MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13188

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

Name of the Patient : Abc Xyz Balmn / F / 8 mnths.
Referred by : Dr. Abc Xyzadkat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O fever, increased frequency of stools, vomiting and altered sensorium.

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 T2 Weighted and FLAIR coronal images.

OBSERVATION :

There is no focal area of altered signal intensity in the brain parenchyma. The myelination pattern is normal for the patients age.

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 :

No abnormality is detected within the brain on this study.

Sunday, 27 December 2015 16:48

13187

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

Name of the Patient : Abc Xyzvta R. Kanlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain to the LLE with paresthesias since 15 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 are mild posterior disc bulges at the L4-L5 and L5-S1 levels.

The lumbar vertebral bodies and the 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 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
14.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

No significant abnormality detected on this study.


Sunday, 27 December 2015 16:48

13186

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

Name of the Patient : Abc Xyznlu Mlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzgaonkar.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (left more than right) with paresthesias since 1 1/2 months.
H/O left foot drop since 15 days.

EXAMINATION :

M.R.I of the dorsao-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.

The cervical spine was screened with 4 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a large postero-central disc herniation with peridiscal osteophytes more to the right of the midline and compressing the cord at the D11-D12 level. The cord at this level shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia.

A postero-central disc herniation with peridiscal osteophyte is seen to indent the cord at the D12-L1 level. There is a posterior disc bulge with peridiscal osteophytes at the L1-l2 level.

The D10-D11, D11-D12, D12-L1 and L1-L2 facet joints show degenerative changes.



A focal hyperintensity on all the pulse sequences is noted within the posterior aspect of the D10 vertebral body and this may represent a small hemangioma with high fat content.

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

The conus medullaris terminates at the L1 level.

Screening images of the cervical spine reveal degenerative changes at the C3-C4, C4-C5 and C5-C6 levels.

IMPRESSION :

The MRI features are suggestive of :

1. A large postero-central disc herniation with peridiscal osteophytes, more to the right of the mildine with cord compression and cord edema/ischemia at this level.

2. A postero-central disc herniation with peridiscal osteophytes at the D12-L1 level.

3. Facetal arthropathy at the D10-D11, D11-D12, D12-L1 and L1-L2 levels.

4. Canal stenosis at the D11-D12 level.

Sunday, 27 December 2015 16:48

13185

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

Name of the Patient : Abc Xyza Cheulmn / F / 70 yrs.
Referred by : Dr. Abc Xyzatil.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O tingling on the left side of the body since 3 days.
Similar complaints 6 months back.

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 a focal hyperintensity on the T2 Weighted images within the right middle cerebellar peduncle and this may be ischemic in etiology.

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

The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

INTRACRANIAL MRA :

There is slight irregularity of the vessel wall of the mid and distal portion of the M1 segment of the left middle cerebral artery.

The right posterior cerebral artery is seen to be a continuation of the right posterior communicating artery.
Scan-00005



The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, right middle cerebral, basilar, vertebral and left posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

NECK MRA :

There is slight narrowing of the left subclavian artery just distal to the origin of the left vertebral artery.

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

IMPRESSION :

The MRA features are suggestive of :

1. A focal hyperintensity on the T2 Weighted images within the right middle cerebellar peduncle may be ischemic in etiology.

2. Slight irregularity of the vessel wall of the mid and distal portion of the M1 segment of the left middle cerebral artery.

3. Slight narrowing of the left subclavian artery just distal to the origin of the left vertebral artery.

Sunday, 27 December 2015 16:48

13184

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

Name of the Patient : Abc XyzPalmn / F / 13 yrs.
Referred by : Dr. Abc Xyzthalani.
Examination : M.R.I. of the Pelvis.

CLINICAL PROFILE :

C/O pain in the abdomen since 2 days.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick T1 Weighted coronal images.
5 mm thick T2 Weighted sagittal images.

OBSERVATION :

There is a fairly well-circumscribed lesion in the left adnexa which measures approximately 3.0 x 3.0 x 3.3 cms. This lesion is hypointense on T1 Weighted images and turns hyperintense on the T2 Weighted images. An intermediate signal intensity is seen along the medial aspect of the lesion which is hypointense on the T2 Weighted images (se/im 103/12-12) and is approximately 0.5 cms thick. This might represent thickened wall.

The right adnexa is unremarkable.

The urinary bladder shows no intrinsic lesion.

The ischio-rectal fossae on either side appear normal.

There are no abnormally enlarged pelvic lymph nodes identified. No obvious vascular anomaly is noted. There is no free fluid in the pelvis.

IMPRESSION :

The MRI features are suggestive of cystic lesion in the left adnexa measuring approximately 3.0 x 3.0 x 3.3 cms. with thickened medial wall of the cyst.
Sunday, 27 December 2015 16:48

13182

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

Name of the Patient : Abc Xyz Shlmn / F / 3 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O resistant myoclonic epilepsy with status epilepticus.

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.

There is mild dilatation of both the lateral, third and fourth ventricles. There is prominence of the cerebral cortical sulci and basal cisterns bilaterally. The volume loss is, however, more pronounced on the left.

There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

Cerebral cortical atrophy (more to the left) with mild communicating hydrocephalus.

Sunday, 27 December 2015 16:48

13181

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

Name of the Patient : Abc Xyzhlmn / F / 32 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 8 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 loss of water content of the lumbar intervertebral discs except of the L5-S1 disc. There is mild retroplacement of the L4 vertebra over the L5 vertebra.

There is a left paracentral disc herniation with peridiscal osteophytes at the L4-L5 level. Inferior migration of the disc fragment is noted with indentation upon the traversing left L5 nerve root.

Slight hypertrophy of the L5-S1 articular facets is noted. A posterior disc bulge is noted at this level.

Focal, fatty marrow changes are noted around the Schmorls nodes at the L1 and L2 levels.

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 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 :

14.0 mm at L1-L2
13.0 mm at L2-L3
14.0 mm at L3-L4
9.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. A left paracentral disc herniation with peridiscal osteophytes at the L4-L5 level with inferior migration of the disc fragment, indenting the traversing left L5 nerve root.

2. Slight facetal hypertrophy at the L5-S1 level.

3. A tight canal at the L4-L5 level.

Sunday, 27 December 2015 16:48

13180

Written by
sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc XyzHilmn / M / 47 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the left hip on walking and standing since 4-5 months.

EXAMINATION :

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

5 mm thick T1 Weighted and STIR coronal images.

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

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are well-marginated geographical areas in the femoral heads on either side which follow fat signal characteristics on all the pulse sequences. These lesions are separated from the normal marrow signal by a hypointense signal on all the pulse sequences. The double line sign is well-visualized. The neck of the left femur shows an ill-defined hyperintense signal on the T2 Weighted and STIR images which may represent bone edema.

Mild effusion is noted within the left hip joint.

The femoral heads on either side show normal contour.
The acetabulum reveal normal signal intensity bilaterally. The articular cartilages are unremarkable. There is no effusion within the right hip joint.




The musculature surrounding both the hip joints is normal.

Excessive fat is noted in the visualized pelvis, ?? pelvic lipmatosis.

IMPRESSION :

The MRI features suggest Class A avascular necrosis of the femoral heads on either side. Edema is noted in the neck of the left femur.

Sunday, 27 December 2015 16:48

13178

Written by
sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzi S. lmn / F / 15 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain with optic nerves.

CLINICAL PROFILE :

C/O progressive visual loss in the left eye since 5-6 years.

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 STIR coronal images.

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.

The optic nerve on the right is normal in its course and signal characteristics. The perioptic CSF appears brighter on the left side as compared to the right with slight decrease in calibre of the left optic nerve and the optic chiasma on the left.

Incidentally noted is pansinusitis. The pituitary gland shows a convex upper margin which may be normal for the patients age.

IMPRESSION :

1. Normal study of the brain.

2. Left optic nerve atrophy.
Sunday, 27 December 2015 16:48

13177

Written by
sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzkala Melmn / F / 62 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 6 months.
H/O L3, L4 and L5 laminectomy with L4-L5 discoidectomy done in June 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 loss of water content of the lumbar intervertebral discs. The L4-L5 intervertebral disc is not well-visualized, the sequelae of previous discoidectomy and bone grafting. Fusion of the L4 and L5 vertebral bodies is noted. There is evidence of laminectomy at the L4 and L5 levels with post-operative changes in the soft tissues in the posterior lumbar region at these levels.

The L4 and L5 vertebral bodies appear relatively hypointense when compared to the rest of the vertebrae on the T1 Weighted images and appear isointense on the T2 Weighted images. This may be the sequelae of previous surgery.

A postero-central disc herniation is noted at the L5-S1 level. There is slight retroplacement of the thecal sac at this level.

A left paracentral peridiscal osteophyte is noted at the L4-L5 level.
..2/.






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

The intrathecal nerve roots at L4 and L5 vertebral levels appear clumped and are placed peripherally. The intrathecal CSF at these levels appears slightly more hyperintense as compared to the normal. These changes may suggest arachnoiditis with a probable arachnoid cyst at the L4 and L5 vertebral levels.

Focal fatty signal within the thecal sac at L3 and L5-S1 levels most likely represents residual intrathecal contrast due to previous myelography.

The facet joints at the L5-S1 level appear hypertrophied.

The rest of 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.

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

12.0 mm at L1-L2
13.0 mm at L2-L3
11.0 mm at L3-L4

IMPRESSION :

1. Post-operative status.

2. A postero-central disc herniation at the L5-S1 level with facetal hypertrophy.
..3/.








- 3 - scan-00007


3. A left paracentral peridiscal osteophyte at the L4-L5 level.

4. Clumped intrathecal nerve roots at L4 and L5 vertebral levels with a probable arachnoid cyst at these levels suggests arachnoiditis.

5. Residual intrathecal contrast at the L3 and L5-S1 levels.