MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

12216

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

Name of the Patient : Abc Xyzlmn / M / 66 yrs.
Referred by : Dr. Abc Xyzansali.
Examination : M.R.I. of the Pelvis.

CLINICAL PROFILE :

H/O APR done on 00.00.00 for Ca rectum. Received 6 cycles of chemotherapy and radiotherapy for 5 weeks.
Histopathology s/o adenocarcinoma (Dukes Class C1)
At present mild pain in the abdomen.
For follow-up.

EXAMINATION :

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

7 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

6 mm thick T1 Weighted and STIR coronal images.

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

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

An intermediate signal intensity lesion is seen in the region of the rectum and anal canal on the T1 Weighted images. This lesion is also noted in the presacral region with anterior extension in the region of seminal vesicles. There is slight indentation on the posterior aspect of the bladder and the posterior aspect of the prostate. The fat planes in the region of the prostate/urinary bladder are ill-defined. Slight streaking is noted in the ischio-rectal fossa bilaterally.

There is slight dilatation of the visualized left ureter.



The sacral vertebrae show fatty changes the result of previous radiotherapy.

A colostomy is noted in the lower abdomen on the left side and a right paramedia scar with post-operative changes.

A small posterior disc herniation is seen at the L5-S1 level.

Note is made of bilateral hydrocele.

There are no abnormally enlarged pelvic lymph nodes identified. No obvious vascular anomaly is noted. There is no free fluid in the pelvis.

IMPRESSION :

1. Post-operative status.

2. A lesion in the region of the rectum, anal canal and presacral region with extensions as described most probably represents residual/recurrent lesion.

3. Marrow changes in the sacrum is most likely the result of previous radiotherapy.



Sunday, 27 December 2015 16:48

12215

Written by
ke/bv/rg
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 89 yrs.
Referred by : Dr. Abc Xyzthe.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O blurring of vision bilaterally (momentarily) while reading since 2 months.
Opthalmic examination s/o pallor of optic discs.

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 STIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

Small bright foci on the proton and T2 Weighted images in the frontal deep white matter and corona radiata bilaterally are probably ischemic in etiology. These appears isointense to hypointense on the T1 Weighted images.

The optic nerves on either side appear smaller in size without any change in signal with slight increase in the perioptic CSF suggestive of optic atrophy, bilaterally, more marked on the left side.

There is slight fullness of both the lateral ventricles. The
third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic with indentation upon the left antero-lateral aspect of the lower pons and medulla.



Incidental note is made of mild inflammatory changes in the right mastoid air cells.

IMPRESSION :

Small size of the optic nerves, bilaterally, more marked on the left side is suggestive of bilateral optic atrophy.

Sunday, 27 December 2015 16:48

12214

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

Name of the Patient : Abc Xyz Dalmn / M / 38 yrs.
Referred by : Dr. Abc Xyz Vyas.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 10-12 years which has increased since 2 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 L4-L5 and L5-S1 intervertebral discs show loss of water content.

There is a postero-central disc herniation at the L5-S1 level (contained by the posterior longitudinal ligament) with anterior indentation of the thecal sac.

A posterior disc bulge is noted at the L4-L5 level.

Anterior peridiscal osteophytes are seen at the D12-L1 and L1-L2 levels.

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-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 :

17.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
16.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

1. A postero-central disc herniation at the L5-S1 level.

2. A posterior disc bulge at the L4-L5 level.











Sunday, 27 December 2015 16:48

12213

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

Name of the Patient : Abc Xyzh H. Kalmn / M / 20 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzarikh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O pain in the left paraspinal region following lifting of heavy weight in gym.

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 large, left paracentral disc extrusion at the L5-S1 level with antero-lateral compression of the thecal sac and indentation upon the left S1 nerve root. There is slight inferior migration of the disc into the left lateral recess of S1 vertebra. Posterior peridiscal osteophytes are also noted at this level. This disc shows loss of water content.

Small posterior peridiscal osteophytes are noted at the D12-L1 level. Schmorls nodes are seen in the dorso-lumbar region.

The L4-L5 facet joints bilaterally 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.
Scan-00003


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

IMPRESSION :

A large, left paracentral disc extrusion with posterior peridiscal osteophytes at the L5-S1 level with indentation upon the left S1 nerve root. There is slight inferior migration of the disc into the left lateral recess of S1 vertebra.


Sunday, 27 December 2015 16:48

12212

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

Name of the Patient : Abc Xyz lmn / F / 60 yrs.
Referred by : Dr. Abc Xyzra.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (right more than left) with tingling in the RLE since 5-6 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 :

There is forward translation of the L3 over the L4 and L4 over the L5 vertebra (kindly correlate with plain radiographs to R/o spondylolysis).

There is a posterior and left far lateral disc herniation at the L5-S1 level with anterior indentation of the thecal sac and indentation on the extraforaminal segment of the left L5 nerve root. The L5-S1 facet joint on the left side shows slight degenerative changes.

A large pseudoposterior disc herniation is seen at the L4-L5 level with anterior compression of the thecal sac and resultant canal stenosis. Hypertrophic facetal arthropathy is also noted at this level. The right L4 nerve root is impinged in the right neural foramen at the L4-L5 level.
Scan-00002


Posterior and a left far lateral disc herniation is noted at the L3-L4 level with anterior indentation of the thecal sac and mild left neural foraminal narrowing. The L3-L4 facet joints also show mild degenerative change.

Small posterior disc bulges with peridiscal osteophytes are seen at the L1-L2 and L2-L3 levels. Anterior disc herniations are noted at the L3-L4, L4-L5 and L5-S1 levels. The lumbar intervertebral discs show loss of water content. The D11-D12, L1-L2, L3-L4, L4-L5 and L5-S1 intervertebral discs are reduced in height.

Type II degenerative change is seen in the L5 and S1 vertebral bodies adjacent to the L5-S1 disc. Similar change is noted in the antero-superior portion of the L2 vertebral body as well as the D11 and D12 vertebrae.

A hemangioma with fat content is seen in the L3 vertebral body.

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 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
9.0 mm at L3-L4
16.0 mm at L4-L5
9.0 mm at L5-S1.
..3/.










- 3 - Scan-00002


IMPRESSION :

1. Forward translation of the L3 over the L4 and L4 over the L5 vertebra.

2. A posterior and left far lateral disc herniation at the L5-S1 level with indentation upon the extraforaminal portion of the left L5 nerve root and degenerative changes of the L5-S1 facet joint on the left side.

3. A large pseudoposterior disc herniation at the L4-L5 level with resultant canal stenosis and hypertrophic facetal arthropathy at this level. The right L4 nerve root is impinged in the right neural foramen at the L4-L5 level.

4. Posterior and a left far lateral disc herniation at the L3-L4 level with mild degenerative changes of the L3-L4 facet joints.

5. Small posterior disc bulges with peridiscal osteophytes at the L1-L2 and L2-L3 levels.






Sunday, 27 December 2015 16:48

12211

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

Name of the Patient : Abc Xyzh A. lmn / M / 26 yrs.
Referred by : Dr. Abc Xyzathak.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with tingling since 1 year.
H/O fall 1 year ago.

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 posterior and right paracentral disc extrusion at the L4-L5 level with anterior compression of the thecal sac and slight right neural foraminal narrowing. There is inferior migration of the disc which is seen to lie in the right lateral recess of the L5 vertebra with indentation upon the right L5 nerve root.

A postero-central disc herniation is seen at the L5-S1 level. There is slight inferior migration of the disc which is seen to lie posterior to the S1 vertebral body. The L5-S1 facet joints show degenerative changes.

The L4-L5 and L3-L4 facet joints show mild degenerative changes.

The L4-L5 and L5-S1 intervertebral discs show loss of water content. Posterior peridiscal osteophytes are noted at these levels.



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 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 :

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

IMPRESSION :

1. A posterior and right paracentral disc extrusion at the L4-L5 level with inferior migration of the disc in the right lateral recess of the L5 vertebra with indentation upon the right L5 nerve root.

2. A postero-central disc herniation at the L5-S1 level with slight inferior migration of the disc.

3. Posterior peridiscal osteophytes at the L4-L5 and L5-S1 levels.




Sunday, 27 December 2015 16:48

12210

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

Name of the Patient : Abc Xyza lmn / F / 5 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 1 month. On anti-epileptics since 2 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.

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.

Incidental note is made of enlarged adenoids and inflammatory changes in the maxillary and the ethmoidal air cells bilaterally.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

12209

Written by
DUPLICATE REPORT

Date : 00.00.00

Name of the Patient : Abc XyzBanlmn / M / 13 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O vomiting since 15 days with bilateral visual loss since 3-4 days. Febrile episode 1 month back, with rash.
Also C/O quadriparesis since 2 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.

3 mm thick STIR coronal images through the optic nerves.

OBSERVATION :

There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images predominantly in the subcortical white matter (and probably the grey matter in some places) in the right parieto-occipital region and in the high parietal, parafalcine regions bilaterally. These lesions appear hypointense on the T1 Weighted images.

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.








The optic nerves on either side show normal signal.

IMPRESSION :

Altered signal predominantly in the subcortical white matter (and probably the grey matter in some places) in the right parieto-occipital region and in the high parietal, parafalcine regions bilaterally is not specific for a single etiology. Acute disseminated encephalomyelitis is a likely possibility in the given clinical setting. The possibility of vascular lesions seem less likely.


































sb/ke/rg/nl

Sunday, 27 December 2015 16:48

12208

Written by
ke/sb/nl
Date : 00.00.00

Name of the Patient : Abc Xyzs Chavlmn / M / 3 1/4 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since birth.
H/O delayed speech.

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 and T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are ill-defined hypointense areas (nearly isointense to CSF) in the periventricular deep white matter on the T1 Weighted images. These are seen to turn hyperintense on the proton and T2 Weighted images. Hyperintense areas are also noted in bilateral centrum semiovale, left more than right. Resultant periventricular white matter loss is noted.

There is slight thinning of the corpus callosum.

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.








Incidental note is made of enlarged adenoids.

IMPRESSION :

Altered signal in the periventricular deep white matter and in bilateral centrum semiovale, left more than right and slight thinning of the corpus callosum may be due to hypoxic-ischemic insult-periventricular leucomalacia.
Sunday, 27 December 2015 16:48

12207

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

Name of the Patient : Abc Xyzi Salmn / F / 14 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O quadriparesis since 1 month with respiratory failure.
H/O viral infection 15 days prior to this.

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 *) Weighted axial images.

OBSERVATION :

There is seen a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images in the spinal cord on either side of the midline over the C3-C4 disc level upto the C7-D1 disc level. This signal appears hypointense to normal cord on the T1 Weighted images. No significant cord atrophy or cord swelling is noted.

Small postero-central protruded discs are noted at the C5-C6 and C6-C7 levels.

There is loss of water content of the C6-C7 intervertebral disc.

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

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


Evidence of previous tracheotomy is noted.

Screening T2 Weighted sagittal images of the dorsal spine and T1 Weighted sagittal images of the lumbar spine do not reveal any significant feature of note.

Incidentally noted is right sided parahilar consolidation with probable enlarged subcarinal and right paratracheal lymphnodes.

IMPRESSION :

Altered signal in the spinal cord on either side of the midline over the C3-C4 disc level upto the C7-D1 disc level as described most likely represents gliotic/myelomalacic changes, probably the sequelae of previous myelitis/demyelination.