MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14780

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

Name of the Patient : Abc Xyzh B. Khedlmn / M / 16 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the dorso-lumbar Spine.

CLINICAL PROFILE :

C/O wasting and pain in the LLE with tingling since 3 years.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

10 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

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

The visualized dorsal spinal cord shows normal signal intensity. However it is smaller in diameter as compared to the normal.

The conus medullaris terminates at the L1 level.

IMPRESSION :

The MRI features are suggestive of atrophy of the dorsal cord without any change in signal intensity.
Sunday, 27 December 2015 16:48

14779

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

Name of the Patient : Abc Xyzr Almn / M / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O weakness of BUE (left more than right) and BLE with dragging of the LLE since 6 months.
Alleged H/O vehicular accident 2 years back with loss of consciousness for an hour.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

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

OBSERVATION :

There is partial occipitalization of the atlas.

The tip of the odontoid process is seen to lie at the level of the foramen magnum. There is atlanto-dens subluxation with the atlanto-dens interval measuring approximately 5 mms. The postero-superior aspect of the odontoid process is seen to compress upon the cervico-medullary junction which shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images and is isointense to cord on the T1 Weighted images. This would represent cord edema/gliosis. The clivus is placed more horizontally as compared to normal.

Posterior disc herniations are noted at the C2-C3, C4-C5 and C5-C6 levels with anterior indentation of the thecal sac.

The cervical intervertebral discs show loss of water content.
..2/.







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

The brain was screened with 5 mm thick T2 Weighted axial images and shows mild fullness of both the lateral ventricles and inflammatory changes in the maxillary sinuses bilaterally (right more than left) and sphenoid sinus.

IMPRESSION :

1. Partial occipitalization of the atlas with the tip of the odontoid process seen to lie at the level of the foramen magnum with atlanto-axial dislocation and atlanto-dens subluxation with atlanto-dens interval measuring 5 mms.

2. Altered signal at the cervico-medullary junction
represents cord edema/gliosis.



Sunday, 27 December 2015 16:48

14778

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

Name of the Patient : Abc Xyzh Plmn / M / 55 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O tremors in all four extremities with neckpain and forgetfullness since 15 days.
Chronic alcoholic.

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 and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a hyperintense signal on the T1 Weighted images in the globus pallidus bilaterally. This is isointense to grey matter on the proton and T2 Weighted images and may represent paramagnetic substance deposition (scans 104.9, 102.9).

Prominent perivascular spaces are seen in cerebral hemispheres bilaterally.

There is mild to moderate dilatation of the ventricular system with prominence of the cerebral cortical sulci (more marked in the temporal lobes) and cerebellar folia bilaterally.

The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

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IMPRESSION :

1. Altered signal in the globus pallidus bilaterally may represent paramagnetic substance deposition.

The diagnosis of hepatolenticular degeneration should be considered.

2. Cerebral and cerebellar atrophy.













Sunday, 27 December 2015 16:48

14777

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

Name of the Patient : Abc Xyze Shlmn / F / 42 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE with paresthesias.

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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is mild retroplacement of the L4 over the L5 and L5 over the S1 vertebral bodies.

A posterior disc herniation is seen at the L5-S1 level with slight inferior migration of the disc and indentation upon the S1 nerve roots bilaterally. A right far lateral disc bulge is also noted at this level.

A diffuse posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.

The L4-L5 and L5-S1 intervertebral discs show loss of water content.

The facet joints show mild degenerative changes at the L3-L4, L4-L5 and L5-S1 levels.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
..2/.





The conus medullaris terminates at the L1-L2 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 :

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

IMPRESSION :

1. Mild retroplacement of the L4 over the L5 and L5 over the S1 vertebral bodies.

2. A posterior disc herniation at the L5-S1 level with slight inferior migration of the disc and a right far lateral disc bulge at this level.

3. A diffuse posterior disc herniation at the L4-L5 level.
Sunday, 27 December 2015 16:48

14776

Written by
ke/bv/rg.
Date : 00.00.00

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

CLINICAL PROFILE :

C/O sudden onset of right sided weakness with blurred vision of left eye since 3-4 days with drowsiness and irrelevant talk since 1-2 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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

There is a large ill-defined, hypointense lesion on the T1 Weighted images in the left cerebral peduncle extending into the left thalamus and inferiorly into the left side of the pons and left middle cerebellar peduncle. This lesion is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. There is surrounding edema with mass effect and mild indentation upon the superior portion of the fourth ventricle, aqueduct and the third ventricle with mild shift of the midline structures to the right side. Minimal edema is also noted in the right cerebral peduncle and the left lentiform nucleus. This lesion does not bloom on the Fast Scan (T2 *) images.

There is mild fullness of both the lateral ventricles with slight prominence of the cerebral cortical sulci.

No obvious vascular anomaly is identified on this study.

Incidental note is made of inflammatory changes in the
ethmoidal and mastoid air cells on the right side.


IMPRESSION :

The MRI features are suggestive of a mass lesion in the left cerebral peduncle with extensions as described. The possibilities to be considered are,

1. Ischemia/infarction.

2. Demyelinating lesion.

3. Neoplastic lesion (less likely).

A contrast enhanced scan would be worthwhile.











Sunday, 27 December 2015 16:48

14775

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

Name of the Patient : Abc Xyz Banlmn / F / 8 yrs.
Referred by : Dr. Abc Xyzvadekar.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O weakness of BLE with bladder involvement.
? ATM.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.
8 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

The visualized cervical and nearly entire dorsal spinal cord appears swollen and shows a hyperintense signal on the T2 Weighted images which appears hypointense on the T1 Weighted images. The CSF space is unremarkable.

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

There is no cord compression.

The conus medullaris terminates at the L1 level.

IMPRESSION :

Altered signal of the cervical and nearly entire dorsal spinal cord is not specific for a single diagnosis. The differential diagnosis would include :

1. Myelitis.

2. Demyelination.

The possibility of an ischemic lesion seems unlikely.
Sunday, 27 December 2015 16:48

14774

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

Name of the Patient : Abc Xyzam Thalmn / M / 13 yrs.
Referred by : Dr. Abc XyzSingh.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache since 2 days.
Alleged H/O fall 1 month back.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is a posterior disc bulge at the D12-L1 level with a small peridiscal osteophyte.

A small hypointense area on the T1 Weighted images is seen in the postero-inferior aspect of the D12 vertebral body which is seen to turn heterogeneously hyperintense on the T2 Weighted images. No obvious break in the cortex is seen.

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

The visualized dorso-lumbar spinal cord reveals normal signal intensity.







The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.

IMPRESSION :

1. Posterior disc bulge at the D12-L1 level with a small peridiscal osteophyte.

2. Altered signal in the postero-inferior aspect of the D12 vertebral body is not specific for a single etiology. However this may represent edema/bone bruise in the given
H/O trauma.



Sunday, 27 December 2015 16:48

14773

Written by
ke/sb/nl/rg.

Date : 00.00.00

Name of the Patient : Abc Xyzed N. Talmn / F / 58 yrs.
Referred by : Dr. Abc Xyznshah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE.

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 Grade I spondylolisthesis of the L5 over the S1 vertebral body with spondylolysis at L5.

A pseudoposterior disc herniation is seen at the L5-S1 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing and mild indentation on L5 nerve roots bilaterally.

A small disc protrusion is noted at L1-L2 level and L4-L5 level. The lumbar intervertebral discs show loss of water content.

Schmorls node is seen in the superior aspect of the D12 and L2 vertebral bodies.

The facet joints at the L4-L5 and L5-S1 levels appear hypertrophied.

Type II degenerative changes are noted in the L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc.

..2/.







The rest of 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 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
20.0 mm at L2-L3
19.0 mm at L3-L4
13.0 mm at L4-L5
8.0 mm at L5-S1.

IMPRESSION :

1. Grade I spondylolisthesis of the L5 over the S1 vertebral body with spondylolysis at L5.

2. A pseudoposterior disc herniation at the L5-S1 level with bilateral neural foraminal narrowing and indentation of the L5 nerve roots bilaterally.

3. A small disc protrusion at L1-L2 level and L4-L5 level.

4. Slight facetal hypertrophy at the L5-S1 and L4-L5 levels.
Sunday, 27 December 2015 16:48

14772

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

Name of the Patient : Abc Xyz Plmn / F / 26 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE with tingling since February 0000.
Patient is on AKT since 00.00.00 for bone TB.

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 L5-S1 intervertebral disc.

There is right paracentral disc extrusion at the L5-S1 level with antero-lateral indentation of the thecal sac. There is inferior migration of the disc in the right lateral recess of the S1 vertebra and impingement of the right S1 nerve root.

The L3-L4, L4-L5 and L5-S1 facet joints show degenerative changes.

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 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 :

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

Incidental note is made of bulky uterus.

IMPRESSION :

A right paracentral disc extrusion at the L5-S1 level with inferior migration of the disc in the right lateral recess of the S1 vertebra impinging the right S1 nerve root with canal stenosis.


Sunday, 27 December 2015 16:48

14771

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

Name of the Patient : Abc XyzZ. Kshirslmn / M / 38 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O twitching over the right eye since 3 years.

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.

Incidental note is made of pansinusitis.

INTRACRANIAL MRA :

The A1 segment of the right anterior cerebral artery is hypoplastic.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified. A vascular loop (the left vertebral artery) is seen to indent the root exit zone of the left seventh and eighth cranial nerve complex.
..2/.







NECK MRA :

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

IMPRESSION :

A vascular loop (left vertebral artery) indenting the root exit zone of the left seventh and eighth cranial nerve complex.

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