MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13113

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

Name of the Patient : Abc Xyzankar Slmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O pain and swelling over the left side of face with diminished vision on the left side, tinnitus and decreased hearing on the left side since 3 months.
H/O pulmonary kochs since 1 1/2 months. On AKT since then.
Known diabetic.

EXAMINATION :

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

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

4 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted sagittal images.

MR cisternogram was obtained in the coronal plane.

OBSERVATION :

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

There is seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the left cavernous sinus, extending anteriorly upto the left orbital apex and extending inferiorly into the pterygopalatine fossa and via the pterygomaxillary fissure into the left infratemporal fossa. This lesion turns heterogeneously hyperintense (predominantly hypointense) on the T2 Weighted and STIR images. Hyperintense signal is however identified along the fat planes in the left infratemporal fossa, on the T2 Weighted and STIR images. The cavernous segment of the left internal carotid artery shows normal flow signal. The visualized left optic nerve also shows normal signal characteristics.
..2/.





Inflammatory changes are noted in the left maxillary sinus, left anterior ethmoidal air cells and in the mastoid air cells on the left. The left inferior nasal turbinate is not well identified.

There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally.

The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Small lymphnodes are noted in the upper cervical region deep to the sternocleidomastoid muscles bilaterally.

IMPRESSION :

Altered signal intensity lesion in the left cavernous sinus, extending anteriorly upto the left orbital apex and inferiorly into the pterygopalatine fossa via the pterygomaxillary fissure into the left infratemporal fossa as described is not specific for a single etiology. This most likely is an inflammatory lesion. The possibility of a neoplastic lesion however cannot be entirely excluded.

Inflammatory changes are noted in the paranasal sinuses and left mastoid air cells as described.

A contrast enhanced scan would be worthwhile.


Sunday, 27 December 2015 16:48

13112

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

Name of the Patient : Abc XyzMolmn / M / 24 yrs.
Referred by : Dr. Abc XyzShah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O pain in the LLE with tingling since 6-7 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 L4-L5 intervertebral disc.

There is a postero-central disc herniation with peridiscal osteophyte at the L4-L5 level with thecal sac compression. Inferior migration of the disc fragment is noted more to the left of the midline with resultant indentation on the traversing left L5 nerve root.

A small posterior disc bulge is noted at the L5-S1 level. Schmorls nodes are seen in the lower dorsal region.

Slight facetal hypertrophy is noted at the L4-L5 and L5-S1 levels, bilaterally and at the L2-L3 level on the left.

The pedicles of the L4 and L5 vertebrae appear congenitally short in the antero-posterior dimensions.
Scan-00002


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

The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.

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

15.0 mm at L1-L2
14.0 mm at L2-L3
11.0 mm at L3-L4
7.0 mm at L4-L5
7.0 mm at L5-S1.

IMPRESSION :

1. A postero-central disc herniation with peridiscal osteophyte at the L4-L5 level with inferior migration of the disc fragment, more to the left of the midline with resultant indentation on the traversing left L5 nerve root.

2. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels, bilaterally and at the L2-L3 level on the left.

3. Congenitally short pedicles of the L4 and L5 vertebrae in the antero-posterior dimensions.



Sunday, 27 December 2015 16:48

13111

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

Name of the Patient : Abc Xyzni Ylmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with loss of consciousness and fever since 3-4 months.
C/O left sided seizures on 00.00.00 with weakness of the LUE and LLE with paresthesias and heaviness of head 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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the right frontal cortex and in the right high parietal cortex and subcortical white matter. This lesion appears relatively hypointense to normal white matter on the T1 Weighted images. There is a hyperintense signal on the T1 Weighted images along the cortex in the right frontal and right high parietal region. This signal remains hyperintense on the proton, T2 Weighted and FLAIR images and represents extracellular methemoglobin/paramagnetic substances.

Prominent perivascular spaces are noted in the frontal and parietal regions 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. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the left maxillary sinus.

IMPRESSION :

Altered signal in the right frontal cortex and right parietal cortex and subcortical white matter with evidence of hemoglobin break down products most likely represents a subacute haemorrhagic infarct.
Sunday, 27 December 2015 16:48

13110

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

Name of the Patient : Abc XyzSalmn / M / 26 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O decreased hearing on the left side.

EXAMINATION :

M.R.I of the brain and IAM was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick T1 Weighted coronal images.

MR cisternogram was obtained in the coronal plane.

After administration of contrast the following parameters were used :

3 mm thick T1 Weighted axial and coronal images with fat saturation.

5 mm thick T1 Weighted axial images (with magnetization transfer).

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

There is mild dilatation 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. No obvious vascular anomaly is identified on this study.
..2/.








The seventh and eighth cranial nerve complex on either side are also unremarkable.

Inflammatory changes are noted in the right maxillary sinus and ethmoidal air cells.

After administration of contrast, there is no focal area of abnormal enhancement in the brain parenchyma, the meninges or along the seventh and eighth cranial nerve complex on either side.

IMPRESSION :

Mild dilatation of both the lateral ventricles.

No other significant abnormality is detected within the brain on this study.

Sunday, 27 December 2015 16:48

13109

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

Name of the Patient : Abc Xyzi Tlmn / F / 73 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O generalized weakness with gait ataxia and bladder/bowel involvement since 2 months.

EXAMINATION :

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

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

OBSERVATION :

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

There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Inflammatory changes are noted in the sphenoid sinus.

INTRACRANIAL MRA :

There is hypoplasia of the A1 segment of the left anterior cerebral artery.








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

NECK MRA :

Tortuousity of the neck vessels is noted.

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

Screening, T2 Weighted sagittal images of the cervical spine reveal small, postero-central disc herniations with peridiscal osteophytes at the C4-C5 and C5-C6 levels. Slight ligamentum flavum hypertrophy is also noted at these levels.

IMPRESSION :

1. Mild age related cerebral cortical and cerebellar atrophy.

2. No significant abnormality is detected on the intracranial and neck MRA except for tortuousity of the neck vessels on this study.

3. Degenerative changes in the cervical spine as described.


Sunday, 27 December 2015 16:48

13108

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

Name of the Patient : Abc Xyz Slmn / M / 17 yrs.
Referred by : Dr. Abc Xyzstak.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right focal seizures on 3rd and 4th January 0000. Detected to have a left high parietal granuloma. On anti-epileptics 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.

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

OBSERVATION :

There is no area of focal altered signal intensity within 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.

IMPRESSION :

No significant abnormality is detected within the brain on this study.

As compared to the previous MRI dated 00.00.00, the lesion is not identified on this scan.

If clinically indicated a contrast enhanced scan may be worthwhile.

Sunday, 27 December 2015 16:48

13106

Written by
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / M / 18 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

Alleged H/O fall from a bus 1 1/2 months back with backache and difficulty in walking.
C/O weakness of BLE since 00.00.00.

EXAMINATION :

M.R.I of the dorsal 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.

3 mm thick T2 Weighted coronal images.

OBSERVATION :

There is seen a well marginated, approximately 1.5 x 1.3 x 2.3 cms sized hypointense mass lesion on the T1 Weighted images in the spinal canal at the D7 and D8 vertebral levels. This lesion appears heterogeneously hyperintense on the T2 Weighted images with focal hypointense signal within. This lesion is most likely extradural in location and is to the right of the dorsal spinal cord at these levels. There is resultant cord compression with displacement of the dorsal cord to the left of the midline. The dorsal spinal cord at the D7 and D8 vertebral levels shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia.








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.

Similar signal intensity lesions are also noted in the posterior paraspinal soft tissues at the D10 vertebral level and in the soft tissues in the right axilla/right postero-lateral chest wall (se/im 108/1, 104/6, 104/7).

IMPRESSION :

An approximately 1.5 x 1.3 x 2.3 cms sized intraspinal (most likely extradural) mass lesion to the right of the dorsal spinal cord at the D7 and D8 vertebral levels with cord compression, as
described, is not specific for a single diagnosis. This lesion most likely represents a nerve sheath tumor.

Suspicious, similar lesions are noted in the posterior paraspinal soft tissues at the D10 vertebral level and in the soft tissues in the right axilla/right postero-lateral chest wall.

Sunday, 27 December 2015 16:48

13105

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

Name of the Patient : Abc Xyzi Tlmn / F / 73 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O generalized weakness with gait ataxia and bladder/bowel involvement since 2 months.

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 slight loss of water content of the dorsal intervertebral discs. The dorsal vertebral bodies show spotty fatty marrow changes suggesting osteoporosis. Anterior peridiscal osteophytes are noted in the dorsal region.

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

The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.

The conus medullaris terminates at the L1-L2 level.

Screening, T1 Weighted sagittal images of the lumbar spine show evidence of spotty fatty marrow changes with degenerated discs at the L3-L4 and L4-L5 levels and slight facetal hypertrophy at these levels.
Scan-00005


IMPRESSION :

Osteoporotic changes in the visualized vertebrae of the spinal axis with degenerative changes in the lumbar spine as described.

No other significant abnormality is detected on this study.


Sunday, 27 December 2015 16:48

13104

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

Name of the Patient : Abc Xyzh Blmn / M / 51 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O RTA on 00.00.00.
C/O irrelevant talk since then.
Known hypertensive.

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.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the high parietal cortex bilaterally. These lesions appear isointense to normal brain parenchyma on the T1 Weighted images.

Small bright foci on the proton and T2 Weighted images are noted in the subcortical white matter in the left high parietal region and may be ischemic in etiology.

The CSF space in the fronto-temporal regions bilaterally appears slightly prominent.

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

A subgaleal hematoma is noted in the right fronto-temporo- parietal region and in the periorbital region.


An air-fluid level is noted in the right maxillary antrum and in the sphenoid sinus which may represent blood, in the given clinical setting of trauma. Hyperintense signal on the T2 Weighted images in the left middle ear may represent blood/inflammatory changes.

IMPRESSION :

1. Altered signal in the high parietal cortex bilaterally most likely represents cortical contusions, in the given clinical setting.

2. Prominent CSF space in the fronto-temporal regions bilaterally may represent subdural effusion in the given clinical setting.

3. A subgaleal hematoma in the right fronto-temporo-parietal region and in the periorbital region.

4. Air-fluid level in the right maxillary antrum and in the sphenoid sinus which may represent blood, in the given clinical setting of trauma.



Sunday, 27 December 2015 16:48

13103

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

Name of the Patient : Abc XyzMohd. Ludhlmn / F / 19 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the RUE with weakness since 2 months.
H/O fever.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

There is loss of normal cervical lordosis.

The C5, C6 and C7 vertebral bodies appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. Involvement of the left sided pedicles, left laminae, and transverse process of the C5 and C6 vertebrae is noted. The left C7 pedicle is also involved. The C5-C6 and C6-C7 intervertebral discs are also involved.

There is seen an intermediate signal intensity lesion on the T1 Weighted images in the left paravertebral region, left posterior paraspinal region and in the anterior epidural space over the C5 to C7 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. Resultant slight lateral displacement of the left vertebral artery over these levels is noted. There is also mild cord compression over the C5 to C7 vertebral levels. The cord shows a slight increase in signal intensity.

- 2 - Scan-00003


The rest of the cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka are unremarkable.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

Altered signal of the C5, C6 and C7 vertebrae and C5-C6 and C6-C7 intervertebral discs most likely represents osteitis with discitis probably tuberculous in etiology. Left paravertebral, left paraspinal and anterior epidural soft tissue lesion over the C5 to C7 vertebral levels may represent granulation tissue/abscess. There is mild cord compression with cord edema/ischemia/myelitis.

The possibility of this lesion representing a neoplasm like a round cell tumor seems less likely.