MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

12591

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

Name of the Patient : Abc Xyz Hasan Tlmn / F / 46 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

Alleged H/O fall 2 months ago with backache.
C/O weakness of BLE with bladder/bowel involvement since 10 days.

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 it is as marked on the film. Please correlate with plain radiographs.

There is loss of normal lumbar lordosis. Also seen is mild retrolisthesis of the L4 vertebra over the L5 vertebra. The lumbar intervertebral discs show mild loss of water content.

A large postero-central disc extrusion is seen to compress the thecal sac at the L3-L4 level.

A posterior disc herniation with peridiscal osteophyte is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. Areas of hypointensity on the T1 Weighted images which remain predominantly hypointense on the T2 Weighted images are seen within the antero-superior aspect of the L5 vertebral body and may represent Type III degenerative changes.



Bilateral far lateral (extraforaminal) disc bulges are seen at the L1-L2, L2-L3 and L4-L5 levels. An anterior disc herniation with peridiscal osteophytes is noted at the L4-L5 level.

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

The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.

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

14.0 mm at L1-L2
12.0 mm at L2-L3
4.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

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

2. A large postero-central disc extrusion with severe canal stenosis at the L3-L4 level.

3. A posterior disc herniation with peridiscal osteophyte with a tight canal at the L4-L5 level.





Sunday, 27 December 2015 16:48

12590

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

Name of the Patient : Abc Xyztala Sanlmn / F / 52 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches which has increased since 1 week.
C/O giddiness and numbness over the left side of the face since 3 days.

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

12589

Written by
hs/ke/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 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 :

A postero-central disc protrusion is seen to indent the thecal sac at the D10-D11 level. This intervertebral disc shows loss of water content.

Posterior disc bulges are noted at the L4-L5 and L5-S1 levels.

The paraspinal muscles on the right side in the lower dorsal and lumbo-sacral regions are seen to be atrophic and show spotty fatty changes.

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

The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
scan-00009


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

15.0 mm at L1-L2
17.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

1. A postero-central disc protrusion at the D10-D11 level

2. Atrophy of the paraspinal muscles in the lower dorsal and lumbo-sacral regions.







Sunday, 27 December 2015 16:48

12587

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

Name of the Patient : Abc Xyz Salgaolmn / F / 62 yrs.
Referred by : Dr. Abc Xyzralay.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O Gait ataxia since 2 1/2 months and speech disturbances since 1 year.

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 slight thinning of the superior collicular plate of the tectum. Also seen is fullness of the ventricular system.

There is prominence of the basal cisternal spaces and cerebral cortical sulci bilaterally predominantly in both temporal regions. Also seen is mild prominence of the cerebellar folia bilaterally.

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

IMPRESSION :

1. Thinning of the superior collicular plate of the tectum. Such changes may be seen with progressive supranuclear palsy. Please correlate clinically.

2. Cerebral and mild cerebellar atrophy.


Sunday, 27 December 2015 16:48

12586

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

Name of the Patient : Abc Xyzn Khlmn / M / 6 1/4 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella & Perisellar Region.

CLINICAL PROFILE :

Known C/O precocious puberty.
For follow-up.

EXAMINATION :

M.R.I of the sella and perisellar region was performed using the following parameters :

3 mm thick T1 Weighted and T2 Weighted (with fat saturation) coronal images.

3 mm thick T1 Weighted sagittal images.

5 mm thick T2 Weighted axial images.

MR cisternogram was obtained in the coronal plane.

OBSERVATION :

There is a fairly well circumscribed mass lesion in the suprasellar cistern. This lesion is located between the pituitary stalk and the mamillary bodies. This lesion appears to be sessile and appears to be arising from the tuber cinereum. This lesion is isointense to grey matter on the T1 Weighted images and turns heterogeneously hyperintense on the T2 Weighted images.

The pituitary gland is normal.

There is no focal area of abnormal signal alteration within the brain on the T2 Weighted axial images.


IMPRESSION :

The MRI features are suggestive of a mass lesion in the suprasellar cistern. In the given clinical setting, signal characteristics, age and sex of the patient and location of the lesion, it most probably represents a tuber cinereum hamartoma.

As compared to the previous MRI (study no:0000) dated 00.00.00, there is no significant change noted.



Sunday, 27 December 2015 16:48

12585

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

Name of the Patient : Abc Xyza Shlmn / F / 24 yrs.
Referred by : Dr. Abc XyzShetty / Dr. Abc Xyzhoni.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 10 days.

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

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

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

The conus medullaris terminates at the L1 level and the thecal sac terminates at the 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
16.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
11.0 mm at L5-S1.

The sacro-iliac joints were further studied with the help of 4 mm thick T1 Weighted coronal images and 4 mm thick STIR axial images, which do not reveal any diagnostic feature of note.

IMPRESSION :

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

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








Sunday, 27 December 2015 16:48

12584

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

Name of the Patient : Abc Xylmn / F / 35 yrs.
Referred by : Dr. Abc XyzBR> Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

Known C/O left Ca breast. Operated 4 years back.
C/O backache radiating to the RLE since 8-10 days.

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 near complete collapse of the D12 vertebral body and central wedging of the D11 and L5 vertebral bodies with an angular kyphus at the D11/D12 level.

There is replacement of the normal marrow of nearly all the vertebrae in the spinal axis by hypointense areas on the T1 Weighted images which are seen to turn heterogeneously hyperintense on the T2 Weighted images. Similar areas are also noted within the sternum, appendages of a few vertebrae and the sacral ala and the iliac bone on the left side.

There is posterior bulging of the D10, D11 and D12 vertebral bodies with posterior displacement and compression of the spinal cord. The cord over the D9 to D12 levels shows a subtle hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia.





Pre and paravertebral soft tissue extension with epidural extension is noted in the sacral region.

A large pleural effusion is seen on the right side.

The conus medullaris terminates at the D12-L1 level.

IMPRESSION :

In a known C/O Ca breast, the MRI features are suggestive of altered signal in the spinal axis and within the sternum and the sacral ala and in the iliac bone on the left side is suggestive of metastasis. There is cord signal alteration over the D9 to D12 vertebral levels suggestive of cord edema/ischemia.







Sunday, 27 December 2015 16:48

12583

Written by
ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Mlmn / M / 12 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures, blurring of vision and fall with LOC 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 T1 Weighted and T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is reduction in the volume of the body of the hippocampus on the right side with prominence of the temporal horn. The underlying collateral white matter is however unremarkable (scan 105.8, 105.9, 106.8, 106.9). Subtle increase in the signal intensity is also noted in this region.

There is slight reduction in the volume of the tail of the hippocampus on the left side.

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.

Incidental note is made of enlarged adenoids.

IMPRESSION :

The MRI features are suggestive of reduction in the volume of the body of the hippocampus on the right side and tail of the hippocampus on the left side suggestive of hippocampal sclerosis.




Sunday, 27 December 2015 16:48

12582

Written by
ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Mlmn / F / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 6 years. 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.

OBSERVATION :

There is slight fullness of the right temporal horn which may be a normal variant.

The rest of 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.

Note is made of an empty sella.

IMPRESSION :

No significant abnormality detected within the brain per se on this study.


Sunday, 27 December 2015 16:48

12581

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

Name of the Patient : Abc Xyz Plmn / F / 17 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Hippocampal Region.

CLINICAL PROFILE :

H/O seizures in childhood and 3 episodes in last 1 year.

EXAMINATION :

M.R.I of the hippocampal region was performed, as requested using the following parameters :

3 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick T2 Weighted axial images through the brain.

OBSERVATION :

There is no area of abnormal altered signal intensity on the T2 Weighted axial images of the brain. Hyperintense areas in both posterior parietal regions represent terminal areas of myelination. Dilated perivascular spaces are seen in the centrum semiovale bilaterally.

The hippocampal complex is unremarkable on either side.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

The pituitary gland has a superior convex margin which may be normal for the patients age.

Incidental note is made of mild right maxillary sinusitis.

IMPRESSION :

Normal study of the Brain.