MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13037

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

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

CLINICAL PROFILE :

C/O seizures on 00.00.00.

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 FLAIR coronal images.

OBSERVATION :

There are (atleast two) linear hyperintense signals on the proton, T2 Weighted and FLAIR images in the white matter oriented perpendicular to the left lateral ventricular wall. These lesions appear hypointense to normal white matter on the T1 Weighted images.

A cystic lesion following CSF signal on all the pulse sequences is noted in the right choroid fissure.

The hippocampal complex is unremarkable on either side.

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.






A polyp is noted in the left maxillary antrum.

IMPRESSION :

1. Altered signal in the white matter adjacent to the left lateral ventricle is not specific for a single etiology. The morphology and signal characteristics favour demyelinating lesions. The possibility of ischemic lesions or prominent perivascular spaces seems less likely.

2. Right sided choroid fissure cyst.




Sunday, 27 December 2015 16:48

13036

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

Name of the Patient : Abc XyzBandlmn / F / 21 yrs.
Referred by : Dr. Abc Xyzinde.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

Alleged H/O fall in May 0000 with backache and paresthesias in BLE since then.

EXAMINATION :

M.R.I of the cervico-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 near complete collapse of the D3 vertebral body with a kyphus at that level.

The D2 and the visualized D3 vertebral bodies appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. The D2-D3 and D3-D4 intervertebral discs show loss of water content. Involvement of both the pedicles of the D2 and D3 vertebrae is noted with involvement of the right sided costo-vertebral and costo-transverse joints at the D3 level and of the left costo-vertebral joint at this level.

There is seen an intermediate signal intensity soft tissue lesion in the prevertebral, paravertebral and anterior epidural region over the D2 to D3 vertebral levels. This lesion also appears hyperintense on the T2 Weighted images. There is resultant cord compression and cord signal alteration (isointense to normal cord on the T1 Weighted images and hyperintense on the T2 Weighted images) suggesting cord edema/ischemia/myelitis.


The rest of the visualized cervico-dorsal vertebral bodies and intervertebral discs reveal normal signal intensity.

IMPRESSION :

Near complete collapse of the D3 vertebral body with altered signal of the D2 and D3 vertebrae as described most likely represents osteitis, probably tuberculous osteitis. Prevertebral, paravertebral and anterior epidural soft tissue lesion may represent granulation tissue/abscess. There is resultant cord compression and cord signal alteration suggesting cord edema/ischemia/myelitis.

The possibility of this lesion representing a neoplasm like a small cell tumor though less likely, cannot be entirely excluded.



Sunday, 27 December 2015 16:48

13035

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

Name of the Patient : Abc XyzPlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain with involuntary shifting of the neck towards the right and numbness in the LUE since 6 months.

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 water content of the cervical intervertebral discs.

There is a posteriorly herniated disc with peridiscal osteophytes at the C3-C4 level, indenting the dural theca anteriorly. Degenerative changes of the joints of Luschka are noted at this level, bilaterally, with resultant neural foraminal narrowing.

Small, postero-central disc herniations with peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels.

Small posterior disc bulges are noted at the C2-C3 and C6-C7 levels.

Focal fatty marrow changes are noted in the cervical vertebrae.






The remaining joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The cervical spinal cord reveals normal signal intensity.

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

IMPRESSION :

1. A posteriorly herniated disc with peridiscal osteophytes at the C3-C4 level and degenerative changes of the joints of Luschka, bilaterally at this level.

2. Small, postero-central disc herniations with peridiscal osteophytes at the C4-C5 and C5-C6 levels.


Sunday, 27 December 2015 16:48

13034

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

Name of the Patient : Abc Xyz H. Slmn / F / 3 1/2 yrs.
Referred by : Dr. Abc Xyzvdekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures (1 episode) 1 1/2 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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick FLAIR coronal images.

OBSERVATION :

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

The hippocampal complex is unremarkable on either side.

Both the lateral and third ventricles are unremarkable. There is mild fullness of the fourth ventricle with prominent 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.

No obvious abnormality is detected at the site of suspected lesion in the left occipital lobe on the previous CT Scan dated 00.00.0000.









IMPRESSION :

The MRI features are suggestive of mild prominence of the cerebellar folia bilaterally.

No obvious abnormality is detected at the site of suspected lesion in the left occipital lobe on the previous CT Scan dated 00.00.0000.

If clinically indicated a contrast enhanced scan may be worthwhile.
Sunday, 27 December 2015 16:48

13032

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

Name of the Patient : Abc Xyzvi Sulmn / F / 50 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE.

EXAMINATION :

M.R.I of the lumbo-sacral spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is loss of water content of the lumbar intervertebral discs.

A small posterior disc bulge with peridiscal osteophytes is noted at the L4-L5 level.

Small posterior disc bulges are noted at the L2-L3 and L5-S1 levels.

There is slight facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.

A hemangioma with fat content (hyperintense on all the pulse sequences) is noted within the L2 vertebral body. Focal fatty marrow changes is noted adjacent to the lower lumbar intervertebral discs.







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

The conus medullaris terminates at the L1 level and the thecal sac terminates at the 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
19.0 mm at L2-L3
20.0 mm at L3-L4
15.0 mm at L4-L5
14.0 mm at L5-S1.

IMPRESSION :

1. A small posterior disc bulge with peridiscal osteophytes at the L4-L5 level.

2. Slight facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.

Sunday, 27 December 2015 16:48

13030

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

Name of the Patient : Abc Xyz lmn / F / 49 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE with paresthesias since 5 years.
Alleged H/O fall.

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 slight loss of water content of the lumbar intervertebral discs.

Small posterior disc bulges are noted at the L2-L3, L3-L4, L4-L5 and L5-S1 levels. Slight right neural foraminal narrowing is noted at the L2-L3 and L4-L5 levels.

Slight facetal hypertrophy is noted at the L4-L5 and L5-S1 levels.

The lumbar vertebral bodies show spotty fatty marrow changes. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L1-L2 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 :

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

IMPRESSION :

1. Small posterior disc bulges at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.

2. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels.

Sunday, 27 December 2015 16:48

13029

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

Name of the Patient : Abc Xyzath Mhlmn / M / 29 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 2 years and weakness of the RUE since childhood.

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 :

The left cerebral hemisphere shows loss of volume when compared to the right. There is resultant prominence of the cerebral cortical sulci of the left cerebral hemisphere, mild dilatation of the left lateral ventricle and slight hyperpneumatization of the left frontal sinus and the orbital plate of the left frontal bone.

The left hippocampal complex appears smaller in volume when compared to the right with hyperintense signal on the T2 Weighted images suggesting left hippocampal sclerosis.

There is a small, well-marginated CSF signal intensity extra-axial lesion on all the pulse sequences in the left cerebello-pontine angle cistern. This lesion most likely represents an arachnoid cyst.







The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is mild bulge of the midline to the left. No obvious vascular anomaly is identified on this study.

IMPRESSION :

1. Left sided cerebral hemiatrophy.

2. Reduction in the left hippocampal volume with altered signal suggests left hippocampal sclerosis.

3. A small, CSF signal intensity extra-axial lesion in the
left cerebello-pontine angle cistern most likely represents an arachnoid cyst.

Sunday, 27 December 2015 16:48

13028

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

Name of the Patient : Abc XyzDlmn / F / 24 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella & Perisellar Region.

CLINICAL PROFILE :

C/O Cushings disease.
For follow-up.

EXAMINATION :

M.R.I of the sella and perisellar region was performed using the following parameters :

3 mm thick T1 Weighted and T2 Weighted coronal images.

3 mm thick T1 Weighted sagittal images.

After administration of contrast 3 mm thick T1 Weighted coronal and sagittal images (with magnetization transfer) were obtained.

The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick T1 Weighted sagittal images. After contrast administration 5 mm thick T1 Weighted axial images (with magnetization transfer) of the brain were obtained.

OBSERVATION :

The left half of the anterior pituitary gland is reduced in height as compared to the right, and nearly appears as an empty sella. The right half of the anterior pituitary gland measures approximately 5.0 mms in height. The posterior pituitary gland shows normal hyperintense signal on the T1 Weighted images. No focal mass lesion is identified in the pituitary gland. The pituitary stalk is slightly pulled to the right. The suprasellar cistern and the cavernous sinuses on either side are unremarkable. The hypothalamus is also unremarkable.





After administration of contrast the anterior pituitary gland shows uniform enhancement without a focal mass lesion.

The T2 Weighted axial images of the brain show prominent perivascular spaces. The ventricular system is unremarkable. There is no midline shift. No abnormal enhancement is noted in the brain parenchyma or along the meninges.

IMPRESSION :

As compared to the previous MRI (scan no.0000) dated 00.00.00,
there is no significant change noted.




Sunday, 27 December 2015 16:48

13027

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

Name of the Patient : Abc Xyz Gorlmn / F / 28 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Right Ankle.

CLINICAL PROFILE :

C/O pain in the right ankle since 2-3 months.

EXAMINATION :

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

4 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 and GRASS sagittal images.

Vitamin E Capsules were placed as markers at the site of pain in the lateral malleolar region.

OBSERVATION :

The visualized bones show normal configuration and signal intensity. No obvious bone destruction or erosion is evident.

The visualized tendons and ligament show normal signal intensity. No joint effusion is evident. The visualized soft tissues are unremarkable.

IMPRESSION :

No abnormality is detected within the Right Ankle Joint on this study.



Sunday, 27 December 2015 16:48

13026

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

Name of the Patient : Abc Xyz B. Rajplmn / M / 46 yrs.
Referred by : Dr. Abc XyzVasani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O pain on the right side of the face and head with difficulty in chewing since 5-6 months.
Alleged H/O head injury 7-8 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.
3 mm thick T1 Weighted coronal images.
MR Cisternogram was obtained in the coronal plane.
Limited MRA sequence was obtained through the region of interest.

OBSERVATION :

There is a CSF signal intensity lesion on all the pulse sequences in the right periatrial region. A hypointense focus is noted within this lesion on the proton and T2 Weighted images. This lesion most likely represents a prominent perivascular space.

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.

There is no evidence of a vascular loop indenting the root entry zone of the trigeminal nerves or the root exit zone of the seventh cranial nerve on either side.

Inflammatory changes are noted in the left maxillary sinus, right frontal sinus and the anterior ethmoidal air cells.

IMPRESSION :

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