MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

12781

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

Name of the Patient : Abc Xyz Kalmn / M / 35 yrs.
Referred by : Dr. Abc Xyzl.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (right more than left) with tingling since 1 year.

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 posterior disc bulge at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. Mild facetal arthropathy is noted at this level. The L4-L5 disc shows slight loss of water content.

A small postero-central disc protrusion is seen at the L5-S1 level.

A small right postero-lateral disc bulge is noted at the L3-L4 level.

The pedicles of the lumbar vertebrae are congenitally short in their antero-posterior dimensions.

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

IMPRESSION :

1. A posterior disc bulge at the L4-L5 level with mild facetal arthropathy at this level.

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

3. A small right postero-lateral disc bulge at the L3-L4 level.

4. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.








Sunday, 27 December 2015 16:48

12780

Written by
Date : 00.00.00
Name of the Patient : Abc XyzAchlmn / M / 65 yrs.
Referred by : Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Thorax.
CLINICAL PROFILE :
C/O drooping of the left eyelid since 6-7 months.
EXAMINATION :
M.R.I. of the thorax was performed using the following parameters:
8 mm thick T1 Weighted and T2 Weighted axial images.8 mm thick T1 Weighted sagittal images.9 mm thick T1 Weighted coronal images.
OBSERVATION :

There is seen a small, approximately 1.2 cms diameter sized lymphnode in the pretracheal-retrocaval region.

A small, approximately 1.1 cms diameter sized intermediate signal intensity lesion on T1 Weighted images is noted in the anterior mediastinal fat at about the level of the aortic arch (scans 102.12, 106.5). This lesion appears hypointense on the T2 Weighted images (scans 104.12). The anterior mediastinal fat is otherwise unremarkable and shows normal signal.

The vascular structures in the mediastinum are normal. The hila bilaterally appear to be normal.
The visualized cervico-dorsal vertebral bodies, the sternum and the costochondral joints do not reveal any area of altered signal intensity.


An approximately 3.0 x 1.8 cms sized well-defined, intermediate signal intensity lesion is noted in the subcoracoid region, in the intermuscular plane between the trapezius muscle and the infraspinatous muscle on the right (scans 104.2-4, 102.2-4). This lesion appears hyperintense on the T2 Weighted images.
IMPRESSION :
1. A small, approximately 1.2 cms diameter sized lymphnode in the pretracheal-retrocaval region
2. A small, approximately 1.1 cms diameter sized lesion in the anterior mediastinal fat at about the level of the aortic arch also most likely represents a lymphnode. The possibility of this lesion representing a thymic tumor seems less likely.

3. An approximately 3.0 x 1.8 cms sized well-defined, lesion in the subcoracoid region, in the intermuscular plane between the trapezius muscle and the infraspinatous muscle on the right is not specific for a single etiology. This may represents a fluid filled bursa.


Sunday, 27 December 2015 16:48

12779

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

Name of the Patient : Abc Xyzth lmn / M / 55 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain with Contrast.

CLINICAL PROFILE :

C/O deafness of the right ear since 23 years.
Now C/O tinnitus and decreased hearing on the left side.

EXAMINATION :

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

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

MR cisternogram was also obtained.

3 mm thick T1 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

After administration of contrast, the following parameters were used :

3 mm thick T1 Weighted axial and coronal images.

OBSERVATION :

There is thickening of the seventh and eighth cranial nerve complex on the left side (se/im 107/5, 106/6, 103/5, 102/5). This is slightly hyperintense to the normal nerve on the T1 Weighted images and appears hypointense on the proton and T2 Weighted images. There is effacement of the adjacent CSF space.

There is enhancement of the seventh and eighth cranial nerve on the left side on administration of contrast.



There is no area of abnormal enhancement within the brain parenchyma or the meninges.

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 :

The MRI features are suggestive of thickening of the seventh and eighth nerve complex on the left side with enhancement. These findings may be seen with,

1. An intracanalicular acoustic neurinoma.

2. Focal neuritis.
Sunday, 27 December 2015 16:48

12778

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

Name of the Patient : Abc Xyz Mlmn / M / 31 yrs.
Referred by : Dr. Abc Xyzadilkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with paresthesias in the RLE since 2 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 slight forward subluxation of the L5 over the S1 vertebra.

A small posterior disc herniation is seen at the L5-S1 level with anterior indentation of the thecal sac.

A small posterior disc bulge is identified at the L4-L5 level.

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 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

17.0 mm at L3-L4

15.0 mm at L4-L5

12.0 mm at L5-S1.

The dorsal spine was screened with 5 mm thick T1 Weighted sagittal images and does not reveal any diagnostic feature of note.

IMPRESSION :

A small posterior disc herniation at the L5-S1 level.







Sunday, 27 December 2015 16:48

12777

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

Name of the Patient : Abc Xyzhai lmn / M / 81 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O weakness of BLE with acute onset of bladder/bowel incontinence.

EXAMINATION :

M.R.I of the dorsal spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

8 mm thick T1 Weighted and T2 Weighted axial images.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There ie evidence of a mass lesion within the epidural space posteriorly and more to the left over the D8 to D11 vertebral levels. It is of intermediate signal intensity on all the pulse sequences. The cord is compressed and displaced anteriorly and to the right. The cord is hyperintense on the T2 Weighted images over these levels and would suggest cord edema/ischemia/myelitis.

There is involvement of the D9 and D10 pedicles on the left side with encroachment into the left D9-D10 neural foramen. Also seen is involvement of the left costo-vertebral joints and head and neck of the rib at this level. A small left paravertebral soft tissue component is seen at the D9 and D10 levels.








The rest of the visualized dorsal vertebral bodies show normal signal intensity. The visualized dorsal intervertebral discs show loss of water content.

IMPRESSION :

The MRI features are suggestive of a pathologic process within the posterior epidural space, more to the left over the D8 to D11 vertebral levels as described with cord compression and cord edema/ischemia/myelitis.

The differential diagnosis would include :

1. Infective process like tuberculosis.

2. Neoplasia like small cell tumors or secondaries.


Sunday, 27 December 2015 16:48

12776

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

Name of the Patient : Abc Xyz Prajalmn / M / 42 yrs.
Referred by : Dr. Abc Xyzchale / Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O ? Miller-Fisher syndrome since 15 days.
C/O severe backache since 1 1/2 months.

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 and STIR coronal images.

The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and 6 mm thick T2 Weighted axial images.

OBSERVATION :

There is no focal area of altered signal intensity within 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.

The optic nerves show normal signal on either side.

The clivus and the petrous apices show a relatively hypointense signal when compared to normal fatty marrow.








Screening images of the lumbo-sacral spine reveal a diffuse hypointense signal on the T1 Weighted images involving the visualized lumbo-sacral vertebrae and the pelvic bones. This signal appears heterogeneously hyperintense on the T2 Weighted images. Probable presacral and epidural soft tissue extension of the lesion is noted at the L5 level and the sacral region.

Incidentally noted is hepatosplenomegaly.

IMPRESSION :

1. Normal study of the Brain.

2. Diffuse altered signal in the clivus, petrous apices, lumbar and sacral vertebrae and in the pelvic bones is not specific for a single etiology. Myeloproliferative disorders or small cell tumors should be ruled out.



Sunday, 27 December 2015 16:48

12775

Written by
sb/hs/nl/nl
/00005 Date : 17/00.00.00

Name of the Patient : Abc Xyz Kalmn / F / 30 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Left Thigh with MRV &
MRA.

CLINICAL PROFILE :

C/O pain with swelling in the lower left 1/3 rd femur since 6 months.
Operated for a ? removal of lipoma from the same region in 0000.

EXAMINATION :

M.R.I. of the left thigh with MRV and MRA was performed using the following parameters :

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

5 mm thick T1 Weighted and STIR coronal images.

7 mm thick GRASS sagittal images.

MRV and MRA were performed using 2D TOF sequences.

OBSERVATION :

There is seen fatty replacement in the bulk of the left vastus lateralis muscle and the biceps femoris muscle, distally. These changes are seen over a distance of about 18.0 cms cephalad to the left knee joint.

There are multiple, serpingenous lesions in the bulk of the left vastus lateralis muscle, biceps femoris muscles and in the intermuscular fat plane between these muscles in the anterior and posterior compartments of the distal left



thigh, laterally. These lesions are of intermediate signal intensity on the T1 Weighted images and appear hyperintense on the T2 Weighted and STIR images and extend about 18.0 cms supero-inferiorly, proximal to the left knee joint. There is no bone erosion or destruction noted. The subcutaneous tissue around this lesion are unremarkable. There is no extension of this lesion into the left knee joint space per se.

The rest of the visualized muscles in the distal left thigh are unremarkable.

Scar of previous surgery along the antero-lateral margin of the distal left thigh is noted.

MRV/MRA of the distal left thigh and proximal left leg does not reveal any abnormal vascularity at the site of the lesion. There are no obvious arterial feeder vessels or enlarged draining veins into the venous system identified on this study.

IMPRESSION :

1. Post-operative/post-biopsy status.

2. Serpingenous lesions in the bulk of the left vastus lateralis muscle, left biceps femoris muscle and in the intermuscular fat plane between these muscles in the anterior and posterior compartments of the distal left thigh, laterally, as described, are not specific for a single etiology. This lesion most likely represents an intermuscular/intramuscular hemangioma.

3. No obvious arterial feeder vessels or enlarged draining veins into the venous system are identified on this study.

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



Sunday, 27 December 2015 16:48

12774

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

Name of the Patient : Abc Xyzet Powlmn / M / 23 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache (off and on) 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 mild retroplacement of the L4 vertebra over the L5 vertebra.

A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac and both the traversing L5 nerve roots at the L4-L5 level. Slight inferior migration of this disc is also noted. This intervertebral disc shows loss of water content.

A small posterior disc herniation is seen to indent both the traversing S1 nerve roots at the L5-S1 level. This intervertebral disc shows mild loss of water content.

Mild far lateral (extraforaminal) disc bulges are seen bilaterally at the L3-L4, L4-L5 and L5-S1 levels.

There is mild facetal hypertrophy at the L4-L5 and L5-S1 levels.







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-S2 level.

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

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

IMPRESSION :

1. A postero-central disc herniation with peridiscal osteophytes at the L4-L5 level.

2. A small posterior disc herniation at the L5-S1 level.





Sunday, 27 December 2015 16:48

12773

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

Name of the Patient : Abc Xyzam Jalmn / M / 56 yrs.
Referred by : Dr. Abc Xyzacker.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O weakness of the LUE and LLE since 00.00.00.
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 and 4 mm thick Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is seen a small, approximately 1.3 cm diameter sized hyperintense lesion on the T1 Weighted images in the right lentiform nucleus extending into the right corona radiata and right posterior capsular region. This lesion appears relatively hypointense on the proton and T2 Weighted images and blooms on the Fast Scan (T2 *) images. There is mild perilesional edema.

There is a linear hypointense signal on the T1 Weighted images in the right external capsular region. This lesion appears hyperintense on the proton and T2 Weighted images and shows a peripheral hypointense rim, better appreciated on the T2 Weighted and Fast Scan (T2 *) images.

There are ill-defined hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally and in bilateral fronto-parietal deep white matter. These lesions appear hypointense to normal white matter on the T1 Weighted images.



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

Incidentally noted is a subgaleal lipoma in the left occipital region.

IMPRESSION :

1. An approximately 1.3 cm diameter sized lesion in the right lentiform nucleus extending into the right corona radiata represents an early subacute hematoma.

2. Altered signal in the right external capsular region most likely is the sequelae of a previous hematoma in that region, which has now resolved.

3. Altered signal in the periventricular white matter bilaterally and in bilateral fronto-parietal white matter most likely represent ischemic changes.

4. Cerebral cortical atrophy.


Sunday, 27 December 2015 16:48

12772

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

Name of the Patient : Abc Xyzlmn / M / 20 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O acute onset paraplegia, since 1 day.

EXAMINATION :

M.R.I of the dorsal spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

8 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

The D12 vertebral body is as marked on the film.

There is seen a fairly large intermediate signal intensity lesion on the T1 Weighted images in the posterior epidural space extending over the D9 to D11 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. There is resultant anterior displacement and compression of the dorsal spinal cord over these levels. The dorsal spinal cord over these levels shows a hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia.

The rest of the visualized dorsal vertebral bodies and 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.

IMPRESSION :

A posterior epidural lesion extending over the D9 to D11 vertebral levels as described is not specific for a single etiology. This may represent granulation tissue (? tuberculous etiology) or round cell tumors. Epidural hematoma seems less likely. There is resultant cord compression and cord signal alteration suggesting cord edema/ischemia.