MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

12404

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

Name of the Patient : Abc XyzB. Jlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias (right more than left) since 4 months.

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 is as marked on the film.

There is loss of normal lumbar lordosis and loss of water content of the L3-L4, L4-L5 and L5-S1 intervertebral discs.

There is a fairly large, postero-central and right paracentral extruded disc with peridiscal osteophytes at the L5-S1 level with thecal sac compression and indentation on the traversing right S1 nerve root. Inferior migration of the disc fragment is noted. Bilateral postero-lateral and far lateral disc bulges are also noted at the L5-S1 level narrowing the neural foramina bilaterally at this level.

A posteriorly bulging disc is noted at the L4-L5 level with bilateral neural foraminal narrowing.






A left postero-lateral disc bulge is noted at the L3-L4 level.

The pedicles of the lower lumbar vertebrae are congenitally short in their antero-posterior dimensions.

The facet joints at the L5-S1 level show slight degenerative changes bilaterally.

Type II degenerative marrow changes are noted adjacent to the L5-S1 disc.

A hemangioma with fat content is noted in the L1 vertebral body.

The rest of the lumbar and sacral vertebral bodies show focal fatty change. 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 S2 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
17.0 mm at L2-L3
19.0 mm at L3-L4
19.0 mm at L4-L5
10.0 mm at L5-S1.
..3/.














- 3 - Scan-00004


IMPRESSION :

1. A fairly large, postero-central and right paracentral extruded disc with peridiscal osteophytes at the L5-S1 level indenting the traversing right S1 nerve root. Inferior migration of the disc fragment is noted. Bilateral postero-lateral and far lateral disc bulges are also noted at the L5-S1 level narrowing the neural foramina bilaterally at this level.

2. A posteriorly bulging disc at the L4-L5 level with bilateral neural foraminal narrowing.

3. A left postero-lateral disc bulge at the L3-L4 level.

4. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.

5. Slight degenerative changes of the facet joints at the L5-S1 level.






Sunday, 27 December 2015 16:48

12403

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

Name of the Patient : Abc Xyzxmi D. Dlmn / F / 48 yrs.
Referred by : Dr. Abc Xyzikwad.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache with paresthesias in BLE.
H/O Right sided Ca Breast for which patient was operated in 0000. Received 6 cycles of chemotherapy and 10 sittings of radiotherapy.
Histopathology s/o infiltrative duct carcinoma.

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 replacement of the normal marrow of nearly all the vertebrae of the spinal axis by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The C2, C4, D1, D2, D4 and D10 vertebral bodies appear expansile.

There is pre and paravertebral soft tissue extension over the D8 and D9 vertebral levels. The pedicles and the transverse processes of D9 vertebra is involved with anterior epidural extension and compression of the spinal cord. The spinal cord at this level shows a subtle hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia.
Scan-00003


The right pedicle and transverse process as well as the spinous process of the D3 vertebra is also involved with right lateral epidural extension. Posterior elements of the D2 are also involved.

The lumbar intervertebral discs show loss of water content.

The facet joints are unremarkable.

The conus medullaris terminates at the L1 level.

Susceptibility artifacts are noted in the pelvis.

IMPRESSION :

In a known C/O Ca breast the MRI features are suggestive of multiple metastases involving the spinal axis with epidural extension as described at the D3 and D9 levels with cord compression and cord signal alteration suggestive of cord edema/ischemia at the D9 level.


Sunday, 27 December 2015 16:48

12402

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

Name of the Patient : Abc Xyz lmn / F / 15 yrs.
Referred by : Dr. Abc Xyzi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O ALL diagnosed in 0000. Radiotherapy (10 sittings) and chemotherapy (4 cycles) received.

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

12401

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

Name of the Patient : Abc Xyzer lmn / F / 32 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE since 6 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 :

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

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 D12 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 :

18.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
13.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of minimal posterior disc bulges at the L4-L5 and L5-S1 levels.







Sunday, 27 December 2015 16:48

12400

Written by
hs/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzalmn / F / 39 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (left more than right) since 0000 (on & off) with numbness which has increased since 3-4 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 are small posterior disc bulges at the L4-L5 and L5-S1 levels with indentation upon the thecal sac at the L4-L5 level.

The lumbar intervertebral discs show slight loss of water content.

The right kidney is not visualized in it normal position.

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.



- 2 - scan-00000


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

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

The cervical and dorsal spines were screened with 5 mm thick T2 Weighted sagittal images which do not reveal any significant feature of note.

IMPRESSION :

The MRI features are suggestive of small posterior disc bulges at the L4-L5 and L5-S1 levels.











Sunday, 27 December 2015 16:48

12399

Written by
hs/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzSollmn / F / 7 yrs.
Referred by : Dr. Abc Xyzroff.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There is no focal area of altered signal intensity within the brain parenchyma.

The hippocampal complex on either side is unremarkable.

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

12398

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

Name of the Patient : Abc Xyzi Chandravalmn / F / 8 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Left Knee Joint.

CLINICAL PROFILE :

C/O pain in the left knee with limp.
H/O fall 1 year ago with swelling.

EXAMINATION :

M.R.I of the left knee joint was performed using the following parameters :

4 mm thick T1 Weighted, proton and GRASS sagittal images.

4 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick GRASS axial images.

OBSERVATION :

Menisci

There is blunting of the horns of the lateral menisci of the left knee joint. A part of the meniscus is seen to be displaced medially in the left knee joint, suggesting a bucket handle tear.

The anterior and posterior horns of the medial menisci reveal normal configuration and signal characteristics.

Cruciate Ligaments :

The anterior and posterior cruciate ligaments show normal contour and signal characteristics.

Collateral Ligaments and the Patellar Tendon :

The medial and lateral collateral ligaments and the patellar tendon are normal.


Hoffas Fat Pad :

The Hoffas fat pad is normal.

Articular cartilage and bones :

There is seen slight depression of the epiphysis of the medial condyle of the proximal left tibia without change in signal intensity. The epiphysis of the lateral tibial condyle is unremarkable.

The articular cartilage overlying the patella and femur appears normal.

There is no left knee joint effusion.

IMPRESSION :

1. Blunting of the horns of the lateral meniscus of the left knee joint with medial displacement of a part of the lateral meniscus suggests a bucket handle tear.

2. Slight depression of the epiphysis of the medial condyle of the proximal left tibia without change in signal intensity may be the sequelae of previous trauma. The overlying articular cartilage is unremarkable.

Sunday, 27 December 2015 16:48

12397

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

Name of the Patient : Abc Xyzndra Avsalmn / M / 70 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O sudden onset of aphasia at 10.30 am on 00.00.00 wtih MI.

EXAMINATION :

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

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

SOME IMAGES SHOW PATIENT MOTION.

PATIENT DID NOT ALLOW COMPLETION OF THE STUDY.

OBSERVATION :

There is evidence of an area of hyperintensity on the proton and T2 Weighted images along the gyri in the left frontal lobe. This is most likely suggestive of ischemia/infarction. (scans 203.11 - 203.17). This area is hypointense on the T1 Weighted images. There is no evidence of haemorrhage.

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

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

IMPRESSION :

The MRI features are suggestive of a recent area of ischemia/infarction in the left frontal lobe as described.

Sunday, 27 December 2015 16:48

12396

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

Name of the Patient : Abc Xyzd Sanlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O cervical spondylosis 6 months back.
Also C/O backache radiating to the RLE.

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 :

A small postero-central disc herniation with a peridiscal osteophyte is seen to indent the thecal sac at the C3-C4 level.

Postero-central disc protrusions are noted at the C4-C5 and C5-C6 levels. A posterior disc bulge is seen at the C6-C7 level.

Irregularly defined areas of hypointensity on all the pulse sequences are seen in the region of the odontoid process and may represent degenerative changes/pannus (? rheumatoid arthritis).

The cervical intervertebral discs show loss of water content.
Scan-00006


The left C2-C3 facet joint shows degenerative changes.

The left lobe of the thyroid gland is seen to be enlarged.

The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The cervical spinal cord shows normal signal intensity.

The cervico-medullary junction is unremarkable.

IMPRESSION :

The MRI features are suggestive of :

1. A small postero-central disc herniation with a peridiscal osteophyte at the C3-C4 level.

2. Postero-central disc protrusions at the C4-C5 and C5-C6 levels.

3. Degenerative changes/pannus (? rheumatoid arthritis) in the region of the odontoid process.

4. An enlarged left lobe of the thyroid gland which requires further evaluation.






Sunday, 27 December 2015 16:48

12395

Written by
bv/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzd Sanlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 4-5 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 all the lumbar intervertebral discs.

There is a postero-central disc protrusion at the L5-S1 level with ventral indentation upon the thecal sac. Far lateral disc bulges are also seen at this level.

There is a right far lateral (extraforaminal) disc herniation at the L4-L5 level with indentation upon the foraminal and extraforaminal portion of the right L4 nerve root.

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

A right paracentral disc herniation with posterior peridiscal osteophyte is seen at the L2-L3 level with ventral indentation of the thecal sac. A right postero-lateral (foraminal) disc herniation is also seen at this level narrowing the right neural foramen.

A right posterior peridiscal osteophyte with a disc herniation is seen at the L1-L2 level with ventral indentation of the thecal sac.
..2/.





Small posterior peridiscal osteophytes are noted at the L3-L4, L4-L5 and L5-S1 levels.

The facet joint at the L5-S1, L4-L5, L3-L4 and L1-L2 level on the left side shows hypertrophic degenerative changes.

Anterior disc herniations are noted in the lumbar region at the L1-L2, L2-L3 and L3-L4 levels.

Schmorls nodes are seen in the L3 and L4 vertebrae inferiorly.

Focal hypointense areas on the T1 Weighted images which are seen to turn hyperintense on the T2 Weighted images in the L3, L4, L5 vertebrae are of ? significance.

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

A probable conjoint nerve root is noted at the L5-S1 level on the left.

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 :

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

IMPRESSION :

The MRI features are suggestive of :

1. A right far lateral (extraforaminal) disc herniation at the L4-L5 level with indentation upon the foraminal and extraforaminal portion of the right L4 nerve root.
..3/.


- 3 - scan-00005


2. A right paracentral disc herniation with posterior peridiscal osteophyte at the L2-L3 level with a right postero-lateral (foraminal) disc herniation at this level.

3. A right posterior peridiscal osteophyte with a disc herniation at the L1-L2 level.

4. Small posterior peridiscal osteophytes at the L3-L4, L4-L5 and L5-S1 levels.

5. Hypertrophic facetal arthropathy at the L5-S1, L4-L5, L3-L4 and L1-L2 levels on the left side.