MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13156

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

Name of the Patient : Abc Xyzi N. lmn / F / 66 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O weakness of the LUE with tendency to fall towards one side.
Known diabetic/hypertensive.
H/O trauma.
2 episodes of CVA earlier, recovered.

EXAMINATION :

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

INTRACRANIAL MRA :

There is narrowing of the mid-portion of the M1 segment of the left middle cerebral artery.

The left vertebral artery is hypoplastic.

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, right vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

NECK MRA :

There is tortuousity of the neck vessels.

The left vertebral artery in the neck is also hypoplastic.

- 2 - scan-00006


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

IMPRESSION :

The MRA features are suggestive of narrowing of the mid portion of the M1 segment of the left middle cerebral artery.


Sunday, 27 December 2015 16:48

13155

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

Name of the Patient : Abc Xyzra Mahlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Left Thigh.

CLINICAL PROFILE :

C/O pain in the left thigh since 1 year.

EXAMINATION :

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

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

6 mm thick STIR and T1 Weighted coronal images.

6 mm thick T1 Weighted and GRASS sagittal images.

OBSERVATION :

There is evidence of an irregularly defined mass lesion within the left vastus medialis muscle in the middle third of the left thigh extending over a distance of approximately 10.0 cms. The inferior aspect of this lesion is located at the distance of approximately 12 - 13 cms from the left knee joint.

This lesion is predominantly hyperintense on all the pulse sequences. A few serpingeneous signal voids suggestive of vessels are seen within this lesion. A few punctate hypointensities on the GRASS images within this lesion may represent paramagnetic substances/calcium/fibrous tissue.





The visualized portion of the left femur shows normal signal intensity. There is no obvious bony destruction or erosion.

The fat planes around the muscles are unremarkable.

IMPRESSION :

The MRI features are suggestive of a mass lesion within the left vastus medialis muscle in the middle third of the left thigh extending over a distance of approximately 10.0 cms. as described. This most likely represents a neoplasm like a hemangioma. The possibility of this being another neoplasm like a soft tissue sarcoma cannot be excluded.


Sunday, 27 December 2015 16:48

13154

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

Name of the Patient : Abc Xyzka lmn / F / 17 yrs.
Referred by : Dr. Abc Xyzesai.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

C/O pain in the right knee since 1 year.

EXAMINATION :

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

4 mm thick GRASS axial images.

4 mm thick T1 Weighted and STIR coronal images.

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

OBSERVATION :

Menisci

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

Cruciate Ligaments :

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

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 :

A well circumscribed hypointensity on all the pulse sequences is noted within the lateral femoral condyle in the subchondral region. It may represent an area of sclerosis (scans 104.12, 102.7, 103.7).

A small effusion is noted within the right knee joint.

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

IMPRESSION :

The MRI features are suggestive of :

1. A small effusion within the right knee joint.

2. A well circumscribed area of altered signal intensity within the lateral femoral condyle in the subchondral region may represent an area of sclerosis.


Sunday, 27 December 2015 16:48

13153

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

Name of the Patient : Abc Xyz Mlmn / M / 71 yrs.
Referred by : Dr. Abc Xyzhru / Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 1 week.

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 mild forward listhesis of the L4 vertebra over the L5 vertebra.

Posterior disc herniations are seen to indent the thecal sac and narrow both neural foramina at the L4-L5 and L5-S1 levels. Bilateral far lateral (extraforaminal) disc herniations are seen to indent the extraforaminal portion of the exiting L4 and L5 nerve roots at the L4-L5 and L5-S1 levels, respectively. Small posterior peridiscal osteophytes are seen at the L4-L5 level.

A small posterior disc herniation is seen to indent the thecal sac and cause slight left neural foraminal narrowing at the L3-L4 level.

The L4-L5 facet joints show degenerative changes.






There are bilateral far lateral extraforaminal disc bulges at the L2-L3 and L3-L4 levels and on the right side at the L1-L2 level.

Anterior disc herniations are noted in the lumbar region.

The lumbar intervertebral discs show 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 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 :

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

IMPRESSION :

1. Posterior disc herniations with bilateral far lateral (extraforaminal) disc herniations indenting the extraforaminal portion of the exiting L4 and L5 nerve roots at the L4-L5 and L5-S1 levels, respectively.

2. Facetal arthropathy at the L4-L5 level.

3. Canal stenosis at the L4-L5 and L5-S1 levels.

4. A small posterior disc herniation at the L2-L3 level.

Sunday, 27 December 2015 16:48

13152

Written by
hs/bv/nl/rg.
/183 Date : 15/00.00.00

Name of the Patient : Abc Xyz lmn / M / 44 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O pain in the LUE and LLE with wasting and paresthesias in the LUE and LLE since 2 1/2 months.
Chronic smoker/alcoholic.

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

Dilated perivascular spaces are seen in the centrum semiovale bilaterally.

There is prominence of the cerebellar folia bilaterally. There is mild fullness of the fourth ventricle.

Both the lateral and third 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.

Incidental note is made of pansinusitis.

IMPRESSION :

The MRI features are suggestive of mild cerebellar atrophy.


Sunday, 27 December 2015 16:48

13151

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

Name of the Patient : Abc Xyzlmn / M / 13 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O fall with injury to the head on the left side 6 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.

FEW 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 seen within the maxillary sinuses, ethmoidal air cells and sphenoid sinus. Note is also made of enlarged adenoids.

IMPRESSION :

No abnormality detected within the brain on this study.

Sunday, 27 December 2015 16:48

13150

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

Name of the Patient : Abc Xyzed Nalmn / M / 24 yrs.
Referred by : Dr. Abc Xyzed Hashim
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

Alleged H/O fall 2 years back with inability to walk since then.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is anterior and left lateral wedging of the L1 vertebral body with a resultant kyphus at this level. A few areas of fatty replacement are noted in this vertebral body. Also seen are linear hypointensities on all the pulse sequences within this vertebral body and would represent compressed trabeculae. There is a break of the superior cortical endplate of this vertebra. There are also fractures of the laminae of the L1 vertebra.

There is an area which is iso to hypointense on all the pulse sequences within the cord at the D12-L1 and L1 levels and this would represent cystic changes.

A hypointense area is seen within the D12-L1 intervertebral disc on all the pulse sequences suggestive of calcium/vacuum phenomenon.

Posterior disc bulges with peridiscal osteophytes are seen to indent the thecal sac at the D12-L1 and L1-L2 levels. These intervertebral discs show loss of water content. Anterior disc bulge with anterior peridiscal osteophytes is noted at the D12-L1 level.
..2/.







The rest of the visualized dorso-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 L2 level.

IMPRESSION :

In a known C/O trauma, the MRI features are suggestive of :

1. Compression fracture of the L1 vertebral body.

2. Areas of altered signal within the cord at the D12-L1 and L1 levels would represent myelomalacia.


Sunday, 27 December 2015 16:48

13149

Written by
ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzi N. lmn / F / 66 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O weakness of the LUE with tendency to fall towards one side.
Known diabetic/hyperintensive. On Rx.
H/O trauma +.
2 episodes of CVA earlier, recovered.

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 an ill-defined, hypointense area in the left temporo-parietal regions which is seen to follow CSF signal characteristics on all the pulse sequences. Hyperintense areas are seen at the periphery of this lesion on the proton, T2 Weighted and FLAIR images which would represent areas of gliosis. There is dilatation of the atrium and the occipital horn of the left lateral ventricle and this lesion would represent an area of cystic encephalomalacia. Few curvilinear hyperintense areas are seen within this lesion on the T1 Weighted images and turn hypointense on the T2 Weighted images and represent paramagnetic substance deposition.

A small hyperintense speck is seen in the right lateral aspect of the medulla, better appreciated on the FLAIR images (se/im 105/9). This is isointense to the white matter on the T1 Weighted images and would represent an area of infarction.


There is slight fullness of both the lateral ventricles. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilary system is ectatic.

Incidental note is made of left maxillary polyp.

IMPRESSION :

The MRI features are suggestive of :

1. An area of cystic encephalomalacia in the left temporo-parietal regions as described.

2. A right lateral medullary infarct.
Sunday, 27 December 2015 16:48

13148

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

Name of the Patient : Abc Xyzn Ylmn / M / 60 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O weakness of the LUE with slurred speech and giddiness since 1 day.
H/O angioplasty done 8 years ago.

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 slight thickening of the gyri in the right temporo-parietal region and the posterior aspect of the insular cortex. These are hypointense to the gray matter on the T1 Weighted images and are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images (scans 103.8-14, 105.2-9, 102.8-14).

There is no evidence of haemorrhage.

A hypointense area is seen in the right thalamus on the T1 Weighted images which turns hyperintense on the proton and T2 Weighted images and represents a lacunar infarct.

There is mild to moderate dilatation of both the lateral ventricles with fullness of the third ventricle. 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.

Incidental note is made of inflammatory changes in the ethmoidal air cells and the frontal sinus.

IMPRESSION :

1. Recent infarct in the right temporo-parietal region and the posterior aspect of the insular cortex.

2. A lacunar infarct in the right thalamus.

Sunday, 27 December 2015 16:48

13147

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

Name of the Patient : Abc Xyzen lmn / F / 68 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

Known C/O depressive psychosis and Parkinsons and was on Rx.
C/O stiffness of joints, difficulty in passing urine and tremors in BUE with decreased sensation in the left leg.

EXAMINATION :

M.R.I of the dorso-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.

OBSERVATION :

There is CSF signal intensity extra-axial lesion at the D12-L1 level extending through the right neural foramen and would represnt a meningeal cyst.

There is anterior wedging of the L2 vertebral body.

Posterior disc bulges with peridiscal osteophytes are seen to indent the thecal sac at the L1-L2 and L2-L3 levels. An anterior disc herniation with peridiscal osteophytes is seen at the L1-L2 level.

The visualized dorso-lumbar intervertebral discs show loss of water content.

The visualized dorso-lumbar vertebral bodies show fatty changes suggestive of osteoporosis.
Scan-00007


The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The dorsal spinal cord at the D7 and D8 vertebral levels shows a hyperintense signal on the T2 Weighted images. This is isointense to normal cord on the T1 Weighted images.

The conus medullaris terminates at the D12-L1 level.

The lumbo-sacral spine was screened with 4 mm thick T1 Weighted sagittal images and 5 mm thick T1 Weighted axial images and which shows anterior wedging of the L2 vertebral body. The visualized lumbar vertebral bodies show fatty changes.

IMPRESSION :

The MRI features are suggestive of :

1. Fatty changes of the dorso-lumbar vertebral bodies suggestive of osteoporosis with anterior wedging of the L2 vertebral body.

2. A meningeal cyst at the D12-L1 level extending through the right neural foramen.

3. Suspicious signal alteration within the cord at the D7 and D8 vertebral levels (? myelitis, ? demyelination, ? ischemia).