MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13307

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

Name of the Patient : Abc Xyzmamullmn / M / 1 yr.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

C/O swelling in the left scapular region since 15-20 days.
C/O hemivertebrae at D4.

EXAMINATION :

M.R.I of the cervico-dorsal spine was performed using the following parameters :

3 mm thick T1 Weighted and T2 Weighted sagittal images.

4 mm thick T1 Weighted and T2 Weighted axial images.

3 mm thick T1 Weighted coronal images.

OBSERVATION :

There is scoliosis of the mid-dorsal spine with convexity to the left. Segmentation anomaly of the D4 and D5 vertebrae is noted.

There is mild anti-clockwise rotational anomaly of the dorsal vertebrae.

The visualized cervico-dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The visualized cervico-dorsal spinal cord reveals normal signal intensity.

IMPRESSION :

Scoliosis of the mid dorsal spine with convexity to the left with segmentation anomaly of the D4 and D5 vertebrae.


Sunday, 27 December 2015 16:48

13306

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

Name of the Patient : Abc Xyz Salmn / M / 4 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O neurodegenerative disorder with MR and epilepsy.

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 T1 Weighted and FLAIR coronal images.

OBSERVATION :

There is mild to moderate dilatation of both the lateral and third ventricles. The fourth ventricle is normal.

There is no focal area of abnormal signal intensity in the brain parenchyma. Ill-defined, hyperintense signal on the T2 Weighted images in the posterior parietal, paraventricular white matter, represents areas of terminal myeliniation.

There is prominence of the cerebral cortical sulci in the frontal and temporal regions 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 :

1. Mild cerebral cortical atrophy in the frontal and temporal regions bilaterally.

2. Mild to moderate dilatation of both the lateral and third ventricles.

Sunday, 27 December 2015 16:48

13305

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

Name of the Patient : Abc Xyzotlmn / M / 50 yrs.
Referred by : Dr. Abc Xyzoctor.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fall with ? seizure (single episode) on 00.00.00 and vomiting.
H/O seizures in childhood.

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 T2 Weighted coronal images.

5 mm thick FLAIR coronal images.

OBSERVATION :

There is no focal area of altered signal intensity in the brain parenchyma. No extracerebral collection is identified on this study.

The hippocampal complex on either side is unremarkable.

There is fullness of both the lateral and the third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and cerebellar folia. 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 a small subgaleal contusion in the right posterior parietal region and inflammatory changes in the frontal sinus, left maxillary sinus and ethmoidal air cells.


IMPRESSION :

1. Mild age related cerebral and cerebellar atrophy.

2. A small subgaleal contusion in the right posterior parietal region.


Sunday, 27 December 2015 16:48

13304

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

Name of the Patient : Abc Xyz M. Shlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE (right more than left) with numbness in the RLE since 2-3 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 forward translation of the L4 vertebra over the L5 vertebra without obvious spondylolysis.

A pseudoposterior disc bulge is seen at the L4-L5 level with anterior indentation of the thecal sac. The L4-L5 facet joints show hypertrophic degenerative changes with mild neural foraminal narrowing bilaterally.

A small posterior disc herniation is noted at the L3-L4 level. A posterior disc bulge is noted at the L5-S1 level. The right L5-S1 facet joint shows hypertrophic degenerative changes. Bilateral far lateral (extraforaminal) disc bulges are seen at the L4-L5 level.

Anterior disc herniations are noted over the D12-L1 to the L4-L5 levels. The L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.

Small posterior peridiscal osteophytes are noted at the L3-L4, L4-L5 and L5-S1 levels.
..2/.







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

Type II degenerative changes are noted in the lumbar vertebrae adjacent to the intervertebral discs.

The remaining intervertebral discs reveal normal signal intensity. 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 S1-S2 level.

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

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

IMPRESSION :

1. Forward translation of the L4 vertebra over the L5 vertebra.

2. A pseudoposterior disc bulge at the L4-L5 level with hypertrophic facetal arthropathy at this level.

3. A small posterior disc herniation at the L3-L4 level.

4. A posterior disc bulge at the L5-S1 level and hypertrophic facetal arthropathy on the right side at this level.

5. Small posterior peridiscal osteophytes at the L3-L4, L4-L5 and L5-S1 levels.

6. Mild degenerative changes of rest of the lumbar facet joints.

Sunday, 27 December 2015 16:48

13303

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

Name of the Patient : Abc Xyz lmn / F / 11 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O vomiting with loss of consciousness for 3 hours on 00.00.00.
H/O headaches prior to this.

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.

OBSERVATION :

There is a small, subcentimeter lesion in the left temporo-occipital region. This lesion is hyperintense with a hypointense rim on the proton, T2 Weighted and FLAIR images. This lesion is not well identified on the T1 Weighted images. There is surrounding white matter edema with effacement of the adjacent cerebral cortical sulci.

There is mild prominence of the cerebellar folia.

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 :

The MRI features are suggestive of a granulomatous infective lesion in the left temporo-occipital region following the signal characteristics of a cysticercus in the colloid-vesicular stage.


Sunday, 27 December 2015 16:48

13302

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

Name of the Patient : Abc XyzShlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache since 7-8 months.
H/O laminectomy with spinal fusion was done on 00.00.00 for intraspinal neurofibroma at the D12 level.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is evidence of laminectomy of the D12 vertebra with post-operative changes within the posterior soft tissues over these levels.

The D12-L1 facet joints show degenerative changes.

The visualized dorso-lumbar intervertebral discs show loss of water content. The dorso-lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L1 level.





- 2 - Scan-00002


IMPRESSION :

The MRI features are suggestive of :

1. Post-operative status.

2. Facetal arthropathy at the D12-L1 level.

There is no obvious residual lesion on the study. If clinically indicated a contrast enhanced scan would be worthwhile.

As compared to the previous MRI (study no.00001) dated 00.00.00, there is no significant change noted.
Sunday, 27 December 2015 16:48

13301

Written by
bv/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz P. lmn / F / 42 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzehta.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the LUE with numbness since 1 week.

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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is loss of normal cervical lordosis and loss of water content of the C4-C5 and C5-C6 intervertebral discs.

There is a fairly large left postero-lateral disc herniation at the C5-C6 level with ventral indentation upon the spinal cord and the left C6 nerve root. A part of the disc fragment is seen to migrate superiorly and inferiorly, posterior to the C5 and C6 vertebrae in the left lateral recess.

A postero-central disc protrusion is seen at the C6-C7 level with ventral indentation of the thecal sac.

Focal disc protrusions are seen at the C2-C3 and C3-C4 levels.

Mild hypertrophy of the facet joints is seen at the C5-C6 level.


The cervical vertebral bodies and the remaining 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.

IMPRESSION :

The MRI features are suggestive of a fairly large left postero-lateral disc herniation at the C5-C6 level with ventral indentation upon the spinal cord and the left C6 nerve root with a part of the disc fragment seen to migrate superiorly and inferiorly, posterior to the C5 and C6 vertebrae in the left lateral recess.


Sunday, 27 December 2015 16:48

13300

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

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

CLINICAL PROFILE :

C/O seizures.

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

13299

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

Name of the Patient : Abc Xyzahim Blmn / M / 72 yrs.
Referred by : Dr. Abc Xyzonawalla.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 0000.
H/O backache radiating to BLE since 0000 for which patient was operated twice (1st in 0000 and 2nd 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.

OBSERVATION :

There is reduction in height of the L4-L5 disc and loss of water content of the lumbar intervertebral discs.

There is evidence of laminectomy at the L4 and L5 levels with L4-L5 discectomy and post-operative changes in the soft tissues in the posterior lumbar region at these levels.

There is minimal forward translation of the L4 over the L5 vertebra.

There is a postero-central and right paracentral extruded disc at the L4-L5 level with superior migration of the disc fragment along the posterior margin of the L4 vertebral body. Resultant probable indentation on the exiting right L4 nerve root is noted. There is also hypertrophy of the right facet joint at the L4-L5 level with right lateral recess stenosis. Probable scar tissue is also noted in the right lateral recess of L5.


A small left postero-lateral and left far lateral disc bulge is noted at the L3-L4 level.

The intrathecal nerve roots at the L3-L4 and L4 vertebral levels appear clumped suggesting arachnoiditis.

The lumbar vertebral bodies reveal normal signal intensity. The facet joints at the L5-S1 level also appears slightly hypertrophied. 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 :

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

IMPRESSION :

1. Post-operative status.

2. A postero-central and right paracentral extruded disc at the L4-L5 level with superior migration of the disc fragment indenting the exiting right L4 nerve root.

3. Hypertrophy of the right facet joint at the L4-L5 level with right lateral recess stenosis. Probable scar tissue is also noted in the right lateral recess of L5.

4. A small left postero-lateral and left far lateral disc bulge at the L3-L4 level.

5. Clumped intrathecal nerve roots at the L3-L4 and L4 vertebral levels suggest arachnoiditis.



Sunday, 27 December 2015 16:48

13298

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

Name of the Patient : Abc Xyznt Bhlmn / M / 53 yrs.
Referred by : Dr. Abc Xyzmani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided seizures since 8-9 months.
H/O injury to the left eye 8 months back for which patient was operated 4 months ago. Now C/O diminished vision in the left eye.

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, hyperintense areas, best appreciated on the FLAIR images in the subcortical white matter in the right posterior parietal and parietal region, right high parietal, parafalcine region and in the left parietal, parafalcine region. These lesions appear nearly isointense to normal white matter on the T1 Weighted images. In the centre of some of these lesions a focal hypointense signal on the FLAIR images is noted.

There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal.

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 left maxillary antrum.

IMPRESSION :

Altered signal in the subcortical white matter in the right posterior parietal and parietal region, right high parietal, parafalcine region and in the left parietal, parafalcine region as described, is not specific for a single diagnosis. These lesions either represent granulomas or metastases.

A contrast enhanced scan would be worthwhile.