MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

12202

Written by
ke/bv/nl
Date : 00.00.00

Name of the Patient : Abc Xyzakant Sarvlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

C/O pain in the right knee joint with difficulty in climbing stairs since 6 months.

EXAMINATION :

M.R.I of the right 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 a curvilinear hyperintense signal in the posterior horn of the medial meniscus not reaching upto the inferior articular surface and represents a Grade II meniscal signal (Meniscal degeneration).

The anterior and posterior horns of the lateral meniscus show linear hyperintense signal on all the pulse sequences not reaching upto the articular surface and would represent Grade I meniscal signal (Meniscal degeneration).

The anterior horn of the medial meniscus reveal normal configuration and signal characteristics.
Scan-00002


Cruciate Ligaments :

Intermediate signal is seen along the course of the anterior cruciate ligament of the right knee joint on the T1 Weighted images and is seen to be hyperintense on the T2 Weighted and GRASS images, suggestive of fluid. The anterior cruciate ligament is however well identified.

The posterior cruciate ligament shows 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 :

The articular cartilage overlying the patella, tibia and femur appears normal.

Effusion is seen within the right knee joint.

IMPRESSION :

1. Grade II meniscal signal (meniscal degeneration) in the posterior horn of the medial meniscus not reaching upto the inferior articular surface of the right knee joint.

2. Grade I meniscal signal (meniscal degeneration) in the anterior and posterior horns of the lateral meniscus of the right knee joint.

3. Effusion within the right knee joint.











Sunday, 27 December 2015 16:48

12201

Written by
ke/bv
Date : 00.00.00

Name of the Patient : Abc Xyz Ralmn / M / 40 yrs.
Referred by : Dr. Abc Xyzolakia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 3 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 are small posterior disc herniations at the L4-L5 and L5-S1 levels. There is anterior indentation of the thecal sac and right neural foraminal narrowing at the L4-L5 level. These intervertebral discs show loss of water content.

Schmorls node is seen in the superior aspect of the D11 vertebra. The L5-S1 facet joints show mild degenerative changes.

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-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 :

15.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. Small posterior disc herniations at the L4-L5 and L5-S1 levels.

2. Mild degenerative changes of the L5-S1 facet joints.

Sunday, 27 December 2015 16:48

12200

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

Name of the Patient : Abc Xyzal Blmn / M / 79 yrs.
Referred by : Dr. Abc Xyzshar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain in the RLE since 2-3 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 loss of water content of all the lumbar intervertebral discs except the L5-S1 disc.

There is Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis. A pseudo-posterior disc herniation is noted at this level with thecal sac compression. Slight compromise of the neural foramen is noted bilaterally. There is also hypertrophic facetal arthropathy bilaterally at this level.

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

Anterior disc herniations with anterior peridiscal osteophytes are noted in the dorso-lumbar region.

The lumbar vertebral bodies 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.
..2/.







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

15.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
6.0 mm at L4-L5
11.0 mm at L5-S1.

Incidentally noted is a cortical renal cyst on the left.

IMPRESSION :

1. Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis.

2. A pseudo-posterior disc herniation at the L4-L5 level with
hypertrophic facetal arthropathy bilaterally and canal stenosis at this level.







Sunday, 27 December 2015 16:48

12199

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

Name of the Patient : Abc Xyzen lmn / F / 52 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (left more than right) since 9 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 sacralization of the L5 vertebra which is as marked on the film.

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

Minimal posterior disc bulges are noted at the L4-L5 and L5-S1 levels. Small anterior disc herniations are noted at the L3-L4 and L4-L5 levels.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized right 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 :

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

Incidentally noted are multiple lobulated soft tissue lesions in the prevertebral and left paravertebral regions over the L2 to L4 vertebral levels. These are of intermediate signal intensity on the T1 Weighted images and turn heterogeneously hyperintense on the T2 Weighted images and most likely represent enlarged lymphnodes. Also noted is a soft tissue mass lesion in the region of the left kidney which needs to be investigated further.

IMPRESSION :

1. Sacralization of the L5 vertebra.

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

3. Multiple lobulated soft tissue lesions in the prevertebral and left paravertebral regions over the L2 to L4 vertebral levels most likely represent enlarged lymphnodes. Also noted is a soft tissue mass lesion in the region of the left kidney which needs to be investigated further.






Sunday, 27 December 2015 16:48

12198

Written by
Date : 00.00.00

Name of the Patient : Abc Xyz C. Dlmn / F / 18 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since the age of 1 year.
H/O fall 1 year back with right temporal bone fracture.
C/O 4 episodes of seizures on 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 T2 Weighted coronal images.

5 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is reduction in the volume of the hippocampus on the left side which shows a hyperintense signal on the T2 Weighted images.

A lacunar infarct which is isointense to CSF on the T1 Weighted images and turns hyperintense on the proton and T2 Weighted images is seen in the left lentiform nucleus.

Encephalomalacic changes are seen in the right frontal lobe inferiorly, probably the result of previous trauma.

The previously described fracture of the right temporal bone is not well-identified on this study.
scan-00008


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 :

1. Left mesial temporal sclerosis.

2. Lacunar infarct in the left lentiform nucleus.

3. Encephalomalacic changes in the right inferior frontal lobe.

Sunday, 27 December 2015 16:48

12197

Written by
ke/bv
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / F / 78 yrs.
Referred by : Dr. Abc Xyzmpat / Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O chronic subdural hematoma which has been drained twice in past 8 days.
Known hypertensive.

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 :

Burrholes are noted in the high parietal region bilaterally one on the left side and two on the right side.

There is still seen a small residual subdural collection overlying the right cerebral convexity with a maximum width of about 1.2 cms. This lesion is hypointense to gray matter on the T1 Weighted images but appears hyperintense on the proton, T2 Weighted and FLAIR images. A sliver of hyperintense signal is seen over the temporo-occipital region on all the pulse sequences which may suggest xantho chronic fluid. A loculated pocket is noted in the right parietal region.

There is seen a much smaller, similar (as described above) signal intensity, subdural collection overlying the left cerebral hemisphere with a maximum width of about 0.8 cms in the left high parietal region.

There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the head of right caudate nucleus and right lentiform nucleus. This lesion appears slightly hypointense to normal white matter on the T1 Weighted images.
..2/.







There is mild dilatation of the left lateral ventricle. There is an ill-defined hyperintense signal on proton, T2 Weighted and FLAIR images in the periventricular white matter around the left lateral ventricle. Similar signal is also noted in the head of left caudate nucleus. This signal appears hypointense to normal white matter on the T1 Weighted images and probably represents encephalomalacic changes.

There is prominence of the cerebellar folia bilaterally with mild fullness of the fourth ventricle.

No obvious vascular anomaly is identified on this study.

IMPRESSION :

1. Post-operative status.

2. A residual subdural collection overlying the right cerebral convexity with a maximum width of about 1.2 cms.

3. A smaller subdural collection overlying the left cerebral hemisphere.

4. Altered signal in the head of the caudate nuclei bilaterally and right lentiform nucleus may represent ischemic changes.

5. Mild dilatation of the left lateral ventricle with periventricular white matter hyperintense signal on proton, T2 Weighted and FLAIR images may represent periventricular encephalomalacic changes.

As compared to the previous MRI (study no:00007) dated 00.00.00, there is reduction in the size of the subdural collections bilaterally.



Sunday, 27 December 2015 16:48

12196

Written by
ke/bv
Name of the Patient : Abc Xyzi D. Shlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O neckpain with giddiness on neck movements since 4-5 days.
H/O neckpain with occasional tingling in BUE and BLE 3-4 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 :

There is a congenital block C5/C6 vertebra. There is obliteration of the C5-C6 disc space posteriorly.

A small posterior disc bulge with peridiscal osteophyte (hard disc) is seen at the C6-C7 level with anterior indentation of the thecal sac.

A small posterior disc bulge is noted at the C4-C5 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 cervical spinal cord shows normal signal intensity.

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

IMPRESSION :

1. Congenital block C5/C6 vertebra with obliteration of the C5-C6 disc space posteriorly.

2. A small posterior disc bulge with peridiscal osteophyte (hard disc) at the C6-C7 level.

3. A small posterior disc bulge at the C4-C5 level.






Sunday, 27 December 2015 16:48

12195

Written by
ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyz Plmn / F / 23 yrs.
Referred by : Dr. Abc Xyz (Nair Hospital).
Examination : Intracranial MR Venogram.

CLINICAL PROFILE :

C/O headaches, vomiting, giddiness and fever since 10 days.
C/O visual loss on the right side and diminished vision on the left side since 5 days.
H/O delivery 2 months back.

EXAMINATION :

The brain was screened with the help of 5 mm thick T1 Weighted sagittal images and T2 Weighted axial images.

3 mm thick STIR coronal images were obtained through the orbits.

MR venogram was performed using the 2D TOF sequence.

OBSERVATION :

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

The optic nerves show normal signal intensity.

On the MRV the visualized dural and deep venous sinuses show normal flow characteristics. No obvious venous thrombosis is evident on this scan.

IMPRESSION :

No significant abnormality detected on the Intracranial MR Venogram.

Sunday, 27 December 2015 16:48

12194

Written by
ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 76 yrs.
Referred by : Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O severe vertigo with gait imbalance and 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.

MR cisternogram was obtained in the coronal plane.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are hyperintense areas in the left corona radiata and the left posterior parietal deep white matter on the proton, T2 Weighted and FLAIR images. These are isointense to normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

The seventh and eighth cranial nerve complex on either side are unremarkable.

There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulcal spaces and cerebellar folia bilaterally. There is slight prominence of the basal cisterns.
Scan-00004



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

IMPRESSION :

1. Altered signal in the left corona radiata and the left posterior parietal deep white matter are suggestive of areas of ischemia/infarction.

2. Cerebral and cerebellar atrophy.


Sunday, 27 December 2015 16:48

12193

Written by
ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzh Palmn / M / 39 yrs.
Referred by : Dr. Abc Xyzsai.
Examination : M.R.I. of the Abdomen.

CLINICAL PROFILE :

C/O abdominal dysfunction since 6 days with fever/chills.

EXAMINATION :

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

6 mm thick T1 Weighted, T2 Weighted and Fast Scan (T2 *) axial images.

7 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

The lobes of the liver, right more than the left, appear small. The surface of the right lobe of the liver shows an irregular margin. The liver appears slightly hyperintense to the spleen on the T1 Weighted images. This is seen to turn hypointense on the T2 Weighted, GRASS and STIR images. However no obvious mass lesion is seen within the liver parenchyma (A suspicious regenerating mass nodule is noted in the right lobe of the liver, anterior to the IVC). Mild caudate lobe hypertrophy is noted.

The liver is normal in position. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architexture is distorted.

The gall bladder is normal and reveals no intrinsic abnormality.

The pancreas is normal in size and shape.

A splenuncle is noted along the postero-medial margin of the spleen. Splenomegaly is noted. Adrenal glands are unremarkable.

Both the kidneys are normal in size and shape.
..2/.






No lymphadenopathy is detected. There is free fluid within the abdomen.

Pleural effusion is noted on the left side.

The visualized marrow of the dorsal vertebrae appears normal.

IMPRESSION :

1. Small sized liver with irregular margin and slight caudate lobe hypertrophy suggests cirrhosis.

2. Splenomegaly and ascites may suggest portal hypertension.

3. Pleural effusion on the left side.