weighted and GRASS images in the medial femoral condyle and the medial tibial plateau adjacent to the medial tibio-femoral joint. This signal appears hypointense to normal marrow on the T1 Weighted images and most likely represents degenerative changes.

The patellar cartilage is unremarkable.

A small, right knee joint effusion is noted.

IMPRESSION :

Severe osteoarthritic changes in the right knee joint with :

1. Reduction in the medial tibio-femoral joint space and slight medial and anterior subluxation of the right femur over the right tibia.

2. A tear of the anterior horn of the medial meniscus of the right knee joint.

3. A complex tear of the posterior horn of the medial meniscus.

4. Marginal osteophytes around the right knee joint with altered signal in the femur and tibia adjacent to the medial tibio-femoral joint suggesting subchondral degenerative changes.

5. Small effusion in the right knee joint.


Sunday, 27 December 2015 16:48

13589

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

Name of the Patient : Abc Xyz Perlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE since 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 :

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

Slight facetal hypertrophy is seen at the L4-L5 and L5-S1 levels.

A baggy right S1 nerve root sleeve is noted (scan 104.3).

The lumbar vertebral bodies and the 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 :

15.0 mm at L1-L2
13.0 mm at L2-L3
11.0 mm at L3-L4
12.0 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

13588

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

Name of the Patient : Abc Xyza Ralmn / F / 16 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since the age of 7 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.

3 mm thick T1 Weighted and T2 Weighted 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

13587

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

Name of the Patient : Abc Xyzar Almn / M / 55 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O generalized weakness since 2 months.
H/O hoarseness of voice 1 week back.
? hypothyroid.

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 T1 Weighted sagittal images and 3 mm thick T2 Weighted coronal images through the sella and perisellar region.

OBSERVATION :

There is volume loss in the right parieto-occipital region, right frontal region and in the right anterior temporal region. There is a CSF signal intensity lesion on all the pulse sequences in these regions, which represents areas of cystic encephalomalacia, most likely the sequelae of previous vascular insult. Perilesional hyperintense signal on the T2 Weighted and FLAIR images represents gliotic changes. Mild focal dilatation of the atrium and posterior body of the right lateral ventricle is noted.

Small bright foci on the T2 Weighted and FLAIR images in the right centrum semiovale (in the watershed zone of the ACA and MCA) also represent ischemic changes. The petrous and cavernous segments of the right internal carotid artery show evidence of an intraluminal signal in place of the normal flow void signal suggesting a thrombus/slow flow.


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

The pituitary gland appears normal in height without focal mass lesion. The pituitary stalk is in the midline. Perisellar region is unremarkable.

Inflammatory changes are noted in the ethmoidal air cells bilaterally.

IMPRESSION :

1. Areas of cystic encephalomalacia in the right parieto-occipital region, right frontal region and in the right anterior temporal region most likely the sequelae of previous vascular insult.

2. Slow flow/thrombus in the petrous and cavernous segments of the right internal carotid artery.

3. Ischemic changes in the right centrum semiovale (in the watershed areas of the ACA and MCA).

An MRA would be worthwhile.
Sunday, 27 December 2015 16:48

13586

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

Name of the Patient : Abc XyzMlmn / F / 27 days.
Referred by : Dr. Abc Xyzykar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O Birth asphyxia (Stage II).
FTND.

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 Fast Scan (T2 *) coronal images.

OBSERVATION :

There are ill-marginated hyperintense areas on the T1 Weighted images in the upper medulla, thalami, subthalamic region and the lentiform nuclei and at the tip of the central sulcus bilaterally. The lesion in the putamen turns hypointense on the proton, T2 Weighted and Fast Scan (T2 *) images whereas the lesions in the rest of the regions remain hyperintense on the proton and T2 Weighted images.

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 :

In a known C/O severe birth asphyxia, altered signal in the upper medulla, thalami, subthalamic region and the lentiform nuclei and at the tip of the central sulcus bilaterally, may represent subacute haemorrhage/calcification/myelin breakdown.



Sunday, 27 December 2015 16:48

13585

Written by
sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Dlmn / F / 41 yrs.
Referred by : Dr. Abc Xyzrikh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 3 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 scoliosis of the lumbar spine with convexity to the left. Mild clockwise rotational anomaly of the upper lumbar vertebrae is noted.

There is sacralization of the L5 vertebra and the D12 vertebral body is as marked on the film.

There is loss of water content of all the lumbar intervertebral discs except the L2-L3 intervertebral disc.

There is a fairly large, postero-central and left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with indentation on the anterior dural theca and traversing left L5 nerve root and left neural foraminal narrowing. This disc appears reduced in height.

Minimal posterior disc bulges are noted at the L1-L2 and L2-L3 levels.


Type II degenerative marrow changes are noted adjacent to the L4-L5 intervertebral disc.

The rest of the lumbar vertebral bodies reveal normal signal intensity. 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 :

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

IMPRESSION :

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

2. Sacralization of the L5 vertebra and the D12 vertebral body is as marked on the film.

3. A fairly large, postero-central and left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with indentation on the traversing left L5 nerve root.