MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13233

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

Name of the Patient : Abc Xyz lmn / F / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O Kochs in the midbrain since 1 year. On AKT since then.
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.
4 mm thick FLAIR coronal images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is still seen a well-marginated, approximately 0.5 cm diameter sized hypointense lesion on the proton and T2 Weighted images in the midbrain, centrally and more to the left of the midline. This lesion appears hypointense on the T1 Weighted images. There is perilesional edema which is seen to extend into the subthalamic region. 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.








IMPRESSION :An approximately 0.5 cms diameter sized lesion in the midbrain, centrally and more to the left of the midline follows a signal characteristics of a tuberculoma. As compared to the previous MRI (study no:0000) dated 00.00.00, there is reduction in the size of the lesion as well as the surrounding edema.
The previously identified small bright foci in the pons, posterior limb of the left internal capsule, left corona radiata, centrum semiovale bilaterally, in the right parieto-occipital region and right high parietal region are now not identified on this non-enhanced scan.


Sunday, 27 December 2015 16:48

13232

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

Name of the Patient : Abc Xyz. Srivalmn / M / 33 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to BUE (occasionally) with paresthesias in the LUE since November 0000.

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 a postero-central disc protrusion with small peridiscal osteophytes indenting the thecal sac at the C5-C6 level. The left facet joint at this level shows mild degenerative change.

A posterior disc bulge with small peridiscal osteophytes is noted at the C6-C7 level. A mild posterior disc bulge is noted at the C4-C5 level.

The cervical intervertebral discs show loss of water content.

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.

- 2 - scan-00002


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

The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and shows mild degenerative changes. Small posterior disc herniations are noted at the D2-D3, D3-D4, D8-D9 and D9-D10 levels.

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc protrusion with small peridiscal osteophytes at the C5-C6 level.

2. A posterior disc bulge with small peridiscal osteophytes at the C6-C7 level.

3. Mild facetal arthropathy on the left side at the C5-C6 level.

As compared to the previous MRI dated 00.00.00, there is no significant change noted.

Sunday, 27 December 2015 16:48

13231

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

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

CLINICAL PROFILE :

C/O backache with paresthesias in BLE since 1 year.

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 L1 vertebra is as marked on the film. Please correlate with plain radiographs.

Mild posterior disc bulges are seen at the L3-L4 and L4-L5 levels. Bilateral far lateral (extraforaminal) disc bulges are also noted at these levels.

The L4-L5 facet joints show mild degenerative changes.

There is loss of water content of the L1-L2 to L4-L5 intervertebral discs. A well-defined area of hyperintensity on all the pulse sequences is noted within the D12 vertebral body, posteriorly and this may represent a hemangioma with high fat content.

Type II degenerative changes are noted 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 :

19.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
16.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

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

2. Mild posterior disc bulges at the L3-L4 and L4-L5 levels.

3. Bilateral far lateral (extraforaminal) disc bulges at the L3-L4 and L4-l5 levels.

4. Mild facetal arthropathy at the L4-L5 level.


Sunday, 27 December 2015 16:48

13229

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

Name of the Patient : Abc Xyzm Jalmn / M / 40 yrs.
Referred by : Dr. Abc Xyzcha.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 5 days.

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 a posterior disc herniation indenting the thecal sac and narrowing both neural foramina at the L4-L5 level. A disc portion is seen to lie within the left lateral recess of the L5 vertebra with resultant impingement of the traversing left L5 nerve root.

Bilateral far lateral disc herniations are seen to indent the extraforaminal portion of the exiting L4 nerve roots at the L4-L5 level.

Large right postero-lateral and right far lateral disc herniations are seen to narrow the right neural foramen and indent the exiting right L3 nerve root at the L3-L4 level. A left far lateral disc bulge is noted at this level.

The L5-S1 facet joints show degenerative changes. A mild posterior disc bulge is noted at this level.

- 2 - scan-00009



There is facetal hypertrophy over the L1-L2 to L4-L5 levels.

The L4-L5 intervertebral disc shows loss of water content.
The L3-L4 intervertebral disc shows mild loss of water content.

Type I/II degenerative changes are noted within the L4 and L5 vertebral bodies adjacent to the L3-L4 and L4-L5 intervertebral discs.

The rest of 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-L2 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

17.0 mm at L2-L3

16.0 mm at L3-L4

15.0 mm at L4-L5

16.0 mm at L5-S1.
..3/.














- 3 - Scan-00009



IMPRESSION :

1. A posterior disc herniation with a disc portion seen to lie within the left lateral recess of the L5 vertebra with resultant impingement of the traversing left L5 nerve root.

2. Large right postero-lateral and right far lateral disc herniations indenting the exiting right L3 nerve root at the L3-L4 level.

3. Bilateral far lateral disc herniatons indenting the extraforaminal portion of the exiting L4 nerve roots at the L4-L5 level.






Sunday, 27 December 2015 16:48

13228

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

Name of the Patient : Abc Xyzngi Dharwalmn / F / 37 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 1 month.

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 a small right paracentral disc herniation with peridiscal osteophtyes at the L5-S1 level.

A mild posterior disc bulge is noted at the L4-L5 level.

The L4-L5 and L5-S1 facet joints show mild degenerative changes.

The lumbar intervertebral discs show mild loss of water content.

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 level and the thecal sac terminates at the S2 level.
scan-00008


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

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

IMPRESSION :

The MRI features are suggestive of :

1. A small right paracentral disc herniation with peridiscal osteophtyes at the L5-S1 level.

2. A mild posterior disc bulge at the L4-L5 level.

3. Mild facetal arthropathy at the L4-L5 and L5-S1 levels.

Sunday, 27 December 2015 16:48

13227

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

Name of the Patient : Abc Xyz Plmn / F / 54 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Abdomen.

CLINICAL PROFILE :

C/O severe systemic hypertension.
To r/o pheochromocytoma.

EXAMINATION :

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

8 mm thick T1 Weighted and T2 Weighted axial images.
3 mm thick T2 Weighted axial images.
3 mm thick T1 Weighted coronal images.

OBSERVATION :

No mass lesion is seen in the region of the adrenal glands or along the visualized aorta.

The liver is normal in size, shape and position. There is no focal or diffuse area of altered signal intensity. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architexture is normal.

The gall bladder is normal and reveals no intrinsic abnormality.

The pancreas is normal in size and shape.

The spleen is normal.

Both the kidneys appear small and shrunken suggestive of medical renal disease.
scan-00007


No lymphadenopathy is detected. There is no evidence of free fluid within the abdomen.

IMPRESSION :

Small shrunken kidneys bilaterally suggestive of medical renal disease.

Sunday, 27 December 2015 16:48

13226

Written by
ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Maklmn / M / 51 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (right more than left) with paresthesias since 3-4 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 slight retroplacement of the L5 over the S1 vertebra.

There is a posterior and right postero-lateral disc herniation at the L5-S1 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The L5-S1 facet joint on the left side shows hypertrophic degenerative change. There is indentation upon the right S1 nerve root.

Posterior and a left postero-lateral disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and left neural foraminal narrowing. A part of the disc fragment is seen to migrate inferiorly in the right lateral recess posterior to the L5 vertebra with impingement of the right L5 nerve root. There is indentation upon the foraminal and extraforaminal portion of the left L4 nerve root. The L4-L5 facet joint on the left side shows hypertrophic degenerative change with left lateral recess stenosis. Ligamentum flavum hypertrophy is seen on the left side at the L5 level with lumbar canal stenosis.
..2/.




- 2 - scan-00006


Anterior disc herniations with large peridiscal osteophytes are seen in the lower dorsal and lumbar region. Schmorls node is seen in the inferior aspect of the D12 vertebral body. The lumbar intervertebral discs except for the L1-L2 and L3-L4 discs show loss of water content.

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

The lumbar vertebral bodies show diffuse fatty changes.

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 :

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

IMPRESSION :

The MRI features are suggestive of :

1. Slight retroplacement of the L5 over the S1 vertebra with a posterior and right postero-lateral disc herniation at the L5-S1 level with indentation upon the right S1 nerve root and hypertrophic facetal arthropathy on the left side at this level.
..3/.









- 3 - scan-00006


2. Posterior and a left postero-lateral disc herniation at the L4-L5 level with indentation upon the foraminal and extraforaminal portion of the left L4 nerve root with a part of the disc seen to lie posterior to the L5 vertebral body with impingement of the right L5 nerve root with canal stenosis. There is also hypertrophic facetal arthropathy on the left side with left lateral recess stenosis at this level.




Sunday, 27 December 2015 16:48

13225

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

Name of the Patient : Abc XyzD. Hlmn / M / 22 yrs.
Referred by : Dr. Abc Xyzshar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O change in voice.
H/O Pulmonary kochs 1 year ago. Received AKT for 8 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.

5 mm thick FLAIR coronal images.

OBSERVATION :

There is evidence of a hyperintense signal on the proton and T2 Weighted images within the tectum. The tectum is seen to be bulky with resultant compression of the aqueduct. There is resultant mild to moderate dilatation of the third and both the lateral ventricles.

An extramedullary mass lesion is noted within the spinal canal on the right side at the C2 and C3 vertebral levels. It is seen to compress and displace the cord to the left side (The cord shows a suspicious hyperintense signal on the T2 Weighted images at these levels and this may represent cord edema/ischemia). This lesion is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images. This lesion is seen to extend into the right paravertebral soft tissues via the right C2-C3 neural foramen, which is enlarged.

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.


IMPRESSION :

1. A bulky tectum with altered signal may represent a glial cell tumor or hamartoma.

2. Mild to moderate obstructive hydrocephalus.

3. An extramedullary lesion within the spinal canal on the right side at the C2 and C3 vertebral levels with extensions as described most likely represents a neurofibroma.

The above findings may be seen with neurofibromatosis and a contrast enhanced study may be worthwhile.
Sunday, 27 December 2015 16:48

13224

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

Name of the Patient : Abc XyzMlmn / F / 59 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures on 00.00.00.
Known hypertensive.

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.

IMPRESSION :

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

13223

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

Name of the Patient : Abc Xyza Nlmn / F / 9 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

H/O CDH which was operated in 0000.
C/O gibbus with kyphoscoliosis of the dorso-lumbar spine.
C/O difficulty in walking.

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.

3 mm thick Fast Scan (T2 *) coronal images.

OBSERVATION :

There is collapse of the L3 vertebral body with an angular kyphus at that level.

There is replacement of the normal marrow of the L2, L3 and L4 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted and Gradient images. There is involvement of the L2-L3 and L3-L4 intervertebral discs. Mild pre and paravertebral soft tissue extension is noted over the L2 to L4 levels. A large, right paravertebral lesion is seen extending over the L3-L4 to the S1 levels which is of intermediate signal intensity on the T1 Weighted images and turns hyperintense on the T2 Weighted images and represents abscess/granulation tissue. Minimal anterior epidural extension, to the left of the midline is seen at the L2, L3 and L4 levels.


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

The conus medullaris terminates at the L2 level.

IMPRESSION :

The MRI features are suggestive of collapse of the L3 vertebral body with kyphus and altered signal of the L2, L3 and L4 vertebral bodies with involvement of the L2-L3 and L3-L4 intervertebral discs, pre and paravertebral soft tissue extension and granulation tissue/abscess
over the L3-L4 to the S1 levels as described. These changes most probably represent a granulomatous infective process like tuberculosis.

The possibility of a round cell tumor, is less likely.