MRI Reports (3472)
MRI Reports Database
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz. Pallmn / F / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided headaches with drooping of the left eyelid and diplopia since 15 days.
Similar history 1 year ago from which patient 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.
After administration of contrast the following parameters were used :
3 mm thick T1 Weighted coronal and axial images with fat saturation.
5 mm thick T1 Weighted axial and coronal images.
OBSERVATION :
There is an intermediate signal intensity lesion in the left cavernous sinus extending slightly anterior to the superior orbital fissure (se/im:105/6,7, 106/7,8 & 107/7,8) on the T1 Weighted images. This is seen to turn heterogeneously hyperintense on the STIR images. On administration of contrast, there is enhancement of this lesion.
There is no focal area of altered signal intensity in 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.
There is no area of abnormal enhancement within the brain parenchyma or along the meninges.
Incidental note is made of mild bilateral maxillary sinusitis.
IMPRESSION :
The MRI features are suggestive of altered signal in the left cavernous sinus extending slightly anterior to the superior orbital fissure with enhancement as described and is most probably due to an inflammatory process like a pseudotumor (in view of the similar past history).
The possibility of a neoplastic lesion seems less likely.
Date : 00.00.00
Name of the Patient : Abc Xyz. Pallmn / F / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided headaches with drooping of the left eyelid and diplopia since 15 days.
Similar history 1 year ago from which patient 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.
After administration of contrast the following parameters were used :
3 mm thick T1 Weighted coronal and axial images with fat saturation.
5 mm thick T1 Weighted axial and coronal images.
OBSERVATION :
There is an intermediate signal intensity lesion in the left cavernous sinus extending slightly anterior to the superior orbital fissure (se/im:105/6,7, 106/7,8 & 107/7,8) on the T1 Weighted images. This is seen to turn heterogeneously hyperintense on the STIR images. On administration of contrast, there is enhancement of this lesion.
There is no focal area of altered signal intensity in 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.
There is no area of abnormal enhancement within the brain parenchyma or along the meninges.
Incidental note is made of mild bilateral maxillary sinusitis.
IMPRESSION :
The MRI features are suggestive of altered signal in the left cavernous sinus extending slightly anterior to the superior orbital fissure with enhancement as described and is most probably due to an inflammatory process like a pseudotumor (in view of the similar past history).
The possibility of a neoplastic lesion seems less likely.
Published in
MRI Reports
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzer Mlmn / F / 19 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain since 2 years. H/O fall 2 years back.
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 lumbar vertebral bodies and the 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 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 :
19.0 mm at L1-L2
19.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
Normal study of the Lumbo-sacral Spine.
Date : 00.00.00
Name of the Patient : Abc Xyzer Mlmn / F / 19 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain since 2 years. H/O fall 2 years back.
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 lumbar vertebral bodies and the 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 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 :
19.0 mm at L1-L2
19.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
Normal study of the Lumbo-sacral Spine.
Published in
MRI Reports
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzMlmn / M / 32 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
H/O fall from a loft in January 0000 with injury to both knees. C/O pain in both knees with click and locking since then.
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.
5 mm thick GRASS axial images.
OBSERVATION :
Menisci
There is a hyperintense signal in the posterior horn of the medial meniscus on all the pulse sequences reaching upto the inferior articular surface and would represent Grade III meniscal signal (meniscal tear).
Linear hyperintense signal is seen in the anterior horn of the lateral and medial meniscus not reaching upto the inferior articular surface and represents Grade II meniscal signal (meniscal degeneration).
The posterior horn of the lateral meniscus reveal normal configuration and signal characteristics.
Scan-00009
Cruciate Ligaments :
The anterior cruciate ligament is not seen in its entireity. An intermediate signal intensity is seen in its portion adjacent to the femur on the T1 Weighted images which is seen to turn heterogeneously hyperintense on the GRASS images suggestive of complete tear.
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 :
The articular cartilage overlying the patella and femur appears normal.
Subcutaneous edema (with ? fat necrosis) is seen anterior and lateral to the patella.
There appears to be a fracture of the lateral tibial plateau with an underlying bone bruise.
Effusion is seen in the right knee joint.
..3/.
- 3 - Scan-00009
IMPRESSION :
1. Grade III meniscal signal (meniscal tear) in the posterior horn of the medial meniscus of the right knee joint.
2. Complete tear of the anterior cruciate ligament.
3. Fracture of the lateral tibial plateau with bone bruise.
4. Effusion within the right knee joint.
Date : 00.00.00
Name of the Patient : Abc XyzMlmn / M / 32 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
H/O fall from a loft in January 0000 with injury to both knees. C/O pain in both knees with click and locking since then.
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.
5 mm thick GRASS axial images.
OBSERVATION :
Menisci
There is a hyperintense signal in the posterior horn of the medial meniscus on all the pulse sequences reaching upto the inferior articular surface and would represent Grade III meniscal signal (meniscal tear).
Linear hyperintense signal is seen in the anterior horn of the lateral and medial meniscus not reaching upto the inferior articular surface and represents Grade II meniscal signal (meniscal degeneration).
The posterior horn of the lateral meniscus reveal normal configuration and signal characteristics.
Scan-00009
Cruciate Ligaments :
The anterior cruciate ligament is not seen in its entireity. An intermediate signal intensity is seen in its portion adjacent to the femur on the T1 Weighted images which is seen to turn heterogeneously hyperintense on the GRASS images suggestive of complete tear.
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 :
The articular cartilage overlying the patella and femur appears normal.
Subcutaneous edema (with ? fat necrosis) is seen anterior and lateral to the patella.
There appears to be a fracture of the lateral tibial plateau with an underlying bone bruise.
Effusion is seen in the right knee joint.
..3/.
- 3 - Scan-00009
IMPRESSION :
1. Grade III meniscal signal (meniscal tear) in the posterior horn of the medial meniscus of the right knee joint.
2. Complete tear of the anterior cruciate ligament.
3. Fracture of the lateral tibial plateau with bone bruise.
4. Effusion within the right knee joint.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc XyzMohammed Slmn / M / 55 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with tingling.
H/O spinal surgery 11 months back. Details not available.
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 evidence of laminectomy at the L4 and L5 vertebral levels with post-operative changes in the soft tissues in the posterior lumbar region at these levels. Probable discoidectomy at the L4-L5 level is also noted. The L4-L5 disc is reduced in height. Slight retroplacement of the L4 over the L5 vertebra is noted.
The L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc appear hypointense on the T1 Weighted images and slightly hyperintense on the T2 Weighted images. These changes may be the sequelae of previous surgery.
A posterior peridiscal osteophyte is noted at the L4-L5 level indenting the dural theca anteriorly and narrowing the neural foramina bilaterally at this level. There is resultant lateral recess stenosis at the L4-L5 level.
Scan-00008
A posteriorly bulging disc with posterior peridiscal osteophyte is noted at the L3-L4 level with bilateral neural foraminal narrowing.
A postero-central disc herniation is noted at the L5-S1 level, with bilateral neural foraminal narrowing.
Facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels bilaterally.
The rest of 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 D12 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 :
16.0 mm at L1-L2
16.0 mm at L2-L3
12.0 mm at L3-L4
IMPRESSION :
1. Post-operative status.
2. Altered signal in the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc may be the sequelae of previous surgery.
..3/.
- 3 - Scan-00008
3. A posterior peridiscal osteophyte at the L4-L5 level with bilateral neural foraminal narrowing and resultant lateral recess stenosis at the L4-L5 level.
4. A posteriorly bulging disc with posterior peridiscal osteophyte at the L3-L4 level.
5. A postero-central disc herniation at the L5-S1 level.
6. Facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels bilaterally.
7. Canal stenosis at the L3-L4 and L4-L5 levels.
Name of the Patient : Abc XyzMohammed Slmn / M / 55 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with tingling.
H/O spinal surgery 11 months back. Details not available.
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 evidence of laminectomy at the L4 and L5 vertebral levels with post-operative changes in the soft tissues in the posterior lumbar region at these levels. Probable discoidectomy at the L4-L5 level is also noted. The L4-L5 disc is reduced in height. Slight retroplacement of the L4 over the L5 vertebra is noted.
The L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc appear hypointense on the T1 Weighted images and slightly hyperintense on the T2 Weighted images. These changes may be the sequelae of previous surgery.
A posterior peridiscal osteophyte is noted at the L4-L5 level indenting the dural theca anteriorly and narrowing the neural foramina bilaterally at this level. There is resultant lateral recess stenosis at the L4-L5 level.
Scan-00008
A posteriorly bulging disc with posterior peridiscal osteophyte is noted at the L3-L4 level with bilateral neural foraminal narrowing.
A postero-central disc herniation is noted at the L5-S1 level, with bilateral neural foraminal narrowing.
Facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels bilaterally.
The rest of 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 D12 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 :
16.0 mm at L1-L2
16.0 mm at L2-L3
12.0 mm at L3-L4
IMPRESSION :
1. Post-operative status.
2. Altered signal in the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc may be the sequelae of previous surgery.
..3/.
- 3 - Scan-00008
3. A posterior peridiscal osteophyte at the L4-L5 level with bilateral neural foraminal narrowing and resultant lateral recess stenosis at the L4-L5 level.
4. A posteriorly bulging disc with posterior peridiscal osteophyte at the L3-L4 level.
5. A postero-central disc herniation at the L5-S1 level.
6. Facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels bilaterally.
7. Canal stenosis at the L3-L4 and L4-L5 levels.
Published in
MRI Reports
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Dlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O irrelevant talk since 8 days.
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 coronal images.
OBSERVATION :
There is a wedge-shaped hypointense lesion on the T1 Weighted images involving the cortex and the subcortical white matter in the left temporo-parietal region. This lesion appears hyperintense on the proton, T2 Weighted and FLAIR images. Ill-defined, hyperintense signal on the T1 Weighted images within this lesion, which appears relatively hypointense on the T2 Weighted images representing intracellular methemoglobin and suggests early subacute haemorrhage. There is resultant effacement of the sulcal spaces in the left temporo-parietal region.
There is a CSF intensity lesion on all the pulse sequences in the right occipital lobe, which represents an area of cystic encephalomalacia, most likely the sequelae of a previous vascular insult. Perilesional, white matter hyperintense signal on the T2 Weighted and FLAIR images may represent gliotic changes.
Ill-defined hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons and bilateral centrum semiovale, most likely represent ischemic changes.
Lacunar infarcts are noted in the pons, genu of the corpus callosum on the left, right thalamus and bilateral lentiform nuclei.
There is mild dilatation of the ventricular system. There is prominence of the cerebral cortical sulci and 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.
IMPRESSION :
1. A haemorrhagic infarct in the left temporo-parietal region.
2. An area of cystic encephalomalacia with perilesional gliosis in the right occipital lobe, most likely the sequelae of previous vascular insult.
3. Altered signal in the pons and bilateral centrum semiovale, most likely represent ischemic changes.
4. Lacunar infarcts in the pons, genu of the corpus callosum on the left, right thalamus and bilateral lentiform nuclei.
Date : 00.00.00
Name of the Patient : Abc Xyz Dlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O irrelevant talk since 8 days.
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 coronal images.
OBSERVATION :
There is a wedge-shaped hypointense lesion on the T1 Weighted images involving the cortex and the subcortical white matter in the left temporo-parietal region. This lesion appears hyperintense on the proton, T2 Weighted and FLAIR images. Ill-defined, hyperintense signal on the T1 Weighted images within this lesion, which appears relatively hypointense on the T2 Weighted images representing intracellular methemoglobin and suggests early subacute haemorrhage. There is resultant effacement of the sulcal spaces in the left temporo-parietal region.
There is a CSF intensity lesion on all the pulse sequences in the right occipital lobe, which represents an area of cystic encephalomalacia, most likely the sequelae of a previous vascular insult. Perilesional, white matter hyperintense signal on the T2 Weighted and FLAIR images may represent gliotic changes.
Ill-defined hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons and bilateral centrum semiovale, most likely represent ischemic changes.
Lacunar infarcts are noted in the pons, genu of the corpus callosum on the left, right thalamus and bilateral lentiform nuclei.
There is mild dilatation of the ventricular system. There is prominence of the cerebral cortical sulci and 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.
IMPRESSION :
1. A haemorrhagic infarct in the left temporo-parietal region.
2. An area of cystic encephalomalacia with perilesional gliosis in the right occipital lobe, most likely the sequelae of previous vascular insult.
3. Altered signal in the pons and bilateral centrum semiovale, most likely represent ischemic changes.
4. Lacunar infarcts in the pons, genu of the corpus callosum on the left, right thalamus and bilateral lentiform nuclei.
Published in
MRI Reports
sb/ke/nl/nl
A Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzhry.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 6-7 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 loss of water content of the L5-S1 disc.
There is still seen a left postero-lateral (foraminal) disc herniation at the L5-S1 level with left neural foraminal narrowing. Slight hypertrophy of the right facet joint at the L5-S1 level is noted.
A small, posterior disc bulge is seen at the L4-L5 level.
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 L2 level and the thecal sac terminates at the S2 level.
Scan-00005a
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
18.0 mm at L5-S1.
IMPRESSION :
1. A left postero-lateral (foraminal) disc herniation at the L5-S1 level with left neural foraminal narrowing.
2. Slight facetal hypertrophy at the L5-S1 level on the right.
As compared to the previous MRI (study no:0000), there is no significant change noted.
A Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzhry.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 6-7 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 loss of water content of the L5-S1 disc.
There is still seen a left postero-lateral (foraminal) disc herniation at the L5-S1 level with left neural foraminal narrowing. Slight hypertrophy of the right facet joint at the L5-S1 level is noted.
A small, posterior disc bulge is seen at the L4-L5 level.
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 L2 level and the thecal sac terminates at the S2 level.
Scan-00005a
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
18.0 mm at L5-S1.
IMPRESSION :
1. A left postero-lateral (foraminal) disc herniation at the L5-S1 level with left neural foraminal narrowing.
2. Slight facetal hypertrophy at the L5-S1 level on the right.
As compared to the previous MRI (study no:0000), there is no significant change noted.
Published in
MRI Reports
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzhry.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O pain in the LLE.
H/O spinal surgery on 29th July 0000 (details not available).
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
4 mm thick T1 Weighted and T2 Weighted axial images.
4 mm thick T1 Weighted sagittal images were also obtained in flexion and extension.
OBSERVATION :
There is evidence of operative intervention in the posterior cervical and suboccipital region with susceptibility artifacts in the soft tissues in the posterior cervical region at that level.
There is loss of water content of the cervical intervertebral discs.
There is still seen a fracture of odontoid process through its mid portion with the base of the fractured fragment tilted posteriorly. Slight anterior subluxation of this fractured fragment with the anterior arch of C1 over the rest of the odontoid process is noted. The distance between the arch and the dens is maintained.
The cervical spinal cord at C1 and C2 vertebral bodies is atrophied and shows a hyperintense signal on the proton and T2 Weighted images suggesting gliotic/myelomalacic changes.
Small postero-central protruded disc with peridiscal osteophytes are noted at the C2-C3, C3-C4 and C5-C6 levels.
Small postero-central disc herniation with peridiscal osteophyte is noted at the C4-C5 level.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
There is no significant change noted in the relation of the fractured fragment and the rest of the odontoid process on the flexion images. On the extension images, however the fractured tip comes more towards the normal alignment with the rest of the odontoid process.
IMPRESSION :
1. Post-operative status.
2. Fracture of the odontoid process through its mid portion with slight anterior translation of the fractured fragment and the anterior arch of C1 over the rest of the odontoid process.
3. Atrophy of the cervical spinal cord at the C1 and C2 vertebral levels with altered signal suggesting gliotic/myelomalacic changes.
..3/.
- 3 - Scan-00005
4. Small postero-central protruded discs with peridiscal osteophytes at the C2-C3, C3-C4, C5-C6 and C6-C7 levels.
5. Small postero-central disc herniation with peridiscal osteophytes at the C4-C5 level.
As compared to the previous MRI (study no:502) dated 00.00.00, there is no significant change noted.
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzhry.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O pain in the LLE.
H/O spinal surgery on 29th July 0000 (details not available).
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
4 mm thick T1 Weighted and T2 Weighted axial images.
4 mm thick T1 Weighted sagittal images were also obtained in flexion and extension.
OBSERVATION :
There is evidence of operative intervention in the posterior cervical and suboccipital region with susceptibility artifacts in the soft tissues in the posterior cervical region at that level.
There is loss of water content of the cervical intervertebral discs.
There is still seen a fracture of odontoid process through its mid portion with the base of the fractured fragment tilted posteriorly. Slight anterior subluxation of this fractured fragment with the anterior arch of C1 over the rest of the odontoid process is noted. The distance between the arch and the dens is maintained.
The cervical spinal cord at C1 and C2 vertebral bodies is atrophied and shows a hyperintense signal on the proton and T2 Weighted images suggesting gliotic/myelomalacic changes.
Small postero-central protruded disc with peridiscal osteophytes are noted at the C2-C3, C3-C4 and C5-C6 levels.
Small postero-central disc herniation with peridiscal osteophyte is noted at the C4-C5 level.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
There is no significant change noted in the relation of the fractured fragment and the rest of the odontoid process on the flexion images. On the extension images, however the fractured tip comes more towards the normal alignment with the rest of the odontoid process.
IMPRESSION :
1. Post-operative status.
2. Fracture of the odontoid process through its mid portion with slight anterior translation of the fractured fragment and the anterior arch of C1 over the rest of the odontoid process.
3. Atrophy of the cervical spinal cord at the C1 and C2 vertebral levels with altered signal suggesting gliotic/myelomalacic changes.
..3/.
- 3 - Scan-00005
4. Small postero-central protruded discs with peridiscal osteophytes at the C2-C3, C3-C4, C5-C6 and C6-C7 levels.
5. Small postero-central disc herniation with peridiscal osteophytes at the C4-C5 level.
As compared to the previous MRI (study no:502) dated 00.00.00, there is no significant change noted.
Published in
MRI Reports
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyza Plmn / F / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O difficulty in walking since 5-6 years with pain in BLE, tingling and loss of balance.
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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is prominence of the cerebellar folia bilaterally with mild dilatation of the fourth ventricle. The ventral pontine bulge and the olivary bulges are maintained.
Both the lateral and third ventricles are unremarkable. There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Prominence of the cerebellar folia bilaterally with mild dilatation of the fourth ventricle suggest cerebellar atrophy. The ventral pontine and olivary bulges are maintained.
Date : 00.00.00
Name of the Patient : Abc Xyza Plmn / F / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O difficulty in walking since 5-6 years with pain in BLE, tingling and loss of balance.
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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is prominence of the cerebellar folia bilaterally with mild dilatation of the fourth ventricle. The ventral pontine bulge and the olivary bulges are maintained.
Both the lateral and third ventricles are unremarkable. There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Prominence of the cerebellar folia bilaterally with mild dilatation of the fourth ventricle suggest cerebellar atrophy. The ventral pontine and olivary bulges are maintained.
Published in
MRI Reports
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 20 yrs.
Referred by : Dr. Abc Xyz. Patel.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O fall 6 months back with low back pain since then.
EXAMINATION :
M.R.I of the dorso-lumbar 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.
OBSERVATION :
The D12 vertebral body is as marked on the film.
There is slight anterior wedging of the D10, D11 and D12 bodies. These vertebrae show spotty fatty marrow changes. Subtle hyperintense signal is seen in the D10 vertebral body along the inferior cortical endplate on the T2 Weighted images and is hypointense on the T1 Weighted images suggestive of Type I degenerative changes. Schmorls nodes are noted over the D10 to L1 vertebrae. The intervening discs, however, show normal signal.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorso-lumbar spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1 level.
IMPRESSION :
Anterior wedging of the D10, D11 and D12 vertebral bodies with spotty fatty marrow changes and Type I degenerative changes in the inferior cortical endplate of D10 vertebrae may be the sequelae of previous trauma. No compressive lesion is identified. Visualized lower dorsal cord shows normal signal.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 20 yrs.
Referred by : Dr. Abc Xyz. Patel.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O fall 6 months back with low back pain since then.
EXAMINATION :
M.R.I of the dorso-lumbar 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.
OBSERVATION :
The D12 vertebral body is as marked on the film.
There is slight anterior wedging of the D10, D11 and D12 bodies. These vertebrae show spotty fatty marrow changes. Subtle hyperintense signal is seen in the D10 vertebral body along the inferior cortical endplate on the T2 Weighted images and is hypointense on the T1 Weighted images suggestive of Type I degenerative changes. Schmorls nodes are noted over the D10 to L1 vertebrae. The intervening discs, however, show normal signal.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorso-lumbar spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1 level.
IMPRESSION :
Anterior wedging of the D10, D11 and D12 vertebral bodies with spotty fatty marrow changes and Type I degenerative changes in the inferior cortical endplate of D10 vertebrae may be the sequelae of previous trauma. No compressive lesion is identified. Visualized lower dorsal cord shows normal signal.
Published in
MRI Reports
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzkant Trilmn / M / 75 yrs.
Referred by : Dr. Abc Xyz Sampat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness of the LLE since 2 years.
Known hypertensive/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.
5 mm thick FLAIR coronal images.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the right temporal, occipital lobes and frontal lobes, in the pons and in the periventricular white matter bilaterally. These lesions appear hypointense to normal white matter on the T1 Weighted images.
Lacunar infarcts are noted in the right frontal deep white matter, right lentiform nucleus, bilateral thalami and in the cerebellar hemispheres bilaterally.
There is mild to moderate dilatation of the ventricular system which is disproportionate to the degree of cerebral cortical atrophy. There is prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Scan-00002
Inflammatory changes are noted in the left maxillary antrum.
Partial fusion of C2/C3 vertebrae is noted.
IMPRESSION :
1. Altered signal in the subcortical white matter in the right temporal, occipital lobes and frontal lobes in the pons and in the periventricular white matter bilaterally most likely represent ischemic changes.
2. Lacunar infarcts in the right frontal deep white matter, right lentiform nucleus, bilateral thalami and in the cerebellar hemispheres bilaterally.
3. Mild to moderate dilatation of the ventricular system which is disproportionate to the degree of cerebral cortical atrophy. Normal pressure hydrocephalus should be ruled out.
As compared to the previous CT Scan dated 00.00.00, there is no significant change in the size of the ventricles.
Date : 00.00.00
Name of the Patient : Abc Xyzkant Trilmn / M / 75 yrs.
Referred by : Dr. Abc Xyz Sampat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness of the LLE since 2 years.
Known hypertensive/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.
5 mm thick FLAIR coronal images.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the right temporal, occipital lobes and frontal lobes, in the pons and in the periventricular white matter bilaterally. These lesions appear hypointense to normal white matter on the T1 Weighted images.
Lacunar infarcts are noted in the right frontal deep white matter, right lentiform nucleus, bilateral thalami and in the cerebellar hemispheres bilaterally.
There is mild to moderate dilatation of the ventricular system which is disproportionate to the degree of cerebral cortical atrophy. There is prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Scan-00002
Inflammatory changes are noted in the left maxillary antrum.
Partial fusion of C2/C3 vertebrae is noted.
IMPRESSION :
1. Altered signal in the subcortical white matter in the right temporal, occipital lobes and frontal lobes in the pons and in the periventricular white matter bilaterally most likely represent ischemic changes.
2. Lacunar infarcts in the right frontal deep white matter, right lentiform nucleus, bilateral thalami and in the cerebellar hemispheres bilaterally.
3. Mild to moderate dilatation of the ventricular system which is disproportionate to the degree of cerebral cortical atrophy. Normal pressure hydrocephalus should be ruled out.
As compared to the previous CT Scan dated 00.00.00, there is no significant change in the size of the ventricles.
Published in
MRI Reports
More...
hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzao Plmn / M / 58 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O craniotomy done on 00.00.00 for a Grade IV glioblastoma. Received 33 sittings of radiotherapy.
Now C/O loss of appetite and altered speech since 15 days.
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.
IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is evidence of a left high parietal craniotomy.
There is evidence of an irregularly defined area of hypointensity on the T1 Weighted images which turns hyperintense on the proton and T2 Weighted images and follows CSF signal on the FLAIR images within the left parietal lobe.
There is mild to moderate dilatation of the ventricular system. Hyperintense areas are noted on the proton, T2 Weighted and FLAIR images in the periventricular white matter. This would represent periventricular CSF ooze. Also seen is effacement of the cerebral cortical sulci bilaterally. This may suggest raised intracranial tension.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
In a known C/O Grade IV glioblastoma the MRI features are suggestive of :
1. Post-operative status.
2. Altered signal in the left parietal lobe most likely represents an area of cystic encephalomalacia. The possibility of residual infiltrative lesion cannot be entirely excluded.
3. Communicating hydrocephalus with periventricular CSF ooze.
Date : 00.00.00
Name of the Patient : Abc Xyzao Plmn / M / 58 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O craniotomy done on 00.00.00 for a Grade IV glioblastoma. Received 33 sittings of radiotherapy.
Now C/O loss of appetite and altered speech since 15 days.
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.
IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is evidence of a left high parietal craniotomy.
There is evidence of an irregularly defined area of hypointensity on the T1 Weighted images which turns hyperintense on the proton and T2 Weighted images and follows CSF signal on the FLAIR images within the left parietal lobe.
There is mild to moderate dilatation of the ventricular system. Hyperintense areas are noted on the proton, T2 Weighted and FLAIR images in the periventricular white matter. This would represent periventricular CSF ooze. Also seen is effacement of the cerebral cortical sulci bilaterally. This may suggest raised intracranial tension.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
In a known C/O Grade IV glioblastoma the MRI features are suggestive of :
1. Post-operative status.
2. Altered signal in the left parietal lobe most likely represents an area of cystic encephalomalacia. The possibility of residual infiltrative lesion cannot be entirely excluded.
3. Communicating hydrocephalus with periventricular CSF ooze.
Published in
MRI Reports
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzai Polmn / F / 70 yrs.
Referred by : Dr. Abc Xyz Sampat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches, gait ataxia and drooping of the left eyelid since 2 days.
H/O fever since 10 days.
Known hypertensive.
H/O weakness of the RUE with altered speech 2 1/2 years back (has recovered).
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.
FEW NECK IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There are hyperintense areas on the T2 Weighted images in the right temporo-occipital and the right high parietal region. Sulcal spaces are prominent in this region.
A small hyperintense focus on the T2 Weighted images seen in the midbrain posteriorly.
There is mild fullness of the ventricular system. 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.
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. Areas of encephalomalacia in the right temporo-occipital and the right high parietal region.
2. A focus of altered signal intensity in the midbrain posteriorly, is most likely ischemic in etiology.
3. Age related cerebral and cerebellar atrophy.
No significant abnormality is detected on the intracranial and neck MRA on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzai Polmn / F / 70 yrs.
Referred by : Dr. Abc Xyz Sampat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches, gait ataxia and drooping of the left eyelid since 2 days.
H/O fever since 10 days.
Known hypertensive.
H/O weakness of the RUE with altered speech 2 1/2 years back (has recovered).
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.
FEW NECK IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There are hyperintense areas on the T2 Weighted images in the right temporo-occipital and the right high parietal region. Sulcal spaces are prominent in this region.
A small hyperintense focus on the T2 Weighted images seen in the midbrain posteriorly.
There is mild fullness of the ventricular system. 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.
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. Areas of encephalomalacia in the right temporo-occipital and the right high parietal region.
2. A focus of altered signal intensity in the midbrain posteriorly, is most likely ischemic in etiology.
3. Age related cerebral and cerebellar atrophy.
No significant abnormality is detected on the intracranial and neck MRA on this study.
Published in
MRI Reports
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzDclmn / F / 70 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache since 1 month with tingling in the RLE since 1 month.
H/O filariaris of the right leg since 7 years.
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 wedging of the D8 and D9 vertebral bodies and pedicles which show hypointense areas replacing the normal marrow on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The superior and inferior cortical endplates of the D9 and D8 vertebral bodies, respectively, are breached with involvement of the D8-D9 intervertebral disc. There is slight pre and paravertebral soft tissue extension over these levels.
The rest of the visualized dorsal vertebral bodies show focal fatty changes suggestive of osteoporosis. The remaining visualized intervertebral discs show loss of water content. The facet joints are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
Scan-00008
The conus medullaris terminates at the L1 level.
Screening, 4 mm thick T2 Weighted sagittal images of the cervico-dorsal spine do not reveal any diagnostic feature of note.
The right dome of the diaphragm is elevated.
IMPRESSION :
The MRI features are suggestive of altered signal of the D8 and D9 vertebrae and the D8-D9 intervertebral disc with extensions as described and this would most likely represent an infective process like tuberculosis. The possibility of this being a neoplastic process though less likely cannot be entirely excluded.
Date : 00.00.00
Name of the Patient : Abc XyzDclmn / F / 70 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache since 1 month with tingling in the RLE since 1 month.
H/O filariaris of the right leg since 7 years.
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 wedging of the D8 and D9 vertebral bodies and pedicles which show hypointense areas replacing the normal marrow on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The superior and inferior cortical endplates of the D9 and D8 vertebral bodies, respectively, are breached with involvement of the D8-D9 intervertebral disc. There is slight pre and paravertebral soft tissue extension over these levels.
The rest of the visualized dorsal vertebral bodies show focal fatty changes suggestive of osteoporosis. The remaining visualized intervertebral discs show loss of water content. The facet joints are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
Scan-00008
The conus medullaris terminates at the L1 level.
Screening, 4 mm thick T2 Weighted sagittal images of the cervico-dorsal spine do not reveal any diagnostic feature of note.
The right dome of the diaphragm is elevated.
IMPRESSION :
The MRI features are suggestive of altered signal of the D8 and D9 vertebrae and the D8-D9 intervertebral disc with extensions as described and this would most likely represent an infective process like tuberculosis. The possibility of this being a neoplastic process though less likely cannot be entirely excluded.
Published in
MRI Reports
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzValmn / M / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, diplopia in the right eye (on and off) since August 0000.
C/O seizures in December 0000.
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 small, subcentimeter, hypointense lesions on all the pulse sequences, more pronounced on the proton, T2 Weighted, FLAIR and Fast Scan (T2 *) images in the subcortical white matter in the frontal and temporal regions bilaterally, right high parietal-parafalcine region and in the right occipital region. There is no perilesional edema.
A similar lesion is noted in the pons, centrally and posteriorly. Minimal hyperintense signal on the proton, T2 Weighted and FLAIR images around the lesion in the pons may represent perilesional edema/gliosis.
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 no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Focal, hypointense lesions on all the pulse sequences in the cerebral hemispheres and pons, as described, most likely represent calcified granulomas. The lesion in the pons shows evidence of minimal perilesional edema/gliosis.
Date : 00.00.00
Name of the Patient : Abc XyzValmn / M / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, diplopia in the right eye (on and off) since August 0000.
C/O seizures in December 0000.
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 small, subcentimeter, hypointense lesions on all the pulse sequences, more pronounced on the proton, T2 Weighted, FLAIR and Fast Scan (T2 *) images in the subcortical white matter in the frontal and temporal regions bilaterally, right high parietal-parafalcine region and in the right occipital region. There is no perilesional edema.
A similar lesion is noted in the pons, centrally and posteriorly. Minimal hyperintense signal on the proton, T2 Weighted and FLAIR images around the lesion in the pons may represent perilesional edema/gliosis.
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 no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Focal, hypointense lesions on all the pulse sequences in the cerebral hemispheres and pons, as described, most likely represent calcified granulomas. The lesion in the pons shows evidence of minimal perilesional edema/gliosis.
Published in
MRI Reports