MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13417

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

Name of the Patient : Abc XyzRaiglmn / F / 27 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures (3 episodes) since 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.
4 mm thick FLAIR and Fast Scan (T2 *) coronal images.

After administration of contrast the following parameters were used :

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

OBSERVATION :

There is a fairly large, well-defined mass lesion in the left high frontal region and which measures approximately 2.5 x 3.2 x 2.5 cms. This lesion is predominantly hypointense with few hyperintense areas within it on the T1 Weighted images. This is seen to turn hyperintense on the proton and T2 Weighted images and hypointense on the FLAIR images suggestive of its predominant cystic nature. There is surrounding edema with mass effect and effacement of the adjacent sulci. Mild indentation upon the body of the left lateral ventricle and slight straightening of the posterior part of the corpus callosum is noted. The adjacent gyri appear thick and are hypointense to normal gray matter on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images.
Scan-00007


On administration of contrast, there is faint enhancement at the periphery of the cystic component.

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.

IMPRESSION :

The MRI features are suggestive of a mass lesion in the left high frontal region measuring approximately 2.5 x 3.2 x 2.5 cms. and most probably represents a neoplastic process like a glial cell tumor.
Sunday, 27 December 2015 16:48

13416

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

Name of the Patient : Abc XyzChalmn / F / 20 yrs.
Referred by : Dr. Abc Xyznghvi.
Examination : M.R.I. of the Paranasal Sinus.

CLINICAL PROFILE :

C/O pain in the occipital region since 3-4 days.
C/O right eye proptosis and nasal bleeding since 2-3 months.

EXAMINATION :

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

3 mm thick T2 Weighted (with fat saturation) axial images.

3 mm thick T1 Weighted and STIR coronal images.

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

OBSERVATION :

There is a large, ill-defined mass lesion having its epicentre in the right nasal cavity and in the right maxillary antrum. There is destruction of the inferior wall of the right orbit with involvement of the inferior rectus and oblique muscles. This lesion is seen to expand the right nasal cavity, ethmoidal sinuses and right maxillary antrum. There is extension into the frontal sinus and sphenoid sinus on the right side (? retained secretions/? tumor tissue). There is no obvious extension into the cranial cavity. Hyperintense areas on the T1 Weighted images within the right maxillary sinus and sphenoid and frontal sinus on the right side may represent retained secretions.

There is proptosis on the right side and globe is displaced laterally and anteriorly.

The right optic nerve shows normal signal intensity.

- 2 - scan-00006


The left orbit 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.

IMPRESSION :

The MRI features are suggestive of a mass lesion having its epicentre in the right nasal cavity and in the right maxillary antrum as described. This may represent a neoplasm like a squamous cell carcinoma or small cell tumors.


Sunday, 27 December 2015 16:48

13415

Written by
ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Shlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

Known C/O kochs spine.
H/O laminectomy over the D8 to L1 levels with removal of intramedullary SOL on 00.00.00 and 00.00.00.
C/O backache radiating to the LLE with weakness of BLE since 2 months.
Received AKT.

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.

OBSERVATION :

There are post-operative changes in the dorso-lumbar region over D9 to L1 levels.

The dorsal spinal cord over the D10 and D11 levels appears atrophied. Hypointense areas are noted within the spinal cord over these levels which turn hyperintense on the T2 Weighted images and would represent gliosis/myelomalacia. No obvious mass lesion is seen in the lower dorsal spinal cord.

The dorsal vertebral bodies and the intervertebral discs reveal normal signal intensity.

The conus medullaries terminates at the L1 level.

The cervico-dorsal spine was screened with 4 mm thick T2 Weighted sagittal images. Suspicious intramedullary granuloma is still noted in the cervical cord at the C7 level.
..2/.






IMPRESSION :
In a known C/O Kochs spine the MRI features are suggestive of :1. Post-operative status.

2. Cord atrophy over the D10 and D11 levels with cord signal alteration over these levels suggestive of gliosis/myelomalacia.
As compared to the previous MRI (scan no.0000) dated 00.00.00 there is no significant change noted.
Sunday, 27 December 2015 16:48

13414

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

Name of the Patient : Abc XyzNlmn / M / 38 yrs.
Referred by : Dr. Abc Xyz Sane.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with tingling since 0000.
H/O fall in childhood.

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 partial sacralization of the L5 vertebra and the L3 vertebral body is as marked on the film.

A small, postero-central disc herniation with posterior peridiscal osteophytes with bilateral postero-lateral disc herniations is seen at the L4-L5 level with anterior indentation of the thecal sac. The L4-L5 facet joint on the right side shows mild degenerative changes. This intervertebral disc show loss of water content.

The lumbar vertebral bodies and the remaining 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-S2 level.



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

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

IMPRESSION :

1. Partial sacralization of the L5 vertebra.

2. A small, postero-central disc herniation with posterior peridiscal osteophytes with bilateral postero-lateral disc herniations at the L4-L5 level with mild facetal arthropathy on the right side.

Sunday, 27 December 2015 16:48

13413

Written by
sb/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzslmn / M / 38 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Left Elbow Joint.

CLINICAL PROFILE :

C/O pain and swelling over the inner side of the left elbow with limitation of joint movements since 3 months.

EXAMINATION :

M.R.I. of the left elbow joint was performed using the following parameters :

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

4 mm thick T1 Weighted and T2 Weighted (with fat saturation) sagittal images.

4 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

There was a fixed flexion deformity at the left elbow joint.

The distal end of the left humures (including the epicondyles, trochlea and the capitellum), the proximal end of the radius and the ulna bones show normal signal intensity. Marginal osteophytes/new bone formation is noted along the inferior margin of the radial head, along the margins of the olecranon and coronoid processes and along the proximal end of the ulna. Slight remodelling of the radial head is also noted.

The articular cartilage in the radio-humeral joint appears slightly thinned. The annular ligament is unremarkable.


A small left elbow joint effusion is noted.

No obvious soft tissue mass lesion is identified around the visualized left elbow joint.

IMPRESSION :

Fixed flexion deformity at the left elbow joint with marginal osteophytes/new bone formation and slight remodelling of the radial head as described is not specific for a single etiology. These changes may be the sequelae of a previous inflammatory arthritis with secondary osetoarthritis. The possibility of a post-traumatic etiology seems less likely.











Sunday, 27 December 2015 16:48

13412

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

Name of the Patient : Abc Xylmn / F / 28 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. - Brain (Post-contrast study).

CLINICAL PROFILE :

Known C/O intracranial tuberculoma.
For follow-up.

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.

3 mm thick T1 Weighted axial images with magnetization transfer through the region of interest.

OBSERVATION :

There is very faint enhancement along the gyri in the right parafalcine frontal region (scans 104.12, 102.16) in the region showing gliotic changes.

No other abnormal supratentorial or infratentorial enhancement or meningeal enhancement is noted.

Sunday, 27 December 2015 16:48

13411

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

Name of the Patient : Abc Xyzalmn / F / 68 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the LUE.
H/O fall on 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 loss of normal cervical curvature with reduction in the C4-C5, C5-C6 and C6-C7 discs height. The cervical intervertebral discs show loss of water content.

There are posterior disc herniations at the C4-C5, C5-C6 and C6-C7 levels with large posterior peridiscal osteophytes. There is anterior indentation of the thecal sac with left neural foraminal narrowing. Slight indentation of the cord is noted at the C4-C5 and C5-C6 levels. The joints of Luschka on the left side at the C4-C5, C5-C6 and C6-C7 levels also show degenerative changes. There is also indentation upon the left C5, C6 and C7 nerve roots. Mild flavum hypertrophy is seen at the C5-C6 level.

There is anterior wedging of the C4 and C5 vertebral bodies with irregularity of the inferior cortical endplate of C4 and superior cortical endplate of C5. Type I and Type III degenerative changes are seen adjacent to the C4-C5 disc in the C4 and C5 vertebrae.



Small postero-central disc herniations are noted at the C2-C3 and C3-C4 levels with posterior peridiscal osteophytes.

Diffuse fatty changes are seen in the upper cervical vertebrae.

The rest of the cervical vertebral bodies show normal signal intensity. 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.

Small subcentimeter lymph nodes are seen deep to the sternomastoid muscles bilaterally.

IMPRESSION :

1. Posterior disc herniations at the C4-C5, C5-C6 and C6-C7 levels with large posterior peridiscal osteophytes.

2. Degenerative changes of the joints of Luschka on the left side at the C4-C5, C5-C6 and C6-C7 levels with indentation upon the left C5, C6 and C7 nerve roots.


Sunday, 27 December 2015 16:48

13410

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

Name of the Patient : Abc Xyzi Kollmn / F / 50 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O involuntary movements of the RUE since 5-6 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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

There are small bright foci on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the frontal regions bilaterally and in the left fronto-temporal region. These lesions appear isointense to normal white matter on the T1 Weighted images.

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

IMPRESSION :

Altered signal in the frontal regions bilaterally and in the left fronto-temporal region most likely represent ischemic changes.

Sunday, 27 December 2015 16:48

13409

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

Name of the Patient : Abc Xyzai Badlmn / M / 64 yrs.
Referred by : Dr. Abc Xyznghal.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with tingling since 1 1/2 - 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 minimal forward translation of the L4 over the L5 vertebra, without obvious spondylolysis.

There is loss of water content of the lumbar intervertebral discs.

There is a small posterior disc herniation at the L4-L5 level indenting the dural theca anteriorly. Hypertrophic facetal arthropathy and ligamentum flavum hypertrophy is also noted at this level with canal stenosis.

A minimal posterior disc bulge is noted at the L3-L4 level.

Right far lateral peridiscal osteophytes are noted at the D12-L1 and L1-L2 levels.








The lumbar vertebral bodies reveal normal signal intensity. 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 :

15.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.

Screening, T2 Weighted sagittal images of the dorsal spine reveal anterior peridiscal osteophytes, more to the right of the midline in the mid and lower dorsal region. The visualized dorsal spinal cord shows normal signal.

IMPRESSION :

1. Minimal forward translation of the L4 over the L5 vertebra, without obvious spondylolysis.

2. A small posterior disc herniation at the L4-L5 level with hypertrophic facetal arthropathy and ligamentum flavum hypertrophy and canal stenosis.

3. Right far lateral peridiscal osteophytes at the D12-L1 and L1-L2 levels.

Sunday, 27 December 2015 16:48

13408

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

Name of the Patient : Abc Xyzben Plmn / F / 52 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 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 reduction in height and loss of water content of the L5-S1 intervertebral disc.

There is a posteriorly herniated disc with posterior peridiscal osteophyte at the L5-S1 level with bilateral neural foraminal narrowing. The L5 and S1 vertebral bodies adjacent to the L5-S1 disc show Type II degenerative changes. Slight inferior migration of the disc is noted posterior to the S1 vertebral body. Far lateral disc bulges are also noted at this level with indentation upon the extraforaminal L5 nerve roots bilaterally.

A minimal posterior disc bulge is seen at the L4-L5 level.

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

Anterior peridiscal osteophytes are seen in the lumbar region.



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 L2 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 :

16.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. Degenerated L5-S1 disc with a posteriorly herniated disc and posterior peridiscal osteophytes, causing bilateral neural foraminal narrowing with inferior migration of the disc posterior to the S1 vertebral body. Far lateral disc bulges are also seen at this level with indentation upon the extraforaminal L5 nerve roots bilaterally.

2. Facetal hypertrophy at the L4-L5 and L5-S1 levels.