MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

12171

Written by
sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzingh Mulmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with episodic loss of memory (6-7 episodes) since 3 months.
To r/o complex partial seizures.

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.

Inflammatory changes are noted in the left maxillary sinus.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

12170

Written by
sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzati Mlmn / F / 74 yrs.
Referred by : Dr. Abc Xyztrak / Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (right more than left) with tingling in toes since several years which has increased since 5-6 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 lumbar intervertebral discs.

The visualized dorso-lumbo-sacral vertebral bodies show spotty fatty marrow changes suggesting osteoporosis. The D10 vertebral body appears wedged.

There is slight retroplacement of the L1 vertebral body.

There is a right postero-lateral (foraminal) disc herniation at the L5-S1 level with right neural foraminal narrowing and mininal indentation on the traversing right S1 nerve root.






A postero-central disc herniation with peridiscal osteophytes is noted at the L3-L4 level with bilateral neural foraminal narrowing.

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

A small postero-central protruded disc is identified at the L2-L3 level.

Posterior peridiscal osteophytes are noted at the L1-L2 level with left neural foraminal narrowing.

The facet joints from the L2-L3 to the L5-S1 levels show hypertrophic degenerative changes. Slight ligamentum flavum hypertrophy is noted at the L3-L4 and L4-L5 levels.

Anterior disc herniations are noted in the upper lumbar region.

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 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
7.0 mm at L3-L4
10.0 mm at L4-L5
12.0 mm at L5-S1.
..3/.













- 3 - Scan-00000

IMPRESSION :

1. Spotty fatty marrow changes in the visualized dorso-lumbo-sacral vertebrae suggests osteoporotic changes. Wedging of D10 vertebral body may be the sequelae of trauma superimposed on an osteoporotic spine.

2. A right postero-lateral (foraminal) disc herniation at the L5-S1 level with right neural foraminal narrowing and mininal indentation on the traversing right S1 nerve root.

3. A postero-central disc herniation with peridiscal osteophytes at the L3-L4 level.

4. Small posterior disc bulge at the L4-L5 level.

5. Small postero-central protruded disc at the L2-L3 level.

6. Posterior peridiscal osteophytes at the L1-L2 level.

7. Hypertrophic facetal arthropathy from the L2-L3 to the L5-S1 levels with slight ligamentum flavum hypertrophy at the L3-L4 and L4-L5 levels.

8. Canal stenosis at L3-L4 and L4-L5 levels.

As compared to the previous MRI dated 00.00.00 (scan no.0000), canal stenosis is noted at the L3-L4 and L4-L5 levels, probably to a greater degree at the L3-L4 level. Anterior wedging of the D10 vertebral body is identified on the present study (this vertebral body was not identified on the previous scan).








Sunday, 27 December 2015 16:48

12169

Written by
sb/bv
Date : 00.00.00

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

CLINICAL PROFILE :

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

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

4 mm thick T1 Weighted and T2 Weighted axial images.

4 mm thick T1 Weighted coronal images.

OBSERVATION :

There is seen an approximately 1.0 x 0.9 x 1.5 cms sized well-defined, intramedullary mass within the upper dorsal spinal cord at the D1 and D2 vertebral levels. Resultant slight expansion of the spinal cord is noted at that level. This lesion is predominantly hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images (of fluid signal intensity). Within this lesion, is seen a linear signal which is isointense to the spinal cord on all the pulse sequences. The dorsal spinal cord, superior and inferior to this lesion shows a hyperintense signal on the T2 Weighted images, centrally, at the C7 and D3 vertebral levels which may represent cord edema.





- 2 - Scan-00009


The D8 vertebral body shows a hypointense signal, centrally on the T1 Weighted images which appears isointense to the rest of the vertebrae on the T2 Weighted images.

The remaining visualized dorsal vertebral bodies and 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 D12-L1 level.

Incidentally noted is soft tissue lesions in the pretracheal, paratracheal and subcarinal region which may represent enlarged lymphnodes.

IMPRESSION :

An approximately 1.0 x 0.9 x 1.5 cms sized intramedullary mass lesion within the upper dorsal spinal cord at the D1 and D2 vertebral levels with signal characteristics as described is not specific for a single etiology. This lesion may represent a granuloma (? cysticercus) or a focal neoplasm like a glial cell tumor. The possibility of a focal syrinx may also be considered.

A follow-up scan with contrast would be worth while.

Sunday, 27 December 2015 16:48

12168

Written by
sb/bv
/00008 Date : 00.00.00

Name of the Patient : Abc Xyza lmn / M / 48 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Dorsal & Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain in the RLE since March 0000.
H/O laminectomy with discectomy done at L3/L4/L5 levels in August 0000.

EXAMINATION :

M.R.I of the dorsal and 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 vertebra is as marked on the film.

There is loss of water content of the dorsal and lumbar intervertebral discs.

There is evidence of laminectomy of the L3, L4 and L5 vertebrae with post-operative changes in the soft tissues in the posterior lumbar region over these levels.

There is a diffuse intermediate signal on the T1 Weighted images in the posterior soft tissues in the lumbar region at the operative site. This turns hyperintense on the T2 Weighted images. This most likely represent scar tissue/granulation tissue, the sequelae of previous surgery. The posterior margin of the thecal sac is ill-defined. This scar/granulation lesion is seen to extend into the spinal canal laterally, at the laminectomy site and is seen to encase the thecal sac at the L4 and L4-L5 levels. The intrathecal nerve roots over L1 to L3 vertebral levels are clumped, suggesting arachnoiditis. Scar ..2/.



- 2 - scan-00008


tissue is also noted along the S1 nerve roots bilaterally.

The L4-L5 disc is reduced in height and shows evidence of posterior peridiscal osteophytes which is most likely the sequelae of previous discectomy. Bilateral neural foraminal narrowing is noted.

A posteriorly bulging disc with peridiscal osteophyte is noted at the L3-L4 level with bilateral neural foraminal narrowing. A bony bar is noted at the L3-L4 disc level, posteriorly with canal stenosis.

A left and right postero-lateral disc herniation is noted at the L2-L3 level with bilateral neural foraminal narrowing.

A posterior peridiscal osteophyte is noted at the L1-L2 level.

The mid-dorsal intervertebral discs are slightly reduced in height. A small posterior disc bulge is noted at the D10-D11 level.

A hemangioma with fat content is noted in the D5 vertebral body.

Type II degenerative marrow changes are noted adjacent to the L4-L5 intervertebral disc.

The facet joints at the L2-L3, L4-L5 and L5-S1 levels appear slightly hypertrophied.

The rest of the dorsal and lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.

The visualized dorsal spinal cord reveal normal signal intensity.

The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
..3/.







- 3 - scan-00008


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.

IMPRESSION :

1. Post-operative status.

2. Altered signal in the posterior soft tissues in the lumbar region at the operative site most likely represent scar tissue/granulation tissue, the sequelae of previous surgery.
Extension of the scar tissue into the spinal canal laterally, at the laminectomy site is noted with encasement of the thecal sac at the L4 and L4-L5 levels and with encasement of the S1 nerve roots.

3. Arachoid over L1 to L3 vertebral levels.

4. Posterior peridiscal osteophytes at L4-L5 level with bilateral neural foraminal narrowing.

5. A posteriorly bulging disc with peridiscal osteophyte at the L3-L4 level.

6. A left and right postero-lateral disc herniation at the L2-L3 level with bilateral neural foraminal narrowing.

7. Slight hypertrophy of the facet joints at the L2-L3, L4-L5 and L5-S1 levels.

8. Canal stenosis at L2-L3 and L3-L4 levels.

As compared to the previous MRI (study no. 0000) dated 00.00.00, the patient is now status post-operative. The L4-L5 disc is reduced in height due to previous discectomy. Stenotic canal is still noted at the L2-L3 and L3-L4 levels.

Sunday, 27 December 2015 16:48

12167

Written by
sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyz Slmn / F / 6 months.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O deviation of mouth towards right with closure of left eye and decreased movements of LUE and LLE since 00.00.00.
H/O fever with vomiting 7 days back.

EXAMINATION :

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

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

4 mm thick FLAIR and 3 mm thick T2 Weighted coronal images.

OBSERVATION :

There is an ill-defined, hyperintense signal on the proton and T2 Weighted images in the right lentiform nucleus, head of the right caudate nucleus extending into the right corona radiata. This lesion appears hypointense on the T1 Weighted images. There is no evidence of haemorrhage on this study. The myelination pattern appears normal for the patients age.

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 :

Altered signal in the right lentiform nucleus, head of right caudate nucleus extending into the right corona radiata most likely represents ischemic changes.

Sunday, 27 December 2015 16:48

12166

Written by
sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyz K. Wallmn / F / 8 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.

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 :

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 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.

Note is made of enlarged adenoids.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

12165

Written by
sb/bv
Date : 00.00.00

Name of the Patient : Abc XyzMulmn / F / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O parkinsonism since 0000.
C/O sudden onset of bending on the left side (momentarily) for few minutes.
Known diabetic. On Rx.

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 ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons (predominantly on the right side), in the subcortical white matter in the temporo-parietal regions bilaterally, left corona radiata and in the frontal deep white matter bilaterally. These lesions appears nearly isointense to normal white matter on the T1 Weighted images. Similar changes are noted in the lentiform nuclei bilaterally and in the right thalamus.

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

Incidentally noted is hyperostosis frontalis interna.
- 2 - scan-00005


IMPRESSION :

Altered signal in the pons, in the subcortical white matter in the temporo-parietal regions bilaterally, left corona radiata, in the frontal deep white matter bilaterally and in the lentiform nuclei bilaterally and in the right thalamus represents ischemic changes.

Sunday, 27 December 2015 16:48

12164

Written by
ke/bv
Date : 00.00.00

Name of the Patient : Abc Xyz Vlmn / M / 13 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches since 15 days.
Alleged H/O trauma.

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 no focal area of abnormal signal intensity within the brain parenchyma. Hyperintense areas on the T2 Weighted images in the posterior parietal regions represent terminal areas of myelination.

Dilated Virchow Robin spaces are seen in the centrum semiovale 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.

There is no extracerebral collection identified on this scan.

Incidental note is made of enlarged adenoids.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

12163

Written by
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyze Mulmn / M / 69 yrs.
Referred by : Dr. Abc Xyzlsara. Examination : M.R.Cholangiogram & M.R.I of Abdomen.
CLINICAL PROFILE : C/O pain in the abdomen since May 0000 which has increased since 2 months with fever and chills.
H/O weight loss +.
EXAMINATION :
MR Cholangiogram was performed. 7 mm thick T1 Weighted and T2 Weighted axial images. 8 mm thick T2 Weighted coronal images.OBSERVATION :
There is slight narrowing of the mid segment of the common bile duct.

There is mild dilatation of the common bile duct, left and right hepatic ducts and few of the biliary radicles distal to the aforementioned narrowing.

The pancreatic duct is well visualized and has a diameter of approximately 8.0 mms and this may be normal for the patients age.

There is a diffuse area of hyperintensity on the T2 Weighted images (hypointense on the T1 Weighted images) within the posterior segment of the right hepatic lobe.





Both the visualized kidneys, pancreas, adrenals and spleen are unremarkable.The gall bladder is well-distended and does not reveal any intrinsic abnormality.

There is a slight defect in the linea alba with slight extension of fat through it.
IMPRESSION :

The MRCP features are suggestive of :

1. Slight narrowing of the mid segment of the common bile duct which is of undetermined etiology (? neoplastic ? inflammatory ? extrinsic compression).

2. Altered signal within the posterior segment of the right hepatic lobe is of undetermined etiology.
3. Narrowing with mild dilatation of the common bile duct, left and right hepatic ducts and few of the biliary radicles distal to the aforementioned narrowing of the mid segment of the common bile duct.

4. An epigastric hernia.




Sunday, 27 December 2015 16:48

12162

Written by
sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzla Suryavlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O neck pain with swelling over the right and left shoulder since 2 months.
H/O abdominal kochs 2 years back for which patient received AKT.

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.

3 mm thick Fast scan (T2 *) and 5 mm thick T1 Weighted coronal images.

OBSERVATION :

There is an ill-defined hypointense signal on the T1 Weighted images involving the C2 vertebral body and the odontoid process. This lesion appears hyperintense on the T2 Weighted and Fast Scan (T2 *) images. Erosion of the anterior margin of body of C2, to the right of the midline is noted with minimal prevertebral soft tissue extension of the lesion at that level. There is no atlanto-dens subluxation.

A small, right paracentral protruded disc is noted at the C6-C7 level.

Small left paracentral protruded disc is noted at the C5-C6 level.
..2/.







There is a 5.0 mm diameter sized focal, hypointense signal on all pulse sequences in the postero-superior margin of the C7 vertebral body to the right of the midline. This most likely represents an osteoma/bone island.

The C4-C5 and C5-C6 intervertebral discs show slight loss of water content.

The rest of the cervical vertebral bodies show normal signal intensity. The joints of Luschka are unremarkable.

The cervical spinal cord shows normal signal intensity.

The cervico-medullary junction is unremarkable.

Small subcentimeter lymphnodes are noted deep to the sternoclidomastoid muscles bilaterally.

IMPRESSION :

Altered signal in the C2 vertebral body and the odontoid process most likely represents osteitis, probably tuberculous osteitis (in the given past H/O abdominal kochs). Minimal prevertebral soft tissue extension is noted to right of the midline.