MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

12229

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

Name of the Patient : Abc Xyz lmn / F / 23 yrs.
Referred by : Dr. Abc Xyzzzare.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

C/O headaches, vomiting since 10 days.
C/O visual loss on the right side and decreased vision on the left side since 5 days.
C/O bladder retention since 3 days.
H/O delivery 2 months back.

EXAMINATION :

M.R.I of the cervico-dorsal 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.

The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and 10 mm thick T2 Weighted axial images.

OBSERVATION :

There is a hyperintense area within the centre of the spinal cord extending over the D3 to D9 vertebral levels on the T2 Weighted and Fast Scan (T2 *) images. Subtle hyperintense signal is also noted in the anterior and posterior columns at the D2 and C7-D1 levels. This is isointense to cord on the T1 Weighted images. The CSF space is unremarkable.








Subtle hypointense signal is seen within the D1 vertebral body on the T1 Weighted images which is isointense to marrow on the T1 Weighted images.

Small posterior disc bulge is noted at the C4-C5 level. The upper cervical intervertebral discs show slight loss of water content.

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

IMPRESSION :

Altered signal within the centre of the spinal cord extending over the D3 to D9 vertebral levels and in the anterior and posterior columns at the D2 and C7-D1 levels could be due to demyelination/myelitis.

The MRI findings are consistent with the clinical diagnosis of Devics disease.
Sunday, 27 December 2015 16:48

12228

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

Name of the Patient : Abc Xyz K. Wallmn / F / 8 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. - Dorsal Spine (Post-contrast
Study).

CLINICAL PROFILE :

C/O headaches since December 0000. Also C/O backache with weakness of BLE (right more than left) since 8-10 days.

EXAMINATION :

After administration of contrast, the following parameters were used.

4 mm thick T1 Weighted sagittal and axial images (with fat saturation).

3 mm thick T1 Weighted coronal images.

OBSERVATION :

There is very faint enhancement of the lesion peripherally,
which is intramedullary in location at the D1 and D2 levels.

No enhancement is seen in the adjacent meninges and in the cervical and visualized dorsal regions.

This most probably represents a neoplastic process like a glial cell tumor.

Note is also made of enhancement of enlarged lymphnodes in the right hilar and paratracheal regions.
Sunday, 27 December 2015 16:48

12227

Written by
sb/ke/nl
Date : 00.00.00

Name of the Patient : Abc Xyz M. lmn / M / 31 yrs.
Referred by : Dr. Abc XyzSonawane / Dr. Abc Xyzhe.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O low backpain since 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 loss of water content of the L4-L5 intervertebral disc.

There is minimal forward translation of the L5 over the S1 vertebra. Probable spondylolysis is noted at L5 (please correlate with plain radiographs).

A postero-central disc herniation with peridiscal osteophyte is noted at the L4-L5 level with slight inferior migration of the disc.

Minimal posterior peridiscal osteophyte is seen at the L3-L4 level.

Type I, degenerative marrow change is noted adjacent to the L4-L5 disc.







The rest of 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 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
17.0 mm at L5-S1.

IMPRESSION :

1. Minimal forward translation of the L5 over the S1 vertebra, with probable spondylolysis at L5.

2. A postero-central disc herniation at the L4-L5 level with slight inferior migration of the disc fragment.








Sunday, 27 December 2015 16:48

12226

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

Name of the Patient : Abc Xyzta Gaolmn / F / 41 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE 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-S1 intervertebral disc shows loss of water content.

There is Grade II spondylolisthesis of the L5 over the S1 vertebra with spondylolysis at the L5 level bilaterally.

A large pseudoposterior disc herniation is seen at the L5-S1 level with posterior peridiscal osteophytes and bilateral neural foraminal narrowing. There is superior migration of the disc which is seen to lie in the right lateral recess of L5 with indentation upon the right L5 nerve root. The L5-S1 facet joints show slight hypertrophic degenerative changes. There is also narrowing of the left neural foramen with obliteration of the fat around the nerve.

A small posterior disc herniation is seen at the L4-L5 level. The L4-L5 facet joint on the left show mild degenerative change.



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.

A hemangioma with fatty changes is seen in the D10 vertebral body.

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

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

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

IMPRESSION :

1. Grade II spondylolisthesis of the L5 over the S1 vertebra with spondylolysis at the L5 level bilaterally.

2. A large pseudoposterior disc herniation at the L5-S1 level with posterior peridiscal osteophytes with superior migration of the disc lying in the right lateral recess of L5 with indentation upon the right L5 nerve root.

3. A small posterior disc herniation at the L4-L5 level.


Sunday, 27 December 2015 16:48

12225

Written by
sb/ke/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Khalmn / F / 30 yrs.
Referred by : Dr. Abc XyzParekh.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches and vomiting since 2 years.

EXAMINATION :

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

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

5 mm thick T1 Weighted sagittal images.

5 mm thick FLAIR coronal images.

4 mm thick T2 Weighted sagittal images (with fat saturation).

4 mm thick T1 Weighted 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.

There is a preponderance of red marrow over fatty marrow in the visualized upper cervical spine and the clivus.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

12224

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

Name of the Patient : Abc Xyzlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since February 0000.

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 which is as marked on the film.

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

There is a fairly large left paracentral extruded disc at the L4-L5 level with left neural foraminal narrowing. A sequestered disc fragment is noted in the left lateral recess of L5, indenting the left L5 nerve root. There is also narrowing of the left neural foramen at this level with indentation upon the left foraminal L4 nerve root.

A small postero-central disc herniation is noted at the L3-L4 level.

Slight hypertrophy of the facet joints is noted at the L3-L4 and L4-L5 levels.

- 2 - Scan-00004


The pedicles of the L3 and L4 vertebrae appear short in their antero-posterior dimensions.

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 D12-L1 level and the thecal sac terminates at the S1-S2 level.

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

19.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
11.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebra.

2. A fairly large left paracentral extruded disc at the L4- L5 level indenting the foraminal left L4 nerve root with a sequestered disc fragment in the left lateral recess of L5, indenting the left L5 nerve root.

3. A small postero-central disc herniation at the L3-L4 level.

4. Slight hypertrophy of the facet joints at the L3-L4 and L4-L5 levels.








Sunday, 27 December 2015 16:48

12223

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

Name of the Patient : Abc Xyzashree Tlmn / F / 7 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O high grade fever with GTC seizure and vomiting 2 years back. Patient was treated for ? TB for 9 months.
C/O inability to speak since then.

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.

SOME IMAGES SHOW PATIENT MOTION.

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.

Incidentally noted is a mega cisterna magna.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

12222

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

Name of the Patient : Abc Xyz Bholmn / M / 28 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left trigeminal neuralgia since 0000 which has increased since 3-4 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 coronal images.

Limited MRA sequence was obtained through the brainstem.

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.

There is seen a vascular twig along the course of the left trigeminal nerve superior and in close relation to the left trigeminal nerve (film 5). There is however no deformation of the root entry zone of the left trigeminal nerve. Small vascular twigs are also noted superior to the left seventh and eighth cranial nerve complex and inferior to the right seventh and eighth cranial nerve complex without deforming their root exit zones.






IMPRESSION :

No abnormality is detected in the brain parenchyma per se.

A vascular twig along the course of the left trigeminal nerve superior to and in close relation to the left trigeminal nerve without deforming its root entry zone.

Sunday, 27 December 2015 16:48

12221

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

Name of the Patient : Abc Xyzd Glmn / M / 52 yrs.
Referred by : Dr. Abc Xyznamiya / Dr. Abc Xyzatil.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures (2 episodes) since 20 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 and T2 Weighted coronal images.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

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

The hippocampal complex is unremarkable on either side.

There is mild dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci 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 :

Mild dilatation of both the lateral ventricles.

No other significant abnormality is detected on this study.


Sunday, 27 December 2015 16:48

12220

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

Name of the Patient : Abc Xyz Melmn / F / 34 yrs.
Referred by : Dr. Abc Xyz.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O neck pain radiating to the RUE with paresthesias since 6 months.

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 loss of normal cervical lordosis and loss of water content of all the cervical intervertebral discs.

There is a fairly large, right postero-lateral disc herniation with peridiscal osteophytes at the C6-C7 level with right neural foraminal narrowing and indentation on the spinal cord and traversing right C7 nerve root.

Minimal posterior disc bulges with peridiscal osteophytes are noted at the C3-C4 and C4-C5 levels.

Degenerative changes of the right sided joint of Luschka at the C5-C6 level is noted.

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



The cervical spinal cord shows normal signal intensity.

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

IMPRESSION :

A fairly large, right postero-lateral disc herniation with peridiscal osteophytes at the C6-C7 level with right neural foraminal narrowing and indentation on the spinal cord and traversing right C7 nerve root.