MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14885

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

Name of the Patient : Abc Xyza lmn / M / 75 yrs.
Referred by : Dr. Abc Xyzia / Dr. Abc Xyzka.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with gait ataxia since 5-6 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 FLAIR and T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
A limited MR Angiogram sequence was also obtained.

OBSERVATION :

There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular deep white matter. These are iso to hypointense to white matter on the T1 Weighted images and are probably ischemic in etiology.

Prominent perivascular spaces are seen in the lentiform nuclei bilaterally.

There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

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





R>

The internal carotid artery in the cavernous portion on the left side and the left middle cerebral artery appears prominent and slightly tortuous. Slow flow is noted in the right jugular vein.

Both eyes appear aphakik.

IMPRESSION :

1. Altered signal in the periventricular deep white matter is probably ischemic in etiology.

2. Mild cerebral and cerebellar atrophy.

Sunday, 27 December 2015 16:48

14884

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

Name of the Patient : Abc Xyz B. Anlmn / F / 20 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE since 4 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.
7 mm thick T1 Weighted and T2 Weighted axial images.
6 mm thick T1 Weighted coronal images.

OBSERVATION :

There is partial collapse of the L5 vertebral body. The L3 to S1 vertebral bodies appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. The L4-L5 intervertebral disc is reduced in height and is also involved by the pathology. A kyphus is noted at the L4-L5 level. Erosion of the left pedicle and transverse process of the L5 vertebra is noted.

There is seen a fairly large, intermediate signal intensity mass lesion on the T1 Weighted images in the prevertebral and right paravertebral soft tissues extending over the L3 to the S2 vertebral levels and in the left paravertebral region extending over the L3 vertebral level, into the pelvis along the left lateral pelvic wall. This lesion appears hyperintense on the T2 Weighted images. Multiple septae are noted within this lesion. The distal psoas muscles are involved by this lesion. Minimal extension of the soft tissue lesion into the anterior epidural space at the L4-L5 level is noted, with encasement of the left L5 nerve root in the left neural foramen at the L5-S1 level.



A postero-central protruded disc with a peridiscal osteophyte is noted at the D11-D12 level.

The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints 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
20.0 mm at L2-L3
19.0 mm at L3-L4
13.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

Altered signal of the L3 to S2 vertebral bodies and the L4-L5 intervertebral disc as described, most likely represents osteitis with discitis, probably tuberculous in etiology. Prevertebral and paravertebral soft tissue lesion represents an abscess. The left sided psoas abscess is seen to extend into the pelvis.


Sunday, 27 December 2015 16:48

14882

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

Name of the Patient : Abc Xyz Jalmn / F / 25 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the S. I. Joints &
Lower Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE and paresthesias in all four extremities.
Alleged H/O fall five months back.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

5 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

The left iliac bone adjacent to the left sacro-iliac joint shows hypointense signal on all the pulse sequences suggestive of sclerosis (osteitis condensans ilii).

Both the sacro-iliac joints appear normal. The right iliac bone and the sacral ala show normal signal intensity. There is no bony destruction or erosion. The visualized soft tissues are unremarkable.

The visualized musculature of the pelvis appears normal.

Screening images of the lumbo-sacral spine reveals a posterior disc bulge at the L4-L5 level.

IMPRESSION :

1. A posterior disc bulge at the L4-L5 level.

2. Osteitis condensans ilii on the left side.




Sunday, 27 December 2015 16:48

14881

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

Name of the Patient : Abc XyzJlmn / M / 48 yrs.
Referred by : Dr. Abc Xyz Sampat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O headaches and slight dizziness.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

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

There is slight prominence of the cerebral cortial sulci bilaterally.

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

INTRACRANIAL MRA :

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 very minimal filling defect along the posterior wall of the left internal carotid artery just distal to its bifurcation and may represent an atherosclerotic plaque.

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

IMPRESSION :

An atherosclerotic plaque along the posterior wall of the left internal carotid artery just distal to its bifurcation.

No significant abnormality is detected on the intracranial MRA on this study.


Sunday, 27 December 2015 16:48

14880

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

Name of the Patient : Abc XyzRampuralmn / M / 77 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzriwala.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating 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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is retrolisthesis of the L3 over the L4 vertebral body with a large pseudoposterior disc herniation at the L3-L4 level compressing the thecal sac and causing bilateral neural foraminal narrowing. There is inferior migration of the disc, posterior to the L4 vertebral body in the left lateral recess with impingement of the left L4 nerve root. Type I/III degenerative changes are seen in the L2 and L3 vertebral bodies with slight irregularity of the cortical endplates.

A posterior and a right postero-lateral disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and right neural foraminal narrowing.

Diffuse posterior disc bulge with peridiscal osteophytes is seen at the L2-L3 level with bilateral neural foraminal narrowing.


Schmorls node is noted at L3-L4 level. The lumbar intervertebral discs show loss of water content.

Anterior disc herniations are seen at the L2-L3 and L3-L4 levels with peridiscal osteophytes.

The lumbar facet joints show degenerative changes. Ligamentum flavum hypertrophy is noted at the L3, L4 and L5 vertebral levels.

Type II degenerative changes are seen in the L2 and L3 vertebral bodies adjacent to the L2-L3 disc. Focal fatty change is also noted in the D12 vertebral body.

The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the L5 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
14.0 mm at L2-L3
12.0 mm at L3-L4
11.0 mm at L4-L5
12.0 mm at L5-S1.

The hip joints and the S. I. joints were screened with 5 mm thick T1 Weighted axial images and 6 mm thick STIR coronal images which reveals a small pit in the head of the left femur. ..3/.









- 3 - Scan-00000


IMPRESSION :

1. Retrolisthesis of the L3 over the L4 vertebral body with a large pseudoposterior disc herniation at the L3-L4 level with inferior migration of the disc, posterior to the L4 vertebral body in the left lateral recess impinging the left L4 nerve root.

2. A posterior and a right postero-lateral disc herniation at the L4-L5 level.

3. Diffuse posterior disc bulge with peridiscal osteophytes at the L2-L3 level.

4. Facetal arthropathy in the lumbar region.

Sunday, 27 December 2015 16:48

14879

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

Name of the Patient : Abc XyzMalmn / M / 52 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O memory impairment and behavioral disturbances for 2 hours on 00.00.00. H/O raised blood pressure at that time. Known hypertensive on treatment.

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

Prominent perivascular spaces are noted in the centrum semiovale bilaterally.

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.

Inflammatory changes are noted in the ethmoidal air cells bilaterally, left frontal sinus and left maxillary antrum.

IMPRESSION :

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

14878

Written by
sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzna Narvlmn / F / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache since 1 1/2 months.

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.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is slight anterior wedging of the D11 vertebral body. The D11 and D12 vertebral bodies show an ill-defined, hypointense signal on the T1 Weighted images which appears hyperintense on the T2 Weighted images. Breach of the inferior cortical endplate of D11 vertebra is noted with involvement of the D11-D12 intervertebral disc. This disc appears hyperintense on the T2 Weighted images. The intranuclear cleft is not visualized.

There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the prevertebral and left paravertebral region at D11 and D12 vertebral levels. This lesion also appears hyperintense on the T2 Weighted images. There is no significant intraspinal extension or cord compression. The lower dorsal spinal cord show normal signal intensity.

The rest of the visualized dorso-lumbar vertebral bodies show spotty fatty marrow changes. The remaining intervertebral discs show loss of water content. The facet joints are unremarkable.

The conus medullaris terminates at the D12-L1 level.
R>
Screening T1 Weighted images of the cervico-dorsal spine show spotty fatty marrow changes of the cervico-dorsal vertebrae.

IMPRESSION :

Slight anterior wedging of the D11 vertebral body with altered signal of the D11 and D12 vertebral bodies and the D11-D12 intervertebral disc most likely represents osteitis with discitis probably tuberculous in etiology. Prevertebral and paravertebral soft tissue lesion would represent granulation tissue/abscess.

The possibility of this lesion representing a neoplasm seems less likely.

Sunday, 27 December 2015 16:48

14877

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

Name of the Patient : Abc XyzSalmn / M / 52 yrs.
Referred by : Dr. Abc Xyzangoi.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE since 6 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 slight loss of water content of the upper lumbar intervertebral discs.

Minimal posterior disc bulges are noted at the L4-L5 and L5-S1 levels with ventral indentation on the thecal sac at the L4-L5 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 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
16.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

No significant abnormality is detected on this study.
Sunday, 27 December 2015 16:48

14876

Written by
Date : 00.00.00

Name of the Patient : Abc Xyzant lmn / M / 76 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O intracranial bleed.
H/O V.P.Shunt done in August 0000.
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.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.

OBSERVATION :

There is still seen an approximately 2.0 x 2.6 x 2.2 cms sized well-marginated hyperintense lesion on the T1 Weighted images in the region of the head of the right caudate nucleus, extending into the frontal horn and body of the right lateral ventricle. This lesion remains hyperintense on the proton, T2 Weighted and FLAIR images with a peripheral hypointense rim more pronounced on the proton and T2 Weighted images.

A hypointense focus on all the pulse sequences is noted in the right globus pallidus which may represent residual haemosiderin.

Ill-defined hyperintense areas on the proton, T2 Weighted and FLAIR images are noted in the periventricular white matter, more pronounced in the frontal regions and in the centrum semiovale.

A hyperintense signal, best appreciated on the proton density images is noted in the occipital horn of the right lateral ventricle (scans 106.9).



>


A burr hole is noted in the left posterior parietal region with a shunt tube traversing in the left posterior parietal lobe and extending into the left lateral ventricle with its tip lying in the body of the left lateral ventricle.

There is mild to moderate 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 midline shift. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in mastoid air cells bilaterally.

The cervical spine was screened with the help of 4 mm thick T1 Weighted sagittal images which show mild degenerative changes at the C3-C4 and C4-C5 levels with posterior peridiscal osteophytes.

IMPRESSION :

1. Post-shunt status with the tip of the shunt tube in the body of the left lateral ventricle.

2. An approximately 2.0 x 2.6 x 2.2 cms sized well-marginated lesion in the region of the head of the right caudate nucleus, extending into the frontal horn and body of the right lateral ventricle would represent a residual hematoma.

3. Altered signal in the periventricular white matter, more pronounced in the frontal regions and in the centrum semiovale would represent ischemic changes.
..3/.












- 3 - Scan-00006



4. Altered signal in the occipital horn of the right lateral ventricle would represent residual intraventricular haemorrhage.

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

As compared to the previous MRI dated 00.00.00, (Study No.00004)
there is a decrease in the size of the right sided intracerebral hematoma and also the size of the ventricles. The patient is post-shunt status.

Sunday, 27 December 2015 16:48

14875

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

Name of the Patient : Abc Xyz Rodrilmn / M / 40 yrs.
Referred by : Dr. Abc Xyzdar.
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 reduction in height and loss of water content of the L5-S1 intervertebral disc.

There is a posterior and a left paracentral disc herniation at the L5-S1 level with slight inferior migration of the disc fragment to the left of the midline indenting the traversing left S1 nerve root.

Small posterior peridiscal osteophytes are noted at the L1-L2 level.

Slight facetal hypertrophy is noted at the L3-L4 level on the right.

Type II degenerative marrow changes are noted adjacent to the L5-S1 intervertebral disc and Type I degenerative changes are noted in the L2 vertebral body adjacent to the L1-L2 intervertebral disc.
..2/.







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 intrathecal nerve roots over the L3 to S1 vertebral levels appear clumped suggesting Group I/II arachnoiditis.

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 :

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

IMPRESSION :

1. A posterior and a left paracentral disc herniation at the L5-S1 level with slight inferior migration of the disc fragment to the left of the midline indenting the traversing left S1 nerve root.

2. Slight facetal hypertrophy at the L3-L4 level on the right.

3. Group I/II arachnoiditis over the L3 to S1 vertebral levels.