MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13202

Written by
Date : 00.00.00

sb/hs/nl/nl
Name of the Patient : Abc Xyzh Esa Mlmn / M / 37 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE (left more than right) 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 is slight forward translation of the L3 vertebra over the L4 vertebra.

There is sacralization of the L5 vertebra which is as marked on the film.

There is a small, postero-central disc herniation at the L4-L5 level, indenting the dural theca anteriorly. A left postero-lateral disc bulge is also noted at this level.

A small posterior disc herniation with peridiscal osteophytes is seen at the L3-L4 level.

Bilateral far lateral (extraforaminal) disc bulges are noted at the L3-L4 and L4-L5 levels.

The L3-L4 and L4-L5 intervertebral discs show loss of water content.



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 :

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

IMPRESSION :

1. Slight forward translation of the L3 vertebra over the L4 vertebra.

2. Sacralization of the L5 vertebra.

3. A small, postero-central disc herniation at the L4-L5 level, with a left postero-lateral disc bulge at that level.

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

Sunday, 27 December 2015 16:48

13201

Written by
SB/HS/RG.
Date : 00.00.00

Name of the Patient : Abc Xyzi Vidlmn / F / 39 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O altered sensorium with fever since 00.00.00.
H/O similar complaints in 0000.

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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

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

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 left maxillary antrum.

IMPRESSION :

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

13200

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzp Glmn / M / 2 months.
Referred by : Dr. Abc Xyzk.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

Known C/O thoracic meningomyelocele since birth.
H/O V. P. Shunt done 15 days back.

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.

OBSERVATION :

There is probable segmentation anomaly of the D4/D5 vertebrae with spina bifida at that level. A kyphus is noted at this level. There is seen an approximately 3.0 x 1.5 x 3.2 cms sized well-defined mass lesion on the surface of the skin in the upper dorsal region, posteriorly. This lesion is of intermediate signal on the T1 Weighted images and appears hyperintense centrally, on the T2 Weighted images. The lesion is seen to be in communication with the thecal sac at the D4/D5 levels. Probable extension of neural tissue into this soft tissue lesion is noted. The dorsal spinal cord at the D5/D6 levels is puckered and shows a focal hyperintense signal on the T2 Weighted images which may represent a myelomalacic area/syrinx.

The visualized dorsal vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.

Screening T1 Weighted axial images of the brain, reveal moderate dilatation of both the lateral, third and the fourth ventricles.


IMPRESSION :

The MRI features suggests a dorsal meningomyelocele at about the D4/D5 vertebral levels with probable segmentation anomaly of these vertebrae. An area of myelomalacia/syrinx is noted in the dorsal spinal cord at D4/D5 levels. Moderate communicating hydrocephalus is also noted.
Sunday, 27 December 2015 16:48

13199

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

Name of the Patient : Abc Xyzi Punalmn / M / 46 yrs.
Referred by : Dr. Abc Xyz.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE with paresthesias 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 is loss of water content of the L4-L5 and L5-S1 intervertebral discs.

A postero-central and left paracentral disc herniation with peridiscal osteophytes is noted at the L5-S1 level with slight inferior migration of the disc fragment indenting the traversing left S1 nerve root.

A posterior disc bulge is noted at the L4-L5 level with bilateral neural foraminal narrowing.

Slight hypertrophic degenerative changes of the facet joints are noted at the L4-L5 and L5-S1 levels.

A hemangioma with fat content is noted at the L2 vertebral body.





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 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
15.0 mm at L3-L4
13.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. A postero-central and left paracentral disc herniation with peridiscal osteophytes at the L5-S1 level with slight inferior migration of the disc fragment indenting the traversing left S1 nerve root.

2. A small posterior disc bulge at the L4-L5 level with bilateral neural foraminal narrowing.

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

Sunday, 27 December 2015 16:48

13198

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

Name of the Patient : Abc XyzMlmn / M / 53 yrs.
Referred by : Dr. Abc Xyzrade / Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE since 3 months with paresthesias.
Alleged H/O fall on 00.00.00.

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 loss of water content of the L3-L4 and L4-L5 intervertebral discs.

There is a postero-central protruded disc at the L5-S1 level. The right L5-S1 facet joint shows degenerative changes.

There is a small posterior disc herniation at the L4-L5 level with bilateral neural foraminal narrowing. Slight facetal and ligamentum flavum hypertrophy is noted at this level. Bilateral far lateral (extraforaminal) disc bulges are noted at this level.

A small posterior disc bulge with peridiscal osteophytes is noted at the L3-L4 level.

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-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
16.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. A small posterior disc herniation at the L4-L5 level with slight facetal and ligamentum flavum hypertrophy with a tight canal at this level.

2. A small posterior disc bulge with peridiscal osteophytes at the L3-L4 level.

3. Facetal arthropathy on the right side at the L5-S1 level.

Sunday, 27 December 2015 16:48

13197

Written by
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Plmn / F / 60 yrs.
Referred by : Dr. Abc Xyzdeo. Examination : M.R.Cholangiogram.
CLINICAL PROFILE :
Known C/O obstructive jaundice since 3 weeks with abdominal pain, weight loss and loss of appetite. EXAMINATION :
MR Cholangiogram was performed. 7 mm thick T1 Weighted and T2 Weighted axial images. 8 mm thick T2 Weighted coronal images.OBSERVATION :
There is mild hepatomagaly.

There is seen, an intermediate signal intensity mass lesion on the T1 Weighted images in the region of the porta hepatis at the bifurcation of the right and left hepatic ducts and probably involving the common hepatic duct. This lesion appears predominantly hypointense on the T2 Weighted images. Resultant mild to moderate dilatation of the intrahepatic biliary ducts and the right and left hepatic duct upto the mass lesion is noted. The right lobe of the liver seems to have two main draining ducts. Similar signal intensity mass lesion is noted in the gall bladder. The common bile duct is not well-visualized and is not dilated. The pancreatic duct is also not dilated.

No focal mass lesion is identified in the liver parenchyma per se.

Both the visualized kidneys, pancreas, adrenals and spleen are unremarkable. There are no abnormally enlarged lymphnodes in the abdomen. There is no free fluid.

IMPRESSION :

The MR Cholangiogram reveals a mass lesion at the porta hepatis at the level of the right and left hepatic ducts and also involving the gall bladder. Resultant mild to moderate dilatation of the intrahepatic biliary radicles is noted. A cholangiocarcinoma or a carcinoma of the gall bladder may be considered as a likely possibility.

Sunday, 27 December 2015 16:48

13196

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

Name of the Patient : Abc Xyz Mary lmn / F / 39 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

C/O pain and swelling since 1 month.

EXAMINATION :

M.R.I of the right knee joint was performed using the following parameters :

4 mm thick T1 Weighted, proton and GRASS sagittal images.

4 mm thick T1 Weighted and T2 Weighted coronal images.

4 mm thick T1 Weighted axial images.

OBSERVATION :

Menisci

There is a linear, hyperintense signal on all the pulse sequences in the posterior horn of the medial meniscus of the right knee joint, extending upto the inferior articular margin. This represents a horizontal flap tear.

The anterior and posterior horns of the lateral meniscus and anterior horn of the medial meniscus reveal normal configuration and signal characteristics.

Cruciate Ligaments :

The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
Scan-00006




Collateral Ligaments and the Patellar Tendon :

The medial and lateral collateral ligaments and the patellar tendon are normal.

Hoffas Fat Pad :

The Hoffas fat pad is normal.

Articular cartilage and bones :

The articular cartilage overlying the patella, tibia and femur appears normal.

There is a small, right knee joint effusion.

Varicosities are noted in the subcutaneous fat along the right knee joint, antero-laterally.

The patella is seen to be subluxated, laterally, with the knee joint in the extended position.

IMPRESSION :

1. A horizontal flap tear in the posterior horn of the medial meniscus of the right knee joint.

2. Small right knee joint effusion.

3. Laterally subluxated patella with the knee joint in the extended position.



Sunday, 27 December 2015 16:48

13195

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

Name of the Patient : Abc XyzS. Shlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gradually progressive gait imbalance with difficulty in speech since 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.

5 mm thick FLAIR and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally, pons and in the subcortical white matter in the fronto-temporal regions bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.

There is fullness of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. 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 and left ethmoidal air cells.


IMPRESSION :

1. Altered signal in the posterior parietal periventricular white matter bilaterally, pons and in the subcortical white matter in the fronto-temporal regions bilaterally most likely represents ischemic changes.

2. Mild cerebral cortical and cerebellar atrophy.

Sunday, 27 December 2015 16:48

13194

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

Name of the Patient : Abc Xyzdevi Prajalmn / F / 42 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : Intracranial MR Venogram.

CLINICAL PROFILE :

Alleged H/O fall on the left side with LOC for 2-3 hours 10 days back with headaches since 1 week.
Also C/O paresthesias in BUE and BLE since 4-5 years.

EXAMINATION :

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

MR Venogram was performed with 2D TOF sequences in the axial, coronal and sagittal planes.

OBSERVATION :

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

The ventricular system is unremarkable. There is slight prominence of the CSF space in the frontal regions bilaterally. The basal cisternal spaces are unremarkable. There is no midline shift.

On the MRV the visualized dural and deep venous sinuses show normal flow characteristics. No obvious venous thrombosis is evident on this scan.

IMPRESSION :

No significant abnormality detected on the Intracranial MR Venogram.

Sunday, 27 December 2015 16:48

13193

Written by
sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyztala Tlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O weakness of the RUE with twisting of mouth towards the left for 15 minutes (4 episodes) since 4-5 months. ? TIA.

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 (Areas of calcification seen within the pons on the CT Scan are not seen on the MRI).

Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia and basal cisternal spaces bilaterally. 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.




- 2 - scan-00003

NECK MRA :

The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

Mild cerebral and cerebellar atrophy.

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