MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14899

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

Name of the Patient : Abc XyzNagvlmn / M / 33 yrs.
Referred by : Dr. Abc Xyzhia / Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O schizophrenia with convulsions 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.

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 is unremarkable on either side.

There is mild fullness 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 left cerebellar hemisphere is hypoplastic with a mega cisterna magna and a prominent left cerebellar cistern.

The rest of the basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidentally noted is pansinusitis.

IMPRESSION :

Slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.


Sunday, 27 December 2015 16:48

14898

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

Name of the Patient : Abc Xyz Jalmn / M / 50 yrs.
Referred by : Dr. Abc Xyzh.
Examination : M.R.I. of the Abdomen.

CLINICAL PROFILE :

C/O pain in the abdomen since 3 months.
H/O fever since 3 months.

EXAMINATION :

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

8 mm thick T1 Weighted and T2 Weighted axial images.

7 mm thick T1 Weighted and STIR coronal images.

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

OBSERVATION :

There is seen a fairly large, ill-marginated, intermediate signal intensity mass lesion on the T1 Weighted images with its epicentre in the left suprarenal region. This lesion appears significantly hypointense on the T2 Weighted and STIR images. The lesion extends from the left suprarenal region along the anterior and lateral margins of the left kidney, along the medial margin of the spleen, including the splenic hilum and is seen to encase the tail of the pancreas at the splenic hilum. The fat plane along the greater curvature of the stomach is not well-defined. The left suprarenal gland is not identified separately from the lesion.

The liver is normal in size, shape and position. There is no focal or diffuse area of altered signal intensity. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architecture is normal.



The gall bladder is normal and reveals no intrinsic abnormality.

The head and body of the pancreas appear normal in bulk and signal characteristics. The tail of the pancreas also shows normal signal characteristics.

The right adrenal gland is normal. There is mild splenomegaly without change in signal intensity.

The right kidney is normal in size and signal characteristics.

There is no evidence of free fluid within the abdomen.

IMPRESSION :

A fairly large, mass lesion in the left suprarenal region with extensions as described is not specific for a single etiology. The differential diagnosis would include :

a. Tuberculosis of the suprarenal gland.

b. Neoplastic lesions like lymphoma, ? adenocarcinoma.











Sunday, 27 December 2015 16:48

14897

Written by

Ssb.ke.nl.rg.can No : 00007 Date : 00.00.00

Name of the Patient : Abc Xyz Kilmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O headaches with neckpain and vomiting since 00.00.00.
H/O right sided pleural effusion. Received AKT.
(? spinal surgery for tumor, surgical details not available).

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.

4 mm thick T2 Weighted (with fat saturation) coronal images.

OBSERVATION :

There is loss slight loss of water content of the upper cervical intervertebral discs.

Small posterior disc bulges are noted at the C3-C4, C4-C5 and C5-C6 levels.

Degenerative changes of the joints of Luschka are noted at the C3-C4, C4-C5 and C5-C6 levels, bilaterally.

The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
Scan-00007


The cervical spinal cord reveals normal signal intensity.

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

A hyperintense signal on all the pulse sequences is noted in the right internal jugular vein, which appears slightly dilated at the base of the neck.

Incidentally noted is a large, right sided pleural effusion.

An intermediate signal intensity lesion is seen on the T1 Weighted images in the right neural foramen at the D3-D4 level which is seen to turn hyperintense on the T2 Weighted images and would require further evaluation.

IMPRESSION :

1. Small posterior disc bulges at the C3-C4, C4-C5 and C5-C6 levels.

2. Degenerative changes of the joints of Luschka at the C3-C4, C4-C5 and C5-C6 levels, bilaterally.

3. A large, right sided pleural effusion.

4. H/O surgery for spinal tumor 4 years back of which details are not available).

Sunday, 27 December 2015 16:48

14896

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Kilmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with neckpain and vomiting since 00.00.00.
H/O right sided pleural effusion. Received AKT.
(? spinal surgery for tumor, surgical details not available).

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 STIR coronal images through the optic nerves.

OBSERVATION :

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

There is probable thickening of the meninges overlying the right cerebral hemisphere, more so in the fronto-parietal region (scans 104.12 to 104.18). Subtle sulcal space effacement is noted in the right cerebral convexity.

There is mild asymmetric dilatation of the left lateral ventricle as compared to the right. The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is mild bulge of the midline structures to the right. No obvious vascular anomaly is identified on this study.






The optic nerves on either side appear normal in course and characteristics.

IMPRESSION :

1. Probable thickening of the meninges over the right cerebral convexity, as described, may suggest a meningeal pathology.

2. Mild dilatation of the left lateral ventricle is ? a normal variant, ?? obstruction at the level of the foramen of Monroe.

A contrast enhanced scan would be worthwhile.

Sunday, 27 December 2015 16:48

14895

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

Name of the Patient : Abc Xyz A.M. Bhojlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (upto the knee) since 00.00.00.

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 clockwise rotation of the lumbar vertebral bodies.

There is a small postero-central protruded disc with peridiscal osteophytes at the L5-S1 level.

There is a small left far lateral (foraminal and extraforaminal) disc herniation at the L4-L5 level indenting the extraforaminal segment of the left L4 nerve root.

An anterior peridiscal osteophyte is seen at the L1-L2 level.

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 L1-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 :

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

IMPRESSION :

1. A small postero-central protruded disc with peridiscal osteophytes at the L5-S1 level.

2. A small left far lateral (foraminal and extraforaminal) disc herniation at the L4-L5 level indenting the extraforaminal segment of the left L4 nerve root.

Sunday, 27 December 2015 16:48

14894

Written by
Date : 00.00.00

Name of the Patient : Abc Xyzo Waghlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain with sudden onset of weakness of BLE and the LUE since 8 days.

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, T2 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.

There is slight forward translation of the C4 over the C5 vertebra with a resultant pseudo posterior disc herniation at that level.

Small postero-central protruded discs are noted at the C2-C3 and C3-C4 levels.

A fairly large posterior peridiscal osteophyte is noted at the C5-C6 level, indenting the dural theca anteriorly.

A fairly large, postero-central and left postero-lateral disc herniation is noted at the C6-C7 level with left neural foraminal narrowing and indentation on the left C7 nerve root. Superior migration of the disc fragment is noted along the posterior margin of the C5 vertebral body. There is resultant mild cord compression at the C5-C6 level.


The degenerative changes of the joints of Luschka on the left at the C4-C5 and C5-C6 levels is noted. Facetal hypertrophy on the left is noted at the C3-C4 and C4-C5 levels.

The cervical vertebral bodies show replacement of normal fatty marrow by hematopoietic marrow.

The rest of the 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 :

1. Slight forward translation of the C4 over the C5 vertebra with a resultant pseudo posterior disc herniation at that level.

2. Small postero-central protruded discs at the C2-C3 and C3-C4 levels.

3. A fairly large posterior peridiscal osteophyte at the C5-C6 level.

4. A fairly large, postero-central and left postero-lateral disc herniation at the C6-C7 level with left neural foraminal narrowing and indentation on the left C7 nerve root. Superior migration of the disc fragment is noted along the posterior margin of the C5 vertebral body with resultant mild cord compression at the C5-C6 level.

5. Degenerative changes of the joints of Luschka on the left at the C4-C5 and C5-C6 levels.

6. Facetal hypertrophy on the left at the C3-C4 and C4-C5 levels.

Sunday, 27 December 2015 16:48

14893

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

Name of the Patient : Abc Xyz lmn / M / 20 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O RTA with head injury 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.

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

OBSERVATION :

There are ill-defined, hypointense areas on the T1 Weighted images in the left inferior frontal and frontal regions. These areas appear hyperintense on the proton, T2 Weighted and FLAIR images. Ill-defined, hyperintense signal on all the pulse sequences are noted within this lesion, which represents a resolving hemorrhagic contusion, in the given clinical setting.

A very small, epidural collection is noted in the left frontal region which is hyperintense to CSF on all the pulse sequences, the maximum width of this lesion is about 4.0 mms.

Fracture of the left frontal bone and the cribriform plate of the ethmoid bone on the left is noted and also involving the left frontal sinus. Altered signal in the ethmoidal air cells, sphenoid sinus as well as the frontal sinus may represent altered blood.

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-00003

IMPRESSION :

1. Altered signal in the inferior frontal and left frontal lobes would represent haemorrhagic contusions in the given clinical setting.

2. An extracerebral collection of blood with a maximum width of 4.0 mms in the left frontal region.

3. Fracture of the left frontal bone and cribfriform plate of the ethmoid bone on the left. Altered signal in the ethmoidal air cells, sphenoid sinus as well as the frontal sinus may represent altered blood.

As compared to the previous MRI (study no:00004) dated 00.00.00, there is reduction in the size of the extracerebral collection in the left frontal region.








Sunday, 27 December 2015 16:48

14892

Written by
ke/sb/rg.
/00002 Date : 00.00.00

Name of the Patient : Abc Xyzranath lmn / M / 22 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical spine.

CLINICAL PROFILE :

C/O progressive weakness with pain in BUE and BLE with bladder/bowel dysfunction since 2 months.
H/O electric shock 3 1/2 months back.

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 are small, postero-central protruded discs at the C3-C4, C4-C5 and C5-C6 levels.

The cervical vertebral bodies and the intervertebral discs show normal signal intensity. The 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.

Screening, T2 Weighted imagess of the dorsal spine do not reveal any significant feature of note.

The brain was screened with 5 mm thick T2 Weighted axial images and reveals no significant feature of note.

IMPRESSION :

Small, postero-central protruded discs at the C3-C4, C4-C5 and C5-C6 levels.

Sunday, 27 December 2015 16:48

14891

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

Name of the Patient : Abc Xyzn Murtuza lmn / F / 22 yrs.
Referred by : Dr. Abc Xyzakantan.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 1 year.

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 are small postero-central protruded discs at the L4-L5 and L5-S1 levels.

Slight anterior wedging of the D10 and D11 vertebrae is noted without change in signal intensity.

Small postero-central protruded discs are noted at the D10-D11 and D11-D12 levels.

The lumbar vertebral bodies show signal changes consistent with hematopoietic marrow.

The lumbar 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 S2 level.
Scan-00001

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

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

Mild splenomegaly is noted.

IMPRESSION :

1. Small postero-central protruded discs at the L4-L5 and L5-S1 levels.

2. Slight anterior wedging of the D10 and D11 vertebrae without change in signal intensity may be the sequelae of previous trauma.

3. Small postero-central protruded discs at the D10-D11 and D11-D12 levels.


Sunday, 27 December 2015 16:48

14890

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

Name of the Patient : Abc XyzDolmn / M / 48 yrs.
Referred by : Dr. Abc Xyzdhia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain in BLE with paresthesias since 7-8 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 loss of normal lumbar lordosis and loss of water content of the L2-L3, L4-L5 and L5-S1 intervertebral discs.

A posterior disc bulge and a right postero-lateral disc herniation is noted at the L5-S1 level with right neural foraminal narrowing and minimal indentation on the traversing right S1 nerve root.

A posteriorly herniated disc with peridiscal osteophytes is noted at the L4-L5 level with thecal sac compression, bilateral neural foraminal narrowing and indentation of the traversing left L5 nerve root.

Left and right postero-lateral disc bulges are noted at the L3-L4 level with bilateral neural foraminal narrowing.

A postero-central and left postero-lateral disc herniation is noted at the L2-L3 level with left neural foraminal narrowing.


Far lateral (extraforaminal) disc herniations are seen bilaterally over the L2-L3 to the L5-S1 levels.

The pedicles of the lumbar vertebrae appear congenitally short in their antero-posterior dimensions.

Facetal hypertrophy is noted in the lumbar region and ligamentum flavum hypertrophy is noted at the L4-L5, L5 and L5-S1 levels.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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
12.0 mm at L2-L3
12.0 mm at L3-L4
9.0 mm at L4-L5
7.0 mm at L5-S1.

IMPRESSION :

1. A posterior disc bulge and a right postero-lateral disc herniation at the L5-S1 level with minimal indentation on the traversing right S1 nerve root.

2. A posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level indenting the traversing left L5 nerve root.
..3/.








- 3 - Scan-00000



3. Left and right postero-lateral disc bulges at the L3-L4 level.

4. A postero-central and left postero-lateral disc herniation at the L2-L3 level.

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

6. Facetal hypertrophy in the lumbar region and ligamentum flavum hypertrophy at the L4-L5, L5 and L5-S1 levels.

7. Lower lumbar canal stenosis, maximum at the L4-L5 level.