MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13021

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

Name of the Patient : Abc Xyz. Ghlmn / M / 59 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 3-4 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 mild forward listhesis of the L4 vertebra over the L5 vertebra.

A large posterior disc extrusion is seen to compress the thecal sac and narrow both neural foramina at the L4-L5 level. The L4-L5 facet joints show hypertrophic degenerative changes with resultant canal stenosis. Also seen are bilateral far lateral (extraforaminal) disc herniations at this level.

A postero-central disc herniation is seen to indent the thecal sac at the L3-L4 level. A small postero-central disc herniation is noted at the L5-S1 level.

Right far lateral (extraforaminal) disc herniations are noted at the L3-L4 and L1-L2 levels. A right foraminal disc bulge is noted at the L2-L3 level.



The rest of the lumbar facet joints show mild degenerative changes.

Type II degenerative changes are noted at the L4 and L5 vertebral bodies adjacent to the L4-L5 disc and along the antero-superior aspect of the L2 vertebral body. The L1-L2, L2-L3 and L4-L5 intervertebral discs show loss of water content.

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

The conus medullaris terminates at the D12 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
15.0 mm at L2-L3
11.0 mm at L3-L4
5.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. Mild forward listhesis of the L4 vertebra over the L5 vertebra.

2. A large posterior disc extrusion and hypertrophic facetal arthropathy with severe canal stenosis at the L4-L5 level.
..3/.










- 3 - Scan-00001



3. Bilateral far lateral (extraforaminal) disc herniations at the L4-L5 level.

4. A postero-central disc herniation at the L3-L4 level.


Sunday, 27 December 2015 16:48

13020

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

Name of the Patient : Abc Xyza D. Plmn / F / 70 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O paraplegia with bladder involvement since 2 days.

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 Fast Scan (T2 *) axial images.

The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and the cervical spine was screened with 5 mm thick T2 Weighted sagittal images.

FEW IMAGES SHOW PATIENT MOTION (PATIENT WAS NOT COOPERATIVE).

OBSERVATION :

A central area of hyperintensity on the T2 Weighted and Fast Scan (T2 *) images is seen within the cord over the D6 to D11 vertebral levels. This is iso to hypointense to normal cord on the T1 Weighted images.

There is no cord compression.

The visualized dorsal intervertebral discs show loss of water content. The visualized dorsal vertebral bodies show fatty marrow changes suggesting osteoporosis.

The visualized pre and paravertebral soft tissues are unremarkable.

Small posterior disc protrusions are seen at the D11-D12 and L1-L2 levels. ..2/.







IMPRESSION :

The MRI features are suggestive of altered cord signal over the D6 to D11 vertebral levels. The differential diagnosis may include :

1. Myelitis (most likely).

2. Demyelination.

3. Ischemia.

Sunday, 27 December 2015 16:48

13019

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

Name of the Patient : Abc Xyza Biwalmn / F / 58 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O gait ataxia since January 0000 with occasional diplopia.
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.

3 mm thick T1 Weighted and STIR coronal images.

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

OBSERVATION :

BRAIN :

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

There is mild fullness of the ventricular system. Also seen is prominence of the cerebellar folia bilaterally. There is mild prominence of the cerebral cortical sulci bilaterally.

The basal cisternal spaces are unremarkable. There is no shift of the midline structures.





INTRACRANIAL MRA :

The posterior cerebral artery appears to be a continuation of the posterior communicating artery.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized 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 :

The left vertebral artery is slightly hypoplastic.

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 MRI features are suggestive of :

1. Mild cerebellar atrophy.

2. No significant abnormality is detected within the supratentorial brain parenchyma or on the intracranial and neck MRA on this study.

Sunday, 27 December 2015 16:48

13018

Written by
ke/hs/rg.
Date : 00.00.00

Name of the Patient : Abc XyzMunglmn / F / 35 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE since 1 month.

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 a left postero-lateral disc herniation at the L5-S1 level with mild indentation upon the traversing left S1 nerve root. This intervertebral disc shows loss of water content.

Small posterior disc bulges are seen at the L3-L4 and L4-L5 levels.

Schmorls nodes are noted at the L3-L4 and L4-L5 levels. The rest of the intervertebral disc shows slight loss of water content.

The L3-L4 and L4-L5 facet joints show mild degenerative changes.

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-L2 level and the thecal sac terminates at the S2 level.
..2/.






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

18.0 mm at L1-L2
19.0 mm at L2-L3
16.0 mm at L3-L4
15.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of a left postero-lateral disc herniation at the L5-S1 level with mild indentation upon the traversing left S1 nerve root.


Sunday, 27 December 2015 16:48

13017

Written by
ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzkar Ghotlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzra.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain in the RLE since 4 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 suggestion of sacralization of the L5 vertebral body and the L3 vertebral body is as marked on the film. Correlation with plain radiographs would be worthwhile

There is mild retroplacement of the L4 over the L5 vertebra.

A right paracentral disc herniation is seen at the L4-L5 level with indentation upon the right L5 nerve root.

Small posterior disc herniations are noted at the D11-D12 and L1-L2 levels.

The lumbar intervertebral discs except for the L2-L3 and L5-S1 discs show loss of water content.

The lumbar vertebral bodies 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 L5 level.
- 2 - scan-00007


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

14.0 mm at L1-L2
14.0 mm at L2-L3
14.0 mm at L3-L4
14.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebral body.

2. A right paracentral disc herniation at the L4-L5 level with indentation upon the right L5 nerve root.


Sunday, 27 December 2015 16:48

13016

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

Name of the Patient : Abc Xyzz Shlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with diminished vision of the left eye 15 days back from which patient has 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.
3 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

The left optic nerve appears brighter as compared to the opposite side (scan 105.13).

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

Dilated perivascular spaces are seen in the centrum semiovale bilaterally (scans 102.14 to 102.16).

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.

The cavernous sinus appears unremarkable on either side.

IMPRESSION :

Altered signal intensity of the left optic nerve may suggest,

1. Neuritis
2. Demyelination
3. Ischemia.


Sunday, 27 December 2015 16:48

13015

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

Name of the Patient : Abc Xyzkar Ghotlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzra.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

C/O pain in the right knee joint (upto hip) with swelling and limitation of knee joint movements since 4 months.
H/O osteoarthritis of the left knee joint and osteotomy done in 0000.

EXAMINATION :

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

4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and STIR coronal images.
4 mm thick GRASS axial images.

OBSERVATION :

Menisci :

There is a complex tear of the posterior horn of the medial meniscus.

The anterior and posterior horns of the lateral meniscus and anterior horn of the medial meniscus reveal a linear hyperintense signal on all the pulse sequences. This does not extend upto the articular surface and would represent Grade II meniscal signal (degeneration).

Cruciate Ligaments :

The anterior cruciate ligament is not well identified. Areas of intermediate signal intensity on the T1 Weighted images which turn hyperintense on the Fast Scan (T2 *) images are seen along its course and this may suggest a tear of the anterior cruciate ligament.
..2/.


- 2 - scan-00005


The posterior cruciate ligament shows 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 unremarkable.

Articular cartilage and bones :

The articular cartilage overlying the patella is thin and irregular.

A hypointense area on the T1 Weighted images which turns hyperintense on the GRASS images is seen within the subchondral aspect of the lateral patellar facet and may represent cystic degenerative changes.

Subchondral cysts are noted within the medial femoral condyle.

Effusion is seen within the right knee joint.

There are degenerative changes within the knee joint with osteophytic lipping of the patella, tibia and femur.

IMPRESSION :

The MRI features are suggestive of degenerative changes within the right knee joint with :

1. A tear of the anterior cruciate ligament of the right knee joint.
2. A complex tear of the posterior horn of the medial meniscus of the right knee joint.
3. Chondromalacia patellae.
4. Fluid within the right knee joint.

Sunday, 27 December 2015 16:48

13014

Written by
ke/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzp Blmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures. On anti-epileptics.

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.
3 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

The right hippocampus appears a little smaller in size as compared to the opposite 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.

Incidental note is made of right maxillary sinusitis and enlarged adenoids.

IMPRESSION :

The MRI features are suggestive of a slightly smaller hippocampus on the right side.


Sunday, 27 December 2015 16:48

13013

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

Name of the Patient : Abc Xyz Agalmn / F / 50 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 2-3 years.

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 retroplacement of the L5 vertebra over the S1 vertebra. There is a probable break of the pars interarticularis of the L5 vertebra bilaterally. Please correlate with plain radiographs.

There is a left paracentral disc herniation indenting the thecal sac at the L5-S1 level. A small disc portion is seen to lie adjacent to the left lateral aspect of the thecal sac at this level.

A mild posterior disc bulge is noted at the L4-L5 level.

The L5-S1 intervertebral disc shows loss of water content.

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 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 :

19.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
15.0 mm at L4-L5
14.0 mm at L5-S1.

IMPRESSION :

1. Retroplacement of the L5 vertebra over the S1 vertebra and probable spondylolysis of the L5 vertebra bilaterally.

2. Left paracentral disc herniation at the L5-S1 level.


Sunday, 27 December 2015 16:48

13012

Written by
ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzai Chlmn / F / 70 yrs.
Referred by : Dr. Abc Xyznjawalla.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

C/O pain in the right knee joint with limitation of joint movement and clicking since 3 months.

EXAMINATION :

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

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

4 mm thick T1 Weighted and T2 Weighted coronal images.

4 mm thick T1 Weighted axial 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 :

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

There is effusion within the right knee joint.

IMPRESSION :

Effusion within the right knee joint.

No other significant abnormality is detected on this study.