MRI Reports (3472)
MRI Reports Database
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Kotlmn / M / 67 yrs.
Referred by : Dr. Abc Xyzagwati / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known hypertensive/diabetic with meningitis.
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 T1 Weighted and FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma per se.
There is still seen hyperintense signal, best appreciated
on the FLAIR coronal images in the right frontal subdural space/subarachnoid space. This lesion is of intermediate signal intensity on the T1 Weighted images and may represent inflammatory meningeal thickening/exudates.
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 frontal sinus, ethmoidal air cells and right maxillary sinus.
IMPRESSION :
Altered signal in the right frontal subdural space/subarachnoid space may represent inflammatory meningeal thickening/exudates.
A contrast enhanced scan would be worthwhile.
Inflammatory changes in the paranasal sinuses as described are also noted.
As compared to the previous MRI dated 00.00.00 (study no.00009), there is significant resolution of the lesion in the interhemispheric fissure. There is also reduction in the inflammatory tissue in the frontal sinus and ethmoidal air cells.
Date : 00.00.00
Name of the Patient : Abc Xyz Kotlmn / M / 67 yrs.
Referred by : Dr. Abc Xyzagwati / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known hypertensive/diabetic with meningitis.
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 T1 Weighted and FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma per se.
There is still seen hyperintense signal, best appreciated
on the FLAIR coronal images in the right frontal subdural space/subarachnoid space. This lesion is of intermediate signal intensity on the T1 Weighted images and may represent inflammatory meningeal thickening/exudates.
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 frontal sinus, ethmoidal air cells and right maxillary sinus.
IMPRESSION :
Altered signal in the right frontal subdural space/subarachnoid space may represent inflammatory meningeal thickening/exudates.
A contrast enhanced scan would be worthwhile.
Inflammatory changes in the paranasal sinuses as described are also noted.
As compared to the previous MRI dated 00.00.00 (study no.00009), there is significant resolution of the lesion in the interhemispheric fissure. There is also reduction in the inflammatory tissue in the frontal sinus and ethmoidal air cells.
Published in
MRI Reports
sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc XyzKhlmn / M / 47 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O cysticercus detected on 00.00.00. On Rx.
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.
3 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is still seen a well marginated, approximately 7.0 mms diameter sized hyperintense lesion with a hypointense rim on the proton and T2 Weighted images in the subcortical white matter in the right posterior parietal region. This lesion is of intermediate signal on the T1 Weighted images. There is minimal perilesional edema. No definite scolex can be identified on this study.
The calcified lesion seen in the left high parietal region on CT Scan is not well-identified on this MRI study.
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 7.0 mms diameter sized lesion in the subcortical white matter in the right posterior parietal region as described follows the signal characteristics of a cysticercus in the colloid-vesicular stage.
As compared to the previous MRI dated 00.00.00 (study no.00002), there is significant decrease in the perilesional edema. However, there is no significant change in the size of the lesion.
Date : 00.00.00
Name of the Patient : Abc XyzKhlmn / M / 47 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O cysticercus detected on 00.00.00. On Rx.
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.
3 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is still seen a well marginated, approximately 7.0 mms diameter sized hyperintense lesion with a hypointense rim on the proton and T2 Weighted images in the subcortical white matter in the right posterior parietal region. This lesion is of intermediate signal on the T1 Weighted images. There is minimal perilesional edema. No definite scolex can be identified on this study.
The calcified lesion seen in the left high parietal region on CT Scan is not well-identified on this MRI study.
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 7.0 mms diameter sized lesion in the subcortical white matter in the right posterior parietal region as described follows the signal characteristics of a cysticercus in the colloid-vesicular stage.
As compared to the previous MRI dated 00.00.00 (study no.00002), there is significant decrease in the perilesional edema. However, there is no significant change in the size of the lesion.
Published in
MRI Reports
hs/sb/nl/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzu Rlmn / M / 16 yrs.
Referred by : Dr. Abc XyzSampat.
Examination : M.R.I. of the Right Tibia.
CLINICAL PROFILE :
H/O boils on the right shin with (occasional) pain since 3 years.
H/O tuberculosis 4 years ago.
EXAMINATION :
M.R.I. of the right tibia was performed using the following parameters :
7 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick T1 Weighted and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted and STIR sagittal images.
OBSERVATION :
There is evidence of areas of altered signal intensity within the diaphysis of the right tibia. This is seen to extend over a distance of approximately 13.0 cms and its inferior aspect is located at a distance of approximately 14-15.0 cms from the right ankle joint.
The superior aspect of this lesion shows diffuse irregularly defined areas of hypointensity on the T1 Weighted images. Few of these remain hypointense on the T2 Weighted and STIR images (areas of sclerosis) whereas a few turn hyperintense. There is slight irregularity of the endosteum at this level. Also seen is periosteal reaction at this level. The
inferior aspect of this lesion is well-defined and is hypointense on the T1 Weighted images and turns markedly hyperintense on the T2 Weighted and STIR images and may represent a cystic component (The possibility of the cystic lesion being a simple bone cyst cannot be ruled out).
There appears to be a break in the skin surface, medial to the left tibia at the level of the tibial tubercle.
The visualized fibula shows normal signal intensity.
The visualized right knee and ankle joints are unremarkable.
The muscles around the right tibia are also unremarkable.
IMPRESSION :
The MRI features are suggestive of a lesion within the diaphysis of the right tibia as described.
The differential diagnosis would include :
1. Osteomyelitis.
2. Neoplastic processes like an Ewings sarcoma.
Date : 00.00.00
Name of the Patient : Abc Xyzu Rlmn / M / 16 yrs.
Referred by : Dr. Abc XyzSampat.
Examination : M.R.I. of the Right Tibia.
CLINICAL PROFILE :
H/O boils on the right shin with (occasional) pain since 3 years.
H/O tuberculosis 4 years ago.
EXAMINATION :
M.R.I. of the right tibia was performed using the following parameters :
7 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick T1 Weighted and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted and STIR sagittal images.
OBSERVATION :
There is evidence of areas of altered signal intensity within the diaphysis of the right tibia. This is seen to extend over a distance of approximately 13.0 cms and its inferior aspect is located at a distance of approximately 14-15.0 cms from the right ankle joint.
The superior aspect of this lesion shows diffuse irregularly defined areas of hypointensity on the T1 Weighted images. Few of these remain hypointense on the T2 Weighted and STIR images (areas of sclerosis) whereas a few turn hyperintense. There is slight irregularity of the endosteum at this level. Also seen is periosteal reaction at this level. The
inferior aspect of this lesion is well-defined and is hypointense on the T1 Weighted images and turns markedly hyperintense on the T2 Weighted and STIR images and may represent a cystic component (The possibility of the cystic lesion being a simple bone cyst cannot be ruled out).
There appears to be a break in the skin surface, medial to the left tibia at the level of the tibial tubercle.
The visualized fibula shows normal signal intensity.
The visualized right knee and ankle joints are unremarkable.
The muscles around the right tibia are also unremarkable.
IMPRESSION :
The MRI features are suggestive of a lesion within the diaphysis of the right tibia as described.
The differential diagnosis would include :
1. Osteomyelitis.
2. Neoplastic processes like an Ewings sarcoma.
Published in
MRI Reports
hs/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 55 yrs.
Referred by : Dr. Abc Xyz Mehta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O right sided hemiparesis with vomiting.
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.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is a large, intermediate signal intensity lesion with a hyperintense rim on the T1 Weighted images having its epicentre in the left lentiform nucleus and measuring approximately 2.8 x 6.0 x 3.0 cms. This lesion has a hypointense centre with a
hyperintense rim on the proton, T2 Weighted and Gradient images. The periphery of the lesion blooms on the Gradient Echo images.
There is slight extension anteriorly into the left frontal lobe and also into the left temporal lobe. There is perilesionl edema with mass effect with compression upon the body of the left lateral and the third ventricles.
Altered blood is also noted within the left lateral and fourth ventricles.
The right lateral ventricle is normal. There is mild bulge of the midline structures to the right. No obvious vascular anomaly is identified on this study.
Incidental note is made of left maxillary polyp.
IMPRESSION :
The MRI features are suggestive of a subacute hematoma measuring approximately 2.8 x 6.0 x 3.0 cms. in the left lentiform nucleus
with extension into the ventricular system as described.
As compared to the previous MRI dated 00.00.00 (scan no. 00002), the hematoma is now subacute, without significant change in its size. There is however, no hydrocephalus.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 55 yrs.
Referred by : Dr. Abc Xyz Mehta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O right sided hemiparesis with vomiting.
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.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is a large, intermediate signal intensity lesion with a hyperintense rim on the T1 Weighted images having its epicentre in the left lentiform nucleus and measuring approximately 2.8 x 6.0 x 3.0 cms. This lesion has a hypointense centre with a
hyperintense rim on the proton, T2 Weighted and Gradient images. The periphery of the lesion blooms on the Gradient Echo images.
There is slight extension anteriorly into the left frontal lobe and also into the left temporal lobe. There is perilesionl edema with mass effect with compression upon the body of the left lateral and the third ventricles.
Altered blood is also noted within the left lateral and fourth ventricles.
The right lateral ventricle is normal. There is mild bulge of the midline structures to the right. No obvious vascular anomaly is identified on this study.
Incidental note is made of left maxillary polyp.
IMPRESSION :
The MRI features are suggestive of a subacute hematoma measuring approximately 2.8 x 6.0 x 3.0 cms. in the left lentiform nucleus
with extension into the ventricular system as described.
As compared to the previous MRI dated 00.00.00 (scan no. 00002), the hematoma is now subacute, without significant change in its size. There is however, no hydrocephalus.
Published in
MRI Reports
hs/bv/nl/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz.Salim Hasimlmn / M / 16 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O occasional backache with pain radiating to BLE.
H/O fever and cough since 3-4 months.
H/O fall 1 1/2 years ago.
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 collapse of the D11 vertebral body with a kyphus at that level. The D10 and D11 vertebral bodies and pedicles show areas of hypointensity on the T1 Weighted images and which turn hyperintense on the T2 Weighted images. There is erosion of the superior cortical endplate of the D11 vertebra with involvement of the D10-D11 intervertebral disc.
The D11 vertebral body is seen to bulge posteriorly. There is extension of the pathologic process over the D9-D10 to the D11-D12 levels with resultant cord compression. The cord over these levels shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia/myelitis. Also seen is extension into the pre and paravertebral soft tissues over the D10 to D12 vertebral levels. There is encroachment into the D11-D12 neural foramina bilaterally.
The rest of the visualized dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
Small retrocrural lymphnodes are visualized.
The conus medullaris terminates at the L1 level.
IMPRESSION :
The MRI features are suggestive of a pathologic process involving the D10 and D11 vertebrae and D10-D11 intervertebral disc with cord edema/ischemia/myelitis as described.
The possibility of a neoplastic process like a small cell tumor though less likely should be considered as a differential diagnosis.
Date : 00.00.00
Name of the Patient : Abc Xyz.Salim Hasimlmn / M / 16 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O occasional backache with pain radiating to BLE.
H/O fever and cough since 3-4 months.
H/O fall 1 1/2 years ago.
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 collapse of the D11 vertebral body with a kyphus at that level. The D10 and D11 vertebral bodies and pedicles show areas of hypointensity on the T1 Weighted images and which turn hyperintense on the T2 Weighted images. There is erosion of the superior cortical endplate of the D11 vertebra with involvement of the D10-D11 intervertebral disc.
The D11 vertebral body is seen to bulge posteriorly. There is extension of the pathologic process over the D9-D10 to the D11-D12 levels with resultant cord compression. The cord over these levels shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia/myelitis. Also seen is extension into the pre and paravertebral soft tissues over the D10 to D12 vertebral levels. There is encroachment into the D11-D12 neural foramina bilaterally.
The rest of the visualized dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
Small retrocrural lymphnodes are visualized.
The conus medullaris terminates at the L1 level.
IMPRESSION :
The MRI features are suggestive of a pathologic process involving the D10 and D11 vertebrae and D10-D11 intervertebral disc with cord edema/ischemia/myelitis as described.
The possibility of a neoplastic process like a small cell tumor though less likely should be considered as a differential diagnosis.
Published in
MRI Reports
hs/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz K. lmn / M / 41 yrs.
Referred by : Dr. Abc Xyzrdiwalla.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O sudden onset of giddiness with gait ataxia to the right and pain in the nape of neck since 00.00.00.
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 are multiple areas of hyperintensity on the T2 Weighted images within the centre and right postero-lateral aspect of the medulla on the T2 Weighted images. These are most likely ischemic in etiology.
There is mild prominence of the cerebral cortical 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.
A short segment of the right vertebral artery is seen from its origin. The rest of the right vertebral artery does not show normal flow signal (streaky flow is seen at a few levels). A dissection of this artery should be considered.
The right posterior communicating artery is seen to be prominent.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
The cervical spine was screened with 4 mm thick T1 Weighted sagittal images and does not reveal any significant feature of note.
IMPRESSION :
1. Areas of altered signal within the centre and right postero-lateral aspect of the medulla are ischemic in etiology.
2. A short segment of the right vertebral artery is seen from its origin with the rest of the right vertebral artery not showing normal flow signal (streaky flow at a few levels). A dissection of this artery should be considered.
Date : 00.00.00
Name of the Patient : Abc Xyz K. lmn / M / 41 yrs.
Referred by : Dr. Abc Xyzrdiwalla.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O sudden onset of giddiness with gait ataxia to the right and pain in the nape of neck since 00.00.00.
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 are multiple areas of hyperintensity on the T2 Weighted images within the centre and right postero-lateral aspect of the medulla on the T2 Weighted images. These are most likely ischemic in etiology.
There is mild prominence of the cerebral cortical 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.
A short segment of the right vertebral artery is seen from its origin. The rest of the right vertebral artery does not show normal flow signal (streaky flow is seen at a few levels). A dissection of this artery should be considered.
The right posterior communicating artery is seen to be prominent.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
The cervical spine was screened with 4 mm thick T1 Weighted sagittal images and does not reveal any significant feature of note.
IMPRESSION :
1. Areas of altered signal within the centre and right postero-lateral aspect of the medulla are ischemic in etiology.
2. A short segment of the right vertebral artery is seen from its origin with the rest of the right vertebral artery not showing normal flow signal (streaky flow at a few levels). A dissection of this artery should be considered.
Published in
MRI Reports
ke/sb/nl/rg.
s Date : 00.00.00
Name of the Patient : Abc Xyzet Bhalmn / M / 3 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O optic atrophy with delayed milestones.
EXAMINATION :
M.R.I of the brain and sella was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is cerebellar tonsillar herniation through the foramen magnum.
There is mild to moderate dilatation of the third and both the lateral ventricles. There is marked dilatation of the chiasmatic and infundibular recesses of the third ventricle with resultant expansion of the proximal pituitary stalk. The pituitary gland is seen to be decreased in height (height of 1.0 mm). There is effacement of the cerebral cortical sulcal spaces
The fourth ventricle is normal. No obvious vascular anomaly is identified on this study.
scan-00005
IMPRESSION :
1. Cerebellar tonsillar herniation through the foramen magnum suggests a Chiari malformation.
2. Mild to moderate dilatation of third and both the lateral ventricles with marked dilatation of the chiasmatic and
infundibular recesses of the third ventricle.
3. Decreased height of the pituitary gland.
s Date : 00.00.00
Name of the Patient : Abc Xyzet Bhalmn / M / 3 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O optic atrophy with delayed milestones.
EXAMINATION :
M.R.I of the brain and sella was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is cerebellar tonsillar herniation through the foramen magnum.
There is mild to moderate dilatation of the third and both the lateral ventricles. There is marked dilatation of the chiasmatic and infundibular recesses of the third ventricle with resultant expansion of the proximal pituitary stalk. The pituitary gland is seen to be decreased in height (height of 1.0 mm). There is effacement of the cerebral cortical sulcal spaces
The fourth ventricle is normal. No obvious vascular anomaly is identified on this study.
scan-00005
IMPRESSION :
1. Cerebellar tonsillar herniation through the foramen magnum suggests a Chiari malformation.
2. Mild to moderate dilatation of third and both the lateral ventricles with marked dilatation of the chiasmatic and
infundibular recesses of the third ventricle.
3. Decreased height of the pituitary gland.
Published in
MRI Reports
hs/bv/nl.
Date : 00.00.00
Name of the Patient : Abc Xyz Anlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzgaonkar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O paresthesias in BLE with retention of urine since 5-6 days.
H/O fever +.
Previous MRI of spine s/o myelitis/demyelination at D1 to D11-D12 and at the L1, C6 and C2 to C4 levels.
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 sagittal images.
3 mm thick STIR coronal images through the optic nerves.
OBSERVATION :
There are areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the right middle cerebellar peduncle and at the ponto-mesencephalic junction, more to the right of the midline. These are hypointense to white matter on the T1 Weighted images (scans 103.5 - 103.7, 106.13 - 106.15, 102.5 - 102.7).
There is mild fullness of both the lateral ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
There is a suggestion of slow flow within the sigmoid and transverse sinuses on the left side.
The visualized optic nerves bilaterally show normal signal intensity on this STIR images.
The 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 :
The MRI features are suggestive of altered signal within the right middle cerebellar peduncle and at the ponto-mesencephalic junction, more to the right of the midline and is not specific for a single diagnosis.
The possibilities of these being plaques of demyelination should be considered strongly (especially in view of the cord signal study no:00009 dated 00.00.00).
Date : 00.00.00
Name of the Patient : Abc Xyz Anlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzgaonkar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O paresthesias in BLE with retention of urine since 5-6 days.
H/O fever +.
Previous MRI of spine s/o myelitis/demyelination at D1 to D11-D12 and at the L1, C6 and C2 to C4 levels.
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 sagittal images.
3 mm thick STIR coronal images through the optic nerves.
OBSERVATION :
There are areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the right middle cerebellar peduncle and at the ponto-mesencephalic junction, more to the right of the midline. These are hypointense to white matter on the T1 Weighted images (scans 103.5 - 103.7, 106.13 - 106.15, 102.5 - 102.7).
There is mild fullness of both the lateral ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
There is a suggestion of slow flow within the sigmoid and transverse sinuses on the left side.
The visualized optic nerves bilaterally show normal signal intensity on this STIR images.
The 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 :
The MRI features are suggestive of altered signal within the right middle cerebellar peduncle and at the ponto-mesencephalic junction, more to the right of the midline and is not specific for a single diagnosis.
The possibilities of these being plaques of demyelination should be considered strongly (especially in view of the cord signal study no:00009 dated 00.00.00).
Published in
MRI Reports
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzhan Poolmn / M / 49 yrs.
Referred by : Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Left Forearm.
CLINICAL PROFILE :
C/O pain and swelling over the left forearm since 1 year.
EXAMINATION :
M.R.I. of the left forearm was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
4 mm thick T1 Weighted and STIR coronal images.
4 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is evidence of a fairly well-defined mass lesion measuring approximately 4.8 x 5.5 x 8.0 cms arising from the proximal aspect of the left radius and expanding it. The head and neck of the left radius are destroyed and this lesion is seen to have a sharp cut off with the normal marrow distally approximately 8.5 cms from the elbow joint.
This lesion is hyperintense to muscle but hypointense to fat on the T1 Weighted images and hyperintense to both on the T2 Weighted and STIR images. Also seen are areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images within this lesion and would represent cystic/necrotic changes.
This lesion is seen to involve the proximal radioulnar joint and reaches upto the elbow joint. Fluid is noted within the left elbow joint. This lesion is seen to displace the adjacent muscles. However, there is no involvement of the muscles per se. There is no obvious encasement of the vessels around this lesion, although the vessels are displaced by the lesion.
IMPRESSION :
The MRI features are suggestive of a fairly well-defined mass lesion measuring approximately 4.8 x 5.5 x 8.0 cms arising from the proximal aspect of the left radius with extensions as described. This most likely represents a neoplastic process. A giant cell tumor should be considered as a likely possibility.
Date : 00.00.00
Name of the Patient : Abc Xyzhan Poolmn / M / 49 yrs.
Referred by : Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Left Forearm.
CLINICAL PROFILE :
C/O pain and swelling over the left forearm since 1 year.
EXAMINATION :
M.R.I. of the left forearm was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
4 mm thick T1 Weighted and STIR coronal images.
4 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is evidence of a fairly well-defined mass lesion measuring approximately 4.8 x 5.5 x 8.0 cms arising from the proximal aspect of the left radius and expanding it. The head and neck of the left radius are destroyed and this lesion is seen to have a sharp cut off with the normal marrow distally approximately 8.5 cms from the elbow joint.
This lesion is hyperintense to muscle but hypointense to fat on the T1 Weighted images and hyperintense to both on the T2 Weighted and STIR images. Also seen are areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images within this lesion and would represent cystic/necrotic changes.
This lesion is seen to involve the proximal radioulnar joint and reaches upto the elbow joint. Fluid is noted within the left elbow joint. This lesion is seen to displace the adjacent muscles. However, there is no involvement of the muscles per se. There is no obvious encasement of the vessels around this lesion, although the vessels are displaced by the lesion.
IMPRESSION :
The MRI features are suggestive of a fairly well-defined mass lesion measuring approximately 4.8 x 5.5 x 8.0 cms arising from the proximal aspect of the left radius with extensions as described. This most likely represents a neoplastic process. A giant cell tumor should be considered as a likely possibility.
Published in
MRI Reports
hs/bv/nl/nl
/66 Date : 00.00.00
Name of the Patient : Abc Xyzkumar Prajalmn / M / 12 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O difficulty in walking and stiffness of whole body since 8 months.
H/O high grade fever, headaches and blurring of vision 8 months back.
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.
3 mm thick STIR coronal images.
5 mm thick T1 Weighted sagittal 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.
Inflammatory changes are noted in the sphenoid sinus.
IMPRESSION :
Normal study of the Brain.
/66 Date : 00.00.00
Name of the Patient : Abc Xyzkumar Prajalmn / M / 12 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O difficulty in walking and stiffness of whole body since 8 months.
H/O high grade fever, headaches and blurring of vision 8 months back.
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.
3 mm thick STIR coronal images.
5 mm thick T1 Weighted sagittal 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.
Inflammatory changes are noted in the sphenoid sinus.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
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hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Klmn / M / 35 yrs.
Referred by : Dr. Abc XyzV. Shah.
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 :
A postero-central disc herniation, more to the left of the midline is seen to indent the thecal sac and the traversing left S1 nerve root at the L5-S1 level. This intervertebral disc shows loss of water content.
A mild posterior disc bulge is noted 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 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 :
22.0 mm at L1-L2
20.0 mm at L2-L3
14.0 mm at L3-L4
15.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of a postero-central disc herniation, more to the left of the midline at the L5-S1 level.
As compared to the previous MRI (study no:0000) dated 00.00.00, there is a slight increase in the size of the disc herniation at the L5-S1 level.
Date : 00.00.00
Name of the Patient : Abc Xyz Klmn / M / 35 yrs.
Referred by : Dr. Abc XyzV. Shah.
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 :
A postero-central disc herniation, more to the left of the midline is seen to indent the thecal sac and the traversing left S1 nerve root at the L5-S1 level. This intervertebral disc shows loss of water content.
A mild posterior disc bulge is noted 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 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 :
22.0 mm at L1-L2
20.0 mm at L2-L3
14.0 mm at L3-L4
15.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of a postero-central disc herniation, more to the left of the midline at the L5-S1 level.
As compared to the previous MRI (study no:0000) dated 00.00.00, there is a slight increase in the size of the disc herniation at the L5-S1 level.
Published in
MRI Reports
Tagged under
hs/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyztala Ylmn / F / 40 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weakness of BUE and BLE since 4-5 months with paresthesias.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
7 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images.
OBSERVATION :
The spinal cord from the cervico-medullary junction to the D7 vertebral level is expanded. The cord over these levels has a variegated appearance. On the T1 Weighted images this lesion shows areas of hypointensity which turn hyperintense on the T2 Weighted images and may represent cystic changes. Also seen are areas which are iso to hypointense to normal cord on all the pulse sequences and may represent a solid component. Areas of marked hypointensity on the T2 Weighted and Fast Scan (T2 *) images within this lesion are seen at the D3 vertebral level and it may represent hemosiderin/deposition of paramagnetic substances.
Mild posterior disc bulges are seen at the C5-C6 and C6-C7 levels.
An area of hyperintensity on the T2 Weighted images is seen within the posterior aspect of the D11 vertebral body and this may represent a hemangioma.
The cervical vertebral bodies and the intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region is unremarkable.
IMPRESSION :
The MRI features are suggestive of an intramedullary mass lesion within the spinal cord from the cervico-medullary junction to the D7 vertebral level and this most likely represents a neoplastic process like an astrocytoma or an ependymoma.
A contrast enhanced scan may be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyztala Ylmn / F / 40 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weakness of BUE and BLE since 4-5 months with paresthesias.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
7 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images.
OBSERVATION :
The spinal cord from the cervico-medullary junction to the D7 vertebral level is expanded. The cord over these levels has a variegated appearance. On the T1 Weighted images this lesion shows areas of hypointensity which turn hyperintense on the T2 Weighted images and may represent cystic changes. Also seen are areas which are iso to hypointense to normal cord on all the pulse sequences and may represent a solid component. Areas of marked hypointensity on the T2 Weighted and Fast Scan (T2 *) images within this lesion are seen at the D3 vertebral level and it may represent hemosiderin/deposition of paramagnetic substances.
Mild posterior disc bulges are seen at the C5-C6 and C6-C7 levels.
An area of hyperintensity on the T2 Weighted images is seen within the posterior aspect of the D11 vertebral body and this may represent a hemangioma.
The cervical vertebral bodies and the intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region is unremarkable.
IMPRESSION :
The MRI features are suggestive of an intramedullary mass lesion within the spinal cord from the cervico-medullary junction to the D7 vertebral level and this most likely represents a neoplastic process like an astrocytoma or an ependymoma.
A contrast enhanced scan may be worthwhile.
Published in
MRI Reports
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzal Upadlmn / M / 84 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O drowsiness since 1 1/2 months.
C/O generalized weakness with stiffness of body.
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 coronal images.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and in the left centrum semiovale. These lesions appear hypointense to normal white matter on the T1 Weighted images.
There is mild fullness of both the lateral, third and fourth ventricles. 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.
IMPRESSION :
1. Altered signal in the posterior parietal periventricular white matter bilaterally and in the left centrum semiovale most likely represent ischemic changes.
2. Mild cerebral cortical and cerebellar atrophy with mild ventricular fullness.
As compared to the previous MRI (study no:00003) dated 00.00.00, there is no significant change noted.
Date : 00.00.00
Name of the Patient : Abc Xyzal Upadlmn / M / 84 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O drowsiness since 1 1/2 months.
C/O generalized weakness with stiffness of body.
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 coronal images.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and in the left centrum semiovale. These lesions appear hypointense to normal white matter on the T1 Weighted images.
There is mild fullness of both the lateral, third and fourth ventricles. 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.
IMPRESSION :
1. Altered signal in the posterior parietal periventricular white matter bilaterally and in the left centrum semiovale most likely represent ischemic changes.
2. Mild cerebral cortical and cerebellar atrophy with mild ventricular fullness.
As compared to the previous MRI (study no:00003) dated 00.00.00, there is no significant change noted.
Published in
MRI Reports
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzhanlmn / F / 26 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 15-20 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 appears to be sacralization of the L5 vertebra and it is as marked on the film.
There is mild retroplacement of the L4 vertebra over the L5 vertebra. The L3-L4 and L4-L5 intervertebral discs show loss of water content.
Small postero-central disc herniations are seen to indent the thecal sac at the L3-L4 and L4-L5 levels.
The L4-L5 facet joints show hypertrophic degenerative changes. Ligamentum flavum hypertrophy is seen at the L4-L5 and L5 levels.
- 2 - Scan-00007
The L1-L2, L2-L3 and L3-L4 facet joints show degenerative changes.
Fat is noted within the filum terminale over the L2 to L4 vertebral levels.
The lumbar vertebral bodies and the rest of the intervertebral discs reveal normal signal intensity. 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 :
12.0 mm at L1-L2
11.0 mm at L2-L3
10.0 mm at L3-L4
8.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. Probable sacralization of the L5 vertebra.
2. Small postero-central disc herniations at the L3-L4 and L4-L5 levels.
3. Hypertrophic facetal arthropathy at the L4-L5 level with ligamentum flavum hypertrophy at the L4-L5 and L5 levels with tight canal at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyzhanlmn / F / 26 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 15-20 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 appears to be sacralization of the L5 vertebra and it is as marked on the film.
There is mild retroplacement of the L4 vertebra over the L5 vertebra. The L3-L4 and L4-L5 intervertebral discs show loss of water content.
Small postero-central disc herniations are seen to indent the thecal sac at the L3-L4 and L4-L5 levels.
The L4-L5 facet joints show hypertrophic degenerative changes. Ligamentum flavum hypertrophy is seen at the L4-L5 and L5 levels.
- 2 - Scan-00007
The L1-L2, L2-L3 and L3-L4 facet joints show degenerative changes.
Fat is noted within the filum terminale over the L2 to L4 vertebral levels.
The lumbar vertebral bodies and the rest of the intervertebral discs reveal normal signal intensity. 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 :
12.0 mm at L1-L2
11.0 mm at L2-L3
10.0 mm at L3-L4
8.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. Probable sacralization of the L5 vertebra.
2. Small postero-central disc herniations at the L3-L4 and L4-L5 levels.
3. Hypertrophic facetal arthropathy at the L4-L5 level with ligamentum flavum hypertrophy at the L4-L5 and L5 levels with tight canal at the L4-L5 level.
Published in
MRI Reports