MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13462

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

Name of the Patient : Abc Xyzlmn / F / 17 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Hippocampal Region.

CLINICAL PROFILE :

C/O seizures since the age of 2 months.

EXAMINATION :

M.R.I of the hippocampal region was performed, as requested using the following parameters :

5 mm thick T1 Weighted and FLAIR coronal images.

3 mm thick T2 Weighted coronal images.

5 mm thick T2 Weighted axial images through the brain.

OBSERVATION :

There is a large hypointense area in the right posterior parietal region on the T1 Weighted images. This is seen to follow CSF signal characteristics on the T2 Weighted images. Hyperintense areas are noted at the periphery of this lesion better appreciated on the FLAIR images which would represent areas of gliosis. There is dilatation of the atrium and posterior body of the right lateral ventricle. This lesion would represent an area of cystic encephalomalacia.

Similar smaller areas are seen in the posterior cerebellar hemispheres bilaterally.

The hippocampal complex is unremarkable on either side.







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 :

1. Cystic encephalomalacia in the right posterior parietal region.

2. Area of gliosis bilaterally in the cerebellar, posteriorly.


Sunday, 27 December 2015 16:48

13461

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

Name of the Patient : Abc Xyzlmn / M / 39 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O RTA on 00.00.00 with loss of consciousness for 12 hours.
C/O severe headaches since then.

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 is thickening of the gyri in the left temporal lobe which appear hypointense to normal grey matter on the T1 Weighted images and turn hyperintense on the proton and T2 Weighted images. Few hyperintense areas are noted within this lesion which are seen to turn hypointense on the Fast Scan (T2 *) images with few areas blooming and would represent altered blood. The entire lesion would represent a haemorrhagic contusion.

A similar smaller lesion is seen in the right temporal cortex better appreciated on the FLAIR images.

Small sliver of subdural collection is seen along the right cerebral convexity and the left temporal region. These are hyperintense on all the pulse sequences and represent subacute hematoma.






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 subgaleal contusion/edema in the right fronto-parietal region.

IMPRESSION :

1. A haemorrhagic contusion in the left and right temporal lobes, larger on the left.

2. Very small, subacute subdural hematomas along the right cerebral convexity and the left temporal region.

3. Subgaleal contusion/edema in the right fronto-parietal region.


Sunday, 27 December 2015 16:48

13460

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

Name of the Patient : Abc Xyznt Bhlmn / M / 53 yrs.
Referred by : Dr. Abc Xyzmani.
Examination : M.R.I. - Brain (Post-contrast Study).

CLINICAL PROFILE :

C/O left sided seizures since 8-9 months.
H/O injury to the left eye 8 months back for which patient was operated 4 months ago. Now C/O diminished vision in the left eye.

EXAMINATION :

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial and coronal images with magnetization transfer.

5 mm thick T1 Weighted sagittal images.

5 mm thick FLAIR coronal images were obtained prior to contrast administration.

OBSERVATION :

After administration of contrast, there are very small, disc and rim enhancing lesions in the subcortical white matter in the right posterior parietal and parietal region, right high parietal, parafalcine region, the left parietal, parafalcine region and in the right frontal cortex.

There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal.

There is no obvious meningeal enhancement noted.






Inflammatory changes are noted in the left maxillary antrum.

IMPRESSION :

Very small, disc and rim enhancing lesions (approximately 7.0 mms in diameter) in the subcortical white matter in the right posterior parietal and parietal region, right high parietal, parafalcine region, the left parietal, parafalcine region and in the right high frontal cortex as described, are not specific for a single etiology. These lesions most likely represent granulomas, probably cysticerci. The possibility of metastases, though less likely cannot be entirely excluded.




Sunday, 27 December 2015 16:48

13459

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

Name of the Patient : Abc Xyz Gonsalmn / M / 65 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with radiating pain to BLE and 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 loss of water content of the lumbar intervertebral discs. Slight retroplacement of the L3 over the L4 and L4 over the L5 vertebrae is noted.

Posteriorly herniated discs with peridiscal osteophytes are noted at the L4-L5 and L3-L4 levels with bilateral neural foraminal narrowing. Slight inferior migration of the disc fragment is noted at the L3-L4 level. There is also facetal hypertrophy at these levels, with resultant canal stenosis.

A small posterior disc herniation with peridiscal osteophytes is noted at the L2-L3 level.

A minimal posterior disc bulge is noted at the L1-L2 level.

Bilateral far lateral disc bulges are seen at the L2-L3 and L3-L4 levels.
Scan-00009


Slight facetal hypertrophy is also noted at the L5-S1 level.

Focal fatty marrow changes are seen in the lumbar region, with Schmorls nodes in the upper and mid lumbar regions.

A probable, right sided conjoint L5 and S1 nerve root is noted.

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 :

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

IMPRESSION :

1. Posteriorly herniated discs with peridiscal osteophytes at the L4-L5 and L3-L4 levels with bilateral neural foraminal narrowing. Slight inferior migration of the disc fragment is noted at the L3-L4 level. Facetal hypertrophy is seen at these levels with resultant canal stenosis.

2. A small posterior disc herniation with peridiscal osteophytes at the L2-L3 level.

3. Slight facetal hypertrophy at the L5-S1 level.

4. A probable, right sided conjoint L5 and S1 nerve root.

Sunday, 27 December 2015 16:48

13458

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

Name of the Patient : Abc Xyz Prasad Shlmn / M / 50 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O paraplegia with severe backache and burning sensation in BLE since 15 days.
C/O bladder involvement since 1 day.

EXAMINATION :

M.R.I of the dorso-lumbar 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 INSPITE OF SEDATION.

OBSERVATION :

There is an ill-defined, hypointense signal on the T1 Weighted images involving the D10, D12, L2, L3, L5 and S1 vertebral bodies. These lesions appear iso to hyperintense to normal marrow on the T2 Weighted images. There is seen an intermediate signal intensity lesion on the T1 Weighted images in the left lateral and posterior epidural space over the D12 to L4 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. Extension of the soft tissue along the neural foramina in the dorso-lumbar region is noted. Resultant mild cord compression and displacement of the lower dorsal spinal cord anterior and to the right of the midline is noted. The visualized lower dorsal spinal cord shows a hyperintense signal on the T2 Weighted images, suggesting cord edema/ischemia. The thecal sac in the upper and mid lumbar regions also appears slightly compressed. The intrathecal nerve roots in the lumbar region appear clumped, centrally.
..2/.







Small posterior disc bulges are noted at the L3-L4, L4-L5 and L5-S1 levels.

The facet joints at the L3-L4, L4-L5 and L5-S1 levels appear slightly hypertrophied.

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

Screening, T1 Weighted sagittal images of the dorsal and cervical spines reveal altered signal involving the mid dorsal vertebrae and the D2 vertebral body.

IMPRESSION :

Altered signal of the mid dorsal vertebrae, lumbo-sacral vertebrae and the D2 vertebral body as described is not specific for a single etiology. These lesions may represent round cell tumor, metastases or multifocal tuberculosis.

Left lateral and posterior epidural soft tissue lesion over the D12 to L4 vertebral levels may represent soft tissue extension of the lesion/granulation tissue. There is resultant compression of the lower dorsal spinal cord with cord signal alteration suggesting cord edema/ischemia.




Sunday, 27 December 2015 16:48

13457

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

Name of the Patient : Abc Xyzqbal Anlmn / M / 17 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 5 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 T1 Weighted sagittal images.

OBSERVATION :

There is seen an ill-marginated, hypointense lesion on the T1 Weighted images in the cortex and subcortical white matter in the left posterior parietal region. This lesion appears hyperintense on the proton and T2 Weighted images. There is no perilesional edema. Resultant mild focal fullness of the atrium of the left lateral ventricle is noted.

Both the lateral, third and the fourth ventricles are otherwise 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 noted in the maxillary sinuses and ethmoidal air cells bilaterally.







IMPRESSION :

Altered signal in the cortex and subcortical white matter in the left posterior parietal region, most likely represent gliotic/encephalomalacic changes, probably the sequelae of a previous vascular insult.

The possibility of it being an infective process is less likely.

A contrast enhanced scan would be worthwhile.

Sunday, 27 December 2015 16:48

13456

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

Name of the Patient : Abc Xyzrai Mlmn / M / 69 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided hemiparesis with slurred speech and increased blood pressure 15 days 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.

5 mm thick FLAIR and Fast Scan (T2 *) coronal images.

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial, sagittal and coronal images.

FEW IMAGES SHOW MOTION INSPITE OF SEDATION.

OBSERVATION :

There is evidence of a space occupying lesion measuring approximately 5.0 x 5.0 x 4.5 cms within the left frontal lobe. This lesion is hypointense on the T1 Weighted images and turns hyperintense on the proton, T2 Weighted and FLAIR images. Few areas of hypointensity on the T1 Weighted and FLAIR images which turn hyperintense on the T2 Weighted images are seen within this lesion and would represent cystic/necrotic changes. After contrast administration, there is thick and intense enhancement of its periphery with scattered areas of enhancement within it.





Areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images are noted adjacent to this lesion and would represent white matter edema. There is effacement of the adjacent cortical sulci and compression upon the left lateral ventricle with mild shift of the midline to the right. Also seen is effacement of the left Sylvian fissure.

The right 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 a space-occupying lesion measuring approximately 5.0 x 5.0 x 4.5 cms within the left frontal lobe and this most likely represents a neoplastic process like a glial cell tumor or a lymphoma.


Sunday, 27 December 2015 16:48

13455

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

Name of the Patient : Abc XyzShlmn / F / 23 yrs.
Referred by : Dr. Abc Xyz
Examination : M.R.I. - Dorsal & Lumbo-sacral Spines.

CLINICAL PROFILE :

C/O backache radiating to BLE (left more than right) with paresthesias since 2 years.

EXAMINATION :

M.R.I of the dorsal and lumbo-sacral spines 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 seen at the L4-L5 level.

The visualized dorso-lumbo-sacral vertebral bodies and the 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 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 :

20.0 mm at L1-L2
20.0 mm at L2-L3
18.0 mm at L3-L4
15.0 mm at L4-L5
15.0 mm at L5-S1.

IMPRESSION :

No significant abnormality is detected on this study.

Sunday, 27 December 2015 16:48

13453

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

Name of the Patient : Abc Xyzn Malmn / F / 70 yrs.
Referred by : Dr. Abc Xyzgaonkar.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O giddiness with weakness of BLE and loss of bladder/bowel control since 2 months.

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 :

Lacunar infarcts are noted in the right lentiform nucleus, bilateral thalami, left parathird ventricular region, right corona radiata and left centrum semiovale.

Ill-defined hyperintense signal on the T2 Weighted images in the posterior parietal periventricular white matter bilaterally most likely represents ischemic changes.

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 bilaterally.

The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Inflammatory changes are noted in the right maxillary antrum, frontal sinuses and ethmoidal air cells bilaterally.







INTRACRANIAL MRA :

The right vertebral artery is slightly hypoplastic.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

NECK MRA :

The right vertebral artery in the neck is also hypoplastic.

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

IMPRESSION :

1. Lacunar infarcts in the right lentiform nucleus, bilateral thalami, left parathird ventricular region, right corona radiata and left centrum semiovale.

2. Altered signal in the posterior parietal periventricular white matter bilaterally most likely represents ischemic changes.

3. No significant abnormality is detected on the intracranial and neck MRA on this study.

Sunday, 27 December 2015 16:48

13452

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

Name of the Patient : Abc Xyzra Tellmn / M / 29 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias in BLE since 0000 which has increased since 8 days,

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

8 mm thick T1 Weighted and T2 Weighted axial images.

The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

A few of the upper and mid dorsal intervertebral discs show loss of water content.

The visualized dorsal 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 visualized dorsal spinal cord shows normal signal intensity.

The conus medullaris terminates at the L1 level.







On screening the lumbar spine there is evidence of a small posterior disc herniation at the L5-S1 level.

IMPRESSION :

1. A small posterior disc herniation at the L5-S1 level.

2. No significant abnormality is detected within the dorsal spine on this study.