MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13432

Written by
sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Govlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzat.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O backache since 1 month with weakness of BLE and bladder involvement since 00.00.00.

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 slight increase in the diameter of the cervical spinal cord over about the C3 to C7 vertebral levels. There is seen an ill-defined, hyperintense signal on the T2 Weighted and Fast Scan (T2 * ) images in the cervical spinal cord, centrally over C4 to D1 vertebral levels but also involving the posterior and lateral columns. This lesion appears isointense to the normal cord on the T1 Weighted images.

There is slight loss of water content of the C2-C3 intervertebral disc.

The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

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

Screening, T2 Weighted sagittal images of the dorsal spine reveals subtle hyperintense signal in the mid and lower dorsal spinal cord.
..2/.



- 2 - scan-00002


IMPRESSION :

Slight increase in the diameter of the cervical spinal cord over about the C3 to C7 vertebral levels with altered signal as described is not specific for a single etiology. Myelitis is a likely possibility.

The possibility of a demyelinating lesion may be considered as a differential diagnosis.


Sunday, 27 December 2015 16:48

13431

Written by
sb/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzbhai G. lmn / M / 59 yrs.
Referred by : Dr. Abc Xyzndel.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O drooping of the left eyelid with numbness over the left half of the face and speech disturbance since 1 month.

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.

MOTION ARTIFACTS ARE NOTED IN SOME IMAGES.

OBSERVATION :

There are ill-defined, hyperintense areas on the T2 Weighted images in the parathird ventricular regions bilaterally extending into the thalami. Similar signal intensity lesion is noted in the left medial temporal region and in the left cerebral peduncle, near the midline. These lesions most likely represent ischemic lesions.

There is mild fullness of both the lateral and the third ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Inflammatory changes are noted in the maxillary sinuses bilaterally.

INTRACRANIAL MRA :

The right vertebral artery and the A1 segment of the right anterior cerebral artery appear hypoplastic. Narrowing of the terminal right vertebral artery, left posterior cerebral artery and distal left middle cerebral artery is noted.
..2/.






The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, right middle cerebral, basilar, left vertebral and right 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 is 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. Altered signal in the parathird ventricular regions bilaterally extending into the thalami and in the left medial temporal region and left cerebral peduncle, near the midline, most likely represent ischemic changes.

2. Narrowing of the terminal right vertebral artery, left posterior cerebral artery and distal left middle cerebral artery may be due to atherosclerotic changes.


Sunday, 27 December 2015 16:48

13430

Written by
sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Shlmn / F / 19 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since childhood.

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 head and body of the left hippocampus is slightly smaller in size as compared to the right. Resultant mild focal fullness of the temporal horn of the left lateral ventricle is noted. No signal change of the left hippocampal complex is however noted (scans 105.5-9, 106.5-9)..

The right hippocampal complex is unremarkable.

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 cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the mastoid air cells on the left side.

IMPRESSION :

Slight decrease in the size of the left hippocampal complex as compared to the right, without change in signal intensity may suggest hippocampal atrophy.
Sunday, 27 December 2015 16:48

13429

Written by
sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Flmn / M / 14 yrs.
Referred by : Dr. Abc Xyzmpat / Dr. Abc Xyzhatt.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures (1st episode in 0000 and 2nd 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.

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 unremarked.

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 noted in the mastoid air cells, bilaterally. Note is made of enlarged adenoids.

IMPRESSION :

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

13428

Written by
sb/bv/rg.
Date : 00.00.00

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

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias (right more than left) since 1 1/2 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 loss of water content of the lumbar intervertebral discs with change in the normal lordotic curve.

There is probable sacralization of the L5 vertebra (Please compare with plain radiographs).

There is retroplacement of the L5 over the S1 vertebra.

There is a fairly large, posteriorly herniated disc at the L5-S1 level with bilateral neural foraminal narrowing. Slight inferior migration of the disc fragment is noted, posterior to the S1 vertebral body, more to the right of the midline impinging the traversing right S1 nerve root.

A posteriorly herniated disc is noted at the L4-L5 level with bilateral neural foraminal narrowing.

A posteriorly herniated disc is noted at the L3-L4 level with a small postero-central disc protrusion.


Small postero-central disc herniations are noted at the L1-L2 and L2-L3 levels.

Anterior peridiscal osteophytes are seen in the lower lumbar region.

The pedicles of the lumbar vertebrae appear congenitally short in their antero-posterior dimensions. Slight facetal hypertrophy is also noted in the lower lumbar region.

Schmorls nodes are identified in the L1, L2 and L3 vertebrae.

The lumbar vertebral bodies show spotty fatty marrow changes. 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
15.0 mm at L3-L4
11.0 mm at L4-L5
8.0 mm at L5-S1.

IMPRESSION :

1. Probable sacralization of the L5 vertebra (Please compare with plain films).

2. Retroplacement of the L5 over the S1 vertebra.

3. A fairly large, posteriorly herniated disc at the L5-S1 level with bilateral neural foraminal narrowing with slight inferior migration of the disc fragment, more to the right of the midline impinging the traversing right S1 nerve root.
..3/.



- 3 - scan-00008


4. A posteriorly herniated disc at the L4-L5 level with bilateral neural foraminal narrowing.

5. A posteriorly herniated disc at the L3-L4 level with a small postero-central disc protrusion.

6. Small postero-central disc herniations at the L1-L2 and L2-L3 levels.

7. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.

8. Slight facetal hypertrophy in the lower lumbar region.

9. Canal stenosis at the L4-L5 and L5-S1 levels.
Sunday, 27 December 2015 16:48

13427

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

Name of the Patient : Abc Xyz Purlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzdeo.
Examination : M.R.I. of the Abdomen.

CLINICAL PROFILE :

C/O carcinoid tumor of the terminal ileum. Operated on 00.00.00.
C/O abdominal pain, distention, vomiting and diarrhoea.

EXAMINATION :

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

7 mm thick T1 Weighted, proton and T2 Weighted axial images.

5 mm thick FLAIR axial images.

6 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is seen an ill-defined, hyperintense signal on the T1 Weighted images in the medial segment of the left lobe of the liver anteriorly. This lesion appears isointense to the rest of the hepatic parenchyma on the T2 Weighted and STIR images. There is no distortion of the hepatic venous architecture on this study. No satellite lesion is noted on this study. There is no intrahepatic biliary radicle dilation.

The gall bladder is normal and reveals no intrinsic abnormality.

The pancreas is normal in bulk and signal intensity.

The spleen and both adrenals are normal.






Both the kidneys are normal in size and signal characteristics.

No obvious lymphadenopathy is detected. There is no evidence of free fluid within the abdomen.

IMPRESSION :

Ill-defined, altered signal intensity lesion in the medial segment of the left lobe of the liver anteriorly as described, is not specific for a single etiology. Focal fatty change may be considered as a differential diagnosis. Metastatic deposit cannot be entirely excluded, though less likely.

A post-contrast MRI of the liver, biopsy of the lesion or a follow up scan are indicated.
Sunday, 27 December 2015 16:48

13426

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

Name of the Patient : Abc Xyzhwalmn / M / 66 yrs.
Referred by : Dr. Abc Xyzlal.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain to the LLE and RUE since 2-3 months with paresthesias.
C/O wasting of the RLE (thigh region).

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 :

The L5 vertebral body is as marked on the film and appears to be sacralized. Please correlate with plain radiographs.

There is a diffuse posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. Mild ligamentum flavum hypertrophy is noted at this level.

A postero-central and a left postero-lateral disc herniation is seen at the L3-L4 level with anterior indentation of the thecal sac and left neural foraminal narrowing.

A small postero-central disc herniation is noted at the L2-L3 level.






Bilateral far lateral (extraforaminal) disc herniations are seen at the L4-L5 level. Bilateral far lateral (extraforaminal) disc bulges are noted at the L2-L3 and L3-L4 levels.

Anterior disc herniations are seen over the L1-L2 to the L4-L5 levels. Anterior and posterior peridiscal osteophytes are noted over these levels. The lumbar intervertebral discs except for the L5-S1 disc show loss of water content.

Severe facetal hypertrophy is noted at the L3-l4 and L4-L5 levels. Mild facetal hypertrophy is noted at the L1-L2 and L2-L3 levels.

There are focal fatty changes in the lumbar vertebrae. Type I/II degenerative changes are seen in the L4 and L5 vertebrae adjacent to the L4-L5 disc.

The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12 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 L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
..3/.












- 3 - Scan-00006


IMPRESSION :

1. A diffuse posterior disc herniation at the L4-L5 level.

2. A postero-central and left postero-lateral disc herniation at the L3-L4 level.

3. A small postero-central disc herniation at the L2-L3 level.

4. Bilateral far lateral (extraforaminal) disc herniations at the L4-L5 level and bilateral far lateral (extraforaminal) disc bulges at the L2-L3 and L3-L4 levels.

5. Severe facetal hypertrophy at the L3-L4 and L4-L5 levels.

Sunday, 27 December 2015 16:48

13424

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

Name of the Patient : Abc Xyzhwalmn / M / 66 yrs.
Referred by : Dr. Abc Xyzlal.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O radicular pain to the LLE and RUE since 2-3 months with paresthesias.

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 :

Posterior and anterior peridiscal osteophytes are seen in the upper and mid dorsal region with anterior indentation of the thecal sac. The dorsal intervertebral discs show loss of water content.

Focal fatty changes are noted in the upper and mid dorsal vertebrae.

The rest of the visualized dorsal vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The visualized dorsal spinal cord reveals normal signal intensity.







The cervico-dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and shows mild degenerative changes in the cervical region.

IMPRESSION :

1. Posterior and anterior peridiscal osteophytes in the upper and mid dorsal region.

2. Degenerative changes in the cervical region.


Sunday, 27 December 2015 16:48

13423

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

Name of the Patient : Abc Xyzee Shlmn / F / 26 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 1 1/2 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.

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

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a large, ill-defined hypointense area in the left occipital lobe which follows CSF signal intensity characteristics on all the pulse sequences. Hyperintense areas are noted at the periphery of this lesion on the proton, T2 Weighted and FLAIR images which are hypointense to the normal white matter on the T1 Weighted images and are suggestive of gliosis. There is dilatation of the occipital horn of the left lateral ventricle and this lesion would represent an area of cystic encephalomalacia. A large lesion which is slightly hyperintense on the T1 Weighted images is seen within the above mentioned lesion which measures approximately 2.8 x 1.0 x 2.1 mms and is seen to bloom on the proton, T2 Weighted and Fast Scan (T2 *) images and represents a large area of calcification.

The right 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 enlarged adenoids.

IMPRESSION :

An area of cystic encephalomalacia in the left occipital lobe with a large area of calcification measuring approximately 2.8 x 1.0 x 2.1 mms within it.

Sunday, 27 December 2015 16:48

13422

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

Name of the Patient : Abc Xyznalmn / F / 80 yrs.
Referred by : Dr. Abc Xyzatil.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O severe vertigo since 10-12 days.
Known hypertensive.

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 :

There are ill-defined, hyperintense areas in the periatrial deep white matter and posterior parietal periventricular white matter bilaterally, on the T2 Weighted images and are suggestive of areas of ischemia/infarction.

There is mild dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Incidental note is made of an empty sella.

INTRACRANIAL MRA :

The right vertebral artery is 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.
..2/.





NECK MRA :

The right vertebral artery is hypoplastic.

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

Incidental note is made of enlarged thyroid lobes which would require further evaluation.

IMPRESSION :

1. Areas of altered signal in the periatrial deep white matter and posterior parietal periventricular white matter are suggestive of areas of ischemia/infarction.

2. Mild cerebral and cerebellar atrophy.

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

4. Enlarged thyroid gland.