MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13565

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

Name of the Patient : Abc Xyzi Kalmn / F / 70 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis 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 and Fast Scan (T2 *) coronal images.

Patient refused contrast administration.

OBSERVATION :

There is an ill-defined, hypointense area on the T1 Weighted images in the left lentiform nucleus, extending into the left corona radiata and left centrum semiovale. This is seen to turn hyperintense on the proton, T2 Weighted, FLAIR and Fast Scan (T2 *) images. Similar areas are also noted involving the head of the caudate nucleus on the left side and the right cerebellar hemisphere.

The cavernous portion of the internal carotid artery on the left side shows an intermediate signal on the T1 Weighted images which is heterogeneously hyperintense on the proton and T2 Weighted images. This would represent thrombus/slow flow.

A hypointense area is noted in the right lentiform nucleus extending into the right corona radiata on the T1 Weighted images and follows CSF signal characteristics on all the pulse sequences and this represents a lacunar infarct.
Scan-00005


There are hyperintense areas in the periatrial white matter on the proton, T2 Weighted and FLAIR images which are iso to hypointense to white matter on the T1 Weighted images suggestive of areas of ischemia/infarction.

A small hypointense area is noted in the right frontal region which is seen to remain hypointense on the T2 Weighted and FLAIR images (se/im 106/9, 105/10). This may represent a calcified granuloma.

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

Incidental note is made of left maxillary sinusitis and inflammatory changes in the ethmoidal air cells on the left side.

IMPRESSION :

1. Altered signal in the left lentiform nucleus, extending into the left corona radiata and left centrum semiovale and smaller areas of altered signal in the head of the caudate nucleus on the left side and the right cerebellar hemisphere are suggestive of areas of ischemia/infarction.

2. Slow flow/thrombus in the cavernous portion of the internal carotid artery on the left side

3. A lacunar infarct in the right lentiform nucleus extending into the right corona radiata.

4. Areas of altered signal in the periatrial white matter may represent areas of ischemia/infarction.

5. Altered signal in the right frontal region may represent a calcified granuloma.

A contrast enhanced scan would be worthwhile.


Sunday, 27 December 2015 16:48

13564

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

Name of the Patient : Abc Xyzee Dlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzoshi.
Examination : M.R.I. of the Right Ankle.

CLINICAL PROFILE :

C/O pain and swelling over the right ankle since 00.00.00.
H/O right ankle sprain on 00.00.00.

EXAMINATION :

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

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

4 mm thick T1 Weighted and STIR coronal images.

4 mm thick T1 Weighted and GRASS sagittal images.

OBSERVATION :

There are small circumscribed hypointense areas within the calcaneum on all the pulse sequences and these may represent bone islands.

Prominent trabecular markings are seen in the talus and calcaneum.

Hypointense areas which turn hyperintense are seen in the right ankle, especially antero-superior to the talus.

The rest of the visualized bones show normal configuration and signal intensity.

The visualized tendons and ligament show normal signal intensity. The visualized soft tissues are unremarkable.


IMPRESSION :

1. Bone islands within the calcaneum.

2. Effusion within the right ankle joint with probable synovial thickening.

Sunday, 27 December 2015 16:48

13563

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

Name of the Patient : Abc Xyzbee lmn / F / 55 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with LOC and altered sensorium (momentary) since 8 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.

5 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is an elliptical hypointense area in the white matter in the right frontal lobe on the FLAIR and T1 Weighted images. This is seen to turn hyperintense on the proton and T2 Weighted images (nearly isointense to CSF on all the pulse sequences). Hyperintense areas are noted at the periphery of this lesion, better appreciated on the FLAIR coronal images which are iso to hypointense to white matter on the T1 Weighted images and would represent areas of gliosis. This lesion would represent a lacunar infarct with gliotic changes.

Prominent perivascular spaces are noted in the lentiform nuclei bilaterally.

The left lateral ventricle is slightly prominent as compared to the right (may be a normal variant).


The third and the fourth ventricles are normal. There is slight prominence of the cerebellar folia. 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. Lacunar infarct in the white matter in the right frontal lobe.

2. Mild cerebellar atrophy.



Sunday, 27 December 2015 16:48

13562

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

Name of the Patient : Abc Xyzlal Palmn / M / 83 yrs.
Referred by : Dr. Abc XyzParikh.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with alleged H/O fall on 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 and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are hyperintense areas in the periventricular white matter, deep white matter in the right frontal lobe and in the corona radiata and centrum semiovale bilaterally on the proton, T2 Weighted and FLAIR images. These are iso to hypointense to white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

There is no obvious extracerebral collection identified on this study.

There is fullness of the third and both the lateral ventricles. The fourth ventricle is normal. There is slight prominence of the basal cisternal spaces and cerebral cortical sulci. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.




- 2 - Scan-00002


The normal lens is not visualized in both globes ? cause.

IMPRESSION :

The MRI features are suggestive of areas of altered signal intensity in the periventricular white matter, deep white matter in the right frontal lobe and the corona radiata and centrum semiovale bilaterally and these are most likely ischemic in etiology.

Sunday, 27 December 2015 16:48

13561

Written by
ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc XyzAli Slmn / M / 35 yrs.
Referred by : Dr. Abc Xyzannu.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 2 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 mild scoliosis of the lumbar spine with convexity to the right.

The L5-S1 intervertebral disc shows loss of water content.

There are right postero-lateral disc herniations at the L4-L5 and L5-S1 levels with right neural foraminal narrowing. The right S1 nerve root appears to be of larger calibre ? baggy nerve root sleeve ?? inflammation (scans 104.1-2).

The lumbar vertebral bodies and the remaining intervertebral discs 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 S2 level.






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

17.0 mm at D12-L1
16.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of right postero-lateral disc herniations at the L4-L5 and L5-S1 levels with right neural foraminal narrowing.

Sunday, 27 December 2015 16:48

13560

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

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

CLINICAL PROFILE :

C/O backache with pain radiating to BLE (left more than right) 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.

OBSERVATION :

There is scoliosis of the lumbar spine with convexity to the right.

There is slight retroplacement of the L4 over the L5 and L5 over the S1 vertebrae.

A right paracentral and postero-lateral disc herniation is noted at the L4-L5 level with right neural foraminal narrowing.

A postero-central disc herniation, more to the left of the midline is noted at the L5-S1 level with mild indentation upon the traversing left S1 nerve root.

A right far lateral (extraforaminal) disc protrusion is seen to indent the extraforaminal portion of the exiting right L4 nerve root at the L4-L5 level.

The L4-L5 and L5-S1 facet joints show degenerative changes.

Small posterior peridiscal osteophytes are seen at the L4-L5 and L5-S1 levels. The L4-L5 and L5-S1 intervertebral discs show 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 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
16.0 mm at L2-L3
15.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Slight retroplacement of the L4 over the L5 and L5 over the S1 vertebrae.

2. A right paracentral and a postero-lateral disc herniation at the L4-L5 level.

3. A postero-central disc herniation, more to the left of the midline at the L5-S1 level with mild indentation upon the traversing left S1 nerve root.

4. A right far lateral (extraforaminal) disc protrusion indenting the extraforaminal portion of the exiting right L4 nerve root at the L4-L5 level.

5. Facetal arthropathy at the L4-L5 and L5-S1 levels.


Sunday, 27 December 2015 16:48

13559

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

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

CLINICAL PROFILE :

C/O headaches since 30-35 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.

5 mm thick FLAIR coronal images.

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.

Incidental note is made of left maxillary sinusitis.

IMPRESSION :

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

13558

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

Name of the Patient : Abc Xyzlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with seizures since 3 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 T2 Weighted and Fast SCan (T2 *) coronal images.
4 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is evidence of a subcentimeter diameter sized lesion in the region of the cortex of the left frontal lobe. It is hypointense on the proton, T2 Weighted, FLAIR and Fast Scan (T2 *) images (se/im: 102/17, 103/17, 106/9 and 107/7).

The hippocampus 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 inflammatory changes in the sphenoid sinus and the ethmoidal sinus on the left side.

IMPRESSION :

The MRI features are suggestive of a subcentimeter diameter sized lesion in the region of the cortex of the left frontal lobe and this may represent a calcified granuloma.


Sunday, 27 December 2015 16:48

13557

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

Name of the Patient : Abc Xyzp Asalmn / M / 27 yrs.
Referred by : Dr. Abc Xyzorude.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures 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.

3 mm thick T2 coronal images.

5 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

The hippocampus is unremarkable on either side.

The left lateral ventricle appears prominent as compared to the right and may be a normal variant. 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 :

No significant abnormality is detected within the brain on this study.

Sunday, 27 December 2015 16:48

13556

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

Name of the Patient : Abc Xyzlmn / F / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O limp in the right leg since 2 months.
H/O neurogenic bladder and saddle back anesthesia.

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 :

Open sacral canal is noted with probable absence of the posterior appendages on the left side at the S2 and S3 vertebral levels. The left side of the sacral ala is seen to be deformed.

There is tethering of the spinal cord into a hyperintense lesion on the T1 Weighted images which is intradural in location at the S2 vertebral level and follows fat signal intensity characteristics and represents a lipoma. This lipoma is seen to have a large extradural component on the left side at the S2 and S3 vertebral levels. Syrnix (isointense to CSF) is noted within the spinal cord over the L4 to S2 vertebral levels.

The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
- 2 - Scan-00006



IMPRESSION :

The MRI features are suggestive of :

1. Spinal dysraphism with tethering of the spinal cord at the S2 vertebral level into a lipoma as described.

2. Syrinx within the spinal cord over the L4 to S2 vertebral levels.

As compared to the previous MRI dated 00.00.00 (study no.0000) a syrnix is now seen to extend upto the L4 vertebral level.