MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

12738

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

Name of the Patient : Abc Xyzkant Jlmn / M / 49 yrs.
Referred by : Dr. Abc Xyzthwani / Dr. Abc Xyzah.
Examination : M.R.I. of the Left Shoulder.

CLINICAL PROFILE :

H/O fall with body weight on the left shoulder on 00.00.00 and difficulty to lift the LUE since then.

EXAMINATION :

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

4 mm thick T1 Weighted and GRASS axial images.

4 mm thick T1 Weighted sagittal images.

4 mm thick T1 Weighted, Proton and T2 Weighted coronal images.

OBSERVATION :

There is seen an ill-defined, hypointense signal on the T1 Weighted images in the region of the lesser and greater tuberosity of the left humerus. This lesion appears hyperintense on the T2 Weighted and GRASS images. The margins of the greater and lesser tuberosities of the left humerus are not well delineated on this study. These tuberosities appear slightly depressed in relation to the humeral head.

There is evidence of avulsion of the anterior lip of the labrum, inferiorly, with altered signal (hypointense on the T1 Weighted images and hyperintense on the T2 Weighted and GRASS images) in the antero-inferior glenoid rim.

Minimal fluid is noted in the gleno-humeral joint.





The articular cartilage of the head of the left humerus appears normal.

The tendinous insertion of the supraspinatous muscle shows normal signal intensity. There is no evidence of fluid in the subdeltoid bursa. There is no evidence of a tear of the supraspinatous muscle.

The acromion process is seen to be sloping slightly posteriorly. Slight hypertrophy if the inferior margin of the acromio-clavicular joint is noted.

The visualized axilla is unremarkable.

IMPRESSION :

1. Altered signal in the region of the greater and lesser tuberosities of the left humerus with ill-defined margins suggest a fracture of the tuberosities with bone bruise.

2. Avulsion of the anterior lip of the labrum, inferiorly, with injury to the glenoid rim, antero-inferiorly.

3. Minimal fluid in the gleno-humeral joint.

4. Slight hypertrophy of the inferior margin of the acromio-clavicular joint.



Sunday, 27 December 2015 16:48

12737

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

Name of the Patient : Abc XyzKanklmn / M / 38 yrs.
Referred by : Dr. Abc Xyzhankar.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O one episode of temporary blurring of vision with decreased sensation over the LUE and face with headaches.

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.

4 mm thick FLAIR axial images.

5 mm thick T1 Weighted sagittal images.

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

OBSERVATION :

BRAIN :

There are linear/punctate areas which are near isointense to CSF in the occipito-parietal lobes bilaterally on the proton, T2 Weighted and FLAIR images. These most likely represent prominent perivascular spaces (less likely to be ischemic in etiology).






Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

INTRACRANIAL MRA :

The right vertebral artery is hypoplastic.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

NECK MRA :

The right vertebral artery in the neck is also hypoplastic.

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

The cervical spine was screened with 5 mm thick T2 Weighted sagittal images which show small postero-central disc herniation at the C5-C6 and C6-C7 levels.

IMPRESSION :

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

Sunday, 27 December 2015 16:48

12736

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

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

CLINICAL PROFILE :

C/O right sided hemiparesis since 15 days.
H/O similar complaints 4-5 years back from which patient recovered.
Known diabetic/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 are CSF intensity lesions on all the pulse sequences in the posterior parietal periventricular white matter on the left. These lesions represent areas of cystic encephalomalacia, most likely sequelae of a previous vascular insult. Periventricular white matter hyperintense signal on the T2 Weighted images would represent gliotic changes. Resultant mild dilatation of the atrium and posterior body of the left lateral ventricle is noted.

Ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the periventricular white matter in the right frontal and right posterior parietal regions and in the right corona radiata, most likely represent ischemic lesions.

Lacunar infarcts are noted in the pons on the left and in the right lentiform nucleus.






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

Inflammatory changes are noted in the right maxillary antrum.

IMPRESSION :

1. Altered signal in the posterior parietal periventricular white matter on the left represents an area of cystic encephalomalacia with perilesional gliosis, most likely a sequelae of previous vascular insult.

2. Altered signal in the periventricular white matter in the right frontal and right posterior parietal regions and in the right corona radiata, most likely represent ischemic lesions.

3. Lacunar infarcts in the pons on the left and in the right lentiform nucleus.


Sunday, 27 December 2015 16:48

12735

Written by
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Plmn / M / 34 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Thorax.
CLINICAL PROFILE :
Known C/O CCF with dilated cardiomyopathy with hypertension.
C/O breathlessness since January 0000.
To r/o coarctation of aorta.
EXAMINATION :
M.R.I. of the thorax was performed using the following parameters:
8 mm thick T1 Weighted and T2 Weighted axial images.5 mm thick T1 Weighted coronal images.5 mm thick T1 Weighted sagittal images.
5 mm thick MPGR oblique sagittal images.
OBSERVATION :

The visualized ascending aorta, aortic arch and descending thoracic aorta show normal signal characteristics. The origins of the right brachiocephalic, left common carotid and left subclavian arteries are unremarkable. The superior vena cava appears slightly more distended.

No obvious stenosis is noted along the aortic arch or descending thoracic aorta on this study.

A sliver of fluid is seen in the pericardium on the right side suggestive of mild pericardial effusion.

A moderate sized pleural effusion is noted in the right hemithorax.

The hila bilaterally appear to be normal.No enlarged mediastinal lymphnodes are identified.
The trachea and main bronchi do not show any intrinsic lesion.
The visualized cervico-dorsal vertebral bodies, the sternum and the costochondral joints do not reveal any area of altered signal intensity.IMPRESSION :1. Moderate sized right sided pleural effusion.

2. Mild pericardial effusion.

3. No obvious stenosis is noted along the visualized thoracic aorta on this study.

Sunday, 27 December 2015 16:48

12734

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

Name of the Patient : Abc Xyzalata Salmn / F / 49 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 0000. On anti-epileptics.

EXAMINATION :

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

5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
4 mm thick FLAIR coronal images.

OBSERVATION :

There is thickening of the gyri in the left inferior frontal region anteriorly and appears hypointense to normal grey matter on the T1 Weighted images which is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. Minimal subcortical white matter edema is noted.

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 gyri in the left inferior frontal region anteriorly and is not specific for a single etiology. This may represent contusion (? fall). The possibility of this being a neoplastic process (? infective) cannot be excluded.

A contrast enhanced scan would be worthwhile.


Sunday, 27 December 2015 16:48

12733

Written by
ke/sb/rg.
/00006 Date : 15/00.00.00

Name of the Patient : Abc XyzKhurlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

H/O retention of urine since 15-20 days which has recovered since 1 day with headaches, vomiting and giddiness and neck pain since 10-12 days.

EXAMINATION :

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

5 mm thick T1 Weighted, Proton and T2 Weighted sagittal images.

5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

Small postero-central disc protrusions are seen at the C3-C4 and C4-C5 levels.

The cervical intervertebral discs show slight 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.

The cervical spinal cord reveals normal signal intensity.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

The MRI features are suggestive of small postero-central disc protrusions at the C3-C4 and C4-C5 levels.
Sunday, 27 December 2015 16:48

12732

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

Name of the Patient : Abc XyzK. Thlmn / M / 28 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O numbness in BLE and occasional tingling since 2 1/2 months.

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.

OBSERVATION :

There is loss of water content of the cervical intervertebral discs.

There are posteriorly herniated disc with fairly large posterior peridiscal osteophytes, more to the left of the midline, at the C3-C4 and C4-C5 levels, with cord compression and left neural foraminal narrowing. The cervical spinal cord at the C4-C5 level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia.

A fairly large, postero-central disc herniation with peridiscal osteophyte is noted at the C5-C6 level with cord compression. The cervical spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia.





Small postero-central protruded disc with peridiscal osteophyte is noted at the C6-C7 level.

The facet joints at the C4-C5 level appears slightly hypertrophied. The left sided joints of Luschka at the C3-C4 and C4-C5 levels show degenerative changes.

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

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

1. Posteriorly herniated discs with fairly large posterior peridiscal osteophytes, more to the left of the midline, at the C3-C4 and C4-C5 levels, with cord compression and left neural foraminal narrowing.

2. A fairly large, postero-central disc herniation with peridiscal osteophyte at the C5-C6 level with cord compression.

3. Altered cord signal at the C4-C5 and C5-C6 levels suggests cord edema/ischemia.

4. Small postero-central protruded disc with peridiscal osteophyte at the C6-C7 level.

5. Hypertrophy of the facet joints at the C4-C5 level degenerative changes of the left sided joints of Luschka at the C3-C4 and C4-C5 levels.


Sunday, 27 December 2015 16:48

12731

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

Name of the Patient : Abc Xyzi Slmn / F / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the RUE with paresthesias since 2 months.
H/O fall 2 months ago.

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.

OBSERVATION :

There is a postero-central disc herniation at the C4-C5 level with compression of the spinal cord and resultant canal stenosis. The spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. This is isointense to normal cord on the T1 Weighted images. A left postero-lateral disc herniation is also noted at the C4-C5 level with left neural foraminal narrowing and indentation upon the left C5 nerve root.

A left postero-lateral disc herniation with large peridiscal osteophytes is seen at the C3-C4 level with left neural foraminal narrowing. There is indentation upon the left C4 nerve root.

Small postero-central disc protrusions are seen at the C2-C3, C5-C6 and C6-C7 levels.
..2/.






- 2 - Scan-00009

Small posterior peridiscal osteophytes are seen at the C5-C6 and C6-C7 levels.

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.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

The MRI features are suggestive of :

1. Postero-central disc herniation at the C4-C5 level with resultant canal stenosis and cord edema/ischemia at this level.

2. A left postero-lateral disc herniation at the C4-C5 level indenting the left C5 nerve root.

3. A left postero-lateral disc herniation with large peridiscal osteophytes at the C3-C4 level indenting the left C4 nerve root.

4. A small postero-central disc protrusions at the C2-C3, C5-C6 and C6-C7 levels.

5. Small posterior peridiscal osteophytes at the C5-C6 and C6-C7 levels.

Sunday, 27 December 2015 16:48

12730

Written by
ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzi Kanlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gait imbalance, slurring speech, unresponsiveness and loss of appetite since 5 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.

5 mm thick FLAIR coronal images.

OBSERVATION :

There is a small bright focus in the white matter in the left high parietal region on the proton, T2 Weighted and FLAIR images (se/im 102.14, 105.12).

Prominent perivascular space is noted in the right posterior parietal deep white matter.

Both the lateral, third and the fourth ventricles are normal. There is prominence of the cerebellar folia bilaterally. 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. Altered signal in the left high parietal region is of ? etiology, ? ischemic focus, ?? gliotic focus.

2. Mild prominence of the cerebellar folia bilaterally.
Sunday, 27 December 2015 16:48

12728

Written by