MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13142

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

Name of the Patient : Abc Xyznath Chaudlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left hemiparesis since 1 year.

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 a hypointense area in the left lentiform nucleus extending into the left corona radiata on the T1 Weighted images. This is seen to turn hyperintense on the proton and T2 Weighted images. Perilesional hyperintensity is noted on the proton, T2 Weighted and FLAIR images which would represent gliosis. There is dilatation of the body of the left lateral ventricle and this lesion would represent an area of cystic encephalomalacia.

Lacunar infarcts (hypointense on the T1 Weighted images and hyperintense on the proton and T2 Weighted images) are noted in the midbrain on the right side, the right lentiform nucleus, right corona radiata and right centrum semiovale.

Hyperintense areas are seen in the frontal and periatrial deep white matter on the proton, T2 Weighted and FLAIR images. These are isointense to the white matter on the FLAIR images and are suggestive of areas of ischemia/infarction. Similar areas are also noted in the right thalamus.
scan-00002


There is slight fullness of both the lateral ventricles with ex-vacuo dilatation of the body of the left lateral ventricle. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

The cervical spine was screened with 4 mm thick T2 Weighted sagittal images which show small posterior disc herniations at the C4-C5 and C5-C6 levels with posterior peridiscal osteophytes.

IMPRESSION :

The MRI features are suggestive of :

1. An area of cystic encephalomalcia in the left lentiform nucleus extending into the left corona radiata.

2. Lacunar infarcts in the midbrain on the right side, right lentiform nucleus, right corona radiata and right centrum semiovale.

3. Altered signal in the frontal and periatrial deep white matter and in the right thalamus would represent areas of ischemia/infarction.

Sunday, 27 December 2015 16:48

13141

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

Name of the Patient : Abc Xyzik Kanlmn / M / 4 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures in September 0000 (1 episode). H/O high grade fever prior to this and headaches since March 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.

3 mm thick T1 Weighted and T2 Weighted 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.

The hippocampal complex on either side is unremarkable.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of enlarged adenoids.

IMPRESSION :

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

13140

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

Name of the Patient : Abc Xyzr lmn / M / 7 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. - Brain (Post-contrast Study).

CLINICAL PROFILE :

C/O mental retardation with seizures.

EXAMINATION :

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial and coronal images with magnetization transfer.

4 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a disc enhancing lesion adjacent to the foramen of Monroe on the left side measuring approximately 7.0 x 5.0 mms.

There is no other area of abnormal enhancement in the brain parenchyma or along the meninges.

IMPRESSION :

A disc enhancing lesion adjacent to the foramen of Monroe on the left side is not specific for a single diagnosis. A subependymal tuber or a subependymal giant cell astrocytoma (? tuberous sclerosis) should be considered.

The possibility of this being a granuloma is less likely.


Sunday, 27 December 2015 16:48

13139

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

Name of the Patient : Abc Xyz Slmn / F / 60 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 6 months.
H/O fall 1 month ago.

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 :

The lumbar intervertebral discs show loss of water content.

There is slight scoliosis of the lumbar spine with convexity to the right.

There is forward subluxation of the L5 over the S1 vertebra.

There is a posterior and right postero-lateral disc herniation at the L5-S1 level with anterior indentation of the thecal sac and the extraforaminal portion of the right L5 nerve root. The L5-S1 facet joints on the right side show slight degenerative change.

A posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. There is slight inferior migration of the disc fragment into the right lateral recess of the L5 vertebra with impingement of the right L5 nerve root. There is mild ligamentum flavum hypertrophy and right facetal arthropathy at this level.



A left far lateral disc herniation is seen at the L3-L4 level with mild left neural foraminal narrowing.

A Schmorls node is seen in the anterior aspect of the L1 vertebral body.

Fatty changes are noted in the lower dorsal and lumbar vertebrae suggestive of osteoporosis. Mild anterior wedging of the D11 vertebra is noted.

Anterior disc herniations are seen at the L2-L3, L3-L4 and L4-L5 levels.

Left lateral peridiscal osteophytes are seen over the L1-L2 to L4-L5 levels.

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 :

20.0 mm at L1-L2
18.0 mm at L2-L3
16.0 mm at L3-L4
16.0 mm at L4-L5
14.0 mm at L5-S1.
..3/.















- 3 - Scan-00009


IMPRESSION :

The MRI features are suggestive of :

1. A posterior and right postero-lateral disc herniation at the L5-S1 level with indentation upon the extraforaminal portion of the right L5 nerve root.

2. A posterior disc herniation at the L4-L5 level with slight inferior migration of the disc fragment in the right lateral recess of the L5 vertebra, mild ligamentum flavum hypertrophy with right facetal arthropathy at this level.


Sunday, 27 December 2015 16:48

13138

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

Name of the Patient : Abc Xyz Dlmn / F / 35 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : Intracranial MR Venogram.

CLINICAL PROFILE :

H/O delivery on 00.00.00.
C/O seizures with headaches since 00.00.00.

EXAMINATION :

The brain was screened with the help of 5 mm thick T1 Weighted sagittal images and T2 Weighted axial images.
MR Venogram was obtianed using a 2D TOF technique.

OBSERVATION :

There is an ill-defined hypointense area in the left high parietal region on the T1 Weighted images. This is seen to turn hyperintense on the T2 Weighted images. There is slight effacement of the adjacent sulci and would represent an infarct.

A small wedge shaped lesion is seen in the left occipital lobe following CSF signal characteristics on all the pulse sequences and would represent an area of encephalomalacia.

The ventricular system is unremarkable. The basal cisternal spaces are unremarkable. There is no midline shift.

The left transverse and sigmoid sinuses appear hypoplastic.

The visualized dural and deep venous sinuses otherwise show normal flow characteristics. No obvious venous thrombosis is evident on this scan.

IMPRESSION :

1. An infarct in the left high parietal region.
2. An area of encephalomalcia in the left occipital lobe.
3. Hypoplastic left transverse and sigmoid sinuses.

Sunday, 27 December 2015 16:48

13137

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

Name of the Patient : Abc Xyza Dhlmn / F / 22 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : Intracranial MR Venogram.

CLINICAL PROFILE :

H/O delivery 1 month back.
C/O headaches, seizures (4-5 episodes) and nausea since 8 days.

EXAMINATION :

The brain was screened with the help of 5 mm thick T1 Weighted sagittal images and T2 Weighted axial images.
MR Venogram was obtained using a 2D TOF technique.

OBSERVATION :

There is a hyperintense area in the left temporo-parietal region on the T2 Weighted images. These are hypointense to grey matter on the T1 Weighted images. Few hyperintense areas are seen within this lesion on the T1 Weighted images and would represent subacute blood. There is effacement of the adjacent sulci.

The ventricular system and the basal cisternal spaces are unremarkable. There is no midline shift.

The left transverse and the sigmoid sinus do not show its normal flow signal on the MRV and this may suggest a thrombus.

The rest of the visualized dural and deep venous sinuses show normal flow characteristics.

IMPRESSION :

The MRV features are suggestive of :

1. Altered signal in the left temporo-parietal region would represent a haemorrhagic infarct (most likely venous).

2. Thrombosis of the left transverse and the sigmoid sinus.




Sunday, 27 December 2015 16:48

13136

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

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

CLINICAL PROFILE :

C/O seizures since 5-6 months (2 episodes).

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 abnormal altered signal intensity in the brain parenchyma. Dilated perivascular spaces are seen in the centrum semiovale bilaterally.

The hippocampal complex on either side is unremarkable.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of enlarged adenoids.

IMPRESSION :

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

13135

Written by
ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc XyzVallmn / F / 38 yrs.
Referred by : Dr. Abc Xyzikhalikar.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias and weakness since 5 months.
H/O retention of urine 1 month ago for 15-20 days which has recovered now.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

3 mm thick T1 Weighted and T2 Weighted axial images.

3 mm thick T1 Weighted coronal images.

OBSERVATION :

There is a small subcentimeter lesion in the centre of the spinal cord at the D11-D12 level. This lesion is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images. A small eccentric hypointense speck is noted within the lesion on the T1 Weighted images which might represent a scolex and the lesion would represent a cysticercus (scans 102.4, 104.5, 105.6, 108.4).

There is surrounding edema which is seen to extend from the conus to the D7-D8 disc level.




- 2 - scan-00005

The visualized dorsal vertebral bodies and 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.

IMPRESSION :

The MRI features are suggestive of a cysticercus in the colloid vesicular stage in the dorsal spinal cord at the D11-D12 level as described.

A follow up scan with contrast would be worthwhile.

Sunday, 27 December 2015 16:48

13134

Written by
ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza Palmn / F / 24 yrs.
Referred by : Dr. Abc Xyzndhi.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 2-3 months. H/O fall in March 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 :

Fat is noted in the filum terminale at the L2 and L3 levels and which may be a normal variant.

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-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
18.0 mm at L3-L4
14.0 mm at L4-L5
14.0 mm at L5-S1.


The dorso-lumbar spine was screened with 4 mm thick T2 Weighted sagittal images and which shows a small posterior disc bulge at the D11-D12 level with small peridiscal osteophytes.

IMPRESSION :

A small posterior disc bulge at the D11-D12 level with small peridiscal osteophytes.



Sunday, 27 December 2015 16:48

13133

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

Name of the Patient : Abc XyzShlmn / M / 17 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever 15 days back with vomiting, giddiness, gait ataxia and slurred speech since then.

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.

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 right frontal sinus.

IMPRESSION :

Normal study of the Brain.