MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13385

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

Name of the Patient : Abc Xyzi Amlmn / F / 28 yrs.
Referred by : Dr. Abc Xyzering.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

C/O pain and slight swelling over the right knee joint since 2 1/2 months.
H/O fall prior to this.

EXAMINATION :

M.R.I of the right knee joint was performed using the following parameters :

4 mm thick T1 Weighted, proton and GRASS sagittal images.

4 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick T1 Weighted axial images.

3 mm thick T1 Weighted sagittal images.

OBSERVATION :

Menisci

The anterior and posterior horns of the lateral and medial menisci reveal normal configuration and signal characteristics.

Cruciate Ligaments :

The fibres of the anterior cruciate ligament are ill-defined. An intermediate signal intensity is seen along the course of the ACL on the T1 Weighted images and turns hyperintense on the proton and Gradient images.

The posterior cruciate ligament shows normal contour and signal characteristics.



Collateral Ligaments and the Patellar Tendon :

The medial and lateral collateral ligaments and the patellar tendon are normal.

Hoffas Fat Pad :

The Hoffas fat pad is normal.

Articular cartilage and bones :

The articular cartilage overlying the patella, tibia and femur appears normal.

Small effusion is seen within the right knee joint.

IMPRESSION :

1. Partial tear/strain of the anterior cruciate ligament.

2. Small effusion within the right knee joint.

Sunday, 27 December 2015 16:48

13383

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

Name of the Patient : Abc XyzKalmn / M / 33 yrs.
Referred by : Dr. Abc Xyznde.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the RUE with paresthesias since 1 year.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

3 mm thick T1 Weighted coronal images.

OBSERVATION :

There are posterior disc bulges at the C4-C5 and C5-C6 levels with small posterior peridiscal osteophytes.

The C2-C3 to C5-C6 intervertebral discs show loss of water content.

The joint of Luschka on the right side at the C5-C6 level shows degenerative changes with right neural foraminal narrowing.

An ill-defined hypointense area is noted in the C4 vertebral body on the left side, posteriorly on the T1 Weighted images and Fast Scan (T2 *) images and would represent sclerosis.
Scan-00003


The rest of the cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. 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. Posterior disc bulges with small posterior peridiscal osteophytes at the C4-C5 and C5-C6 levels.

2. Degenerative changes of the joint of Luschka on the right side at the C5-C6 level.

Sunday, 27 December 2015 16:48

13382

Written by
ke/sb/nl/rg.
/84 Date : 00.00.00

Name of the Patient : Abc Xyzs Slmn / M / 80 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O left sided weakness with slurred speech since 1 day.
Past H/O multiple CVA in 0000.
Known hypertensive/diabetic.

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 are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular deep white matter bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction. Similar but punctate areas are noted in the pons.

There is moderate dilatation of both the lateral and third ventricles. The fourth ventricle is normal. Prominence of the cerebral cortical sulci and cerebellar folia is noted.

The basal cisternal spaces and the Sylvian fissures are also prominent. There is no shift of the midline structures.



The lens are not visualized in both the globes, the result of cataract surgery.

INTRACRANIAL MRA :

Tortuosity of the intracranial vessels is noted.

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.

NECK MRA :

There is a concentric narrowing of the left internal carotid artery about 2 cms distal to the bifurcation. This narrowing extends for about 6 mms and could be due to atherosclerosis.

The common carotid arteries and their extracranial branches appear normal bilaterally.

IMPRESSION :

1. Altered signal in the periventricular deep white matter bilaterally and in the pons are suggestive of areas of ischemia/infarction.

2. A concentric narrowing of the left internal carotid artery approximately 2 cms distal to the bifurcation with the narrowing extending for 6 mms could be due to atherosclerosis.

3. Cerebral and cerebellar atrophy.

Sunday, 27 December 2015 16:48

13381

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

Name of the Patient : Abc Xyz Deoruklmn / M / 14 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O epilepsy since the age of 2 years.
C/O abnormal movements of BLE since 12 days.

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.

Incidental note is made of enlarged adenoids.

IMPRESSION :

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

13380

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

Name of the Patient : Abc Xyz S. Plmn / F / 29 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. - Brain (Post-contrast Study).

CLINICAL PROFILE :

H/O fever, headaches and vomiting for 2 days on 00.00.00.
C/O paresthesias in BLE with involuntary movements of the LUE and RLE and on the left side of the face since 00.00.00.

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.

OBSERVATION :

There is patchy enhancement of the lesion in the left frontal lobe. There is no other area of abnormal enhancement within the brain parenchyma or along the meninges.

The previously mentioned lesions may be ischemic in etiology.


Sunday, 27 December 2015 16:48

13379

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

Name of the Patient : Abc XyzAntlmn / F / 38 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 2 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 Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra. Also seen is a break of the pars interarticularis of the L4 vertebra bilaterally.

A pseudoposterior disc bulge is seen to indent the thecal sac and narrow both neural foramina bilaterally at the L4-L5 level.

Type II degenerative changes are seen within the L5 vertebral body adjacent to the L4-L5 intervertebral disc.

The remaining lumbar 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 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
16.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra with spondylolysis of the L4 vertebra bilaterally.
Sunday, 27 December 2015 16:48

13378

Written by
hs/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzna Salmn / F / 46 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with tingling since 10-12 days.

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 :

The L5 vertebra appears to be sacralized and the L4 vertebra is as marked on the film. Please correlate with plain radiographs.

Postero-central disc herniations with peridiscal osteophytes are seen to indent the thecal sac at the L1-L2, L2-L3 and L3-L4 levels.

Bilateral far lateral (extraforaminal) disc herniations are noted at the L2-L3 level. Bilateral far lateral (extraforaminal) disc bulges are seen at the L1-L2 and L3-L4 levels.

A postero-central disc protrusion is noted at the L4-L5 level.

The L3-L4 and L4-L5 facet joints show hypertrophic degenerative changes. The L1-L2 and L2-L3 facet joints show mild degenerative changes. Ligamentum flavum hypertrophy is noted at the L3-L4 and L4-L5 levels.
..2/.



- 2 - scan-00008

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

The lumbar intervertebral discs show loss of water content.

The venous system around the lumbar vertebrae appears to be slightly prominent.

The lumbar vertebral bodies 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 D12 level and the thecal sac terminates at the L5-S1 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
14.0 mm at L2-L3
13.0 mm at L3-L4
9.0 mm at L4-L5
8.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Sacralization of the L5 vertebra. Please correlate with plain radiographs.

2. Postero-central disc herniations with peridiscal osteophytes at the L1-L2, L2-L3 and L3-L4 levels.

3. A postero-central disc protrusion at the L4-L5 level.

4. Hypertrophic facetal arthropathy at the L3-L4 and L4-L5 levels.
..3/.






- 3 - scan-00008



5. Ligamentum flavum hypertrophy at the L3-L4 and L4-L5 levels.

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

7. Tight canal at the L2-L3, L3-L4 and L4-L5 levels.

8. Bilateral far lateral (extraforaminal) disc herniations at the L2-L3 level.

Sunday, 27 December 2015 16:48

13377

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

Name of the Patient : Abc Xyzc lmn / M / 65 yrs.
Referred by : Dr. Abc Xyzatil.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O slurred speech with left facial weakness since 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 hyperintense areas on the proton, T2 Weighted and FLAIR images in the right fronto-parietal region along the cortex and in the subcortical white matter and in the right centrum semiovale. These are iso to hypointense to white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

Similar areas are seen in the periatrial white matter bilaterally.

There is slight fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is mild prominence of the cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

Areas of altered signal in the right fronto-parietal region along the cortex and in the subcortical white matter and in the right centrum semiovale in the periatrial white matter are suggestive of areas of ischemia/infarction.

Sunday, 27 December 2015 16:48

13376

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

Name of the Patient : Abc XyzAlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness and vomiting since 1 1/2 months.
C/O forgetfulness and slowing in all activities since 1 year.
H/O right sided hemiparesis 10 years 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 coronal images.

OBSERVATION :

There are areas which are iso to hyperintense to CSF on all the pulse sequences within the corona radiata and lentiform nuclei bilaterally, right thalamus and the posterior limb of the left internal capsule. Few of these have a hyperintense rim on the FLAIR images and these lesions would represent lacunar infarcts.

Small bright foci, best appreciated on the FLAIR images are seen within the fronto-parietal regions bilaterally and are most likely ischemic in etiology.

Irregularly defined areas with similar signal characteristics are noted within the periatrial white matter bilaterally.

There is fullness of the third and both the lateral ventricles. The fourth ventricle is normal. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.



Note is made of an empty sella.

Note is made of pthysis bulbi on the right side. The normal lens within the left globe is not visualized and this may be the result of previous cataract surgery.

IMPRESSION :

The MRI features are suggestive of lacunar infarcts within the corona radiata and lentiform nuclei bilaterally, right thalamus and the posterior limb of the left internal capsule.
Sunday, 27 December 2015 16:48

13375

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

Name of the Patient : Abc Xylmn / F / 28 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Old C/O tuberculoma.
For follow-up.

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, T2 Weighted and FLAIR coronal images through the region of interest.

OBSERVATION :

There is still seen an ill-defined hypointense area on the T1 Weighted images in the right parafalcine fronto-parietal region. This lesion appears hyperintense on the proton and T2 Weighted images. There is resultant slight focal dilatation of the frontal horn of the right lateral ventricle as compared to the left. The area of altered signal measures approximately 1.5 x 1.75 x 1.75 cms.

There is mild 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.

IMPRESSION :

An approximately 1.5 x 1.75 x 1.75 cms sized altered signal in the right parafalcine fronto-parietal region may represent gliosis/residual tuberculoma.

As compared to the previous MRI (study no:00000) dated 00.00.00, there is no significant change noted.

A contrast enhanced scan would be worthwhile.