MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

12961

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

Name of the Patient : Abc Xyzr lmn / M / 7 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O mental retardation with seizures.

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 a small subcentimeter hyperintense area in the head of the caudate nucleus posteriorly on the left side on the proton and T2 Weighted images. This is hypointense to the gray matter on the T1 Weighted images (scans 105.10, 105.11, 104.10, 104.11, 102.11, 106.10).

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.

Incidental note is made of inflammatory changes in the maxillary, sphenoid sinuses and ethmoidal air cells.

IMPRESSION :

Altered signal intensity area in the in the head of the caudate nucleus posteriorly on the left side is not specific for a single etiology. This may be ischemic in etiology. A contrast enhanced scan would be worthwhile.
Sunday, 27 December 2015 16:48

12960

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

Name of the Patient : Abc Xyznt Salmn / M / 30 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Sella & Perisellar Region.

CLINICAL PROFILE :

To r/o pituitary v/s infrasellar v/s hypothalamus lesion.

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.

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

5 mm thick T1 Weighted sagittal images.

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial images with magnetization transfer.

3 mm thick T1 Weighted coronal and sagittal images.

OBSERVATION :

The posterior pituitary reveals its normal hyperintense signal, slightly more to the right of the midline (scans 105.7-8).

The anterior pituitary gland appears normal in size and shows a hyperintense signal on the T1 Weighted images (as compared to normal white matter). This signal appears significantly hypointense (as compared to normal white matter) on the T2 Weighted images. No focal mass lesion is identified in the anterior pituitary gland.
..2/.





- 2 - Scan-00000


There is a hypointense signal on the T1 Weighted images in-between the anterior and posterior lobes of the pituitary gland (probably the intermediate lobe). This lesion appears hyperintense on the T2 Weighted images and may represent pars intermedia cyst.

The pituitary stalk is in the midline. The hypothalamus is unremarkable.

The left lateral ventricle is prominent as compared to the right, which may be a normal variant.

After contrast administration there is no abnormal area of enhancement within the sella and perisellar region.

There is no significant abnormality detected within the brain parenchyma per se on this study.

IMPRESSION :

1. Hyperintense signal of the anterior pituitary gland, on the T1 Weighted images as described, is not specific for a single etiology. Such signal change is noted in neonates and pregnant women due to lactotroph hypertrophy and increased protein synthesis in the pituitary gland. Such changes are also noted in patients undergoing parenteral hyperalimentation or in patients with hepatic dysfunction.

2. Cystic lesion between the anterior and posterior lobes of the pituitary gland may represent a pars intermedia cyst (a non-functional cyst).













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Date : 00.00.00

Name of the Patient : Abc Xyznt Salmn / M / 30 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Sella & Perisellar Region.

CLINICAL PROFILE :

To r/o pituitary v/s infrasellar v/s hypothalamus lesion.

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.

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

5 mm thick T1 Weighted sagittal images.

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial images.

5 mm thick T1 Weighted coronal and sagittal images.

OBSERVATION :

The posterior pituitary does not reveal its normal hyperintense signal.

The anterior pituitary gland appears normal in size and shows hyperintense signal on the T1 Weighted images which is seen to follow fat signal intensity characteristics on the T2 Weighted images.



The pituitary stalk is in the midline. The hypothalamus is unremarkable.

The left lateral ventricle is prominent as compared to the right and which may be a normal variant.

After contrast administration there is no abnormal area of enhancement within the sella and perisellar region.

IMPRESSION :

Normal study of the Pituitary.






Sunday, 27 December 2015 16:48

12959

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

Name of the Patient : Abc Xyzen Galmn / F / 76 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O memory impairment since 1 1/2 years with giddiness and gait imbalance 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 are small bright foci on the proton and T2 Weighted images in the left periatrial white matter and left parietal deep white matter (scans 103.11, 105.12). These lesions appear isointense to normal white matter on the T1 Weighted images.

Prominent perivascular spaces are noted in the left lentiform nucleus.

There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidentally noted is an empty sella.

IMPRESSION :

Small bright foci on the proton and T2 Weighted images in the left periatrial white matter and left parietal deep white matter most likely represent ischemic changes.

No other significant abnormality is detected on this study.
Sunday, 27 December 2015 16:48

12958

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

Name of the Patient : Abc Xyza Kotlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzthari.
Examination : M.R.I. of the Left Ankle & Foot.

CLINICAL PROFILE :

C/O pain, swelling and burning sensation over both ankle joints, left more than right since 1 year which has increased since 6 months.

EXAMINATION :

M.R.I. of the left ankle and foot was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted axial images.

4 mm thick T1 Weighted and STIR coronal images.

4 mm thick T1 Weighted and GRASS sagittal images.

OBSERVATION :

There is seen reduction in the posterior subtalar joint space, laterally. Marginal osteophytes are noted along the lateral and posterior margins of the posterior subtalar joint. Subchondral cysts are also noted in the talus, calcaneum and medial margin of the fibula. The talus and the calcaneum adjacent to the posterior subtalar joint appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. The articular cartilage overlying these bones also seems eroded. There is synovial thickening and a small subtalar joint effusion.

Patchy, ill-defined, hyperintense signal on the T2 Weighted and STIR images is also noted in the calcaneum.

A calcaneal spur is noted.
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The soft tissues around the subtalar and the ankle joints are unremarkable.

The visualized ankle mortice is also unremarkable.

IMPRESSION :

Changes along the posterior subtalar joint described above most likely suggests osteoarthritis. The possibility of an infective etiology seems less likely.



Sunday, 27 December 2015 16:48

12957

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

Name of the Patient : Abc XyzPlmn / M / 45 yrs.
Referred by : Dr. Abc Xyz. Tandel.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

Alleged H/O road traffic accident on 00.00.00 with left hemiparesis, slurred speech and memory impairment since December 0000.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick Fast Scan (T2 *) coronal images.

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

OBSERVATION :

There is a hypointense signal on the T2 Weighted images, but more pronounced on the Fast Scan (T2 *) images in the right thalamus, extending into the right corona radiata. This lesion represents residual hemosiderin, the sequelae of previous bleed. Perilesional hyperintense signal may represent gliotic changes.

There is mild dilatation of the ventricular system. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures.

Incidentally noted is right maxillary sinusitis.







Atlanto-dens subluxation is also noted.

INTRACRANIAL MRA :

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

IMPRESSION :

1. Residual hemosiderin in the right thalamus extending into the right corona radiata.

2. Mild communicating hydrocephalus.

3. Atlanto-dens subluxation.

4. No significant abnormality is detected on the intracranial and neck MRA on this study.

Sunday, 27 December 2015 16:48

12956

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

Name of the Patient : Abc Xyzham Gulmn / M / 70 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with numbness 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.

The cervical and dorsal spines were screened with 4 mm thick T1 Weighted sagittal images.

OBSERVATION :

All the vertebrae of the spinal axis except the D7 vertebral body show a hypointense signal as compared to the normal marrow on the T1 Weighted images which appears slightly hyperintense on the T2 Weighted images. Slight central wedging of some of these vertebral bodies is noted with a bulge of the posterior margins of some vertebrae.

There is seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images involving the spinous process of the L3 vertebra. This lesion appears hyperintense on the T2 Weighted images. Slight bulge of the L3 vertebral body is also noted.

There is slight loss of water content of the L3-L4 intervertebral disc.
Scan-00006

The D7 vertebral body shows evidence of a hyperintense signal on the T1 Weighted images with multiple linear striations which may suggest a hemangioma. Similar smaller lesions are noted in the D12, L4 and L5 vertebral bodies.

Slight hypertrophy of the facet joints in the lower lumbar region is noted.

Hyperintense signal is seen in the epidural space circumferentially at the L5 and L5-S1 levels on the T1 Weighted images and follows fat signal intensity characteristics on all the pulse sequences. This represent epidural lipomatosis.

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 S1 level.

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
13.0 mm at L4-L5
13.0 mm at L5-S1.
..3/.















- 3 - Scan-00006


IMPRESSION :

Altered signal in the spinal axis as described is not specific for a single etiology.

A myeloproliferative disorder or metastasis may be considered as differential diagnosis.

The possibility of these changes representing conversion of yellow marrow to red marrow seems less likely, in view of the hyperintense signal on the T2 Weighted images.

Soft tissue lesion is noted around the spinous process of L3.


Sunday, 27 December 2015 16:48

12955

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

Name of the Patient : Abc XyzRlmn / F / 46 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O weakness of the LUE since 00.00.00.

EXAMINATION :

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

OBSERVATION :

INTRACRANIAL MRA :

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

IMPRESSION :

No significant abnormality is detected on the intracranial and neck MRA on this study.

Sunday, 27 December 2015 16:48

12954

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

Name of the Patient : Abc Xyzdali H. Telmn / M / 74 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : Neck M.R.A.

CLINICAL PROFILE :

H/O altered sensorium (on and off) and gait ataxia since 2 years.
H/O loss of bladder control since 2-3 months.
Known diabetic.

EXAMINATION :

The neck MRA was performed with 2D TOF sequence.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

NECK MRA :

The common carotid arteries and their bifurcations and the vertebral arteries on either side show normal signal. The visualized external and internal carotid arteries are also unremarkable.

There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

No significant abnormality is detected on the neck MRA on this study.



Sunday, 27 December 2015 16:48

12953

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

Name of the Patient : Abc Xyz Sinlmn / F / 49 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness (on & off) since 3 months with gait ataxia on the right side 8 days back for a day.

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.

An MR Cisternogram was obtained in the coronal plane.

OBSERVATION :

There is seen a fairly large, approximately 5.0 x 6.6 x 4.8 cms sized well-defined, extra-axial mass lesion in the left fronto-parietal parafalcine region. This lesion is of intermediate signal on the T1 Weighted images and is relatively hypointense on the T2 Weighted images. Few cystic areas are noted within this lesion. There is perilesional edema in the underlying brain parenchyma with sulcal space effacement, midline shift to the right and inferior displacement and slight effacement of the lateral ventricles bilaterally. A CSF cleft is noted around this lesion. Multiple linear signal-void lesions around the above described mass lesion represents blood vessels.

This lesion has its broad base towards the dural surface. The superior sagittal sinus in its midsegment is most probably compressed by the lesion. There is however no evidence of definite invasion of the superior sagittal sinus by the mass lesion.


The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.

IMPRESSION :

An approximately 5.0 x 6.6 x 4.8 cms sized well-defined, extra-axial mass lesion in the left fronto-parietal parafalcine region with signal characteristics and extensions as described most likely represents a meningioma.
Sunday, 27 December 2015 16:48

12952

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

Name of the Patient : Abc Xyz Nalmn / M / 53 yrs.
Referred by : Dr. Abc Xyzlal.
Examination : M.R.I. of Both Thighs.

CLINICAL PROFILE :

H/O fibrous histiocytoma in 0000 of right thigh. Operated thrice since.
Patient developed right lower lobe metastasis for which received 6 cycles of Chemotherapy. Right lower and middle bilobectomy was done on 00.00.00. Histopathology s/o moderately differentiated adenocarcinoma.
Now C/O pain and swelling over the back of the right thigh since 6 months.

EXAMINATION :

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

7 mm thick T1 Weighted and T2 Weighted axial images.

7 mm thick T1 Weighted coronal images.

7 mm thick T1 Weighted and STIR sagittal images.

OBSERVATION :

The right thigh appears smaller in diameter as compared to the left. Slight atrophy of the right gluteal muscles is noted.

There is seen a well-marginated, lobulated approximately 4.5 x 4.0 x 10.0 cms sized intermediate signal intensity mass lesion on the T1 Weighted images in the posterior compartment of the middle third of the right thigh. This lesion appears hyperintense on the T2 Weighted and STIR images with a focal hypointense signal within the lesion, proximally. The lesion is seen to involve the biceps femoris muscle.
..2/.






The lesion is approximately 13.0 cms inferior to the right ischial tuberosity. The right profunda femoris vessels and the perforating vessels on the right at the site of the lesion are not well-visualized. The femoral vessels are however not encased by the lesion.

There is no bone erosion or destruction seen. The visualized marrow of the right femur shows normal signal intensity.

The visualized left thigh is unremarkable.

Scar of the previous surgery is noted along the postero-lateral margin of the right thigh.

IMPRESSION :

An approximately 4.5 x 4.0 x 10.0 cms sized, lobulated mass lesion in the posterior compartment of the middle third of the right thigh involving the biceps femoris muscles as described, most likely represents a recurrence of fibrous histiocytoma.

The patient is status post-operative.

No previous scans of the right thigh were available for comparison.