MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

12620

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

Name of the Patient : Abc Xyzue Kalmn / M / 55 yrs.
Referred by : Dr. Abc Xyz Chauhan.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness, nausea, uneasiness and gait imbalance since 8-10 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.

4 mm thick T1 Weighted coronal images through the posterior fossa.

5 mm thick T1 Weighted sagittal 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 slight prominence of the cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the paranasal sinuses.

The cranio-vertebral junction is unremarkable.

IMPRESSION :

Slight prominence of the cerebellar folia bilaterally.

No other significant abnormality is detected on this study.


Sunday, 27 December 2015 16:48

12619

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

Name of the Patient : Abc Xyz Almn / M / 42 yrs.
Referred by : Dr. Abc Xyzsari.
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 :

There is scoliosis of the lumbar spine with convexity to the left. Lateral wedging of L2 vertebral body on right with lateral subluxation of the L2 vertebral body to the left is noted. Slight clockwise rotational anomaly of the L1, L2 and L3 vertebrae is noted. The thecal sac is hence identified more to the right of the midline over these levels.

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

Generalized, small, posterior and bilateral far lateral disc bulges are noted at the L3-L4 and L4-L5 levels.

Right postero-lateral and right far lateral disc bulges with peridiscal osteophytes are noted at the L1-L2 and L2-L3 levels.






The facet joints at the L1-L2, L2-L3 and L5-S1 levels show slight degenerative changes bilaterally.

Type II degenerative marrow changes are noted adjacent to the L1-L2 disc and Type I degenerative marrow changes are noted adjacent to the L2-L3 disc. A hemangioma with fat content is noted in the L3 vertebral body.

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

The conus medullaris terminates at the L1-L2 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 :

18.0 mm at L1-L2
16.0 mm at L2-L3
20.0 mm at L3-L4
18.0 mm at L4-L5
17.0 mm at L5-S1.

IMPRESSION :

1. Scoliosis of the lumbar spine with convexity to the left with lateral wedging of the L2 body on the right and lateral subluxation of the L2 vertebral body to the left is noted.

2. Right postero-lateral and right far lateral disc bulges with peridiscal osteophytes at the L1-L2 and L2-L3 levels.

3. Slight degenerative changes of the facet joints at the L1-L2, L2-L3 and L5-S1 levels, bilaterally.








Sunday, 27 December 2015 16:48

12618

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

Name of the Patient : Abc Xyzee Blmn / F / 29 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O backache radiating to the LLE (left hip painful) since 1 year.

EXAMINATION :

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

5 mm thick T1 Weighted and STIR coronal images.

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

5 mm thick GRASS sagittal images.

OBSERVATION :

There is an ill-defined, hyperintense signal on the T2 Weighted and STIR images involving the head and neck of the left femur.
This lesion appears hypointense to normal marrow on the T1 Weighted images. A suspicious linear hypointense signal is visualized in the subcapital region (scans 102.10, 105.10. 105.9, 104.10, 104.9). The head of the left femur shows normal contour The proximal shaft of the left femur shows normal signal intensity. The left acetabulum and the articular cartilage overlying the left femoral head are unremarkable. Minimal fluid is noted in the left hip joint.

The visualized right hip joint is unremarkable.

There is atrophy of the muscles around the right hip joint and in the proximal right thigh and of the left gluteal muscles.

- 2 - scan-00008


IMPRESSION :

1. Altered signal in the head and neck of the left femur as described is not specific for a single etiology. This most likely represents a stress fracture.

The possibility of transient osteoporosis of the left hip or early AVN seems less likely.

2. Atrophy of the muscles around the right hip joint and in the proximal right thigh and of the left gluteal muscles.



Sunday, 27 December 2015 16:48

12617

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

Name of the Patient : Abc Xyzn Shlmn / M / 85 yrs.
Referred by : Dr. Abc Xyzmpat / Dr. Abc Xyzporia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures on 00.00.00 with altered sensorium 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 coronal images.

OBSERVATION :

There is seen a CSF intensity lesion on all the pulse sequences in the left cerebellar hemisphere, inferiorly. This lesion represents an area of cystic encephalomalacia, most likely the sequelae of a previous vascular insult. Perilesional hyperintense signal on the T2 Weighted and FLAIR images may represent gliotic changes.

There are small bright foci on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and in the right centrum semiovale. These lesions appear isointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.

There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci, left cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Scan-00007


The right eye is aphakic.

IMPRESSION :

1. An area of cystic encephalomalacia in the left cerebellar hemisphere, inferiorly, most likely the sequelae of a previous vascular insult.

2. Altered signal in the posterior parietal periventricular white matter bilaterally and in the right centrum semiovale most likely represent ischemic changes.

3. Mild cerebral and cerebellar atrophy.

Sunday, 27 December 2015 16:48

12616

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

Name of the Patient : Abc XyzJlmn / F / 51 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O high grade fever with chills, loose motions and vomiting on 00.00.00.
H/O similar complaints 5 days back.
H/O DM.

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.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

12615

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

Name of the Patient : Abc Xyzo C. Malulmn / M / 50 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with radiating pain to the RLE and paresthesias 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, L4-L5 and L5-S1 intervertebral discs.

There is slight retrolisthesis of the L5 over the S1 vertebra.

There is a posteriorly herniated disc with peridiscal osteophytes at the L5-S1 level with bilateral neural foraminal narrowing and indentation on the traversing left S1 nerve root. A sequestered disc fragment is noted in the right lateral recess of S1 indenting the thecal sac and traversing right S1 nerve root. Bilateral far lateral disc bulges are also noted at this level.

A posteriorly bulging disc is seen at the L4-L5 level with bilateral neural foraminal narrowing. A sequestered disc fragment is noted in the right lateral recess of L5 indenting the traversing right L5 nerve root. Slight facetal hypertrophy is noted at this level.



A small posterior disc bulge is noted at the L3-L4 level.

A hemangioma with fat content is noted in the S1 vertebral body.

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 :

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

IMPRESSION :

1. Slight retrolisthesis of the L5 over the S1 vertebra.

2. A posteriorly herniated disc with peridiscal osteophytes at the L5-S1 level with indentation on the traversing left S1 nerve root with a sequestered disc fragment in the right lateral recess of S1 indenting the traversing right S1 nerve root.

3. A posteriorly bulging disc at the L4-L5 level with a sequestered disc fragment in the right lateral recess of L5 indenting the traversing right L5 nerve root.






Sunday, 27 December 2015 16:48

12614

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

Name of the Patient : Abc Xyzi R. lmn / M / 72 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O giddiness with mild gait imbalance since 3 weeks.
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.

MR Cisternogram was obtained in the coronal plane.

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

OBSERVATION :

BRAIN :

There are small bright foci on the proton, T2 Weighted and FLAIR images in the left lentiform nucleus and in the left posterior parietal deep white matter. These lesions appear hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic lesions.

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 cerebellar folia bilaterally.

The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
..2/.






INTRACRANIAL MRA :

The right vertebral artery is hypoplastic. The right posterior cerebral artery arises directly from the right internal carotid artery. Slight tortuousity of the intracranial vessels is noted. There is slight irregularity of the anterior cerebral arteries and the distal segment of the left middle cerebral artery.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized right middle cerebral, basilar, left vertebral and left 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 also appears hypoplastic.

Tortuousity of the internal and external carotid arteries bilaterally and the left vertebral artery in the neck is noted.

There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

1. Altered signal in the left lentiform nucleus and in the left posterior parietal deep white matter most likely represent ischemic lesions.

2. The right posterior cerebral artery is seen to arise directly from the right internal carotid artery.

3. Slight irregularity of the anterior cerebral arteries and the distal segment of the left middle cerebral artery may represent atherosclerotic changes.


Sunday, 27 December 2015 16:48

12613

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

Name of the Patient : Abc Xyzarayan Jalmn / M / 53 yrs.
Referred by : Dr. Abc Xyzgaonkar Dr. Abc Xyzhan.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O sudden onset of vision loss since 1 week.

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.

3 mm thick STIR coronal images through the optic nerves.

OBSERVATION :

There are hyperintense areas in the occipital lobes bilaterally and the right cerebellar hemisphere on the proton, T2 Weighted and FLAIR images. These are isointense to the grey matter on the T1 Weighted images. There is involvement of the cortex as well as the subcortical white matter. Subtle hyperintense signal is seen on the T1 Weighted images which is seen to remain hyperintense on the T2 Weighted images and would represent extracellular methemoglobin/paramagnetic substances (better appreciated on the sagittal images).

The right vertebral artery appears narrow (se/im 102/4, 103/11, 104/4, 105/4) and does not show its normal flow void signal suggestive of slow flow/thrombus.

Dilated perivascular spaces are seen in the centrum semiovale bilaterally.





The optic nerves bilaterally show normal signal intensity.

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

IMPRESSION :

1. Infarcts in the occipital lobes bilaterally with a haemorrhagic component and in the right cerebellar hemisphere.

2. Slow flow/thrombus in the right vertebral artery.

A MRA/DSA would be worthwhile.

Sunday, 27 December 2015 16:48

12612

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

Name of the Patient : Abc Xyzlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fall 1 week back with giddiness 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.
4 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

Small hypointense focus is seen in the right lentiform nucleus posteriorly on the T1 Weighted images which is seen to turn hyperintense on the proton and T2 Weighted images and would represent trapped CSF within the tip of a sulcus.

Prominent perivascular spaces are noted in the lentiform nulcei bilaterally.

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.

No evidence of extracerebral collection is noted on this study.

The cervical spine was screened with 5 mm thick T1 Weighted sagittal images and which shows a posteriorly bulging disc at the C3-C4 level.

IMPRESSION :

No significant abnormality is detected within the brain on this study.

Sunday, 27 December 2015 16:48

12611

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

Name of the Patient : Abc Xyz Blmn / M / 45 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE 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 appears to be sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film. Please correlate with plain radiographs.

There is mild retroplacement of the L4 vertebra over the L5 vertebra.

There is a postero-central disc herniation, more to the left of the midline with peridiscal osteophytes at the L4-L5 level and indenting the thecal sac and the traversing left L5 nerve root. This disc shows loss of water content. Mild facetal hypertrophy is noted at the L4-L5 level.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12-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 :

19.0 mm at L1-L2
19.0 mm at L2-L3
21.0 mm at L3-L4
16.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebra. Please correlate with plain radiographs.

2. A postero-central disc herniation, more to the left of the midline with peridiscal osteophytes at the L4-L5 level with indentation upon the traversing left L5 nerve root.