MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13338

Written by
sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzp Bavlmn / M / 29 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache with paresthesias in BLE since 6 months. AKT taken.

EXAMINATION :

M.R.I of the dorso-lumbar 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 an ill-defined hypointense signal on the T1 Weighted images involving the superior half of the D11 vertebral body and both pedicles. This lesion appears hyperintense on the T2 Weighted images. There is circumferential bulging of this vertebra into the pre and paravertebral soft tissues. There is reduction in height and loss of water content of the D10-D11 intervertebral disc. Irregularity of the superior cortical endplate of D11 body is noted.

The rest of the visualized dorso-lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.

The visualized lower dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L1 level.
scan-00008


IMPRESSION :

Altered signal of superior half of the D11 vertebral body is not specific for a single etiology. Osteitis is a likely possibility. The D10-D11 intervertebral disc is also involved.

The possibility of a neoplasm is less likely.

No previous investigations were available for comparison.


Sunday, 27 December 2015 16:48

13337

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

Name of the Patient : Abc Xyz Kalmn / M / 30 yrs.
Referred by : Dr. Abc Xyzavale.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O altered behaviour since 4 months.
Patient is HIV +ve.

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

Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci bilaterally. 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 right maxillary sinus and ethmoidal air cells.

After administration of contrast, no focal area of abnormal enhancement is noted in the brain parenchyma or the meninges.

IMPRESSION :

No significant abnormality is detected within the brain on this study.

Sunday, 27 December 2015 16:48

13336

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

Name of the Patient : Abc XyzSiddlmn / M / 70 yrs.
Referred by : Dr. Abc Xyzcha.
Examination : M.R.I. of the Dorsal & Lumbo-sacral
Spines.

CLINICAL PROFILE :

C/O backache since 1 1/2 years.

EXAMINATION :

M.R.I of the dorsal and lumbo-sacral spine was performed using the following parameters :

5 mm and 4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is central wedging of nearly all the lumbar vertebral bodies, more so of the L1, L4 and L5 vertebral bodies. The L2, L4 and L5 vertebral bodies show a hypointense signal on the T1 Weighted images. A soft tissue lesion is seen in the anterior epidural space at the L5 vertebral level, compressing the thecal sac and indenting the traversing left S1 nerve root. Similar soft tissue lesion is noted in the prevertebral lesion at the L4 vertebral level. The L4 vertebral body is seen to bulge anteriorly and the L5 vertebral body is seen to bulge posteriorly.

Small posterior disc bulges are noted at the L4-L5 and L3-L4 levels and a right postero-lateral (foraminal) disc herniation is noted at the L2-L3 level.

The facet joints at the L5-S1 level appears hypertrophied.
scan-00006

The study of the dorsal spine reveals central and anterior wedging of the D12, D9, D7, and D6 vertebral bodies. The corresponding intervertebral discs are seen to bulge into the dorsal vertebral bodies. Posterior peridiscal osteophytes are noted in the dorsal region. Slight ligamentum flavum hypertrophy is also noted in the mid and lower dorsal region.

The rest of the visualized dorsal and lumbar vertebral bodies show spotty fatty marrow changes suggesting osteoporosis. The visualized intervertebral discs show loss of water content.

The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L1-L2 level and thecal sac terminates at the S1 level.

Perineural cysts are noted in the sacral region. Meningeal cysts are seen within the D8-D9 and D9-D10 neural foramina on the right side.

Screening, T2 Weighted sagittal images of the cervical spine reveal posterior peridiscal osteophytes in the mid and lower cervical region.

Aorta shows atherosclerotic changes.

IMPRESSION :

1. Central wedging of nearly all the lumbar vertebral bodies, more so of the L1, L4 and L5 vertebral bodies with altered signal of the L2, L4 and L5 vertebral bodies as described is not specific for a single etiology. Anterior epidural soft tissue lesion is noted at the L5 vertebral level and prevertebral soft tissue lesion is noted at the L4 vertebral level. Round cell tumors, metastasis or an infective etiology may be considered as differential diagnosis.
..3/.








- 3 - Scan-00006



2. Degenerative changes in the cervical, dorsal and lumbar regions as described.

3. Central and anterior wedging of the D12, D9, D7, and D6 vertebral bodies with fatty marrow changes may suggest osteoporotic collapse of the vertebral bodies.

Sunday, 27 December 2015 16:48

13335

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

Name of the Patient : Abc Xyza lmn / F / 74 yrs.
Referred by : Dr. Abc Xyzhacker.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O altered sensorium since 1 week with loss of appetite and weight since 1 month.
Known hypertensive. On Rx.

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 is a small hyperintense focus on the proton, T2 Weighted and FLAIR images in the right centrum semiovale. This lesion appears hypointense to normal white matter on the T1 Weighted images. A hypointense speck, more pronounced on the Fast Scan (T2 *) images is noted within this lesion (scans 103.14, 102.14, 104.14, 105.10).

Dilated perivascular spaces are seen in the centrum semiovale and the lentiform nucleii bilaterally.

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






Incidentally noted is an empty sella and inflammatory changes in the maxillary sinuses bilaterally.

IMPRESSION :

1. Altered signal intensity area in the right centrum semiovale most likely represents an ischemic lesion. A hypointense speck on all the pulse sequences may represent calcification/vessel.

2. Age related cerebral and cerebellar atrophy.



Sunday, 27 December 2015 16:48

13333

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

Name of the Patient : Abc Xyzang Plmn / M / 42 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain in BLE (left more than right) with paresthesias since 4-5 months. Also C/O gait ataxia with slipping off of chappals.
H/O laminectomy at L3-4-5 levels in 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.

After administration of contrast, 5 mm thick T1 Weighted sagittal images with fat saturation, 5 mm thick T1 Weighted axial images and 3 mm thick T1 Weighted coronal images with fat saturation were obtained.

OBSERVATION :

There is loss of water content of all the lumbar intervertebral discs except the L2-L3 disc.

There is slight retroplacement of the L3 over the L4 and L1 over the L2 vertebrae.

There is evidence of laminectomy of the L3, L4 and L5 vertebrae with post-operative changes in the posterior lumbar region over these levels.

A postero-central disc herniation is noted at the L5-S1 level.


A posterior disc bulge with a left paracentral disc herniation is noted at the L4-L5 level with bilateral neural foraminal narrowing and indentation on the traversing left L5 nerve root.

A posteriorly herniated disc is noted at the L3-L4 level with bilateral neural foraminal narrowing. An anterior disc herniation is also seen at this level.

A postero-central disc herniation with peridiscal osteophytes is noted at the L1-L2 level.

Hypertrophic facetal arthropathy is noted at the L3-L4, L4-L5 and L5-S1 levels and facetal hypertrophy is noted at the L2-L3 level. A bony bar is noted along the posterior margin of the thecal sac at the L3-L4 level with canal stenosis. The intrathecal nerve roots at the L5 and S1 levels appear plastered to the thecal sac, peripherally suggesting Group II arachnoiditis.

There is seen a CSF intensity lesion on all pulse sequences within the lower dorsal spinal cord at the D11 and D12 vertebral levels. Septae are noted within this lesion. Slight effacement of the CSF space is noted over these levels.

There is slight anterior wedging of the D12 and L1 vertebral bodies with diffuse fatty marrow changes.

The rest of 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 L1-L2 level and the thecal sac terminates at the S2 level.
..3/.









- 3 - Scan-00003



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

10.0 mm at L1-L2
14.0 mm at L2-L3

After administration of contrast, there is no focal area of abnormal enhancement within the visualized lower dorsal spinal cord or the meninges. No enhancing lesion is noted on the T1 Weighted sagittal images of the dorsal spine.

IMPRESSION :

1. Post-operative status.

2. Slight retroplacement of the L3 over the L4 and L1 over the L2 vertebrae.

3. A postero-central disc herniation at the L5-S1 level.

4. A posterior disc bulge with a left paracentral disc herniation at the L4-L5 level with indentation on the traversing left L5 nerve root.

5. A posteriorly herniated disc at the L3-L4 level with a bony bar, posteriorly, with canal stenosis.

6. A postero-central disc herniation with peridiscal osteophytes at the L1-L2 level.

7. Hypertrophic facetal arthropathy at the L3-L4, L4-L5 and L5-S1 levels and facetal hypertrophy at the L2-L3 level.
..4/.









- 4 - Scan-00003




8. Group II arachnoiditis at the L5 and S1 vertebral levels.

9. A non-enhancing, CSF intensity lesion on all pulse sequences within the lower dorsal spinal cord at the D11 and D12 vertebral levels, is not specific for a single etiology. A syrinx/arachnoid cyst due to arachnoiditis may be considered as a differential diagnosis. The possibility of a neoplasm seems less likely.

Sunday, 27 December 2015 16:48

13332

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

Name of the Patient : Abc XyzHamed lmn / F / 40 yrs.
Referred by : Dr. Abc Xyzoshipura.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE since December 0000.

EXAMINATION :

M.R.I of the lumbo-sacro-coccygeal region was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

3 mm thick T1 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

6 mm thick T1 Weighted axial images.

OBSERVATION :

There is loss of water content of the L4-L5 intervertebral disc.

A small, postero-central disc herniation is seen at the L5-S1 level.

A posterior disc bulge with peridiscal osteophytes is noted at the L4-L5 level.

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

Slight facetal hypertrophy is noted at the L5-S1 level bilaterally. The sacro-coccygeal region is unremarkable. The coccygeal vertebrae show normal signal intensity.
Scan-00002


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
14.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A small, postero-central disc herniation at the L5-S1 level.

2. A posterior disc bulge with peridiscal osteophytes at the L4-L5 level.

3. Slight facetal hypertrophy at the L5-S1 level.


Sunday, 27 December 2015 16:48

13331

Written by
sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza Glmn / F / 37 yrs.
Referred by : Dr. Abc Xyzhatt / Dr. Abc Xyzhipura.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 13 years (on & off) radiating to the RLE since 4-5 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 partial sacralization of the L5 vertebral body with the L5 vertebral body as marked on the film.

There is loss of water content of the L4-L5 and L5-S1 intervertebral discs.

There is a right postero-lateral (foraminal) disc herniation at the L5-S1 level with slight inferior migration of the disc fragment, indenting the traversing right S1 nerve root, which is probably inflamed (scan 105.2-4, 106.4-6, 103.6, 102.6_).

A small, postero-central protruded disc is noted at the L4-L5 level.

The lumbar vertebral bodies appear slightly hypointense when compared to the normal fatty marrow on the T1 Weighted images which may suggest conversion/preponderance of the haemopoietic marrow.

The remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.





The conus medullaris terminates at the L1-L2 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 :

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

IMPRESSION :

1. A right postero-lateral (foraminal) disc herniation at the L5-S1 level with slight inferior migration of the disc fragment, indenting the traversing right S1 nerve root, which is probably inflamed.

2. A small, postero-central protruded disc at the L4-L5 level.


Sunday, 27 December 2015 16:48

13330

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

Name of the Patient : Abc Xyz Sullmn / F / 28 yrs.
Referred by : Dr. Abc Xyzrdiwalla.
Examination : M.R.I. of the Cervical Spine.

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 loss of water content of the C2-C3 and C3-C4 intervertebral discs.

Small postero-central protruded disc with peridiscal osteophytes is noted at the C3-C4 level with slight right neural foraminal narrowing.

A hemangioma with fat content is noted in the C7 vertebral body.

The vertebral bodies show hypointense marrow as compared to normal on the T1 Weighted images which turns isointense on the T2 Weighted images and is suggestive of excess of red/haemotopoeitic marrow.

The remaining cervical 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.

Subcentimeter lymph nodes are seen deep to the sternomastoid muscles bilaterally.

IMPRESSION :

1. Small postero-central protruded disc with peridiscal osteophytes at the C3-C4 level.

2. Preponderance of red/haemotopoeitic marrow in the cervical vertebrae.



Sunday, 27 December 2015 16:48

13329

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

Name of the Patient : Abc lmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. - Cervical Spine.
(Post-contrast Study).

EXAMINATION :

M.R.I of the cervical spine was performed after administration of contrast, using the following parameters :

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

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

OBSERVATION :

The cervical spinal cord over the C3 to C5 vertebral levels is swollen and shows a hyperintense signal on the T2 Weighted images.

There is no abnormal focal area of enhancement within the cervical spinal cord and the meninges on this scan.

IMPRESSION :

The MRI features are suggestive of altered signal within the cervical spinal cord over the C3 to C5 vertebral levels and this is not specific for a single etiology. The differential diagnosis would include :

a. Myelitis.

b. Demyelination.

c. Ischemia.

No abnormal enhancement is noted after contrast administration.

Previous scan was not available for comparison.
Sunday, 27 December 2015 16:48

13328

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

Name of the Patient : Abc XyzChaudlmn / F / 36 yrs.
Referred by : Dr. Abc Xyzhauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 2 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 mild retroplacement of the L3 over the L4 and the L4 over the L5 vertebrae. The L3-L4 and L4-L5 intervertebral discs show loss of water content. The L3-L4 intervertebral disc is decreased in height.

Right paracentral and right postero-lateral disc herniation is seen to indent the thecal sac and cause minimal right neural foraminal narrowing, at the L3-L4 level.

A small posterior disc herniation is seen to indent the thecal sac at the L4-L5 level. Also seen is mild left neural foraminal narrowing at this level.

A posterior disc bulge is noted at the L5-S1 level. Bilateral far lateral (extraforaminal) disc bulges are noted at the L4-L5 and L5-S1 levels.
Scan-00008


The L3-L4 and L4-L5 facet joints show mild hypertrophic degenerative changes. Mild facetal hypertrophy is seen at the L2-L3 and L5-S1 levels.

A focal hyperintensity on all the pulse sequences is noted within the D12 vertebral body and this may represent a hemangioma with fat content. Type II degenerative changes are seen within the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc.

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 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 :

18.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
14.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. Right paracentral and right postero-lateral disc herniation at the L3-L4 level.

2. A small posterior disc herniation at the L4-L5 level.

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