MRI Reports (3472)
MRI Reports Database
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzal Sollmn / M / 41 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE 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 loss of water content of the L3-L4 and L4-L5 intervertebral discs with reduction in height.
There is a fairly large, posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level, indenting the dural theca anteriorly with bilateral neural foraminal narrowing and canal stenosis. Slight inferior migration of the disc fragment is noted, to the left of the midline, indenting the traversing left L5 nerve root.
A posterior and left far lateral disc bulge with peridiscal osteophytes is noted at the L3-L4 level with slight left neural foraminal narrowing.
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 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 :
15.0 mm at L1-L2
18.0 mm at L2-L3
15.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. A fairly large, posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level, with slight inferior migration of the disc fragment to the left of the midline, indenting the traversing left L5 nerve root with canal stenosis.
2. A posterior and left far lateral disc bulge with peridiscal osteophytes at the L3-L4 level.
Date : 00.00.00
Name of the Patient : Abc Xyzal Sollmn / M / 41 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE 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 loss of water content of the L3-L4 and L4-L5 intervertebral discs with reduction in height.
There is a fairly large, posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level, indenting the dural theca anteriorly with bilateral neural foraminal narrowing and canal stenosis. Slight inferior migration of the disc fragment is noted, to the left of the midline, indenting the traversing left L5 nerve root.
A posterior and left far lateral disc bulge with peridiscal osteophytes is noted at the L3-L4 level with slight left neural foraminal narrowing.
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 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 :
15.0 mm at L1-L2
18.0 mm at L2-L3
15.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. A fairly large, posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level, with slight inferior migration of the disc fragment to the left of the midline, indenting the traversing left L5 nerve root with canal stenosis.
2. A posterior and left far lateral disc bulge with peridiscal osteophytes at the L3-L4 level.
Published in
MRI Reports
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza lmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered sensorium with inability to speak and loss of bladder/bowel control since 3-4 months.
H/O depression 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.
3 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are ill-defined hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally predominantly in the fronto-parietal regions and in the centrum semiovale. These lesions appear hypointense on the T1 Weighted images and most likely represent ischemic changes.
The colliculi appear unremarkable.
There is mild dilatation of both the lateral, third and the fourth ventricles. There is prominence of the cerebral cortical sulci (especially in both frontal and temporal lobes) and cerebellar folia and basal cisternal spaces bilaterally.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
There is seen an approximately 1.5 x 0.9 x 1.7 cms diameter sized well-defined, intermediate signal intensity lesion on the T1 Weighted images in the CSF space (intradural lesion) to the left of the midline, anteriorly at the C1-C2 level. This lesion appears relatively hypointense on the proton and T2 Weighted images. Mild indentation on the cervico-medullary junction is noted.
IMPRESSION :
1. Altered signal in the periventricular white matter bilaterally predominantly in the fronto-parietal regions and in the centrum semiovale most likely represent ischemic changes.
2. An approximately 1.5 x 0.9 x 1.7 cms diameter sized well-defined, lesion in the CSF space (intradural lesion) to the left of the midline, anteriorly at the C1-C2 level is not specific for a single etiology. A meningioma or a nerve sheath tumor are likely possibilities. The possibility of this lesion being a vascular lesion in relation to the left vertebral artery seems less likely.
A contrast enhanced scan would be worthwhile.
3. Mild cerebral and cerebellar atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyza lmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered sensorium with inability to speak and loss of bladder/bowel control since 3-4 months.
H/O depression 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.
3 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are ill-defined hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally predominantly in the fronto-parietal regions and in the centrum semiovale. These lesions appear hypointense on the T1 Weighted images and most likely represent ischemic changes.
The colliculi appear unremarkable.
There is mild dilatation of both the lateral, third and the fourth ventricles. There is prominence of the cerebral cortical sulci (especially in both frontal and temporal lobes) and cerebellar folia and basal cisternal spaces bilaterally.
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
There is seen an approximately 1.5 x 0.9 x 1.7 cms diameter sized well-defined, intermediate signal intensity lesion on the T1 Weighted images in the CSF space (intradural lesion) to the left of the midline, anteriorly at the C1-C2 level. This lesion appears relatively hypointense on the proton and T2 Weighted images. Mild indentation on the cervico-medullary junction is noted.
IMPRESSION :
1. Altered signal in the periventricular white matter bilaterally predominantly in the fronto-parietal regions and in the centrum semiovale most likely represent ischemic changes.
2. An approximately 1.5 x 0.9 x 1.7 cms diameter sized well-defined, lesion in the CSF space (intradural lesion) to the left of the midline, anteriorly at the C1-C2 level is not specific for a single etiology. A meningioma or a nerve sheath tumor are likely possibilities. The possibility of this lesion being a vascular lesion in relation to the left vertebral artery seems less likely.
A contrast enhanced scan would be worthwhile.
3. Mild cerebral and cerebellar atrophy.
Published in
MRI Reports
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Lokhlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache since 15 days.
Patient jumped from a height 15 days back.
EXAMINATION :
M.R.I of the dorso-lumbar 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 wedging of the D9 and D11 vertebral bodies. The D9 vertebral body and the superior half of the D11 vertebral body show an ill-defined hypointense signal on the T1 Weighted images which appears heterogeneously hyperintense on the T2 Weighted images. Some of these areas are seen to remain hypointense on all the pulse sequences in the D9 vertebra anteriorly and would represent compressed trabeculae. The adjacent intervertebral discs are unremarkable, though there is a suspicious break of the superior cortical endplate of D11. Slight bulge of the posterior margin of the D9 body is noted, indenting the dural theca anteriorly.
The rest of the visualized dorso-lumbar vertebral bodies show spotty fatty marrow changes.
The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
- 2 - scan-00002
The visualized dorso-lumbar spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1 level.
IMPRESSION :
Wedging of the D9 and D11 vertebral bodies with altered signal as described, represents compression fractures of the vertebral bodies with bone bruise/edema in the given clinical setting.
Date : 00.00.00
Name of the Patient : Abc Xyz Lokhlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache since 15 days.
Patient jumped from a height 15 days back.
EXAMINATION :
M.R.I of the dorso-lumbar 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 wedging of the D9 and D11 vertebral bodies. The D9 vertebral body and the superior half of the D11 vertebral body show an ill-defined hypointense signal on the T1 Weighted images which appears heterogeneously hyperintense on the T2 Weighted images. Some of these areas are seen to remain hypointense on all the pulse sequences in the D9 vertebra anteriorly and would represent compressed trabeculae. The adjacent intervertebral discs are unremarkable, though there is a suspicious break of the superior cortical endplate of D11. Slight bulge of the posterior margin of the D9 body is noted, indenting the dural theca anteriorly.
The rest of the visualized dorso-lumbar vertebral bodies show spotty fatty marrow changes.
The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
- 2 - scan-00002
The visualized dorso-lumbar spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1 level.
IMPRESSION :
Wedging of the D9 and D11 vertebral bodies with altered signal as described, represents compression fractures of the vertebral bodies with bone bruise/edema in the given clinical setting.
Published in
MRI Reports
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzi Malmn / F / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O blurring of vision, vomiting and episodic headaches since 3 years.
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 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.
Incidentally noted are inflammatory changes in the paranasal sinuses and enlarged adenoids.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyzi Malmn / F / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O blurring of vision, vomiting and episodic headaches since 3 years.
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 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.
Incidentally noted are inflammatory changes in the paranasal sinuses and enlarged adenoids.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzI. Shlmn / F / 11 yrs.
Referred by : Dr. Abc Xyzlal / Dr. Abc Xyzo.Examination : M.R.Cholangiogram.
CLINICAL PROFILE : C/O pain in the upper abdomen since 1 month.
H/O excision of choledochalcyst with choledocojejunostomy done on (Rouex en Y) 00.00.00.
EXAMINATION :
MR Cholangiogram was performed. 6 mm thick T1 Weighted and T2 Weighted axial images. 6 mm thick T1 Weighted T2 Weighted coronal images.OBSERVATION :
The liver is normal in size and signal characteristics. There is no focal or diffuse area of altered signal intensity. There is mild fullness of the intrahepatic biliary radicles. The intrahepatic venous architecture is normal.Both the visualized kidneys, pancreas, adrenals and spleen are normal in size and signal characteristics.
The gall bladder is not visualized. The site of choledocojejunostomy is well-identified. No obvious remnant of the choledochal cyst is noted on this study. No obvious calculi are identified in the biliary tree. The common bile duct is not visualized. There is no obvious dilatation of the pancreatic duct.
- 2 - scan-00000
IMPRESSION :
1. Post-operative status.
2. The site of previous choledocojejunostomy is well identified with minimal fullness of the intrahepatic biliary radicles. The pancreatic duct is not dilated. No obvious calculi are noted in the biliary tree.
No other significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc XyzI. Shlmn / F / 11 yrs.
Referred by : Dr. Abc Xyzlal / Dr. Abc Xyzo.Examination : M.R.Cholangiogram.
CLINICAL PROFILE : C/O pain in the upper abdomen since 1 month.
H/O excision of choledochalcyst with choledocojejunostomy done on (Rouex en Y) 00.00.00.
EXAMINATION :
MR Cholangiogram was performed. 6 mm thick T1 Weighted and T2 Weighted axial images. 6 mm thick T1 Weighted T2 Weighted coronal images.OBSERVATION :
The liver is normal in size and signal characteristics. There is no focal or diffuse area of altered signal intensity. There is mild fullness of the intrahepatic biliary radicles. The intrahepatic venous architecture is normal.Both the visualized kidneys, pancreas, adrenals and spleen are normal in size and signal characteristics.
The gall bladder is not visualized. The site of choledocojejunostomy is well-identified. No obvious remnant of the choledochal cyst is noted on this study. No obvious calculi are identified in the biliary tree. The common bile duct is not visualized. There is no obvious dilatation of the pancreatic duct.
- 2 - scan-00000
IMPRESSION :
1. Post-operative status.
2. The site of previous choledocojejunostomy is well identified with minimal fullness of the intrahepatic biliary radicles. The pancreatic duct is not dilated. No obvious calculi are noted in the biliary tree.
No other significant abnormality is detected on this study.
Published in
MRI Reports
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Kotlmn / M / 69 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with high grade fever and vomiting (twice) since 3 days.
Swelling with right eye proptosis.
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 is no focal area of altered signal intensity within the brain parenchyma per se.
There is a hyperintense signal best appreciated on the FLAIR coronal images in the interhemispheric fissure, more so posteriorly and in the right frontal subdural space/subarachnoid space. This lesion is of intermediate signal intensity on the T1 Weighted images and may represent inflammatory meningeal thickening/small subdural collection.
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.
Inflammatory changes are noted in the frontal sinuses, ethmoidal air cells and right maxillary sinus. There is proptosis on the right side.
IMPRESSION :
Altered signal in the interhemispheric fissure and in the right frontal subdural space/subarachnoid space may represent inflammatory meningeal thickening/small subdural collection.
A contrast enhanced scan would be worthwhile.
Inflammatory changes in the paranasal sinuses and right sided proptosis as described. An infective pathology, especailly a fungal lesion should be excluded.
Date : 00.00.00
Name of the Patient : Abc Xyz Kotlmn / M / 69 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with high grade fever and vomiting (twice) since 3 days.
Swelling with right eye proptosis.
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 is no focal area of altered signal intensity within the brain parenchyma per se.
There is a hyperintense signal best appreciated on the FLAIR coronal images in the interhemispheric fissure, more so posteriorly and in the right frontal subdural space/subarachnoid space. This lesion is of intermediate signal intensity on the T1 Weighted images and may represent inflammatory meningeal thickening/small subdural collection.
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.
Inflammatory changes are noted in the frontal sinuses, ethmoidal air cells and right maxillary sinus. There is proptosis on the right side.
IMPRESSION :
Altered signal in the interhemispheric fissure and in the right frontal subdural space/subarachnoid space may represent inflammatory meningeal thickening/small subdural collection.
A contrast enhanced scan would be worthwhile.
Inflammatory changes in the paranasal sinuses and right sided proptosis as described. An infective pathology, especailly a fungal lesion should be excluded.
Published in
MRI Reports
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzhalmn / M / 50 yrs.
Referred by : Dr. Abc Xyzraf.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
H/O fall of heavy weight over the head 7 years back.
C/O progressive weakness of all four extremities, giddiness and loss of speech (since 4 years) since 6 years.
Known hypertensive.
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.
The brain was screened with 5 mm thick T2 Weighted axial images.
OBSERVATION :
There is slight anterior wedging of the C6 vertebral body without change in signal intensity. There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.
Small posterior peridiscal osteophytes are noted at the C3-C4 and C5-C6 levels.
A small posterior disc bulge with peridiscal osteophytes is noted at the C6-C7 level, indenting the dural theca anteriorly.
The left sided joint of Luschka at the C5-C6 level shows slight degenerative changes with left neural foraminal narrowing.
Slight hypertrophy of the facet joints is noted at the C4-C5 and C5-C6 levels.
The cervical vertebral bodies show spotty fatty marrow changes. The rest of 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.
The T2 Weighted axial images of the brain reveal a lacune in the left lentiform nucleus with mild cerebral cortical atrophy. Note is made of left maxillary sinusitis.
IMPRESSION :
1. Slight anterior wedging of the C6 vertebral body without change in signal intensity.
2. Small posterior peridiscal osteophytes at the C3-C4 and C5-C6 levels.
3. A small posterior disc bulge with peridiscal osteophytes at the C6-C7 level.
4. Degenerative changes of the left sided joint of Luschka at the C5-C6 level.
5. Slight hypertrophy of the facet joints at the C4-C5 and C5-C6 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzhalmn / M / 50 yrs.
Referred by : Dr. Abc Xyzraf.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
H/O fall of heavy weight over the head 7 years back.
C/O progressive weakness of all four extremities, giddiness and loss of speech (since 4 years) since 6 years.
Known hypertensive.
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.
The brain was screened with 5 mm thick T2 Weighted axial images.
OBSERVATION :
There is slight anterior wedging of the C6 vertebral body without change in signal intensity. There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.
Small posterior peridiscal osteophytes are noted at the C3-C4 and C5-C6 levels.
A small posterior disc bulge with peridiscal osteophytes is noted at the C6-C7 level, indenting the dural theca anteriorly.
The left sided joint of Luschka at the C5-C6 level shows slight degenerative changes with left neural foraminal narrowing.
Slight hypertrophy of the facet joints is noted at the C4-C5 and C5-C6 levels.
The cervical vertebral bodies show spotty fatty marrow changes. The rest of 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.
The T2 Weighted axial images of the brain reveal a lacune in the left lentiform nucleus with mild cerebral cortical atrophy. Note is made of left maxillary sinusitis.
IMPRESSION :
1. Slight anterior wedging of the C6 vertebral body without change in signal intensity.
2. Small posterior peridiscal osteophytes at the C3-C4 and C5-C6 levels.
3. A small posterior disc bulge with peridiscal osteophytes at the C6-C7 level.
4. Degenerative changes of the left sided joint of Luschka at the C5-C6 level.
5. Slight hypertrophy of the facet joints at the C4-C5 and C5-C6 levels.
Published in
MRI Reports
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzMalmn / M / 32 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O generalized tonic/clonic convulsion on 00.00.00 at 4.00 pm with loss of consciousness since then.
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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is an ill-defined, hyperintense signal on the proton, T2 Weighted, FLAIR and Fast Scan (T2 *) images along the cortex in the left temporo-parieto-occipital region. This lesion appears hypointense to normal grey matter on the T1 Weighted images and represents a recent ischemic insult. On the Fast Scan (T2 *) images there are some areas which appear significantly hypointense, suggesting acute haemorrhage within the lesion. There is sulcal space effacement, compression of the left lateral and third ventricles and shift of the midline structures to the right. There is also transtentorial herniation of the left medial temporal pole, distortion of the upper brainstem axis and effacement of the suprasellar and ambient cisterns. A small, left fronto-parietal subdural effusion is also noted. The sulcal/gyral differentiation in the right cerebral hemisphere is also not well appreciated.
The fourth ventricle is normal.
The left internal carotid artery appears smaller in calibre as compared to the opposite side.
Inflammatory changes are noted in the right maxillary antrum.
IMPRESSION :
The MRI features suggest a fairly large, left temporo-parieto- occipital haemorrhagic infarct with mass effect as described.
Date : 00.00.00
Name of the Patient : Abc XyzMalmn / M / 32 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O generalized tonic/clonic convulsion on 00.00.00 at 4.00 pm with loss of consciousness since then.
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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is an ill-defined, hyperintense signal on the proton, T2 Weighted, FLAIR and Fast Scan (T2 *) images along the cortex in the left temporo-parieto-occipital region. This lesion appears hypointense to normal grey matter on the T1 Weighted images and represents a recent ischemic insult. On the Fast Scan (T2 *) images there are some areas which appear significantly hypointense, suggesting acute haemorrhage within the lesion. There is sulcal space effacement, compression of the left lateral and third ventricles and shift of the midline structures to the right. There is also transtentorial herniation of the left medial temporal pole, distortion of the upper brainstem axis and effacement of the suprasellar and ambient cisterns. A small, left fronto-parietal subdural effusion is also noted. The sulcal/gyral differentiation in the right cerebral hemisphere is also not well appreciated.
The fourth ventricle is normal.
The left internal carotid artery appears smaller in calibre as compared to the opposite side.
Inflammatory changes are noted in the right maxillary antrum.
IMPRESSION :
The MRI features suggest a fairly large, left temporo-parieto- occipital haemorrhagic infarct with mass effect as described.
Published in
MRI Reports
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 51 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. - Brain (Post-contrast Study).
CLINICAL PROFILE :
C/O speech disturbance since 3-4 months.
Known hypertensive.
EXAMINATION :
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial, coronal and sagittal images with magnetization transfer.
5 mm thick T1 Weighted axial images (with fat saturation).
The cervical spine was screened with 5 mm thick T1 Weighted sagittal and axial images (with fat saturation).
OBSERVATION :
After administration of contrast, there is enhancement of the previously described plaque like lesion. This lesion is seen to extend along the posterior margin of the clivus upto the C3 vertebral level. The lesion is most likely an epidural lesion. Minimal indentation on the cervico-medullary junction and on the anterior dural theca at the C2 and C3 vertebral levels is noted.
Artifacts due to dentures are noted.
There is no other focal area of abnormal enhancement within the brain parenchyma or along the meninges.
The previous differential diagnosis are still valid.
Please let us have the follow-up.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 51 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. - Brain (Post-contrast Study).
CLINICAL PROFILE :
C/O speech disturbance since 3-4 months.
Known hypertensive.
EXAMINATION :
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial, coronal and sagittal images with magnetization transfer.
5 mm thick T1 Weighted axial images (with fat saturation).
The cervical spine was screened with 5 mm thick T1 Weighted sagittal and axial images (with fat saturation).
OBSERVATION :
After administration of contrast, there is enhancement of the previously described plaque like lesion. This lesion is seen to extend along the posterior margin of the clivus upto the C3 vertebral level. The lesion is most likely an epidural lesion. Minimal indentation on the cervico-medullary junction and on the anterior dural theca at the C2 and C3 vertebral levels is noted.
Artifacts due to dentures are noted.
There is no other focal area of abnormal enhancement within the brain parenchyma or along the meninges.
The previous differential diagnosis are still valid.
Please let us have the follow-up.
Published in
MRI Reports
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Palmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weakness of the RUE since 3 years.
C/O weakness of the LUE since 1 year.
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 normal cervical lordosis and loss of water content of the C3-C4 and C5-C6 intervertebral discs.
There is a right paracentral disc herniation at the C5-C6 level.
The cervical spinal cord at the C5 and C6 vertebral levels appears atrophied. There is an ill-defined hypointense signal on the T1 Weighted images in the cervical spinal cord at the C5-C6 level. This lesion appears hyperintense on the T2 Weighted and Fast Scan (T2 *) images.
Small postero-central protruded disc with peridiscal osteophytes is noted at the C3-C4 level and a small left paracentral protruded disc is noted at the C4-C5 level.
A hyperintense signal seen in the posterior column of the spinal cord at the C3-C4 level on the T2 Weighted sagittal images is not seen on the axial scans and is most likely artifactual.
..2/.
The cervical vertebral bodies and the remaining intervertebral discs 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 :
1. Atrophy of the cervical spinal cord at the C5 and C6 vertebral levels with cord signal alteration at the C5-C6 level may suggest myelomalacia.
2. A right paracentral disc herniation at the C5-C6 level.
3. Small postero-central protruded disc with peridiscal osteophytes at the C3-C4 level and a small left paracentral protruded disc at the C4-C5 level.
Date : 00.00.00
Name of the Patient : Abc Xyz Palmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weakness of the RUE since 3 years.
C/O weakness of the LUE since 1 year.
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 normal cervical lordosis and loss of water content of the C3-C4 and C5-C6 intervertebral discs.
There is a right paracentral disc herniation at the C5-C6 level.
The cervical spinal cord at the C5 and C6 vertebral levels appears atrophied. There is an ill-defined hypointense signal on the T1 Weighted images in the cervical spinal cord at the C5-C6 level. This lesion appears hyperintense on the T2 Weighted and Fast Scan (T2 *) images.
Small postero-central protruded disc with peridiscal osteophytes is noted at the C3-C4 level and a small left paracentral protruded disc is noted at the C4-C5 level.
A hyperintense signal seen in the posterior column of the spinal cord at the C3-C4 level on the T2 Weighted sagittal images is not seen on the axial scans and is most likely artifactual.
..2/.
The cervical vertebral bodies and the remaining intervertebral discs 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 :
1. Atrophy of the cervical spinal cord at the C5 and C6 vertebral levels with cord signal alteration at the C5-C6 level may suggest myelomalacia.
2. A right paracentral disc herniation at the C5-C6 level.
3. Small postero-central protruded disc with peridiscal osteophytes at the C3-C4 level and a small left paracentral protruded disc at the C4-C5 level.
Published in
MRI Reports
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sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzedali Shlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzchani / Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain in the right knee joint since 1 year.
H/O Click +.
EXAMINATION :
M.R.I of the right knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
OBSERVATION :
There is seen a well-marginated, approximately 6.2 x 4.1 x 6.5 cms sized intermediate signal intensity mass lesion on the T1 Weighted images in the distal end of the right femur. This lesion appears heterogeneously hyperintense on the T2 Weighted and STIR images. Resultant thinning of the cortex along the medial and posterior margin of the right femur is noted. Suspicious break of the cortex is noted along the posterior and medial margin of the distal left femur (se/im. 108.15, 16). The zone of transition between the normal and abnormal marrow is well-defined. The lesion is seen to extend well upto the distal margin of the right femur. There is however, no definite extension of the lesion into the right knee joint.
The menisci and the cruciate ligaments of the right knee joint are unremarkable. The collateral ligaments, patellar tendon and the visualized patella are unremarkable. There is no right knee joint effusion.
IMPRESSION :
An approximately 6.2 x 4.1 x 6.5 cms sized mass lesion in the distal end of the right femur as described, is not specific for a single etiology. A giant cell tumor is a likely possibility.
Date : 00.00.00
Name of the Patient : Abc Xyzedali Shlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzchani / Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain in the right knee joint since 1 year.
H/O Click +.
EXAMINATION :
M.R.I of the right knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
OBSERVATION :
There is seen a well-marginated, approximately 6.2 x 4.1 x 6.5 cms sized intermediate signal intensity mass lesion on the T1 Weighted images in the distal end of the right femur. This lesion appears heterogeneously hyperintense on the T2 Weighted and STIR images. Resultant thinning of the cortex along the medial and posterior margin of the right femur is noted. Suspicious break of the cortex is noted along the posterior and medial margin of the distal left femur (se/im. 108.15, 16). The zone of transition between the normal and abnormal marrow is well-defined. The lesion is seen to extend well upto the distal margin of the right femur. There is however, no definite extension of the lesion into the right knee joint.
The menisci and the cruciate ligaments of the right knee joint are unremarkable. The collateral ligaments, patellar tendon and the visualized patella are unremarkable. There is no right knee joint effusion.
IMPRESSION :
An approximately 6.2 x 4.1 x 6.5 cms sized mass lesion in the distal end of the right femur as described, is not specific for a single etiology. A giant cell tumor is a likely possibility.
Published in
MRI Reports
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyze Jalmn / M / 19 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, giddiness, gait ataxia and speech disturbances since 7 years.
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 no focal area of altered signal intensity within the brain parenchyma.
There is flattening of the skull vault in the right fronto-parietal region with resultant bulge of the midline to the left. There is however, no mass lesion identified in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
Incidentally noted in pansinusitis.
IMPRESSION :
1. Flattening of the skull vault in the right fronto-parietal region.
2. Pansinusitis.
Date : 00.00.00
Name of the Patient : Abc Xyze Jalmn / M / 19 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, giddiness, gait ataxia and speech disturbances since 7 years.
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 no focal area of altered signal intensity within the brain parenchyma.
There is flattening of the skull vault in the right fronto-parietal region with resultant bulge of the midline to the left. There is however, no mass lesion identified in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
Incidentally noted in pansinusitis.
IMPRESSION :
1. Flattening of the skull vault in the right fronto-parietal region.
2. Pansinusitis.
Published in
MRI Reports
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzai Vedalmn / F / 60 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O giddiness with fall on 00.00.00 with loss of consciousness and left sided hemiplegia since then.
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 a diffuse, hyperintense signal on the proton and T2 Weighted images involving the cortex and subcortical white matter in the right fronto-temporo-parietal region and in the right lentiform nucleus and head of right caudate nucleus. This lesion appears hypointense to normal white matter on the T1 Weighted images. There is resultant effacement of the sulcal spaces in the right fronto-temporo-parietal region with compression of the right lateral ventricle and mild bulge of the midline structures
to the left. There is no obvious haemorrhage in the right fronto-temporo-parietal region on this study.
There is a very small, approximately 0.5 cm diameter sized hyperintense focus on all the pulse sequences in the precentral gyrus. No perilesional edema or mass effect is noted (scans 104.16, 103.16, 105.7).
There is mild dilatation of the left lateral ventricle. The third and the fourth ventricles are normal. There is prominence of the cerebral cortical sulci on the left and the basal cisternal spaces. The petrous and cavernous segments of the right internal carotid artery do not show the normal flow void signal.
..2/.
IMPRESSION :
1. Altered signal involving the cortex and subcortical white matter in the right fronto-temporo-parietal region and in the right lentiform nucleus and head of right caudate nucleus represents a recent infarct in the distribution of the right ACA and MCA territories.
2. Loss of normal flow in the petrous and cavernous segments of the right internal carotid artery may suggest slow flow/thrombus.
3. Altered signal intensity lesion in the left precentral sulcus as described is not specific for a single etiology. This lesion may represent a calcific focus or deposition of paramagnetic substances.
Date : 00.00.00
Name of the Patient : Abc Xyzai Vedalmn / F / 60 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O giddiness with fall on 00.00.00 with loss of consciousness and left sided hemiplegia since then.
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 a diffuse, hyperintense signal on the proton and T2 Weighted images involving the cortex and subcortical white matter in the right fronto-temporo-parietal region and in the right lentiform nucleus and head of right caudate nucleus. This lesion appears hypointense to normal white matter on the T1 Weighted images. There is resultant effacement of the sulcal spaces in the right fronto-temporo-parietal region with compression of the right lateral ventricle and mild bulge of the midline structures
to the left. There is no obvious haemorrhage in the right fronto-temporo-parietal region on this study.
There is a very small, approximately 0.5 cm diameter sized hyperintense focus on all the pulse sequences in the precentral gyrus. No perilesional edema or mass effect is noted (scans 104.16, 103.16, 105.7).
There is mild dilatation of the left lateral ventricle. The third and the fourth ventricles are normal. There is prominence of the cerebral cortical sulci on the left and the basal cisternal spaces. The petrous and cavernous segments of the right internal carotid artery do not show the normal flow void signal.
..2/.
IMPRESSION :
1. Altered signal involving the cortex and subcortical white matter in the right fronto-temporo-parietal region and in the right lentiform nucleus and head of right caudate nucleus represents a recent infarct in the distribution of the right ACA and MCA territories.
2. Loss of normal flow in the petrous and cavernous segments of the right internal carotid artery may suggest slow flow/thrombus.
3. Altered signal intensity lesion in the left precentral sulcus as described is not specific for a single etiology. This lesion may represent a calcific focus or deposition of paramagnetic substances.
Published in
MRI Reports
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza B. Dlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzoregaonkar.
Examination : M.R.I. of the Right Femur.
CLINICAL PROFILE :
C/O pain in the RLE with paresthesias since 1 month.
H/O Pulmonary kochs since 6 months. On AKT since then.
EXAMINATION :
M.R.I. of the right femur was performed using the following parameters :
3 mm thick STIR and GRASS coronal images.
4 mm thick T1 Weighted and Proton density sagittal images.
5 mm thick T1 Weighted axial images.
OBSERVATION :
There is a well-defined hypointense signal in the subcapital region of the right femur involving both cortices on the T1 Weighted images. This lesion remains hypointense to normal marrow signal on the T2 Weighted and Fast Scan (T2 *) images. There is surrounding edema.
There is seen a linear hypointense signal on all the pulse sequences in the proximal shaft of the right femur approximately 3.5 cms inferior to the lesser trochanter involving both cortices and the medulla. Mild periosteal thickening is noted in that region along the medial margin of the right femur. There is also surrounding edema.
Minimal fluid is noted in the right hip joint.
The right acetabulum is unremarkable. The right femoral head shows normal contour.
IMPRESSION :
1. Areas of altered signal in the subcaptial region of the right femur is most likely the result of a fracture (? stress induced) with surrounding edema.
2. Altered signal in the proximal shaft of the right femur approximately 3.5 cms inferior to the lesser trochanter may also represent a fracture.
The possibility of these representing Loosers zone may also be considered in the differential diagnosis.
Date : 00.00.00
Name of the Patient : Abc Xyza B. Dlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzoregaonkar.
Examination : M.R.I. of the Right Femur.
CLINICAL PROFILE :
C/O pain in the RLE with paresthesias since 1 month.
H/O Pulmonary kochs since 6 months. On AKT since then.
EXAMINATION :
M.R.I. of the right femur was performed using the following parameters :
3 mm thick STIR and GRASS coronal images.
4 mm thick T1 Weighted and Proton density sagittal images.
5 mm thick T1 Weighted axial images.
OBSERVATION :
There is a well-defined hypointense signal in the subcapital region of the right femur involving both cortices on the T1 Weighted images. This lesion remains hypointense to normal marrow signal on the T2 Weighted and Fast Scan (T2 *) images. There is surrounding edema.
There is seen a linear hypointense signal on all the pulse sequences in the proximal shaft of the right femur approximately 3.5 cms inferior to the lesser trochanter involving both cortices and the medulla. Mild periosteal thickening is noted in that region along the medial margin of the right femur. There is also surrounding edema.
Minimal fluid is noted in the right hip joint.
The right acetabulum is unremarkable. The right femoral head shows normal contour.
IMPRESSION :
1. Areas of altered signal in the subcaptial region of the right femur is most likely the result of a fracture (? stress induced) with surrounding edema.
2. Altered signal in the proximal shaft of the right femur approximately 3.5 cms inferior to the lesser trochanter may also represent a fracture.
The possibility of these representing Loosers zone may also be considered in the differential diagnosis.
Published in
MRI Reports