MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13550

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

Name of the Patient : Abc Xyzndra Dhailmn / M / 72 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE with paresthesias since 2-3 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 scoliosis of the lumbar spine with convexity to the left side.

There is evidence of an extramedullary (extradural with a probable intradural component) mass lesion measuring approximately 1.1 x 2.5 x 1.8 cms and located within the spinal canal on the left side at the D12 level. It is seen to be extending into and enlarging the left neural foramen at the D12-L1 level. The conus medullaris at the D12 level is compressed and displaced to the right. It also shows a subtle hyperintense signal on the T2 Weighted images and this may represent edema/ischemia. This lesion is hyperintense to normal cord on the T1 Weighted images and appears iso to hyperintense to normal cord on the T2 Weighted images.

A posterior disc herniation with small peridiscal osteophytes is seen to indent the thecal sac and narrow both neural foramina at the L3-L4 level. Type I/II/III degenerative changes are seen within the L3 and L4 vertebral bodies adjacent to the L3-L4 intervertebral disc.
..2/.






Posterior disc bulges with small peridiscal osteophytes are noted at the L2-L3, L4-L5 and L5-S1 levels. There is mild bilateral neural foraminal narrowing at the L4-L5 level.

Left postero-lateral and left far lateral disc herniations are seen to narrow the left neural foramen and indent the exiting left L5 nerve root at the L5-S1 level. Left far lateral (extraforaminal) disc herniations are noted at the L2-L3 and L3-L4 levels. A right far lateral (extraforaminal) disc bulge is noted at the L3-L4 level.

The L2-L3, L3-L4, L4-L5 and L5-S1 facet joints show degenerative changes.

Anterior disc herniations are seen at the L2-L3, L3-L4 and L4-L5 levels.

The lumbar intervertebral discs show loss of water content.

The rest of the lumbar vertebral bodies 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 :

16.0 mm at D12-L1
17.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
14.0 mm at L5-S1.
..3/.








- 3 - Scan-00000


IMPRESSION :

The MRI features are suggestive of :

1. An extramedullary (extradural with a probable intradural component) mass lesion measuring approximately 1.1 x 2.5 x 1.8 cms and located within the spinal canal on the left side at the D12 level
with altered signal in the conus (edema/ischemia) as described. This most likely represents a neurofibroma (less likely to be a meningioma).

2. A posterior disc herniation with small peridiscal osteophytes at the L3-L4 level.

3. Posterior disc bulges with small peridiscal osteophytes at the L2-L3, L4-L5 and L5-S1 levels.

4. Left postero-lateral and left far lateral disc herniations at the L5-S1 level indenting the exiting left L5 nerve root at the L5-S1 level.

5. Left far lateral (extraforaminal) disc herniations at the L2-L3 and L3-L4 levels.

6. Facetal arthropathy at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.

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

13549

Written by
hs/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzhar Almn / M / 54 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the LLE (upto the knee) with backache since 7 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 axial images.

OBSERVATION :

There is a large area of hypointensity on the T1 Weighted images which turns heterogeneously hyperintense on the T2 Weighted and STIR images within the left sacral ala and iliac wing on the left side with probable involvement of the left sacro-iliac joint. There is mild extension into the soft tissues anteriorly.

Smaller areas with similar signal characteristics are noted within the left acetabulum, left iliac wing, sacral vertebral bodies, both ischial tuberosities and the L5 vertebral body.

The hip joints per se are unremarkable.

There is slight enlargement of the prostate gland.







- 2 - scan-00009


IMPRESSION :

The MRI features are suggestive of multiple lesions involving the
sacrum, L5 vertebra, left iliac wing, left acetabulum and
both ischial tuberosities. This is not specific for a single diagnosis.

The differential diagnosis would include,

a. Small cell tumors.

b. Secondaries.

c. Infective process like multifocal tuberculosis.


Sunday, 27 December 2015 16:48

13548

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

Name of the Patient : Abc Xyznath lmn / M / 38 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache since 15 days.
C/O weakness of BLE since 10-12 days.
H/O fall +.

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 L1 vertebra is as marked on the film.

There is a decrease in the height with anterior wedging of the D7 and D8 vertebral bodies.

Areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images are seen to involve the D7 and D8 vertebral bodies and the D7-D8 intervertebral disc. The D7-D8 intervertebral disc appears destroyed and is not well-identified on this scan.

The D4, D5, D6 and D9 vertebral bodies and the D6, D7 and D8 pedicles are similarly involved. The D5-D6 intervertebral disc also appears to be involved.






There is extension of this pathologic process into the anterior epidural space over the D6 to the D8 vertebral level. This lesion is hypointense with a hyperintense rim on the T1 Weighted images and turns hyperintense with a hypointense rim on the T2 Weighted images and may represent an abscess. There is compression upon the cord over these levels. The cord over these levels shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia/myelitis.

Similar soft tissue lesion is seen in the pre and paravertebral (right more than left) soft tissues over atleast the D5 to D9 levels.

The costo-vertebral joints appear to be involved bilaterally at the D7 and D8 levels and on the right at the D6 and D9 levels.

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

The conus medullaris terminates at the L1 level.

IMPRESSION :

The MRI features are suggestive of a pathologic process involving the D4 to D9 vertebrae and the D5-D6 and D7-D8 intervertebral discs with soft tissue extension and cord compression with cord edema/ischemia/myelitis as described. This most likely represents an infective process like tuberculosis.

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


Sunday, 27 December 2015 16:48

13547

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

Name of the Patient : Abc Xyzndra Palmn / M / 55 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain to the RLE with paresthesias since 3 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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is a right paracentral disc extrusion indenting the thecal sac at the L5-S1 level. A disc portion is seen to lie within the right lateral recess of the S1 vertebra with resultant impingement of the traversing right S1 nerve root.

There is a postero-central and right postero-lateral disc herniation indenting the thecal sac and right neural foramen at the D11-D12 level. A small disc portion appears to be lying within the right neural foramen at this level (scan 102.6).

A small posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level.

A small right paracentral disc herniation is seen to indent the thecal sac at the L3-L4 level. There is a right far lateral (extraforaminal) disc herniation indenting the exiting right L3 nerve root at this level.
..2/.






Posterior peridiscal osteophytes are seen over the L2-L3 to L5-S1 levels.

There is a posterior disc bulge at the L2-L3 level.

Facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels.

The L2-L3, L3-L4, L4-L5, L5-S1 and D11-D12 intervertebral discs show loss of water content.

A limbus vertebra is noted at the L5 level with Type II degenerative changes.

Anterior disc herniations are noted at the L3-L4, L4-L5 and the L1-L2 levels.

The rest of 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 S2 level.

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

14.0 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. A right paracentral disc extrusion at the L5-S1 level with a disc portion lying within the right lateral recess of the S1 vertebra with resultant impingement of the traversing right S1 nerve root.
..3/.





- 3 - Scan-00007



2. A postero-central and right postero-lateral disc herniation at the D11-D12 level.

3. A small right paracentral disc herniation at the L3-L4 level.

4. A right far lateral (extraforaminal) disc herniation indenting the exiting right L3 nerve root at the L3-L4 level.


Sunday, 27 December 2015 16:48

13546

Written by
ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzodalmn / M / 47 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 4 months.
H/O fall.

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 sacralization of the L5 vertebra and the D12 vertebral body is as marked on the film. There is scoliosis of the lumbar spine with convexity to the left side.

There is slight retroplacement of the L4 over the L5 vertebral body.

A large right paracentral disc herniation is seen at the L4-L5 level with antero-lateral indentation of the thecal sac and indentation upon the exiting right L5 nerve root. There is inferior migration of the disc posterior to the L5 vertebra. There is suggestion of the right L5 nerve root being inflamed. This disc shows loss of water content and is reduced in height.

Mild facetal hypertrophy is seen in the lumbar region.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
..2/.




- 2 - scan-00006


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 :

13.0 mm at L1-L2
12.0 mm at L2-L3
12.0 mm at L3-L4
8.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Sacralization of the L5 vertebra.

2. Slight retroplacement of the L4 over the L5 vertebral body.

3. A large right paracentral disc herniation at the L4-L5 level with indentation upon the exiting right L5 nerve root with inferior migration of the disc posterior to the L5 vertebra with inflammation of the right L5 nerve root.
Sunday, 27 December 2015 16:48

13545

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

Name of the Patient : Abc Xyzi Klmn / F / 60 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis with slurred speech and altered sensorium since 2 days.
Known hypertensive.

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.

OBSERVATION :

There is evidence of a space-occupying lesion measuring approximately 4.0 x 3.0 x 2.2 cms and located within the lentiform nucleus and temporal lobes on the right side. This lesion is mildly hypointense on the T1 Weighted images and turns more hypointense on the proton, T2 Weighted and Fast Scan (T2 *) images. Note is made of perilesional edema with resultant indentation on the right lateral ventricle with mild shift of the midline to the left.

Lacunar infarcts (iso to hyperintense to CSF) are seen within the right caudate nucleus, left lentiform nucleus and right thalamus.

Areas of hyperintensity on the proton, T2 Weighted and FLAIR images are noted 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.
Scan-00005


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

Calcification is noted in the globus pallidi bilaterally.

The left lateral and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of an acute bleed within the lentiform nucleus and temporal lobes on the right side and measuring approximately 4.0 x 3.0 x 2.2 cms.

Sunday, 27 December 2015 16:48

13544

Written by
ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzumar Glmn / M / 56 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain since 3 months.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

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

OBSERVATION :

There is loss of normal cervical curvature and loss of water content of the cervical intervertebral discs.

A postero-central disc herniation is noted at the C4-C5 level with anterior indentation of the cord.

A left postero-lateral disc bulge is noted at the C5-C6 level with peridiscal osteophytes with mild left neural foraminal narrowing. This disc appears reduced in height. Anterior peridiscal osteophytes are also seen at this level.

A small posterior disc bulge is seen at the C3-C4 level.

The cervical vertebral bodies show spotty fatty changes.
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 :

1. A postero-central disc herniation at the C4-C5 level.

2. A left postero-lateral disc bulge with peridiscal osteophytes at the C5-C6 level with mild left neural foraminal narrowing.


Sunday, 27 December 2015 16:48

13543

Written by
hs/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzV. Blmn / M / 72 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O giddiness with blackouts and fall with LOC for 2 minutes (6 episodes in last 10 years). Visual loss on the left side in 0000.
Known hypertensive. On Rx.

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 :

Hyperintense areas on the T2 Weighted images are seen within the periventricular white matter, centrum semiovale and corona radiata bilaterally and these are most likely ischemic in etiology.

Smaller areas with similar signal characteristics are seen within the pons, thalamus and lentiform nuclei bilaterally.

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

INTRACRANIAL & NECK MRA :

The left internal carotid artery is not visualized in its entirety from its origin in the neck.

The right posterior communicating and anterior communicating arteries are prominent.


The petrous, cavernous and supraclinoid segments of the right internal carotid artery 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.

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

IMPRESSION :

The MRA features are suggestive of :

1. Areas of altered signal within the periventricular white matter, centrum semiovale and corona radiata bilaterally,
pons, thalamus and lentiform nuclei bilaterally are
most likely ischemic in etiology.

2. Non visualization of the left internal carotid artery.


Sunday, 27 December 2015 16:48

13542

Written by
KE/HS/RG.
Date : 00.00.00

Name of the Patient : Abc Xyzatlilmn / M / 71 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gait ataxia since 1 year with memory impairment.
Alleged H/O fall 1 year 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 FLAIR coronal images.

OBSERVATION :

There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the periatrial white matter. These are iso to hypointense to the white matter on the T1 Weighted images. Similar smaller areas are noted in the white matter in the frontal lobes bilaterally.

There is fullness of both the lateral ventricles, and the third and fourth ventricles. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally. 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 right maxillary sinusitis and an empty sella. Inflammatory changes are also seen in the ethmoidal air cells and sphenoid sinus.



- 2 - scan-00002

The cervical spine was screened with the help of T2 Weighted sagittal and Gradient axial images. Images show patient motion. Hyperintense area is seen within the cervical spinal cord at the C7 vertebral level which may represent cord edema/ischemia/gliosis.

Small posterior disc bulges with small peridiscal osteophytes are noted at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels. The C4-C5, C5-C6 and C6-C7 facet joints on the left side show hypertrophic degenerative changes.

IMPRESSION :

1. Altered signal in the periatrial white matter and in the frontal lobes bilaterally would represent ischemia/infarction.

2. Cerebral and cerebellar atrophy.

3. Altered signal within the cervical spinal cord at the C7 vertebral level may represent cord edema/ischemia/gliosis.

4. Small posterior disc bulges with small peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels.

5. Facetal arthropathy on the left side at the C4-C5, C5-C6 and C6-C7 levels.

Sunday, 27 December 2015 16:48

13541

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

Name of the Patient : Abc Xyzan Milmn / M / 12 yrs.
Referred by : Dr. Abc Xyzabhar.
Examination : M.R.I. of the Neck.

CLINICAL PROFILE :

Known C/O Hodgkins disease stage IA, detected in 0000. 6 cycles of chemotherapy taken.
For follow-up.

EXAMINATION :

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

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

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

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

Multiple small subcentimeter lymph nodes are visualized in the posterior triangles bilaterally.

The carotid sheaths bilaterally appear to be normal. No obviously enlarged lymphnodes are evident on this scan.

The thyroid and the larynx show normal configuration and signal characteristics. The visualized muscles are unremarkable. The visualized bones show normal signal intensity and no obvious bone destruction is evident.







The visualized salivary glands are unremarkable.

Incidental note is made of enlarged adenoids and inflammatory changes within the maxillary sinus (right more than left).

IMPRESSION :

No significant change noted as compared to the previous MRI (study no:0000) dated 00.00.00.