MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

12321

Written by
sb/hs/nl
Date : 00.00.00

Name of the Patient : Abc XyzDlmn / M / 75 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O weakness of BLE since 4-6 months with bladder involvement since 8 days.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

7 mm thick T1 Weighted and T2 Weighted axial images.

The cervical and lumbar spines were screened with 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

All the vertebrae in the entire spinal axis, the clivus and the visualized iliac bones show replacement of their normal fatty marrow by a hypointense signal on the T1 Weighted images which appears heterogeneously hyperintense on the T2 Weighted images. The dorsal intervertebral discs show slight loss of water content. The posterior segments of the visualized ribs on either side also show similar signal intensity changes.

There is seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the epidural space, circumferentially at the D6, D7, D9, D10 and D11 vertebral levels. This lesion also appears slightly hyperintense on the T2 Weighted images. Resultant effacement of the CSF space and mild












cord compression is noted at these levels. The dorsal spinal cord shows a hyperintense signal on the T2 Weighted images at the D6, D7 and D10 vertebral levels which may suggest cord edema/ischemia. There is compromise of the neural foramina bilaterally, in the dorsal region, at the levels of the epidural soft tissue lesion.

Bulging of the posterior margins of the lumbar vertebral bodies is noted.

The conus medullaris terminates at the L1 level.

Incidentally noted is a soft tissue lesion in the lower lobe of the right lung, posteriorly and probable pleural effusion bilaterally.

IMPRESSION :

Altered signal of all the vertebrae in the spinal axis, the clivus, iliac bones and the posterior segments of the visualized ribs as described, with epidural soft tissue lesion in the dorsal region, is not specific for a single etiology. The differential diagnosis would include :

1. Sclerotic metastasis, (? from a carcinoma of the prostate).

2. Round cell tumors (eg. lymphoma).

Sunday, 27 December 2015 16:48

12320

Written by
sb/hs/nl
Date : 00.00.00

Name of the Patient : Abc Xyzai Shlmn / F / 12 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O severe mental retardation.

EXAMINATION :

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

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

5 mm thick FLAIR coronal images.

3 mm thick T2 Weighted coronal images.

OBSERVATION :

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

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.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

12319

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

Name of the Patient : Abc Xyza Chlmn / F / 15 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 14 years with speech disturbances since 4 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.

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.

The cerebellar tonsils appear pointed but are seen to lie above the foramen magnum.

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.

Note is made of a giant cisterna magna and enlarged adenoids. Note is also made of a superior convex margin of the pituitary gland which may be normal for the patients age.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

12318

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

Name of the Patient : Abc XyzBlmn / M / 35 yrs.
Referred by : Dr. Abc XyzDhiware.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 0000 which has increased since 8 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 sacralization of the L5 vertebra.

There is loss of water content of the L2-L3, L3-L4 and L4-L5 intervertebral discs.

A small, postero-central protruded disc with peridiscal osteophytes is noted at the L5-S1 level.

A small, postero-central and left paracentral disc herniation with peridiscal osteophyte is noted at the L4-L5 level with left neural foraminal narrowing.

A left paracentral disc herniation is noted at the L3-L4 level indenting the traversing left L4 nerve root.

A postero-central and left paracentral disc herniation is noted at the L2-L3 level indenting the left L3 nerve root.
Scan-00008


A small postero-central protruded disc is noted at the L1-L2 level.

The facet joints in the lumbar region appear slightly hypertrophied.

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

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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 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
14.0 mm at L2-L3
12.0 mm at L3-L4
12.0 mm at L4-L5
8.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebra.

2. A small, postero-central protruded disc with peridiscal osteophytes at the L5-S1 level.
..3/.












- 3 - Scan-00008



3. A small, postero-central and left paracentral disc herniation with peridiscal osteophyte at the L4-L5 level with left neural foraminal narrowing.

4. A left paracentral disc herniation at the L3-L4 level indenting the traversing left L4 nerve root.

5. A postero-central and left paracentral disc herniation at the L2-L3 level indenting the left L3 nerve root.

6. A small postero-central protruded disc at the L1-L2 level.

7. Slight facetal hypertrophy in the lumbar region.

8. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions with lumbar canal stenosis.









Sunday, 27 December 2015 16:48

12317

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

Name of the Patient : Abc XyzSilmn / M / 59 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches and numbness over the left side of the face since 2 1/2 months.
H/O high blood pressure with profuse bleeding from nose prior to this.

EXAMINATION :

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

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

3 mm thick T1 Weighted and T2 Weighted coronal images.

A limited MRA sequence (source images) was also obtained.

OBSERVATION :

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

There is mild fullnes of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally. There is no shift of the midline structures.

No focal mass lesion is identified along the trigeminal nerve or the seventh and the eighth cranial nerve complex on either side. A vascular twig is noted at the root exit zone of the left seventh and eighth cranial nerve complex, without deforming the same. No vascular loop is seen to deform the root entry zone of the trigeminal nerves on either side.
scan-00007


Inflammatory changes are noted in the left maxillary antrum.

IMPRESSION :

No significant abnormality is detected within the brain parenchyma per se.

A vascular twig is noted at the root exit zone of the left seventh and eighth cranial nerve complex, without deforming the same.

Sunday, 27 December 2015 16:48

12316

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

Name of the Patient : Abc Xyzna Fernalmn / F / 49 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O vomiting for 4 days with giddiness since 8 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 a small area of hyperintensity on the FLAIR images within the white matter in the right frontal lobe (se/im 105.14).

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

Inflammatory changes are seen within the maxillary sinuses (right more than left)

IMPRESSION :

The MRI features are suggestive of a focus of altered signal within the right frontal lobe (? ischemic in etiology).
Sunday, 27 December 2015 16:48

12315

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

Name of the Patient : Abc Xyzsh Shanlmn / M / 13 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures (2 episodes) since March 0000.

EXAMINATION :

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

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

5 mm thick FLAIR coronal images.

3 mm thick T1 Weighted and T2 Weighted coronal images through the region of interest.

OBSERVATION :

There is seen a well-marginated, approximately 1.0 x 0.9 x 1.2 cms sized hypointense lesion on the T1 Weighted images in the subcortical white matter in the left high parietal region. This lesion appears hyperintense on the proton and T2 Weighted images with a peripheral hypointense rim. A probable scolex is noted along the superior margin of the lesion, anteriorly. There is minimal perilesional edema.

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 :

An approximately 1.0 x 0.9 x 1.2 cms size lesion in the subcortical white matter in the left high parietal region follows the signal characteristics of a cysticercus in the colloid vesicular stage.

Sunday, 27 December 2015 16:48

12314

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

Name of the Patient : Abc Xyzra Varlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzenoy.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 5-6 years.
H/O fall 5-6 years back.

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 normal lumbar lordosis and loss of water content of the L4-L5 intervertebral disc. The L4 and L5 vertebrae appear codfish in shape.

There is a posterior and left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with left neural foraminal narrowing (scan 102.1, 102.2, 104.8, 106.6) and probable indentation on the left L4 nerve root.

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

Slight bulge of the L4-L5 and L5-S1 intervertebral discs into the body of L5, centrally is noted.







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

The conus medullaris terminates at the D12 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
16.0 mm at L2-L3
14.0 mm at L3-L4
13.0 mm at L4-L5
14.0 mm at L5-S1.

IMPRESSION :

Degenerated L4-L5 disc with a posterior and left postero-lateral disc herniation with peridiscal osteophytes at that level narrowing the left neural foramen and with probable indentation upon the left L4 nerve root.








Sunday, 27 December 2015 16:48

12313

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

Name of the Patient : Abc Xyzan Jlmn / M / 73 yrs.
Referred by : Dr. Abc Xyzcha.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain in the RLE with tingling since 8 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 sacralization of the L5 vertebra and it is as marked on the film.

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

There is a postero-central and right postero-lateral disc herniation at the L4-L5 level with right neural foraminal narrowing. A sequestered disc fragment is noted in the right lateral recess of the L5 vertebra and indenting the traversing right L5 nerve root. Ligamentum flavum hypertrophy is noted at the L4-L5 and L5 levels. The L4-L5 facet joints show hypertrophic degenerative changes.

A small posterior disc bulge is noted at the L3-L4 level. A small right postero-lateral disc herniation is seen to narrow the right neural foramen at the L3-L4 level.
Scan-00003

Right far lateral (exrtraforaminal) disc herniations are seen to indent the extraforaminal portion of the exiting right L3 and L4 nerve roots at the L3-L4 and L4-L5 levels, respectively.

The remaining lumbar vertebral bodies show fatty marrow changes. 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 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
17.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebra.

2. A postero-central and right postero-lateral disc herniation at the L4-L5 level with a sequestered disc fragment in the right lateral recess of the L5 vertebra and indenting the traversing right L5 nerve root.

3. Ligamentum flavum hypertrophy at the L4-L5 and L5 levels and hypertrophic facetal arthropathy at the L4-L5 level.

4. Right far lateral (extraforaminal) disc herniations indenting the extraforaminal portion of the exiting right L3 and L4 nerve roots at the L3-L4 and L4-L5 levels respectively.

5. A small right postero-lateral disc herniation at the L3-L4 level.








Sunday, 27 December 2015 16:48

12312

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

Name of the Patient : Abc Xyzabholmn / M / 50 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O giddiness with fall and loss of consciousness with right sided hemiplegia 2 years back. Weakness on the right side still persists.

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 Fast Scan (T2 *) coronal images.

OBSERVATION :

There is a hypointense area in the left putamen extending into the left corona radiata on the T1 Weighted images which is seen to turn hyperintense on the proton and T2 Weighted images and would represent an old infarct. Resultant focal dilatation of the left lateral ventricle is noted. Similar area is seen in the genu of the internal capsule on the left side.

Lacunar infarcts are noted in the right lentiform nucleus.

Ill-defined, hyperintense areas are seen in the periventricular white matter on the proton, T2 Weighted images and FLAIR images and may represent ischemic changes.

There is mild dilatation of both the lateral and third ventricles with fullness of the fourth ventricle. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are also prominent. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.



Incidental note is made of maxillary sinusitis and inflammatory changes in the ethmoidal air cells.

IMPRESSION :

1. Old infarcts in the left putamen extending into the left corona radiata and in the genu of the internal capsule on the left side.

2. Lacunar infarcts in the right lentiform nucleus.

3. Areas of ischemia in the periventricular white matter.