MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14855

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

Name of the Patient : Abc Xyzlmn / M / 26 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever with chills since 15 days.
C/O seizures, altered sensation and weakness of BLE since 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.
4 mm thick FLAIR coronal images.
The cervical spine was screened with 4 mm thick T2 Weighted sagittal images.
SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There are hyperintense areas on the proton, T2 Weighted and FLAIR images within both cerebral peduncles.

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.

Screening T2 Weighted images of the cervical spine reveal a suspicious hyperintense signal within the cervical spinal cord over the C3 to C6 vertebral levels. A small right paracentral disc herniation is noted at the C3-C4 level.








IMPRESSION :

1. Altered signal within both cerebral peduncles is not specific for a single diagnosis. Such changes may be seen with ADEM.

2. Suspicious altered signal within the cervical spinal cord over C3 to C6 vertebral levels may suggest myelitis/ADEM in the given clinical setting. A dedicated cervical spine study is indicated, preferably under sedation.


Sunday, 27 December 2015 16:48

14854

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

Name of the Patient : Abc Xyzheb Shlmn / M / 68 yrs.
Referred by : Dr. Abc XyzBR> Examination : M.R.I. of the Left Foot.

CLINICAL PROFILE :

Known diabetic. On Rx.
H/O shoe bite 8 days back with disarticulation at the 1st metatarsophalyngeal joint 4 days back.
Now C/O swelling over the left foot since then.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted axial (with fat saturation) images.

4 mm thick T1 Weighted and GRASS sagittal images.

5 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

There is evidence of disarticulation at the first metatarsophalyngeal joint with a surgical defect in that region. There is an intermediate intensity soft tissue lesion on the T1 Weighted images on the dorsum and the plantar aspect of the left foot at the site of previous surgery, around the head of the left metatarsal. This lesion appears hyperintense on the T2 Weighted and STIR images and may represent post-operative changes in the given clinical setting. Similar ill-defined, hyperintense, signal on the T2 Weighted and STIR images is noted in the subcutaneous tissues of the dorsum of the foot and in the intermuscular planes in the plantar aspect of the foot. Minimal fluid is noted around the tibio-talar joint.


The rest of the joints of the left foot and ankle show normal alignment. The visualized ligaments and tendon sheaths are unremarkable.

There is a well-marginated, approximately 1.0 cm diameter sized hypointense lesion on the T1 Weighted images in the region of the neck of the talus. This lesion appears hyperintense on the T2 Weighted images.

The rest of the bones of the left foot and ankle show normal signal characteristics. There is no bone destruction or erosion noted.

IMPRESSION :

1. Post-operative status.

2. Changes in the soft tissues around the head of the first metatarsal may be due to previous surgery.

3. Altered signal in the subcutaneous tissues and in the intermuscular planes around the left foot may suggests cellulitis in the given clinical setting.

4. Altered signal intensity lesion in the neck of the talus is not specific for a single etiology. This lesion may represent a degenerative cyst/marrow inhomogeneity.
Sunday, 27 December 2015 16:48

14853

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

Name of the Patient : Abc Xyz Kalmn / M / 20 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O episodes of hypersomnolence with 3 episodes of 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.

5 mm thick FLAIR coronal images.

OBSERVATION :

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

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.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

14852

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

Name of the Patient : Abc Xyzra Jalmn / M / 29 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the S. I. Joints.

CLINICAL PROFILE :

C/O pain in the right hip region since 6 months.
H/O fever, on and off.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

5 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

There is replacement of the normal marrow of the right sacral ala and the iliac bone adjacent to the sacro-iliac joint by hypointense areas on the T1 Weighted images. This is seen to turn hyperintense on the T2 Weighted and STIR images. There is suggestion of erosion of the cortex on the mid one third portion with involvement of the right S. I. joint space. Subtle hyperintense signal is seen in the adjacent soft tissue on the T2 Weighted and STIR images suggestive of inflammatory edema.

There is an intermediate signal intensity lesion with hypointense centre on the T1 Weighted images anterior to the right S. I. joint which is seen to turn hyperintense on the T2 Weighted images and would represent an abscess formation. There is resultant displacement of the right ilio-psoas muscle anteriorly. This pathology is in close proximity to the right lumbo-sacral plexus.



The left sacro-iliac joint appear normal. The left iliac bone and the sacral ala show normal signal intensity.

The hip joints are unremarkable.

The visualized musculature of the pelvis appears normal.

IMPRESSION :

The MRI features are suggestive of altered signal in the right sacral ala and the iliac bone with involvement of the right sacro-iliac joint space with abscess formation is most likely due to a granulomatous infective process like tuberculosis.




Sunday, 27 December 2015 16:48

14850

Written by
hs.sb.rg.
Date : 00.00.00

Name of the Patient : Abc Xyzai Salmn / F / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right facial hemispasm since 1 year.
Known hypertensive. On Rx.

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.
Limited MRA sequence was obtained through the region of interest.

OBSERVATION :

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

A large vascular loop is seen to indent the pons and the root entry zone of the right trigeminal nerve. Also seen is indentation upon the root exit zone of the right facial nerve.

There is mild prominence of the cerebral cortical sulci 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.

IMPRESSION :

The MRI features are suggestive of a large vascular loop indenting the pons and the root entry zone of the right trigeminal nerve and the root exit zone of the right facial nerve.


Sunday, 27 December 2015 16:48

14849

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

Name of the Patient : Abc Xyzlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzarkar / Dr. Abc Xyzt.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with numbness since 2 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 all the lumbar intervertebral discs except the L5-S1 disc.

There is a fairly large right postero-lateral and right far lateral disc herniation at the L4-L5 level with right neural foraminal narrowing and indentation on the traversing right L5 nerve root and on the extraforaminal segment of the right L4 nerve root.

Small posterior disc bulges with peridiscal osteophytes are noted at the L1-L2, L2-L3 and L3-L4 levels.

Slight retroplacement of the L1 over the L2 vertebra and L2 over the L3 vertebra is noted.

Slight facetal hypertrophy is noted at the L4-L5 level bilaterally and at the L5-S1 level on the left.
Scan-00009



Anterior peridiscal osteophytes are seen in the lumbar region with anterior disc herniations over the L1-L2 to L3-L4 level.

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

Schmorls nodes are seen in the lumbar region and at the D12 level.

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 :

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

IMPRESSION :

A fairly large right postero-lateral and right far lateral disc herniation at the L4-L5 level with indentation on the traversing right L5 nerve root and on the extraforaminal segment of the right L4 nerve root.


Sunday, 27 December 2015 16:48

14848

Written by
hs/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Mlmn / F / 49 yrs.
Referred by : Dr. Abc Xyzni / Dr. Abc Xyzhijwala.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

H/O arthroscopy of the right knee 3 years ago. Details not available.
Now C/O pain in the right knee with swelling since 6 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 STIR coronal images.

5 mm thick GRASS and T1 Weighted axial images.

OBSERVATION :

Menisci :

A linear hyperintense signal not extending upto the articular surface is seen within the posterior horn of the medial meniscus and this would suggests Grade II meniscal signal (meniscal degeneration).

The anterior and posterior horns of the lateral meniscus and the anterior horn of the medial meniscus reveal normal configuration and signal characteristics.

Cruciate Ligaments :

Strands of the anterior cruciate ligament are seen. Also seen is an interemediate signal on the proton and T1 Weighted images along its course. This turns hyperintense on the GRASS images and may suggest strain/partial tear (?? synovial hypertrophy).
..2/.








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 normal.

Articular cartilage and bones :

An area of hypointensity on the T1 Weighted images which turn hyperintense on the GRASS images is seen within the tibial plateau in the region of the tibial spine.

Also seen is irregularity of the lateral condylar margin of the femur (? due to synovial hypertrophy).

An effusion is noted in the right knee joint space.

The patellar cartilage is unremarkable.

IMPRESSION :

The MRI features are suggestive of :

1. Grade II meniscal signal within the posterior horn of the medial meniscus of the right knee joint.

2. An effusion within the right knee joint.

3. Irregularity of the lateral condylar margin of the femur.

4. Strain/partial tear of the anterior cruciate ligament (with ?? synovial hypertrophy).



Sunday, 27 December 2015 16:48

14847

Written by
hs/bv/rg.

Date : 00.00.00

Name of the Patient : Abc XyzJaitalmn / M / 37 yrs.
Referred by : Dr. Abc Xyzzare.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

Alleged H/O fall on 00.00.00.
C/O tingling in BUE and BLE since then.

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.
4 mm thick T1 Weighted coronal images.

OBSERVATION :

There is a fracture of the odontoid process (? OS odontoideum) with indentation upon the cord. The spinal cord at the C1/C2 levels shows a hyperintense signal on the T2 Weighted images (isointense to normal cord on the T1 Weighted images) and is slightly smaller in calibre than normal.

The cervical intervertebral discs show loss of water content.

The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

IMPRESSION :

The MRI features are suggestive of a fracture of the odontoid process (? OS odontoideum) with altered cord signal at the C1/C2 levels which may represent cord contusion/edema (? myelomalacic).


Sunday, 27 December 2015 16:48

14846

Written by
hs/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyznt Bhlmn / M / 57 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Brain
(Post-contrast Study).

CLINICAL PROFILE :

H/O fever (on & off) since 1 1/2 months.
C/O altered behaviour with bladder/bowel incontinence since 00.00.00.
Known diabetic/hypertensive. On Rx.

EXAMINATION :

A contrast enhanced scan of the brain was obtained using the following parameters :

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

OBSERVATION :

There is a large rim enhancing lesion measuring approximately 4.5 x 4.2 x 4.2 cms in the left frontal lobe. Few areas of internal enhancement are also seen.

Smaller, similar enhancing lesions are seen in the left frontal lobe, just superior to the left Sylvian fissure, in the right posterior parietal lobe and in the right occipital, subcortical white matter.

IMPRESSION :

The MRI features are suggestive of multiple rim enhancing lesions as described within the left frontal lobe and in the left frontal lobe, just superior to the left Sylvian fissure, in the right posterior parietal lobe and in the right occipital, subcortical white matter and these are not specific for a single etiology. The differential diagnosis would include,

1. Intracerebral abscesses (? tuberculomas).

2. Neoplasia like multicentric glioma.




Sunday, 27 December 2015 16:48

14844

Written by
hs/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xylmn / M / 18 yrs.
Referred by : Dr. Abc Xyzolakia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O pain in the joints of the LLE with occasional tingling.

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 L4-L5 and L5-S1 intervertebral discs show loss of water content and appear reduced in height.

There is mild retroplacement of the L5 vertebra over the S1 vertebra. A spina bifida is seen at the S1 level.

A large postero-central disc extrusion is seen to indent the thecal sac and both the traversing L5 nerve roots at the L4-L5 level.

A postero-central disc herniation is seen to indent the traversing left S1 nerve root at the L5-S1 level.

The left facet joint at the L4-L5 and L5-S1 levels shows 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 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 :

15.0 mm at L1-L2
13.0 mm at L2-L3
13.0 mm at L3-L4
5.0 mm at L4-L5
8.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A large postero-central disc extrusion with canal stenosis at the L4-L5 level.

2. A postero-central disc herniation at the L5-S1 level.