MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

12663

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

Name of the Patient : Abc Xyza D. Salmn / F / 14 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O squint in the left eye since 15 days with diplopia.
H/O fever prior to this.

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 are ill-defined, hypointense areas within the medulla, posterior aspect of the pons, bilateral cerebellar hemispheres, right temporal lobe, right frontal region and in bilateral high frontal and right high parietal regions on the T2 Weighted images. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images. Few of these lesions show a hyperintense signal on the T2 Weighted images. There is mild surrounding edema with mass effect and effacement of the adjacent sulci in the frontal region. There is mild indentation upon the frontal horn of the right lateral ventricle.

The left 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 areas of altered signal within the medulla, posterior aspect of the pons, bilateral cerebellar hemispheres, right temporal lobe, right frontal region and bilateral high frontal and right high parietal regions. These may represent granulomatous infective lesions like tuberculomas.

A contrast enhanced scan would be mandatory.
Sunday, 27 December 2015 16:48

12662

Written by
ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzN. Amlmn / F / 59 yrs.
Referred by : Dr. Abc Xyzadkat.
Examination : M.R.I. of the Neck.

CLINICAL PROFILE :

C/O neck pain radiating to the LUE and tingling with swelling in the left axillary region and a lump in the left arm distally, since 1 month.
H/O left mastectomy 6 years back. Received chemotherapy.

EXAMINATION :

M.R.I of the neck 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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

The visualized spaces of the neck and the carotid sheaths bilaterally appear to be normal. No obviously enlarged lymphnodes are evident on this scan.

The thyroid and salivary glands show normal configuration and signal characteristics. The visualized cervical vertebrae show spotty fatty marrow changes and no obvious bone destruction is evident.

IMPRESSION :

No significant abnormality is detected on this study.


Sunday, 27 December 2015 16:48

12661

Written by
ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzN. Amlmn / F / 59 yrs.
Referred by : Dr. Abc Xyzadkat.
Examination : M.R.I. of the Upper Thorax & Axillae.

CLINICAL PROFILE :

C/O neck pain radiating to the LUE and tingling with swelling in the left axillary region and a lump in the left arm distally, since 1 month.
H/O left mastectomy 6 years back. Received chemotherapy.

EXAMINATION :

M.R.I of the upper thorax and axillae 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 T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

The left breast is not visualized the result of previous surgery.

No obvious mass lesion is identified in the visualized anterior chest wall.
No enlarged lymphnodes are identified in the axillae on either side or in the visualized mediastinum. No obvious vascular anomaly is noted.
IMPRESSION :

Status left mastectomy with no obvious anomaly detected in the visualized upper thorax and axillae on either side.

Sunday, 27 December 2015 16:48

12660

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

Name of the Patient : Abc Xyz V. Banalmn / F / 76 yrs.
Referred by : Dr. Abc Xyzorude.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness since several years.
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 :

Ill-defined, hyperintense signal on the T2 Weighted and FLAIR images in the right posterior parietal-periventricular white matter may represent ischemic changes.

There is mild dilatation 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.

Incidentally noted is a mega cisterna magna.

IMPRESSION :

Altered signal in the right posterior parietal-periventricular white matter may represent ischemic changes.

No other significant abnormality is detected on this study.

Sunday, 27 December 2015 16:48

12659

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

Name of the Patient : Abc Xyzath Klmn / M / 75 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O involuntary movements of the left hand since 1 year.
Past H/O left sided hemiparesis (3 episodes since 0000) from which patient has 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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

There is evidence of an ill-defined area of hypointensity on the T1 Weighted images which turns hyperintense on the proton, T2 Weighted and FLAIR images within the right parieto-occipital lobes. This would represent an old infarct.

There are areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the right centrum semiovale and periventricular white matter bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.

There are lacunar infarcts (iso to hyperintense to CSF) within the right thalamus, left lentiform nucleus and left corona radiata.








There is fullness of the third and both the lateral ventricles. There is prominence of the cerebral cortical sulci, Sylvian fissures and cerebellar folia bilaterally. Also seen is mild prominence of the basal cisternal spaces with presence of an empty sella.

The normal intraocular lens is not visualized on either side, ? due to cataract surgery.

The fourth ventricle is normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

1. An old infarct within the right parieto-occipital lobes.

2. Areas of altered signal within the right centrum semiovale and periventricular white matter bilaterally are most likely ischemic in etiology.

3. Lacunar infarcts within the right thalamus, left lentiform nucleus and left corona radiata.


Sunday, 27 December 2015 16:48

12658

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

Name of the Patient : Abc Xyza Ilmn / F / 27 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 3-4 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 :

A small posterior disc herniation is seen to indent the thecal sac at the L5-S1 level. Slight bilateral neural foraminal narrowing is seen at this level.

The L5-S1 intervertebral disc shows loss of water content.

Slight central wedging of the D12 body is noted, without change in signal intensity.

The lumbar vertebral bodies and the remaining 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 S2 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
14.0 mm at L2-L3
14.0 mm at L3-L4
16.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of a small posterior disc herniation at the L5-S1 level.







Sunday, 27 December 2015 16:48

12657

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

Name of the Patient : Abc Xylmn / M / 35 yrs.
Referred by : Dr. Abc Xyz. Shah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O occasional giddiness with loss of consciousness since 10-12 years, ? TIA.

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.

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.

INTRACRANIAL MRA :

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







NECK MRA :

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

IMPRESSION :

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

Sunday, 27 December 2015 16:48

12656

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

Name of the Patient : Abc Xyzootwlmn / M / 14 yrs.
Referred by : Dr. Abc Xyz. Kapadia.
Examination : M.R.I. of the Left Distal Femur.

CLINICAL PROFILE :

Known C/O osteosarcoma in the left femur. Has received 3 cycles of chemotherapy.
For follow-up.

EXAMINATION :

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

7 mm thick T1 Weighted and STIR sagittal images.
7 mm thick T1 Weighted and STIR coronal images.
10 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

OBSERVATION :

There is still seen a fairly large, well-defined mass lesion in the lower one third of the left femur which extends cranially for about 14.5 cms from the left knee joint. There is a clear zone of transition between the lesion and normal marrow. Mixed signal intensity areas are seen in this lesion on the T1 Weighted images which are seen to turn heterogeneously hyperintense on the T2 Weighted and STIR images. There is break in the anterior and posterior cortex with periosteal elevation and spread of the pathology in the adjacent soft tissue. The lesion is predominantly metaphyseal. The epiphysis shows a mottled appearance in the medial and lateral condyle and is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted and STIR images suggestive of its involvement.

The left knee joint per se however appears to be spared.





The scar of the previous surgery is noted along the antero-lateral margin of the distal left thigh at about the level of the upper margin of the tumor. The subcutaneous fat and the quadriceps muscles in the distal left thigh show a hyperintense signal on the T2 Weighted and STIR images. The fat planes around these muscles are however well identified. Atrophy of the muscles of the left thigh are noted when compared to the right. No obvious vascular encasement is noted.

Small effusion is noted within the left knee joint.

The femoral attachment of the anterior and posterior cruciate ligament of the femur is also involved.

IMPRESSION :

The MRI features are suggestive of a mass lesion in the distal metaphysis of the left femur with its cranio-caudate extension measuring 14.5 cms with involvement of the epiphysis and periosteal extensions as described. The biopsy is suggestive of an osteosarcoma.

Altered signal in the quadriceps muscles and in the subcutaneous fat in the distal left thigh may either represent soft tissue edema, the sequelae of previous surgery or may represent tumor infiltration. Atrophy of the muscles of the left thigh is noted.

As compared to the previous MRI dated 00.00.00 (study no:00008), there is no significant change in the size and extent of the lesion. Altered signal is however noted in the quadriceps muscles as described, which extends upto the mid-thigh level.
Sunday, 27 December 2015 16:48

12655

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

Name of the Patient : Abc Xyz DSlmn / M / 54 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE with paresthesias.

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 postero-central disc herniation indenting the thecal sac at the L5-S1 level. A right far lateral (extraforaminal) disc bulge is seen to indent the extraforaminal portion of the exiting right L5 nerve root at this level.

A postero-central disc herniation, more to the right of the midline is seen at the L4-L5 level with mild indentation upon the thecal sac. A disc portion is seen to lie within the right lateral recess of the L5 vertebra with impingement of the traversing right L5 nerve root.

Postero-central disc protrusions are seen at the D12-L1, L1-L2, L2-L3 and L3-L4 levels.

Bilateral far lateral (extraforaminal) disc bulges are seen at the L2-L3, L3-L4 and L4-L5 levels.

The lumbar intervertebral discs show loss of water content. The lumbar facet joints show mild degenerative changes.

The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12-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 :

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

IMPRESSION :

The MRI features are suggestive of :

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

2. A postero-central disc herniation at the L4-L5 level with a disc portion within the right lateral recess of the L5 vertebra with impingement of the traversing right L5 nerve root.

3. Postero-central disc protrusions at the D12-L1, L1-L2, L2-L3 and L3-L4 levels.

4. Mild facetal arthropathy in the lumbar region.

5. Far lateral (extraforaminal) disc bulges bilaterally at the L2-L3, L3-L4 and L4-L5 levels and on the right side at the L5-S1 level.








Sunday, 27 December 2015 16:48

12654

Written by
hs/sb/nl/nl
/57 Date : 00.00.00

Name of the Patient : Abc XyzPoolmn / M / 57 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyzzzare.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O dyspahgia since 3 weeks.
C/O weakness of BLE with slurred speech.

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.

OBSERVATION :

An area of hyperintensity on the T2 Weighted images is seen within the left corona radiata and left thalamus. Smaller similar areas are seen within the right thalamus, both lentiform nuclei and right corona radiata. These are isointense to CSF on the source images and would represent old infarcts.

There is fullness of the third and both the lateral ventricles. Also seen is prominence of the basal cisternal spaces and the cerebral cortical sulci, Sylvian fissures and cerebellar folia bilaterally.

The fourth ventricle is normal. There is no shift of the midline structures.









INTRACRANIAL MRA :

There is narrowing and irregularity of the vessel walls of the supraclinoid and distal cavernous portions of both internal carotid arteries, proximal portions of the M1 segments of both middle cerebral arteries and the origin of both anterior cerebral arteries. Also seen is irregularity of the Sylvian branches of both middle cerebral arteries. Slight narrowing of the terminal segment of the right vertebral artery is noted. The posterior cerebral and basilar arteries are unremarkable.

NECK MRA :

There is ectasia of the neck vessels.

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

IMPRESSION :

The MRA features are suggestive of :

1. Old infarcts within the left corona radiata and left thalamus, the right thalamus, both lentiform nuclei and right corona radiata.

2. Narrowing and irregularity of the vessel walls of the supraclinoid and distal cavernous portions of both internal carotid arteries, proximal portions of the M1 segments of both middle cerebral arteries and the origin of both anterior cerebral arteries.

3. Irregularity of the Sylvian branches of both middle cerebral arteries.

4. Slight narrowing of the terminal segment of the right vertebral artery.