MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

12243

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

Name of the Patient : Abc Xyzralmn / M / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures 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.

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 is unremarkable on either side.

There is slight prominence of the cerebellar folia bilaterally.

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

A polyp is seen in the left maxillary sinus and enlarged adenoids.

IMPRESSION :

The MRI features are suggestive of mild prominence of the cerebellar folia bilaterally.











































Sunday, 27 December 2015 16:48

12242

Written by
hs/ke/nl/rg.
/44/45 Date : 00.00.00

Name of the Patient : Abc Xyzsh Blmn / M / 31 yrs.
Referred by : Dr. Abc Xyzhru.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O heaviness of the head and headaches since 2-3 years.
H/O hypertension.

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.

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

INTRACRANIAL MRA :

The right posterior cerebral artery appears to be a continuation of the right posterior communicating artery.

The right vertebral artery is hypoplastic.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.



NECK MRA :

The right vertebral artery in the neck is also hypoplastic.

The visualized common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the visualized vessels noted.

IMPRESSION :

No significant abnormality is detected on the intracranial and neck MRA on this study.

Sunday, 27 December 2015 16:48

12241

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

Name of the Patient : Abc Xyzi Nalmn / F / 45 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Pelvis.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 2-3 months.

EXAMINATION :

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

5 mm thick T1 Weighted sagittal images.

6 mm thick T1 Weighted and T2 Weighted axial images.

5 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

There is replacement of the normal marrow of the sacral vertebrae by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted and STIR images. There is extension into the presacral soft tissues with obliteration of fat plane. There is indentation and displacement of the ilio-psoas muscle anteriorly. The piriformis muscle on the right side appears bulky and is also involved by the pathology. Slight involvement of the piriformis muscle on the left is also noted. The gluteus maximus muscle on the right side also shows altered signal suggestive of its involvement. The sacral nerve roots on either side are encased by this lesion, more on the right. There is extension into the spinal canal upto the L5 level with non-visualization of the thecal sac.

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


The uterus and the urinary bladder appear normal.

Enlarged para-aortic and right iliac enlarged lymph nodes are noted in the pelvis.

IMPRESSION :

The MRI features are suggestive of altered signal of the sacral vertebrae with soft tissue extensions and lymph nodal enlargement as described.

These changes are not specific for a single etiology. A round cell tumor like lymphoma or an infective lesion like tuberculosis may be considered as differential diagnosis.






Sunday, 27 December 2015 16:48

12240

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

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

CLINICAL PROFILE :

C/O seizures since 10 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 no focal area of altered signal intensity within the brain parenchyma.

The hippocampal complex on either side is unremarkable.

The superior surface of the pituitary gland has a convex upper margin ? significance.

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

12239

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

Name of the Patient : Abc Xyzm Chlmn / M / 65 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 year which has increased 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 a left paracentral and left postero-lateral disc herniation at the L4-L5 level with antero-lateral compression of the thecal sac and left neural foraminal narrowing. There is indentation upon the extraforaminal portion of the left L4 nerve root. There is suggestion of inflammation of the left L5 nerve root. Facetal and ligamentum flavum hypertrophy is also noted at the L4-L5 and L5 levels with resultant left lateral stenosis.

Right far lateral disc herniations are noted at the L4-L5 and L3-L4 levels with slight indentation upon the extraforaminal portion on the right L4 and L3 nerve roots, respectively.

Small posterior disc herniations are noted at the L2-L3 and L5-S1 levels. The lumbar intervertebral discs show loss of water content.
Scan-00009

The L5-S1 facet joint on the left shows slight degenerative change and the facet joints at the L1-L2 and L3-L4 levels appear hypertrophied.

The lumbar vertebral bodies reveal normal signal intensity. The remaining 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 S2 level.

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

16.0 mm at L1-L2
15.0 mm at L2-L3
16.0 mm at L3-L4
9.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. A left paracentral and left postero-lateral disc herniation at the L4-L5 level with indentation upon the extraforaminal portion of the left L4 nerve root. There is ligamentum flavum and facetal hypertrophy at the L4-L5 and L5 levels with canal stenosis. There is suggestion of inflammation of the left L5 nerve root.

2. Right far lateral disc herniations at the L4-L5 and L3-L4 levels with slight indentation upon the extraforaminal portion on the right L4 and L3 nerve roots, respectively.

3. Small posterior disc herniations at the L2-L3 and L5-S1 levels.

4. Facetal hypertrophy at the L1-L2 and L3-L4 levels and slight facetal arthropathy at the L5-S1 level on the left.





Sunday, 27 December 2015 16:48

12238

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

Name of the Patient : Abc XyzKlmn / M / 42 yrs.
Referred by : Dr. Abc Xyzolanki / Dr. Abc Xyzhah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O neck pain radiating to the LUE with tingling since 1 1/2 months. Also C/O giddiness.
H/O fall 2 months back.

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 :

The cervical intervertebral discs show loss of water content.

Postero-central disc herniations, more to the left of the midline are seen to indent the ventral aspect of the cord at the C4-C5 and C5-C6 levels.

A left postero-lateral disc herniation is seen to narrow the left neural foramen at the C6-C7 level with indentation upon the spinal cord and the left C7 nerve root. Part of the disc is seen at the C6 vertebral level.

Small posterior peridiscal osteophytes are noted over the C3-C4 to the C6-C7 level.






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

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

There is anterior wedging of the C6 vertebra without any change in signal intensity.

The facet joints on the right side at the C4-C5, C5-C6 and C6-C7 levels show hypertrophic changes.

The cervical spinal cord shows normal signal intensity.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

The MRI features are suggestive of :

1. Postero-central disc herniations, more to the left of the midline at the C4-C5 and C5-C6 levels.

2. A left postero-lateral disc herniation at the C6-C7 level with indentation upon the spinal cord and the left C7 nerve root.







Sunday, 27 December 2015 16:48

12237

Written by
hs/ke/nl
Date : 00.00.00

Name of the Patient : Abc XyzP. Kakolmn / F / 29 yrs.
Referred by : Dr. Abc Xyzl.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided headaches 1 week back with weakness of the right half of the body 3 days later.
C/O decreased hearing on the right side.

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 fairly well-defined areas which are near isointense to CSF on all the pulse sequences within the left temporal and left frontal lobes. These are surrounded by areas of hypointensity on the T1 Weighted images and which turn hyperintense on the proton, T2 Weighted and FLAIR images and would most likely represent perilesional edema (? a portion of the lesion per se). There is effacement of the adjacent cerebral cortical sulci and indentation upon the left lateral ventricle with slight inferior displacement. Also seen is mild bulging of the falx to the right side.

A sliver of fluid is seen to overlie the left cerebral hemisphere and this may be the result of previous biopsy.








The right 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 lesions within the left temporal and left frontal lobes as described. These most likely represent a neoplastic process like a glial cell tumor.

A contrast enhanced scan may be worthwhile.

Sunday, 27 December 2015 16:48

12236

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

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

CLINICAL PROFILE :

C/O backache radiating to BLE with tingling since 1 1/2 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 :

The L2 vertebra is as marked on the film. (Kindly correlate with plain radiographs-? sacralization of L5).

The L2-L3, L3-L4 and L4-L5 intervertebral discs show loss of water content.

There is a postero-central disc herniation at the L4-L5 level with mild indentation upon the L5 nerve roots bilaterally. There appears to be posterior displacement of the left L5 nerve root and which appears to be of slightly larger calibre ? inflammation. The L4-L5 facet joints show mild degenerative changes.

Ligamentum flavum hypertrophy is seen at the L5 level.

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





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

The conus medullaris terminates at the 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 :

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

IMPRESSION :

The MRI features are suggestive of a postero-central disc herniation at the L4-L5 level with mild indentation upon the L5 nerve roots bilaterally with ? inflammation of the left L5 nerve root.









Sunday, 27 December 2015 16:48

12235

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

Name of the Patient : Abc Xyzee Jlmn / F / 58 yrs.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 2 1/2 years.

EXAMINATION :

M.R.I of the lumbo-sacral spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is scoliosis of the lumbar spine with convexity to the left side.

There is slight retrolisthesis of the L2 over the L3 and the L4 over the L5 vertebral body.

The lumbar intervertebral discs show loss of water content.

A large postero-central disc extrusion is seen at the L4-L5 level with anterior compression of the thecal sac and canal stenosis. There is inferior migration of the disc fragment which is seen to lie posterior to the L5 vertebral body with compression upon the thecal sac and indentation upon the left L5 nerve root. A left far lateral disc herniation is also noted at this level.






Posterior disc herniation and a left far lateral disc bulge is seen at the L3-L4 level with peridiscal osteophytes.

A posterior and left far lateral disc bulge is seen at the L5-S1 level.

Postero-central disc herniations are noted at the L1-L2 and L2-L3 levels with posterior peridiscal osteophytes.

Lateral peridiscal osteophytes are seen at the L2-L3 level on the right side.

Type II degenerative changes are seen in the L5 vertebral body adjacent to the L4-L5 intervertebral disc.

The lower lumbar facet joints show mild degenerative changes.

The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining 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 S2 level.

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

14.0 mm at L1-L2
12.0 mm at L2-L3
11.0 mm at L3-L4
9.0 mm at L4-L5
10.0 mm at L5-S1.
..3/.












- 3 - Scan-00005



IMPRESSION :

1. Scoliosis of the spine with convexity to the left side.

2. Slight retrolisthesis of the L2 over the L3 and the L4 over the L5 vertebral body.

3. A large postero-central disc extrusion at the L4-L5 level
with inferior migration of the disc fragment which is seen to lie posterior to the L5 vertebral body and indentation upon the left L5 nerve root with canal stenosis.

4. A posterior disc herniation at the L3-L4 level.



Sunday, 27 December 2015 16:48

12234

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

Name of the Patient : Abc XyzPalmn / M / 53 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O paresthesias in BUE and both soles since 1 month.
H/O fall 2 years back.

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 :

There is a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images in the posterior column and in the centre of the spinal cord over the C2 to the C4-C5 levels. This is isointense to cord on the T1 Weighted images.

Small, posterior disc herniations with peridiscal osteophytes are noted at the C3-C4, C4-C5 and C5-C6 levels with anterior indentation of the thecal sac.

Ligamentum flavum hypertrophy is noted at the C5-C6 level.

The cervical intervertebral discs show loss of water content.

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

The atlanto-axial region is unremarkable.
..2/.





- 2 - Scan-00004


IMPRESSION :

1. Altered cord signal in the posterior column and in the centre of the spinal cord over the C2 to the C4-C5 levels would represent cord demyelination.

The possibility of subacute combined degeneration should be ruled out. The possibility of myelitis seems unlikely.

2. Small, posterior disc herniations with peridiscal osteophytes at the C3-C4, C4-C5 and C5-C6 levels.