MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13247

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

Name of the Patient : Abc XyzIslmn / M / 61 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O 4 episodes of left sided seizures on 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.

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. There is slight 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.

IMPRESSION :

No significant abnormality is detected on this study.

Sunday, 27 December 2015 16:48

13246

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

Name of the Patient : Abc XyzDlmn / F / 78 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right thalamic bleed with intraventricular extension with early hydrocephalus.
Known hypertensive.
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 a space occupying lesion measuring approximately 3.3 x 3.3 x 2.9 cms and having its epicentre in the right thalamus and extending into the right corona radiata. This lesion is hyperintense to normal whiter matter, peripherally, on the T1 Weighted images and turns more hyperintense on the proton, T2 Weighted and FLAIR images. The centre of the lesion is isointense to normal white matter on the T1 Weighted images and appears hyperintense on the T2 Weighted and FLAIR images. There is perilesional edema with compression of right lateral and third ventricles with mild shift of the midline to the left.

Evidence of subacute haemorrhage is also noted in the occipital horns of the lateral ventricles. Subacute blood is also noted in the midbrain on the right. There is mild dilatation of both the lateral, third and the fourth ventricles with periventricular hyperintensities on the proton, T2 Weighted and FLAIR images.




Areas of hyperintensity on the proton and T2 Weighted images are seen within the white matter in the fronto-parietal lobes bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.

The basal cisternal spaces are prominent. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of a late subacute bleed measuring approximately 3.3 x 3.3 x 2.9 cms and having its epicentre in the right thalamus and extending into the right corona radiata and dissecting into the ventricular system as described. There is mild communicating hydrocephalus.

As compared to the previous MRI (study no:00002) dated 00.00.00, the haemorrhage is now in the late subacute stage. There is no significant change in the size of the lesion. Mild communicating
hydrocephalus is also noted.


Sunday, 27 December 2015 16:48

13245

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

Name of the Patient : Abc Xyza Nilmn / F / 68 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyztrak.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O weakness of BLE with bladder/bowel involvement.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

8 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

The visualized dorsal intervertebral discs show loss of water content. A few of the visualized dorsal vertebral bodies show areas of fatty replacement of normal marrow.

Facetal hypertrophy is seen on the left side at the D10-D11 and D8-D9 levels.

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

The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L1 level.

The lumbo-sacral spine was screened with 5 mm thick T1 Weighted sagittal images and note is made of a Tarlovs perineural cyst on the right side at the S2 vertebral level.


The cervical spine was screened with 4 mm thick T2 Weighted sagittal images and which show mild degenerative changes.

IMPRESSION :

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

13244

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

Name of the Patient : Abc XyzShlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache since 1 year.
H/O cervical lymphadenopathy in 0000. Received AKT.

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 :

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

The visualized lower dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the D12 level.

IMPRESSION :

Normal study of the Dorso-lumbar Spine.


Sunday, 27 December 2015 16:48

13243

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

Name of the Patient : Abc Xyzk Kalmn / M / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 2-3 years. On Anti-epileptics since then.
C/O right sided headaches.
C/O vision loss in the right eye for which patient was operated 7 months back (exact details not available).

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 and 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

Subtle hyperintense signal is seen in the right periatrial deep white matter on the FLAIR images and which is isointense to white matter on the T1 Weighted images.

There is no area of abnormal enhancement in the supratentorial and infratentorial brain parenchyma and along the meninges.

There is slight fullness of the left lateral ventricle as compared to the right. There is prominence of the cerebral cortical sulci and cerebellar folia with fullness of the fourth ventricle.



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 right maxillary polyp.

IMPRESSION :

1. Altered signal in the right periatrial deep white matter (? gliosis ? ischemic changes).

2. Cerebral or cerebellar atrophy.

Sunday, 27 December 2015 16:48

13242

Written by
ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzroop lmn / M / 56 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache since 1 month.

EXAMINATION :

M.R.I of the dorsal 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.

The cervical spine was screened with 4 mm thick T2 Weighted sagittal images.

OBSERVATION :

There is collapse of the D5 vertebral body with an angular kyphus at that level.

Hypointense areas are seen to replace the D5 vertebral body on the T1 Weighted images and is seen to remain predominantly hypointense on the T2 Weighted images. The pedicles are also involved by the pathology. There is slight pre and paravertebral soft tissue bulging of the vertebra. Right antero-lateral epidural extension is also seen at the D5 level which is seen to displace and compress the spinal cord to the left. The spinal cord at this level shows a hyperintense signal suggestive of cord edema/ischemia.

The visualized dorsal and the lumbar vertebral bodies show hypointense areas replacing the normal marrow on the T1 Weighted images which are iso to hyperintense to the normal marrow on the T2 Weighted images.

The dorsal intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
..2/.



- 2 - scan-00002


Rib/pleural lesions are seen on the right side at the D4, D5 and D6 levels.

The conus medullaris terminates at the L1-L2 level.

The cervico-dorsal spine was screened with 4 mm thick T2 Weighted sagittal images which show degenerative changes and changes in the marrow as described above.

IMPRESSION :

The MRI features are suggestive of collapse of the D5 vertebral body with extensions as described and altered signal intensity of the visualized spinal axis is not specific for a single etiology.

The possibilities to be considered are,

1. Multiple metastasis.

2. Round cell tumor like multiple myeloma.

3. Multifocal tuberculosis (less likely).
Sunday, 27 December 2015 16:48

13241

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

Name of the Patient : Abc XyzJalmn / M / 37 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the LUE with paresthesias since 4 months.
H/O HIV +ve with haemoptysis.

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 retroplacement of the C5 over the C6 vertebra with reversal of normal lordotic curve.

The cervical intervertebral discs show loss of water content.

A right postero-lateral disc herniation with peridiscal osteophyte is seen at the C2-C3 level with mild indentation upon the right C3 nerve root.

Small left postero-lateral disc bulges with small peridiscal osteophytes are seen at the C3-C4 and C4-C5 levels.

Posterior disc herniations are noted at the C5-C6 and C6-C7 levels with anterior indentation of the thecal sac.
Scan-00001


Posterior peridiscal osteophytes are noted at the C5-C6 level.

The cervical vertebral bodies 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 :

1. Slight retroplacement of the C5 over the C6 vertebra.

2. Small left postero-lateral disc bulges with small peridiscal osteophytes at the C3-C4 and C4-C5 levels.

3. Posterior disc herniations at the C5-C6 and C6-C7 levels with small posterior peridiscal osteophytes at the C5-C6 level.

4. A right postero-lateral disc herniation with peridiscal osteophyte at the C2-C3 level with mild indentation upon the right C3 nerve root.


Sunday, 27 December 2015 16:48

13240

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

Name of the Patient : Abc Xyz Malmn / M / 47 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache.

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 retroplacement of the L4 vertebra over the L5 vertebra. The L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.

A right paracentral disc herniation is seen to indent and displace the traversing right S1 nerve root posteriorly at the L5-S1 level.

A large postero-central disc herniation is seen to indent the thecal sac at the L4-L5 level. A disc portion is seen to lie within the anterior epidural space at the L5 vertebral level. There is facetal hypertrophy at the L4-L5 level with probable joint effusion.

There is a posterior disc bulge at the L3-L4 level. Anterior disc herniations are seen at the L2-L3 and L3-L4 levels.





Facetal hypertrophy is noted at the L3-L4 and L5-S1 levels.

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

IMPRESSION :

1. A right paracentral disc herniation at the L5-S1 level.

2. A large postero-central disc herniation with canal stenosis at the L4-L5 level and a disc portion is seen to lie within the anterior epidural space at the L5 vertebral level.

3. Facetal hypertrophy at the L4-L5 and L5-S1 levels.

Sunday, 27 December 2015 16:48

13239

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

Name of the Patient : Abc Xyz Tlmn / F / 34 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with radiation of pain to BLE with 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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is posterior wedging of the L4 vertebral body. The L1-L2 and L3-L4 intervertebral discs show loss of water content.

Posterior disc bulges are noted at the L1-L2, L3-L4, L4-L5 and L5-S1 levels.

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 D12-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 :

16.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
15.0 mm at L4-L5
14.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Posterior wedging of the L4 vertebral body.

2. Posterior disc bulges at the L1-L2, L3-L4, L4-L5 and L5-S1 levels.

Sunday, 27 December 2015 16:48

13238

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

Name of the Patient : Abc Xyzm Rangwlmn / F / 15 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Sacrum & Coccygeal Region.

CLINICAL PROFILE :

C/O pain in the coccygeal region since 1 month.

EXAMINATION :

M.R.I of the sacrum and coccygeal region was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

6 mm thick T1 Weighted and T2 Weighted axial images.

5 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

There appears to be sacralization of the L5 vertebra on the right. Please correlate with plain radiographs.

The sacro-coccygeal junction shows normal signal intensity. No obvious bone erosion or destruction is seen.

Both the sacro-iliac joints appear normal. The iliac bones and the sacral ala show normal signal intensity. The visualized soft tissues are unremarkable.

The visualized musculature of the pelvis appears normal.

IMPRESSION :

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

2. Normal study of the sacro-coccygeal region.