MRI Reports (3472)
MRI Reports Database
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzBartlmn / M / 28 yrs.
Referred by : Dr. Abc Xyzhok.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait imbalance with speech disturbances since 1 1/2 months.
H/O right facial palsy 2 years ago.
To r/o demyelinating disorder.
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 an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the right thalamus, extending into the right internal capsular region superiorly and into the subthalamic region, right cerebral peduncle and in the pons on the right, inferiorly. This lesion appears hypointense to normal white matter on the T1 Weighted images.
A similar signal intensity lesion is noted in the left cerebral peduncle and in the left parietal deep white matter.
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 :
Altered signal in the right thalamus, extending into the right internal capsular region superiorly and into the subthalamic region, both cerebral peduncles, in the pons on the right, inferiorly and in the left parietal deep white matter is not specific for a single etiology. These lesions most likely represent ischemic lesions.
The possibility of demyelinating lesions is less likely.
Date : 00.00.00
Name of the Patient : Abc XyzBartlmn / M / 28 yrs.
Referred by : Dr. Abc Xyzhok.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait imbalance with speech disturbances since 1 1/2 months.
H/O right facial palsy 2 years ago.
To r/o demyelinating disorder.
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 an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the right thalamus, extending into the right internal capsular region superiorly and into the subthalamic region, right cerebral peduncle and in the pons on the right, inferiorly. This lesion appears hypointense to normal white matter on the T1 Weighted images.
A similar signal intensity lesion is noted in the left cerebral peduncle and in the left parietal deep white matter.
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 :
Altered signal in the right thalamus, extending into the right internal capsular region superiorly and into the subthalamic region, both cerebral peduncles, in the pons on the right, inferiorly and in the left parietal deep white matter is not specific for a single etiology. These lesions most likely represent ischemic lesions.
The possibility of demyelinating lesions is less likely.
Published in
MRI Reports
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzSalmn / M / 85 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 5 years.
H/O fall with loss of consciousness on 00.00.00.
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.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is seen a small hypointense focus on the T1 Weighted images in the left cerebellar hemisphere, along the left lateral margin of the fourth ventricle. This lesion appears hyperintense with a hypointense rim on the proton and T2 Weighted images but is significantly hypointense on the Fast Scan (T2 *) images.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the left fronto-parietal region, periventricular white matter bilaterally and in the subcortical white matter in the right posterior parietal region. These lesoins appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represents ischemic changes.
Lacunar infarcts are noted in the right cerebellar hemisphere and right external capsular region.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal.
- 2 - Scan-00002
There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. There is no shift of the midline structures. Ectasia of the vertebro-basilar and carotid vessels is noted.
Ill-defined, hyperintense signal seen on the T2 Weighted and Fast Scan (T2 *) images in the subgaleal soft tissues in the right fronto-parietal region and in the left high parietal region may represent subgaleal contusions in the given clinical setting.
Inflammatory changes are noted in the ethmoidal air cells bilaterally.
IMPRESSION :
1. Altered signal intensity lesion in the left cerebellar hemisphere, along the left lateral margin of the fourth ventricle follows the signal characteristics of hemosiderin and may be the sequelae of a previous hematoma.
2. Altered signal in the subcortical white matter in the left fronto-parietal region, periventricular white matter bilaterally and in the subcortical white matter in the right posterior parietal region most likely represent ischemic lesions.
3. Lacunar infarcts in the right cerebellar hemisphere and right external capsular region.
4. Altered signal in the subgaleal soft tissues in the right fronto-parietal region and in the left high parietal region may represent subgaleal contusions in the given clinical setting.
5. Cerebral cortical and cerebellar atrophy.
As compared to the previous MRI dated 00.00.00 (scan nos.0000/5), except for the subgaleal contusions as described, there is no other significant change noted.
Date : 00.00.00
Name of the Patient : Abc XyzSalmn / M / 85 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 5 years.
H/O fall with loss of consciousness on 00.00.00.
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.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is seen a small hypointense focus on the T1 Weighted images in the left cerebellar hemisphere, along the left lateral margin of the fourth ventricle. This lesion appears hyperintense with a hypointense rim on the proton and T2 Weighted images but is significantly hypointense on the Fast Scan (T2 *) images.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the left fronto-parietal region, periventricular white matter bilaterally and in the subcortical white matter in the right posterior parietal region. These lesoins appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represents ischemic changes.
Lacunar infarcts are noted in the right cerebellar hemisphere and right external capsular region.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal.
- 2 - Scan-00002
There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally. There is no shift of the midline structures. Ectasia of the vertebro-basilar and carotid vessels is noted.
Ill-defined, hyperintense signal seen on the T2 Weighted and Fast Scan (T2 *) images in the subgaleal soft tissues in the right fronto-parietal region and in the left high parietal region may represent subgaleal contusions in the given clinical setting.
Inflammatory changes are noted in the ethmoidal air cells bilaterally.
IMPRESSION :
1. Altered signal intensity lesion in the left cerebellar hemisphere, along the left lateral margin of the fourth ventricle follows the signal characteristics of hemosiderin and may be the sequelae of a previous hematoma.
2. Altered signal in the subcortical white matter in the left fronto-parietal region, periventricular white matter bilaterally and in the subcortical white matter in the right posterior parietal region most likely represent ischemic lesions.
3. Lacunar infarcts in the right cerebellar hemisphere and right external capsular region.
4. Altered signal in the subgaleal soft tissues in the right fronto-parietal region and in the left high parietal region may represent subgaleal contusions in the given clinical setting.
5. Cerebral cortical and cerebellar atrophy.
As compared to the previous MRI dated 00.00.00 (scan nos.0000/5), except for the subgaleal contusions as described, there is no other significant change noted.
Published in
MRI Reports
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Jalmn / F / 30 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 1 year with pain radiating to the RLE with paresthesias since 2 months.
Alleged H/O fall in childhood. Operated in 0000 (Details not available).
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 a fenestration defect of the right lamina of the S1 vertebra.
There is loss of water content of the L2-L3 to L5-S1 intervertebral discs.
There is a small, right paracentral disc herniation at the L5-S1 level, indenting the traversing right S1 nerve root. A sequestered disc fragment is noted in the right neural foramen at the L5-S1 level and right lateral recess of the S1 vertebra.
A fairly large, posteriorly herniated disc is noted at the L4-L5 level with thecal sac compression and indentation on the traversing L5 nerve roots bilaterally.
Scan-00001
A fairly large left paracentral disc herniation is noted at the L3-L4 level indenting the traversing left L4 nerve root.
A small, right paracentral disc herniation is seen at the L2-L3 level.
The facet joints at the L4-L5 and L5-S1 levels appear slightly hypertrophied. Bilateral far lateral (extraforaminal) disc bulges are noted at this level.
Fat is noted in the filum terminale at the L2 and L3 vertebral levels.
The marrow of the visualized lumbar and sacral vertebrae appears relatively hypointense when compared to the normal fatty marrow on the T1 Weighted images, but is isointense on the T2 Weighted images suggesting preponderance of red marrow.
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 :
17.0 mm at L1-L2
12.0 mm at L2-L3
6.0 mm at L3-L4
8.0 mm at L4-L5
8.0 mm at L5-S1.
..3/.
- 3 - Scan-00001
IMPRESSION :
1. Post-operative status.
2. A small, right paracentral herniated disc at the L5-S1 level, indenting the traversing right S1 nerve root with a sequestered disc fragment in the right neural foramen at the L5-S1 level and in the right lateral recess of the S1 vertebra.
3. A fairly large, posteriorly herniated disc at the L4-L5 level indenting the traversing L5 nerve roots bilaterally.
4. A fairly large left paracentral disc herniation at the L3-L4 level indenting the traversing left L4 nerve root.
5. A small, right paracentral disc herniation at the L2-L3 level.
6. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels.
7. Lumbar canal stenosis at the L3-L4 and L4-L5 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz Jalmn / F / 30 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 1 year with pain radiating to the RLE with paresthesias since 2 months.
Alleged H/O fall in childhood. Operated in 0000 (Details not available).
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 a fenestration defect of the right lamina of the S1 vertebra.
There is loss of water content of the L2-L3 to L5-S1 intervertebral discs.
There is a small, right paracentral disc herniation at the L5-S1 level, indenting the traversing right S1 nerve root. A sequestered disc fragment is noted in the right neural foramen at the L5-S1 level and right lateral recess of the S1 vertebra.
A fairly large, posteriorly herniated disc is noted at the L4-L5 level with thecal sac compression and indentation on the traversing L5 nerve roots bilaterally.
Scan-00001
A fairly large left paracentral disc herniation is noted at the L3-L4 level indenting the traversing left L4 nerve root.
A small, right paracentral disc herniation is seen at the L2-L3 level.
The facet joints at the L4-L5 and L5-S1 levels appear slightly hypertrophied. Bilateral far lateral (extraforaminal) disc bulges are noted at this level.
Fat is noted in the filum terminale at the L2 and L3 vertebral levels.
The marrow of the visualized lumbar and sacral vertebrae appears relatively hypointense when compared to the normal fatty marrow on the T1 Weighted images, but is isointense on the T2 Weighted images suggesting preponderance of red marrow.
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 :
17.0 mm at L1-L2
12.0 mm at L2-L3
6.0 mm at L3-L4
8.0 mm at L4-L5
8.0 mm at L5-S1.
..3/.
- 3 - Scan-00001
IMPRESSION :
1. Post-operative status.
2. A small, right paracentral herniated disc at the L5-S1 level, indenting the traversing right S1 nerve root with a sequestered disc fragment in the right neural foramen at the L5-S1 level and in the right lateral recess of the S1 vertebra.
3. A fairly large, posteriorly herniated disc at the L4-L5 level indenting the traversing L5 nerve roots bilaterally.
4. A fairly large left paracentral disc herniation at the L3-L4 level indenting the traversing left L4 nerve root.
5. A small, right paracentral disc herniation at the L2-L3 level.
6. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels.
7. Lumbar canal stenosis at the L3-L4 and L4-L5 levels.
Published in
MRI Reports
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Jlmn / M / 42 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 15 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 loss of water content of the L3-L4 intervertebral disc.
Small posterior disc bulges are noted at the L3-L4 and L4-L5 levels with slight bilateral neural foraminal narrowing at the L4-L5 level. An anterior disc herniation is seen at the L3-L4 level.
Small posterior peridiscal osteophytes are noted at the D12-L1 and L3-L4 levels.
An ill-defined hypointense signal on all the pulse sequences is noted in the ala of the sacrum on the left adjacent to the left L5-S1 facet joint. This may represent sclerosis. There is suspicious lysis of the L5 vertebra on the left side.
Focal hypointense lesions on all the pulse sequences in the L3 and L4 vertebral bodies most likely represent bone islands.
The pedicles of the lumbar vertebrae are congenitally short in their antero-posterior dimensions.
The articular facets at L3-L4, L4-L5 and L5-S1 levels appear slightly hypertrophied.
The rest of 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-L2 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 :
20.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Small posterior disc bulges at the L3-L4 and L4-L5 levels with slight bilateral neural foraminal narrowing at the L4-L5 level.
..3/.
- 3 - Scan-00000
2. Small posterior peridiscal osteophytes at the D12-L1 and L3-L4 levels.
3. Altered signal in the ala of the sacrum on the left, adjacent to the left L5-S1 facet joint may represent sclerosis. Suspicious lysis of the L5 vertebra on the left side. Please correlate with plain radiographs.
4. Bone islands in the L3 and L4 vertebral bodies.
5. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
6. Slight facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz Jlmn / M / 42 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 15 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 loss of water content of the L3-L4 intervertebral disc.
Small posterior disc bulges are noted at the L3-L4 and L4-L5 levels with slight bilateral neural foraminal narrowing at the L4-L5 level. An anterior disc herniation is seen at the L3-L4 level.
Small posterior peridiscal osteophytes are noted at the D12-L1 and L3-L4 levels.
An ill-defined hypointense signal on all the pulse sequences is noted in the ala of the sacrum on the left adjacent to the left L5-S1 facet joint. This may represent sclerosis. There is suspicious lysis of the L5 vertebra on the left side.
Focal hypointense lesions on all the pulse sequences in the L3 and L4 vertebral bodies most likely represent bone islands.
The pedicles of the lumbar vertebrae are congenitally short in their antero-posterior dimensions.
The articular facets at L3-L4, L4-L5 and L5-S1 levels appear slightly hypertrophied.
The rest of 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-L2 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 :
20.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Small posterior disc bulges at the L3-L4 and L4-L5 levels with slight bilateral neural foraminal narrowing at the L4-L5 level.
..3/.
- 3 - Scan-00000
2. Small posterior peridiscal osteophytes at the D12-L1 and L3-L4 levels.
3. Altered signal in the ala of the sacrum on the left, adjacent to the left L5-S1 facet joint may represent sclerosis. Suspicious lysis of the L5 vertebra on the left side. Please correlate with plain radiographs.
4. Bone islands in the L3 and L4 vertebral bodies.
5. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
6. Slight facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.
Published in
MRI Reports
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 53 yrs.
Referred by : Dr. Abc Xyzroff.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness since 8-10 days.
Known hypertensive. On Rx.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There are small bright foci on the FLAIR images in the subcortical white matter in the frontal regions bilaterally. These lesions appear isointense on the T1 Weighted images.
Dilated perivascular spaces are seen in the centrum semiovale bilaterally.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci bilaterally.
There is no shift of the midline structures.
Inflammatory changes are noted in the right maxillary antrum.
The right vertebral artery is not well visualized on this study ? hypoplastic.
IMPRESSION :
Small bright foci on the FLAIR images in the subcortical white matter in the frontal regions bilaterally most likely represents ischemic foci.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 53 yrs.
Referred by : Dr. Abc Xyzroff.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness since 8-10 days.
Known hypertensive. On Rx.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There are small bright foci on the FLAIR images in the subcortical white matter in the frontal regions bilaterally. These lesions appear isointense on the T1 Weighted images.
Dilated perivascular spaces are seen in the centrum semiovale bilaterally.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci bilaterally.
There is no shift of the midline structures.
Inflammatory changes are noted in the right maxillary antrum.
The right vertebral artery is not well visualized on this study ? hypoplastic.
IMPRESSION :
Small bright foci on the FLAIR images in the subcortical white matter in the frontal regions bilaterally most likely represents ischemic foci.
Published in
MRI Reports
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Plmn / M / 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 with 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 :
The L5 vertebral body appears hypointense on the T1 Weighted images and heterogeneously hyperintense on the T2 Weighted images. Erosion of the right lateral margin of the L5 vertebral body is noted. There is also erosion of the inferior cortical endplate of the L5 vertebral body with involvement of the L5-S1 intervertebral disc.
There is seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the right paravertebral and anterior epidural space at the L5 and S1 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. Extension of the soft tissue lesion into the right neural foramen at the L5-S1 level is noted with probable extension of the soft tissue lesion along the left L5 nerve root in the left neural foramen at the L5-S1 level. Subtle hypointense signal on the T1 Weighted images is also noted in the S1 vertebral body adjacent to the L5-S1 disc.
A minimal posterior disc bulge is noted at the L4-L5 level.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
A lesion is seen to arise from the lateral aspect of the right kidney. This may require further evaluation (eg.Sonography).
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
16.0 mm at L2-L3
15.0 mm at L3-L4
13.0 mm at L4-L5
6.0 mm at L5-S1.
IMPRESSION :
Altered signal of the L5 and S1 vertebral bodies and the L5-S1 disc most likely represents osteitis with discitis, probably tuberculous in etiology. Right paravertebral and anterior epidural soft tissue lesion may represent granulation tissue/abscess.
The possibility of this lesion representing a neoplasm seems less likely.
Date : 00.00.00
Name of the Patient : Abc Xyz Plmn / M / 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 with 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 :
The L5 vertebral body appears hypointense on the T1 Weighted images and heterogeneously hyperintense on the T2 Weighted images. Erosion of the right lateral margin of the L5 vertebral body is noted. There is also erosion of the inferior cortical endplate of the L5 vertebral body with involvement of the L5-S1 intervertebral disc.
There is seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the right paravertebral and anterior epidural space at the L5 and S1 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. Extension of the soft tissue lesion into the right neural foramen at the L5-S1 level is noted with probable extension of the soft tissue lesion along the left L5 nerve root in the left neural foramen at the L5-S1 level. Subtle hypointense signal on the T1 Weighted images is also noted in the S1 vertebral body adjacent to the L5-S1 disc.
A minimal posterior disc bulge is noted at the L4-L5 level.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
A lesion is seen to arise from the lateral aspect of the right kidney. This may require further evaluation (eg.Sonography).
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
16.0 mm at L2-L3
15.0 mm at L3-L4
13.0 mm at L4-L5
6.0 mm at L5-S1.
IMPRESSION :
Altered signal of the L5 and S1 vertebral bodies and the L5-S1 disc most likely represents osteitis with discitis, probably tuberculous in etiology. Right paravertebral and anterior epidural soft tissue lesion may represent granulation tissue/abscess.
The possibility of this lesion representing a neoplasm seems less likely.
Published in
MRI Reports
hs/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / F / 34 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches since 5-6 years.
C/O occasional giddiness and vomiting.
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.
There is mild fullness of both the lateral ventricles. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The 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.
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / F / 34 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches since 5-6 years.
C/O occasional giddiness and vomiting.
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.
There is mild fullness of both the lateral ventricles. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The 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.
Published in
MRI Reports
hs/sb/nl/rg.
/77 Date : 00.00.00
Name of the Patient : Abc Xyz Sanlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches and long standing giddiness.
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.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
BRAIN :
There is no focal area of altered signal intensity within the brain parenchyma.
There is mild fullness of the third and both the lateral ventricles. There is mild prominence of the cerebral cortical sulci bilaterally.
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Note is made of a right maxillary polyp. Inflammatory changes are noted in the frontal sinuses and ethmoidal air cells.
Scan-00005
INTRACRANIAL MRA :
The left vertebral artery and the A1 segement of the right anterior cerebral artery are hypoplastic.
There is ectasia of the vertebral arteries.
The right posterior cerebral artery appears to be a continuation of the right posterior communicating artery.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, middle cerebral, basilar, right 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 left vertebral artery in the neck is also hypoplastic.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
The MRI/MRA features are suggestive of a hypoplastic left vertebral artery and the A1 segment of the right anterior cerebral artery.
No other significant abnormality is detected on this study.
/77 Date : 00.00.00
Name of the Patient : Abc Xyz Sanlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches and long standing giddiness.
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.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
BRAIN :
There is no focal area of altered signal intensity within the brain parenchyma.
There is mild fullness of the third and both the lateral ventricles. There is mild prominence of the cerebral cortical sulci bilaterally.
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Note is made of a right maxillary polyp. Inflammatory changes are noted in the frontal sinuses and ethmoidal air cells.
Scan-00005
INTRACRANIAL MRA :
The left vertebral artery and the A1 segement of the right anterior cerebral artery are hypoplastic.
There is ectasia of the vertebral arteries.
The right posterior cerebral artery appears to be a continuation of the right posterior communicating artery.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, middle cerebral, basilar, right 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 left vertebral artery in the neck is also hypoplastic.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
The MRI/MRA features are suggestive of a hypoplastic left vertebral artery and the A1 segment of the right anterior cerebral artery.
No other significant abnormality is detected on this study.
Published in
MRI Reports
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza Chilmn / F / 30 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered behaviour since 1 week (? indifferentiated schizophrenia).
C/O twitching on the right side of mouth and right hemifacial spasm since 4 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.
3 mm thick T1 Weighted coronal images.
Limited MRA through the region of interest.
5 mm thick T1 Weighted sagittal images.
MR cisternogram was obtained in the coronal plane.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
The seventh and eighth cranial nerve complex on either side are unremarkable.
There is mild fullness of the ventricular system. Also seen is mild prominence of the cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
No significant abnormality detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyza Chilmn / F / 30 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O altered behaviour since 1 week (? indifferentiated schizophrenia).
C/O twitching on the right side of mouth and right hemifacial spasm since 4 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.
3 mm thick T1 Weighted coronal images.
Limited MRA through the region of interest.
5 mm thick T1 Weighted sagittal images.
MR cisternogram was obtained in the coronal plane.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
The seventh and eighth cranial nerve complex on either side are unremarkable.
There is mild fullness of the ventricular system. Also seen is mild prominence of the cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
No significant abnormality detected on this study.
Published in
MRI Reports
hs/nv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Palmn / M / 13 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O fall with loss of consciousness for 15 minutes on 00.00.00.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick Proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is severe distortion and degrading of the anatomy as well as the signal characteristics, more so anteriorly on the axial images due to the presence of dental prosthesis.
There is no other focal area of altered signal intensity within the brain parenchyma.
The hippocampus is unremarkable on either side. Mild fullness of right temporal horn is noted.
Both the lateral, third and the fourth ventricles are otherwise 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 :
No significant abnormality is detected within brain on this study.
Published in
MRI Reports
More...
hs/sb/nl/rg/nl
/00002 Date : 00.00.00
Name of the Patient : Abc Xylmn / F / 74 yrs.
Referred by : Dr. Abc Xyzlal.
Examination : M.R.I. of the Pelvis & Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O menorrhagia.
C/O urinary incontinence and renal insufficiency.
Known diabetic/hypertensive.
EXAMINATION :
M.R.I of the pelvis was performed using the following parameters:
6 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial and sagittal images.
6 mm thick T1 Weighted coronal images.
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 T2 Weighted axial images.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
PELVIS:
The uterus is seen to be bulky. The endometrial cavity is widened and shows a hyperintense signal on the T2 Weighted images. There is a break of the junctional zone at the posterior aspect of the uterus (se/im 103.10). The myometrium shows a few areas of hyperintensity on the T2 Weighted images.
..2/.
A Foleys catheter is noted in the urinary bladder. There is slight thickening of the wall of the urinary bladder. The utero-vesical pouch appears to be well maintained.
The ischio-rectal fossae on either side appear normal.
There are no abnormally enlarged pelvic lymph nodes identified. No obvious vascular anomaly is noted. There is no free fluid in the pelvis.
LUMBO-SACRAL SPINE:
There is Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra. Also seen is retroplacement of the L5 vertebra over the S1 vertebra.
Posterior and far lateral (extraforaminal) disc bulges are seen at the L2-L3, L3-L4, L4-L5 and L5-S1 levels. There is mild bilateral neural foraminal narrowing at these levels.
The L4-L5 facet joints show hypertrophic degenerative changes. The L3-L4 and L5-S1 facet joints show mild degenerative changes.
A large Schmorls node is seen at the superior aspect of the L5 vertebral body.
The lumbar intervertebral discs show loss of water content. The lumbar vertebral bodies show areas of fatty replacement of normal marrow.
The rest of 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 S1 level.
..3/.
- 3 - Scan-00002
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
15.0 mm at L2-L3
15.0 mm at L3-L4
10.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. A bulky uterus with a widened endometrial cavity and a break in the junctional zone as decribed may be the result of an endometrial carcinoma.
2. Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra.
3. Posterior and far lateral (extraforaminal) disc bulges at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
4. Hypertrophic facetal arthropathy at the L4-L5 level.
/00002 Date : 00.00.00
Name of the Patient : Abc Xylmn / F / 74 yrs.
Referred by : Dr. Abc Xyzlal.
Examination : M.R.I. of the Pelvis & Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O menorrhagia.
C/O urinary incontinence and renal insufficiency.
Known diabetic/hypertensive.
EXAMINATION :
M.R.I of the pelvis was performed using the following parameters:
6 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial and sagittal images.
6 mm thick T1 Weighted coronal images.
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 T2 Weighted axial images.
SOME IMAGES SHOW PATIENT MOTION.
OBSERVATION :
PELVIS:
The uterus is seen to be bulky. The endometrial cavity is widened and shows a hyperintense signal on the T2 Weighted images. There is a break of the junctional zone at the posterior aspect of the uterus (se/im 103.10). The myometrium shows a few areas of hyperintensity on the T2 Weighted images.
..2/.
A Foleys catheter is noted in the urinary bladder. There is slight thickening of the wall of the urinary bladder. The utero-vesical pouch appears to be well maintained.
The ischio-rectal fossae on either side appear normal.
There are no abnormally enlarged pelvic lymph nodes identified. No obvious vascular anomaly is noted. There is no free fluid in the pelvis.
LUMBO-SACRAL SPINE:
There is Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra. Also seen is retroplacement of the L5 vertebra over the S1 vertebra.
Posterior and far lateral (extraforaminal) disc bulges are seen at the L2-L3, L3-L4, L4-L5 and L5-S1 levels. There is mild bilateral neural foraminal narrowing at these levels.
The L4-L5 facet joints show hypertrophic degenerative changes. The L3-L4 and L5-S1 facet joints show mild degenerative changes.
A large Schmorls node is seen at the superior aspect of the L5 vertebral body.
The lumbar intervertebral discs show loss of water content. The lumbar vertebral bodies show areas of fatty replacement of normal marrow.
The rest of 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 S1 level.
..3/.
- 3 - Scan-00002
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
15.0 mm at L2-L3
15.0 mm at L3-L4
10.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. A bulky uterus with a widened endometrial cavity and a break in the junctional zone as decribed may be the result of an endometrial carcinoma.
2. Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra.
3. Posterior and far lateral (extraforaminal) disc bulges at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
4. Hypertrophic facetal arthropathy at the L4-L5 level.
Published in
MRI Reports
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Panlmn / F / 14 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 1 year.
H/O fall 3 months back.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
7 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1 level.
The lumbo-sacral spine was screened with 5 mm thick T1 Weighted sagittal images and the cervico-dorsal spine was screened with 4 mm thick T1 Weighted sagittal images and this do not reveal any significant feature of note.
IMPRESSION :
No abnormality is detected within the dorsal spine on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz Panlmn / F / 14 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 1 year.
H/O fall 3 months back.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
7 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1 level.
The lumbo-sacral spine was screened with 5 mm thick T1 Weighted sagittal images and the cervico-dorsal spine was screened with 4 mm thick T1 Weighted sagittal images and this do not reveal any significant feature of note.
IMPRESSION :
No abnormality is detected within the dorsal spine on this study.
Published in
MRI Reports
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 46 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O surgery for a tumor (glial cell tumor) on 00.00.00. Lesion was a Grade III astrocytoma. Patient has received radiotherapy.
For follow-up.
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 is evidence of a right frontal craniotomy.
There are fairly well-defined areas which are iso to hyperintense to CSF on all the pulse sequences within the right frontal lobe and would most likely represent cystic changes. Areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images are seen adjacent to these areas. Also seen is indentation upon and inferior displacement of the frontal horn and posterior body of the right lateral ventricle. There is a slight shift of the anterior falx to the left side.
The left lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of :
1. Post-operative status.
2. A mass lesion in the right frontal lobe as described. This most likely represents residual/recurrent lesion (? a few areas of cystic encephalomalacia may be the result of previous surgery.
A contrast enhanced scan would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 46 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O surgery for a tumor (glial cell tumor) on 00.00.00. Lesion was a Grade III astrocytoma. Patient has received radiotherapy.
For follow-up.
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 is evidence of a right frontal craniotomy.
There are fairly well-defined areas which are iso to hyperintense to CSF on all the pulse sequences within the right frontal lobe and would most likely represent cystic changes. Areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images are seen adjacent to these areas. Also seen is indentation upon and inferior displacement of the frontal horn and posterior body of the right lateral ventricle. There is a slight shift of the anterior falx to the left side.
The left lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of :
1. Post-operative status.
2. A mass lesion in the right frontal lobe as described. This most likely represents residual/recurrent lesion (? a few areas of cystic encephalomalacia may be the result of previous surgery.
A contrast enhanced scan would be worthwhile.
Published in
MRI Reports
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzlal.
Examination : M.R.I. of the Neck.
CLINICAL PROFILE :
C/O intraoral swelling, gradually progressive since 2 years with change in voice since 10-15 days.
EXAMINATION :
M.R.I of the neck was performed using the following parameters :
6 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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is seen a fairly large, approximately 6.5 x 4.1 x 5.8 cms sized mass lesion in the left parapharyngeal space. This lesion is of intermediate signal on the T1 Weighted images and turns heterogeneously hyperintense on the T2 Weighted images. Cystic/necrotic areas (hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images) are noted within this lesion. A focal, hyperintense signal on all the pulse sequences is noted within this lesion, inferiorly, which may represent haemorrhage. There is resultant compression of the nasopharynx
and oropharynx, which is displaced to the right. The pterygoid muscles on the left are displaced laterally. The base of the tongue is pushed anteriorly and the left carotid sheath is displaced posteriorly. Effacement of the left Fossa of Rosenmuller and eustachion tube is noted.
The parotid and submandibular glands are seen separate from the lesion.
..2/.
Small, subcentimeter, lymph nodes are noted deep to the sternocleidomastoid muscles bilaterally.
Inflammatory mucosal thickening is noted in the maxillary sinuses and mastoid air cells bilaterally.
IMPRESSION :
An approximately 6.5 x 4.1 x 5.8 cms sized mass lesion in the left parapharyngeal space with signal characteristics and relations as described is not specific for a single etiology. This most likely represents a salivary gland tumor arising from salivary cell rests.
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzlal.
Examination : M.R.I. of the Neck.
CLINICAL PROFILE :
C/O intraoral swelling, gradually progressive since 2 years with change in voice since 10-15 days.
EXAMINATION :
M.R.I of the neck was performed using the following parameters :
6 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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is seen a fairly large, approximately 6.5 x 4.1 x 5.8 cms sized mass lesion in the left parapharyngeal space. This lesion is of intermediate signal on the T1 Weighted images and turns heterogeneously hyperintense on the T2 Weighted images. Cystic/necrotic areas (hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images) are noted within this lesion. A focal, hyperintense signal on all the pulse sequences is noted within this lesion, inferiorly, which may represent haemorrhage. There is resultant compression of the nasopharynx
and oropharynx, which is displaced to the right. The pterygoid muscles on the left are displaced laterally. The base of the tongue is pushed anteriorly and the left carotid sheath is displaced posteriorly. Effacement of the left Fossa of Rosenmuller and eustachion tube is noted.
The parotid and submandibular glands are seen separate from the lesion.
..2/.
Small, subcentimeter, lymph nodes are noted deep to the sternocleidomastoid muscles bilaterally.
Inflammatory mucosal thickening is noted in the maxillary sinuses and mastoid air cells bilaterally.
IMPRESSION :
An approximately 6.5 x 4.1 x 5.8 cms sized mass lesion in the left parapharyngeal space with signal characteristics and relations as described is not specific for a single etiology. This most likely represents a salivary gland tumor arising from salivary cell rests.
Published in
MRI Reports