MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13492

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

Name of the Patient : Abc Xyz Khlmn / M / 47 yrs.
Referred by : Dr. Abc Xyzani.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

H/O fall from a height 20 years back with swelling (off and on) of the right arm since then.

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 lordosis.

Posterior disc bulges with peridiscal osteophytes are seen to indent the thecal sac at the C5-C6 and C6-C7 levels. The joints of Luschka at the C6-C7 level show mild degenerative changes with mild bilateral neural foraminal narrowing.

A linear hypointensity on all the pulse sequences is seen within the inferior aspect of the C5 vertebral body and may represent compressed trabeculae. Hypointense areas on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen within this vertebral body and this may represent bone edema.

Type II/III degenerative changes are seen within the cervical vertebral bodies.





Mild posterior disc bulges are noted at the C3-C4 and C4-C5 levels. Small posterior peridiscal osteophytes are noted at the C2-C3 level.

Anterior disc herniations with peridiscal osteophytes are seen at the C5-C6 and C6-C7 levels. The cervical intervertebral discs show loss of water content.

The remaining 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 :

The MRI features are suggestive of :

1. Posterior disc bulges with peridiscal osteophytes at the C5-C6 and C6-C7 levels.

2. Mild posterior disc bulges at the C3-C4 and C4-C5 levels.

Sunday, 27 December 2015 16:48

13490

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

Name of the Patient : Abc Xyz Jaigalmn / M / 24 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.

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.

Inflammatory changes are seen within the mastoid air cells on the right side.

IMPRESSION :

No abnormality is detected within the brain on this study.

Sunday, 27 December 2015 16:48

13489

Written by
hs/ke/nl/nl
/91 Date : 00.00.00

Name of the Patient : Abc XyzGonsalmn / F / 15 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O headaches and giddiness.

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.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

BRAIN :

There is no focal area of altered signal intensity within 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.

INTRACRANIAL MRA :

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally 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.
- 2 - Scan-00009/91



NECK MRA :

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

IMPRESSION :

No significant abnormality is detected within the brain parenchyma or on the intracranial and neck MRA on this study.

Sunday, 27 December 2015 16:48

13488

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

Name of the Patient : Abc Xyzuqeem Anlmn / M / 36 yrs.
Referred by : Dr. Abc Xyzsari.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE 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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is mild retroplacement of the L5 over the S1 vertebrae.

A large postero-central disc extrusion, more to the right of the midline is seen at the L5-S1 level. A disc portion is seen to lie within the right lateral recess of the S1 vertebra with impingement of the traversing right S1 nerve root. This intervertebral disc is decreased in height and shows loss of water content.

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

The L5-S1 facet joints show hypertrophic degenerative changes. The L3-L4 and L4-L5 facet joints show mild degenerative changes.






A Schmorls node is seen at the superior aspect of the L3 vertebral body.

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 :

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

IMPRESSION :

The MRI features are suggestive of :

1. A large postero-central disc extrusion, more to the right of the midline at the L5-S1 level with a disc portion seen to lie within the right lateral recess of the S1 vertebra with impingement of the traversing right S1 nerve root.

2. Hypertrophic facetal arthropathy at the L5-S1 level.

3. Mild facetal arthropathy at the L3-L4 and L4-L5 levels.

Sunday, 27 December 2015 16:48

13487

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

Name of the Patient : Abc Xyzn Mlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache since 6 months with paresthesias since 2 1/2 months and fever.

EXAMINATION :

M.R.I of the dorso-lumbar 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 collapse of the D10 vertebral body. Areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen to involve the D7, D10 and D11 vertebral bodies and the D10 and D11 pedicles bilaterally. The D10-D11 intervertebral disc is also seen to be involved.

There is extension of this pathologic process into the anterior epidural space with resultant cord compression over the D9-D10 to the D11-D12 level. The cord over these levels shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia/myelitis. Also seen is extension into the pre and paravertebral soft tissues over these levels.

There is encroachment of this pathologic process into the D10-D11 neural foramina bilaterally and into the right neural foramen at the D11-D12 level.

There is involvement of the costo-vertebral joints bilaterally at the D10 level and on the right side at the D11 level.


Note is made of a right sided pleural effusion.

A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the D12-L1 level.

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

The cervico-dorsal and the lumbo-sacral spines were screened with
4 mm thick and 5 mm thick T1 Weighted sagittal images respectively. Hypointense areas are seen to involve the C3, C4, L3 and S1 vertebral bodies. The L5 vertebra is probably sacralized. Please correlate with plain radiographs.

IMPRESSION :

The MRI features are suggestive of :

1. Probable sacralization of the L5 vertebra. Please correlate with plain radiographs.

2. A pathologic process involving the D10 and D11 vertebral bodies and the D10-D11 intervertebral disc with cord compression and cord edema/ischemia/myelitis over these levels with soft tissue extensions 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.

Also seen is involvement of the D7, C3, C4, L3 and S1 vertebral bodies by this pathologic process.
Sunday, 27 December 2015 16:48

13486

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

Name of the Patient : Abc Xyz lmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with episodic loss of vision bilaterally (3 episodes) since 2-3 months.

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.

MR Venogram was obtained using a 2D TOF sequence.

OBSERVATION :

There are multiple well-circumscribed areas which are iso to hyperintense to CSF on all the pulse sequences within both the cerebral and cerebellar hemispheres, cerebellar vermis and midbrain. A few of these lesions are seen to have a speck which is isointense to white matter within them and which would represent a scolex. A few of these lesions are surrounded by areas of hypointensity on the T1 Weighted images and which turn hyperintense on the proton, T2 Weighted and FLAIR images and would represent perilesional edema.

There is no obvious thrombosis of the visualized dural venous sinuses on the MR Venogram.









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 :

The MRI features are suggestive of multiple well-circumscribed lesions in the supratentorial and infratentorial brain parenchyma as described and would represent cysticerci in the vesicular and colloidal vesicular stages.

Sunday, 27 December 2015 16:48

13485

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

Name of the Patient : Abc Xyzv Galmn / M / 76 yrs.
Referred by : Dr. Abc Xyzmania.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O backache with weakness of BLE since October 0000.
H/O decompressive upper cervical laminectomy on 00.00.00. Also H/O spinal surgery in the neck region (details not available).
For follow up.

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 lordosis. There is evidence of laminectomy of the C2, C3 and C4 vertebrae with post-operative changes in the posterior soft tissues over these levels.

There appears to be congenital fusion of the C6 and C7 vertebrae.

There is ossification of the posterior longitudinal ligament at the C2 and C3 vertebral levels with resultant indentation upon the cord.

Posterior disc herniations with peridiscal osteophytes are noted at the C3-C4, C4-C5 and C5-C6 levels. There is bilateral neural foraminal narrowing at these levels. The facet joints at these levels show degenerative changes.


Posterior peridiscal osteophytes are noted at the C2-C3 level.

The spinal cord over the C1 to C5 vertebral levels shows a hyperintense signal on the T2 Weighted images and this would represent cord edema/ischemia/gliosis. The spinal canal over these levels is seen to be tight.

Anterior disc herniations with peridiscal osteophytes are seen at the C4-C5, C5-C6 and C7-D1 levels.

The cervical intervertebral discs show loss of water content. The cervical vertebral bodies show areas of fatty replacement of normal marrow.

The visualized pre and paravertebral soft tissues are unremarkable.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

The MRI features are suggestive of :

1. Ossification of the posterior longitudinal ligament at the C2 and C3 vertebral levels.

2. Posterior disc herniations with peridiscal osteophytes at the C3-C4, C4-C5 and C5-C6 levels.

3. Facetal arthropathy at the C3-C4, C4-C5 and C5-C6 levels.

4. Posterior peridiscal osteophytes at the C2-C3 level.

5. Cord signal alteration over the C1 to C5 vertebral levels represents cord edema/ischemia/gliosis.

Sunday, 27 December 2015 16:48

13484

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

Name of the Patient : Abc Xyzm Palmn / M / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since the age of 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.

OBSERVATION :

There is slight reduction in the volume of the hippocampus on the right side. There is resultant mild fullness of the temporal horn on the right side.

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

The left 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 :

The MRI features are suggestive of slight reduction in the volume of the hippocampus on the right side.

Sunday, 27 December 2015 16:48

13483

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

Name of the Patient : Abc Xyzh Slmn / M / 22 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since childhood with giddiness and diminished vision on the left side since 2 months.

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

OBSERVATION :

There are hypointense areas in the occipital lobes bilaterally on the T1 Weighted images which are seen to turn hyperintense on the proton and T2 Weighted images. Subtle hyperintense areas are seen at the periphery of this lesion, better appreciated on the FLAIR images. Slight dilatation of the occipital horns of both the lateral ventricles is noted. This lesion would represent areas of cystic encephalomalacia.

A small well-circumscribed lesion which is hyperintense with a hypointense rim on the T2 Weighted images is seen in the left parieto-occipital region (se/im 106/2) and may represent a granuloma.

There is mild prominence of the cerebellar folia bilaterally.








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.

Incidental note is made of a left maxillary polyp.

IMPRESSION :

The MRI features are suggestive of :

1. Areas of cystic encephalomalacia in the occipital lobes bilaterally as described.

2. A probable granuloma in the left parieto-occipital lobe.

Sunday, 27 December 2015 16:48

13482

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

Name of the Patient : Abc Xyzai Bedlmn / F / 72 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache since 1 month with inability to walk and sit since 15 days and retention of urine since 1 day.

EXAMINATION :

M.R.I of the dorso-lumbar 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 D10 and D11 vertebral bodies show an ill-defined, hypointense signal on the T1 Weighted images. On the T2 Weighted images, the inferior half of the D10 vertebral body and the D10-D11 intervertebral disc appears hyperintense while rest of the D10 and D11 vertebral bodies remain hypointense. There is minimal prevertebral, paravertebral and epidural soft tissue lesion at the D10 and D11 vertebral levels.

The dorsal spinal cord at the D10 and D11 vertebral levels shows a hyperintense signal on the T2 Weighted images which may suggests cord edema/ischemia.

There is slight anterior wedging of the D12 vertebral body without change in signal intensity.

The remaining visualized dorso-lumbar intervertebral discs show loss of water content.



The rest of the visualized dorso-lumbar vertebral bodies reveal normal signal intensity. The facet joints are unremarkable.

The conus medullaris terminates at the L1 level.

IMPRESSION :

Altered signal in the D10 and D11 vertebral bodies and the D10-D11 intervertebral disc suggests osteitis with discitis probably tuberculous in etiology. Prevertebral, paravertebral and epidural soft tissue lesion may represent granulation tissue. Altered signal in the dorsal spinal cord at the D10 and D11 vertebral levels may represent cord edema/ischemia.

The possibility of the above described lesion representing a neoplasm seems less likely.