MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13353

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

Name of the Patient : Abc XyzAlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzolakia.
Examination : Intracranial MR Venogram.

CLINICAL PROFILE :

C/O headaches, vertigo and blurring of vision since 4 months.

EXAMINATION :

The brain was screened with the help of 5 mm thick T1 Weighted sagittal images and T2 Weighted axial images.

MR Venogram was obtained.

OBSERVATION :

Prominent perivascular spaces are seen in the cerebral peduncles bilaterally, left more than right.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. There is slight ectasia of the vertebro- basilar system.

Incidental note is made of mild inflammatory changes in the ethmoidal air cells on the right side.

On the MRV the visualized dural and deep venous sinuses show normal flow characteristics. No obvious venous thrombosis is evident on this scan.

IMPRESSION :

No significant abnormality is detected on the Intracranial MR Venogram.

Sunday, 27 December 2015 16:48

13351

Written by
HS/KE/NL/RG.
Date : 00.00.00

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

CLINICAL PROFILE :

C/O backache radiating to BLE (left more than right) with numbness in 0000.
Alleged H/O car accident in June 0000.

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 evidence of a left paracentral disc herniation indenting the thecal sac at the L4-L5 level.

A postero-central protruded disc is noted at the L1-L2 level.

There is a posterior bulge indenting the thecal sac at the L5-S1 level.

The L5-S1 facet joints mild degenerative changes.

The L1-L2, L4-L5 and L5-S1 intervertebral discs show loss of water content.







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 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 :

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

IMPRESSION :

1. A left paracentral disc herniation at the L4-L5 level.

2. A postero-central protruded disc at the L1-L2 level.

3. A posterior disc bulge at the L5-S1 level.

As compared to the previous MRI (study no:0000) dated 00.00.00, there is an increase in the size of the disc herniation at the L4-L5 level.



Sunday, 27 December 2015 16:48

13350

Written by
hs/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz.S. lmn / M / 33 yrs.
Referred by : Dr. Abc Xyzosale.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with tingling since 6-7 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. The L4-L5 and L5-S1 intervertebral discs show loss of water content.

A large posterior disc extrusion is seen to indent the thecal sac and narrow both neural foramina (left more than right) at the L5-S1 level. There is impingement of the right exiting L5 nerve root at this level. A disc portion is seen within the anterior epidural space at the S1 vertebral level with indentation upon both the traversing S1 nerve roots.

A large posterior disc extrusion is seen to compress the thecal sac and narrow both neural foramina at the L4-L5 level. A disc portion is seen to lie within the right lateral recess of the L5 vertebra with impingement of the right L5 nerve root.

The L4-L5 and L5-S1 facet joints show hypertrophic degenerative changes. Ligamentum flavum hypertrophy is seen at the L5 level. Posterior peridiscal osteophytes are also noted at these levels.
..2/.





- 2 - scan-00000

The rest of the lumbar facet joints show mild degenerative changes.

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

The cervico-dorsal spine was screened with the help of 4 mm thick T1 Weighted sagittal images which does not reveal any diagnostic feature of note.

IMPRESSION :

The MRI features are suggestive of :

1. Large posterior disc extrusions at the L4-L5 and L5-S1 levels with canal stenosis.

2. Hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels.

Sunday, 27 December 2015 16:48

13349

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

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

CLINICAL PROFILE :

C/O paresthesias in the LLE and pain in the left paraspinal region since 2 months.
C/O occasional radiation of pain to the RLE.

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

A posterior disc herniation with peridiscal osteophytes, more to the left of the midline is seen to indent the thecal sac and traversing left L5 nerve root at the L4-L5 level. Mild bilateral neural foraminal narrowing is noted at this level.

The L3-L4 and L4-L5 facet joints show hypertrophic degenerative changes.

A mild posterior disc bulge is seen at the L3-L4 level.

Type II degenerative changes are noted within the inferior aspect of the L4 vertebral body adjacent to the L4-L5 intervertebral disc. The L4-L5 intervertebral disc shows loss of water content.




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 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 :

19.0 mm at L1-L2
19.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

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

2. A posterior disc herniation with peridiscal osteophytes, more to the left of the midline indenting the traversing left L5 nerve root at the L4-L5 level.

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


Sunday, 27 December 2015 16:48

13348

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

Name of the Patient : Abc Xyzr Slmn / M / 45 yrs.
Referred by : Dr. Abc Xyzgaonkar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with fever since 2 months.
C/O seizures and weakness of the LUE since 10 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.

5 mm thick FLAIR coronal images.

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 evidence of a serpingenous/curvilinear hypointensity on the T1 Weighted images which turns hyperintense on the proton and T2 Weighted images within the head of the left caudate nucleus and most likely represents a blood vessel.

There is no focal area of abnormal enhancement within the brain parenchyma or the meninges.







Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Inflammatory changes are noted within the left maxillary sinus, ethmoidal air cells and frontal sinus.

IMPRESSION :

The MRI features are suggestive of serpingenous/curvilinear area of altered signal within the head of the left caudate nucleus and most likely represents a blood vessel, like a venous angioma.


Sunday, 27 December 2015 16:48

13347

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

Name of the Patient : Abc Xyzath V. Jlmn / M / 16 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

Alleged H/O neck injury with quadriplegia 3 years back. Recovered partially.
Now C/O inability to lift the RUE.

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.

OBSERVATION :

There is fusion of the C5 and C6 vertebral bodies and posterior elements. There is a decrease in the antero-posterior dimensions of these vertebral bodies and these most likely represents a congenital fusion of the C5 and C6 vertebrae. There is a slight decrease in the height of the C4 vertebral body. The posterior elements (lamina and spinous processes) of the upper cervical vertebrae appear defecient (it is difficult to identify at which vertebral levels. Please correlate with plain films).

The cervical and visualized upper dorsal spinal cord appears to be smaller in calibre than normal. There is evidence of a well-defined area which is near isointense to CSF on all the pulse sequences within the cord at the C3/C4 levels. Also seen are areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images, superior and inferior to this lesion.

A posterior disc bulge is noted at the C4-C5 level. The left C4-C5 facet joint shows degenerative changes.
..2/.







The C2-C3, C3-C4 and C4-C5 intervertebral discs show loss of water content.

There is no significant change in the atlanto-dens interval on the flexion and extension images.

The cervical vertebral bodies 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.

IMPRESSION :

1. Congenital block C5/C6 vertebra.

2. Slight thinning of the cervical and visualized upper dorsal spinal cord with myelomalacic changes at the C3/C4 vertebral levels.

Sunday, 27 December 2015 16:48

13346

Written by
HS/BV/NL/RG.
Date : 00.00.00

Name of the Patient : Abc Xyznath Kalmn / M / 50 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O radicular pain to the LUE since 1 month.
H/O right supraclavicular region tuberculosis. On AKT 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 :

Areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted and Fast Scan (T2 *) images are seen to involve the C6 and C7 vertebral bodies and the C7 pedicles bilaterally. The superior cortical endplate of the C7 vertebra is irregularly defined. There is extension of this pathologic process into the anterior epidural space with indentation of the cord over the C6 and C7 vertebral levels. Also seen is extension into the left neural foramen at the C6-C7 level and over the pre and paravertebral soft tissues over these levels.

Postero-central disc herniations with peridiscal osteophytes are seen to indent the cord at the C5-C6 and C6-C7 levels.

Posterior disc bulges with peridiscal osteophytes are seen at the C3-C4 and C4-C5 levels.

The C4-C5 and C5-C6 facet joints show degenerative changes.


The cervical intervertebral discs show loss of water content.

The rest of the cervical vertebral bodies show normal signal intensity. The joints of Luschka are unremarkable.

The cervical spinal cord reveals normal signal intensity.

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

IMPRESSION :

The MRI features are suggestive of :

1. A pathologic process involving the C6 and C7 vertebrae with extensions as described most likely represents an infective process like tuberculosis. The possibility of this being a neoplastic process like a small cell tumor cannot be entirely excluded, although it seems less likely.

2. Postero-central disc herniations with peridiscal osteophytes at the C5-C6 and C6-C7 levels.


Sunday, 27 December 2015 16:48

13345

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

Name of the Patient : Abc Xyzmar Milmn / M / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O tingling in all 4 extremities and numbness in the right side of body since 15 days. Past H/O similar episodes.

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 is evidence of a large area of hypointensity on the T1 Weighted images which turns hyperintense on the proton, T2 Weighted and FLAIR images within the white matter in the left fronto-temporal lobes. It is seen to extend into the posterior limb of the internal capsule, external capsule, lentiform nucleus and thalamus on the left side. This lesion is seen to abut and indent the atrium and posterior body of the left lateral ventricle (scans 103.9-14, 102.9-14, 105.5-13).

Another suspicious smaller lesion is located in the pons centrally (scans 103.4-5, 105.8, 102.4-5).

There is mild fullness of both the lateral ventricles. There is mild prominence of the cerebral cortical sulci bilaterally.

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.


The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and does not show any significant feature of note.

IMPRESSION :

The MRI features are suggestive of an area of altered signal in the left fronto-temporal lobe and another suspicious area in the pons as described. These are not specific for a single etiology. The differential diagnosis would include :

1. Plaques of demyelination.

2. Evolving granulomas.

3. Neoplastic process - less likely.

A contrast enhanced scan may be worthwhile.

Sunday, 27 December 2015 16:48

13344

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

Name of the Patient : Abc Xyzlmn / F / 33 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Left Knee Joint.

CLINICAL PROFILE :

H/O fall 6 months back with pain and swelling over the left knee joint since then.

EXAMINATION :

M.R.I of the left 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 (with fat saturation) coronal images.

4 mm thick T1 Weighted and GRASS axial images.

OBSERVATION :

There is evidence of an area of hypointensity on the T1 Weighted images which turns hyperintense on the T2 Weighted and GRASS images in the region of Hoffas pad and posterior to the quadriceps tendon. This most likely represents synovial thickening. A few areas of hypointensity on the GRASS images are also seen within this lesion. Slight effusion is seen within the left knee joint.

A linear hyperintense signal, not reaching upto the articular surface is seen within the posterior horn of the medial meniscus. This would represent Grade I meniscal signal (degeneration).






The anterior and posterior cruciate ligaments and the rest of the menisci are unremarkable. The visualized femur, tibia and patellar are unremarkable.

IMPRESSION :

The MRI features are suggestive of synovial thickening around the left knee joint as described. Pigmented villo nodular synovitis may be considered.

A contrast enhanced scan may be worthwhile.

Sunday, 27 December 2015 16:48

13343

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

Name of the Patient : Abc Xyza Belmn / F / 22 yrs.
Referred by : Dr. Abc Xyzodak / Dr. Abc Xyzkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 3 months with radiation of pain to the RLE 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 sacralization of the L5 vertebra and the L4 vertebra is as marked on the film. Please correlate with plain radiographs.

There is loss of water content of the D12-L1 and L2-L3 intervertebral discs.

There is a transepiphyseal herniation of the L2-L3 disc through the antero-superior margin of the L3 vertebral body. The L3 vertebral body adjacent to the L2-L3 disc appears hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images.

Minimal posterior disc bulges are noted at the L2-L3 and L4-L5 levels.

The rest of 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 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
15.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. Sacralized L5 vertebra.

2. Transepiphyseal herniation of the L2-L3 disc through the antero-superior margin of the L3 vertebral body.

3. Altered signal in the L3 vertebral body adjacent to the L2-L3 disc most likely represents Type I degenerative marrow change, rather than osteitis.