MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13535

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

Name of the Patient : Abc Xyz G. Palmn / M / 49 yrs.
Referred by : Dr. Abc Xyzsbekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O decreased hearing bilaterally since April 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.

5 mm thick T1 Weighted and FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is seen an expansile lesion involving the clivus. This lesion is of intermediate signal on the T1 Weighted images and appears relatively hypointense on the T2 Weighted images. The margins of the clivus are not well-defined. The lesion is seen to extend anteriorly upto the posterior nasopharyngeal wall. Posteriorly the lesion is seen to indent the basilar artery and the pons with slight effacement of the prepontine cistern. There is no definite extension of the lesion into the cavernous sinus on either side. The sphenoid sinus is not well identified. Destruction of the dorsum sella is noted. The pituitary gland is however well identified separate from the lesion.

Inflammatory changes are noted in the left maxillary sinus, frontal sinuses, ethmoidal air cells and the middle ear.







There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images along the right posterior parietal cortex and in the left frontal cortex. This lesion appears relatively hypointense on the T1 Weighted images. Resultant slight volume loss is noted in this region. Small bright foci on the proton and T2 Weighted images are noted in the centrum semiovale bilaterally.

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

IMPRESSION :

1. An expansile mass lesion in the region of the clivus, with extensions as described, is not specific for a single etiology. A clival or a sphenoid sinus neoplasm or a small cell tumor (a nasopharyngeal carcinoma is less likely) may be considered as the differential diagnosis.

2. Altered signal in the right posterior parietal cortex, in the left frontal cortex and centrum semiovale bilaterally, most likely represent ischemic changes.



Sunday, 27 December 2015 16:48

13534

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

Name of the Patient : Abc Xyz G. Palmn / M / 49 yrs.
Referred by : Dr. Abc Xyzsbekar.
Examination : M.R.I. of the Neck.

CLINICAL PROFILE :

C/O decreased hearing bilaterally since April 0000.

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 STIR coronal images.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are multiple enlarged lymph nodes in the neck on either side, varying in size from about 1.0 cm to 2.5 cms in maximum transverse dimensions. These lymph nodes are noted in the submandibular region, deep to the sternocleidomastoid muscles bilaterally and in the posterior triangle on either side. These lymph nodes are of intermediate signal on the T1 Weighted images and appear hyperintense on the T2 Weighted images.

The prevertebral space and the carotid sheaths bilaterally are unremarkable.

The thyroid gland and the larynx are unremarkable. No obvious intrinsic lesion is noted in the visualized trachea. The submandibular glands and the parotid glands on either side are also unremarkable.

IMPRESSION :

The MRI features suggest multiple enlarged lymph nodes in the neck as described.

On correlating the neck study with the study of the brain the lymph nodal enlargement is most likely metastatic in etiology.


Sunday, 27 December 2015 16:48

13533

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzr lmn / M / 13 yrs.
Referred by : Dr. Abc Xyzonawala.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in both hip joints with inability to walk and sit 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 T1 Weighted sagittal images.

OBSERVATION :

There is an ill-defined, hypointense signal on the T1 Weighted images in the neck and proximal shaft of the right femur. This lesion appears hyperintense on the T2 Weighted and STIR images. No bone erosion or destruction is noted.

Similar signal intensity changes are noted in the sacrum and iliac bones adjacent to the left sacro-iliac joint, inferiorly.

The epiphysis of the femoral heads are unremarkable on either side. The acetabulum are normal bilaterally. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. Minimal fluid is noted in the right hip joint.

The musculature surrounding both the hip joints and the visualized pelvis is normal.


IMPRESSION :


Altered signal in the neck and proximal shaft of the right femur
and adjacent to the left sacro-iliac joint, inferiorly
is not specific for a single etiology. These changes may represent transient osteoporosis. The possibility of an inflammatory/infective osteitis with sacro-ilitis may be
considered as a differential diagnosis.

A follow up scan is recommended.

Sunday, 27 December 2015 16:48

13532

Written by
sb/hs/nl/nl
w Date : 00.00.00

Name of the Patient : Abc Xyzalmn / M / 30 yrs.
Referred by : Dr. Abc Xyzcha.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain in the LLE with numbness.

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 loss of water content of the L4-L5 and L5-S1 intervertebral discs.

There is Grade I spondylolisthesis of the L5 over the S1 vertebra with spondylolysis of the L5 vertebra. A left postero-lateral (foraminal) disc herniation is noted at the L5-S1 level with left neural foraminal narrowing and impingement of the foraminal segment of the exiting left L5 nerve root.

A small, postero-central disc herniation is noted at the L4-L5 level indenting the dural theca anteriorly.

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 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 :

13.0 mm at L1-L2
12.0 mm at L2-L3
11.0 mm at L3-L4
12.0 mm at L4-L5
14.0 mm at L5-S1.

IMPRESSION :

1. Grade I spondylolisthesis of the L5 over the S1 vertebrae with spondylolysis of the L5 vertebra.

2. A left postero-lateral (foraminal) disc herniation at the L5-S1 level with left neural foraminal narrowing and impingement of the foraminal segment of the exiting left L5 nerve root.

3. A small, postero-central disc herniation at the L4-L5 level.
Sunday, 27 December 2015 16:48

13531

Written by
sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzid Almn / M / 17 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures with right sided hemiparesis.
Past H/O surgery for left fronto-parietal abscess at the age of 1 1/2 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.

3 mm thick T2 Weighted coronal images.

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

OBSERVATION :

There is seen an ill-defined, CSF signal intensity lesion on all the pulse sequences in the left high frontal parafalcine region. This represents an area of cystic encephalomalacia, most likely the sequelae of previous surgery. Perilesional white matter hyperintense signal on the T2 Weighted and FLAIR images may represent gliotic changes. Scar of previous surgery is noted on the scalp in the left high frontal parafalcine region.

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.

- 2 - scan-00001

The pituitary gland is normal in its size, contour and location and reveals normal signal intensity. It measures approximately 6.0 mm in height. 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 the cavernous sinuses are unremarkable.

Inflammatory changes are noted in the left maxillary antrum.

IMPRESSION :

Altered signal in the left high frontal parafalcine region represents an area of cystic encephalomalacia with perilesional gliosis in the left high frontal parafalcine region, may be the sequelae of previous surgery.


Sunday, 27 December 2015 16:48

13530

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

Name of the Patient : Abc XyzPlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE with paresthesias.
H/O Pulmonary Kochs (6 months back). On AKT 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.

OBSERVATION :

There is a postero-central protruded disc at the L5-S1 level.

There is a small posterior disc bulge at the L4-L5 level.

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

The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The remaining 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 :

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

IMPRESSION :

1. A postero-central protruded disc at the L5-S1 level.

2. A small posterior disc bulge at the L4-L5 level.

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

Sunday, 27 December 2015 16:48

13529

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

Name of the Patient : Abc Xyz Jhalmn / M / 57 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches and twitching of the left eye since 1 year.
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 coronal images.

Limited 3D TOF MRA sequence source images was obtained through the region of interest.

MR cisternogram was obtained in the coronal plane through the IAM.


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 slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. There is no shift of the midline structures.

A vascular loop is seen to indent the root exit zone of the seventh cranial nerve on the left without deforming the same. The seventh and eighth cranial nerve complex per se are otherwise unremarkable.
Scan-00009



Inflammatory changes are noted in the sphenoid sinus on the right side.

IMPRESSION :

A vascular loop indenting the root exit zone of the seventh cranial nerve on the left side.

No significant abnormality is detected in the brain parenchyma per se on this study.

Sunday, 27 December 2015 16:48

13528

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

Name of the Patient : Abc Xyzn Sullmn / M / 3 yrs.
Referred by : Dr. Abc Xyzthi.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

Alleged H/O RTA on 00.00.00 with traumatic paraplegia and amputation of the left arm.

EXAMINATION :

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

3 mm thick T1 Weighted and T2 Weighted sagittal images.

7 mm thick T1 Weighted and T2 Weighted axial images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is thinning of the lower dorsal spinal cord from the D10 vertebral body upto the conus medullaris. It is difficult to appreciate the signal characteristics of the lower dorsal spinal cord on this study. There is no cord compression.

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 upper dorsal spinal cord reveals normal signal intensity.

IMPRESSION :

The MRI features suggest atrophy of the lower dorsal spinal cord from the D10 vertebral body upto the tip of the conus. No compressive pathology is identified.




Sunday, 27 December 2015 16:48

13527

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

Name of the Patient : Abc XyzGlmn / F / 35 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella & Perisellar Region.

CLINICAL PROFILE :

C/O giddiness and headaches (off & on) since 2 years and galactorrhea since 4 years.

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 and T2 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images.

OBSERVATION :

The pituitary gland is normal in its 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 region and cavernous sinuses are unremarkable on either side.

T2 Weighted axial images of the brain do not reveal any significant feature of note.

Inflammatory changes are noted in the maxillary sinuses bilaterally.

IMPRESSION :

Normal unenhanced study of the sella and perisellar region.

If a pituitary microadenoma is strongly suspected a contrast enhanced scan may be worthwhile.




Sunday, 27 December 2015 16:48

13526

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

Name of the Patient : Abc Xyz Qurlmn / F / 23 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the RUE with numbness since 4 years.
Alleged H/O fall prior to this.

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.

OBSERVATION :

The lower medulla, cervical and upper dorsal spinal cords are increased in diameter.

There is seen an ill-marginated, intermediate signal intensity mass lesion on the T1 Weighted images in the cervical spinal cord, extending over the C2 to C6 vertebral levels. This lesion appears heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images. A similar signal intensity intramedullary lesion is noted at the D2 and D3 vertebral levels. Effacement of the CSF space in the cervical region is noted.

CSF signal intensity lesion on all the pulse sequences is noted in the distal medulla and the cervico-medullary junction and within the cervical spinal cord at the C7 and D1, D4 and D5 vertebral levels. These lesions may represent tumor related cysts/syrinx.



The inferior margin of the above described lesion, including the tumor related cyst is at the D5 vertebral level.

There is slight loss of water content of the C2-C3 to C5-C6 intervertebral discs.

Minimal posterior disc bulges are noted at the C4-C5 and C5-C6 levels.

IMPRESSION :

A heterogeneous signal intensity, intramedullary mass lesion extending from the distal medulla upto the D5 vertebral level, is not specific for a single etiology. This most likely represents an intramedullary neoplasm like an astrocytoma or an ependymoma.

The possibility of an infective/inflammatory lesion seems less likely.

A contrast enhanced scan may be worthwhile.