MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

12015

Written by
ke/bv
Date : 00.00.00

Name of the Patient : Abc XyzA. Divlmn / F / 58 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O neckpain with radiating pain and weakness of the RUE since 2 years.
H/O right mastectomy. Received 6 cycles of chemotherapy.

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 T2 Weighted axial images.

4 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

Enlarged supra clavicular lymphnodes are visualized along the course of the brachial plexus on the right side (scans 106.18 to 20, 109.16 to 109.19). Note is also made of enlarged deep cervical lymph nodes.

Suspicious thickening of the right C6, C7 and C8 nerve roots is visualized (scans 106.15, 106.18, 109.20).

Multiple lesions are seen in the lung fields bilaterally of varying size and would represent metastasis in the given clinical setting.

An intermediate signal intensity lesion on the T1 Weighted images is seen in the region of the right axilla (scans 106.21-23) may represent local recurrence/metastasis.


Small posterior disc bulges are seen at the C3-C4 and C4-C5 levels.

The cervical and upper dorsal intervertebral discs show loss of water content.

The cervical vertebral bodies show fatty changes suggestive of osteoporosis. 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. Enlarged deep cervical lymph nodes and enlarged supra clavicular lymphnodes along the course of the brachial plexus on the right side may represent metastasis in the given clinical setting.

2. Multiple metastasis in both lung fields.

3. No significant abnormality is seen in the cervical spine.
Sunday, 27 December 2015 16:48

12014

Written by
ke/bv
Date : 00.00.00

Name of the Patient : Abc Xyzakant N. Ghadlmn / M / 73 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc XyzBR> Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O memory lapses since 1 1/2 years.
C/O retention of urine since 2-3 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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular deep white matter, bilateral fronto-parietal deep white matter and thalami. These are hypointense to the white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

Lacunar infarcts which are hyperintense to CSF on all the pulse sequences are seen in the left corona radiata, pons and bilateral thalami and lentiform nuclei.

There is moderate dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is prominence of the cortical sulcal spaces in the fronto-parietal and temporal regions, cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Scan-00004


Incidental note is made of right maxillary sinusitis and inflammatory changes in the right mastoid air cells.

Both eyes are aphakik.

IMPRESSION :

1. Altered signal in the periventricular deep white matter, bilateral fronto-parietal deep white matter and thalami suggestive of areas of ischemia/infarction.

2. Lacunar infarcts in the left cerebral hemisphere, pons and bilateral thalami and lentiform nuclei.

3. Cerebral and cerebellar atrophy, more marked in both the temporal lobes.

Alzeihmers disease should be ruled out.


Sunday, 27 December 2015 16:48

12013

Written by
hs/ke
Date : 00.00.00

Name of the Patient : Abc Xyzra Tilmn / M / 30 yrs.
Referred by : Dr. Abc Xyzidya.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with tingling since 1 year.
H/O I & D done for abscess over the left gluteal region 6 months back with sinus discharge since then. On AKT 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.

7 mm thick T1 Weighted sagittal images.

6 mm thick T1 Weighted and STIR coronal images.

7 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

Areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images are seen to involve the S1 to S4 vertebral bodies. There is extension of this pathologic process into the prevertebral soft tissues in the sacral region. This lesion is hypointense with a hyperintense rim on the T1 Weighted images and turn hyperintense with a hypointense rim on the T2 Weighted images images and most likely represents an abscess. Also seen is extension into the left puriformis and left gluteal muscles and into the right iliacus muscle.

The L5-S1 intervertebral disc is involved as is the L5 vertebral body.
- 2 - scan-00003


Hypointense areas on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images are seen to involve the D11, D12, L1, L3 and L4 vertebral bodies. Also seen is extension into the left paravertebral soft tissues over the L3-L4 to L5-S1 level.

IMPRESSION :

The MRI features are suggestive of a pathologic process involving the sacrum and dorso-lumbar vertebrae with soft tissue extensions as described. This most likely represents an infective process like tuberculous (less likely to be a neoplastic prcess).







Sunday, 27 December 2015 16:48

12012

Written by
Date : 00.00.00

Name of the Patient : Abc Xyzsh Dandlmn / M / 12 yrs.
Referred by : Dr. Abc Xyznkharia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O neurogenic bladder.
To r/o spinal dysraphism.

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

There is evidence of moderate hydronephrosis bilaterally.

IMPRESSION :

Moderate hydronephrosis, bilaterally. There is no evidence of tethering of the spinal cord on this study.


Sunday, 27 December 2015 16:48

12011

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzakant Blmn / M / 58 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O neck pain radiating to LUE and both shoulder (occasionally) since 5-6 months.
H/O injury to neck in 0000.
Known hypertensive. On Rx.

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

There is evidence of continuous ossification of the posterior longitudinal ligament over C3-C4 disc level to the C6-C7 disc level.

Small postero-central disc herniations with posterior peridiscal osteophytes are noted at the C3-C4, C4-C5, C5-C5 and C6-C7 levels indenting the anterior dural theca at these levels.

Slight degenerative changes of the joints of Luschka is noted at the C5-C6 level bilaterally.

Type II degenerative marrow changes are noted adjacent to the C6-C7 intervertebral disc.
..2/.







The rest of 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 :

1. Continuous ossification of the posterior longitudinal ligament over C3-C4 disc level to the C6-C7 disc level.

2. Small postero-central disc herniations with posterior peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.

3. Slight degenerative changes of the joints of Luschka at the C5-C6 level bilaterally.

Sunday, 27 December 2015 16:48

12009

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzash Dlmn / M / 34 yrs.
Referred by : Dr. Abc Xyzosle.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE 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 :

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

There is a fairly large, right paracentral extruded disc at the L4-L5 level with thecal sac compression. Slight inferior migration of the disc fragment is noted indenting the traversing right L5 nerve root.

Focal fatty marrow changes are noted along the antero-superior margin of the L4 vertebral body with an anterior disc herniation
at that level.

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 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
16.0 mm at L2-L3
17.0 mm at L3-L4
8.0 mm at L4-L5
11.0 mm at L5-S1.

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

IMPRESSION :

A fairly large, right paracentral extruded disc at the L4-L5 level with slight inferior migration of the disc fragment indenting the traversing right L5 nerve root.








Sunday, 27 December 2015 16:48

12008

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzben C. lmn / F / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O single episode of seizure on 00.00.00.
Now C/O heaviness of head and giddiness.

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 an ill-defined, hyperintense signal on the T2 Weighted images in the subcortical white matter in the left high fronto-parietal region. This most likely represents an ischemic lesion. Similar, subtle signal intensity change is noted in the right centrum semiovale.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Inflammatory changes are noted in the right maxillary antrum.

INTRACRANIAL MRA :

There is hypoplasia of the A1 segment of the right anterior cerebral artery.






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.

NECK MRA :

Slight motion artifacts are noted in some places.

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

IMPRESSION :

1. Altered signal in the subcortical white matter in the left high fronto-parietal region and in the right centrum semiovale most likely represents ischemic lesions.

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



Sunday, 27 December 2015 16:48

12007

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyz. Brlmn / F / 58 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (left more than right) since 1 month.
H/O fall.

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 slight central wedging of the L2 vertebral body. The L2 vertebral body shows an ill-defined, hypointense signal on the T1 Weighted images which appears hyperintense on the T2 Weighted images. The L2-L3 disc also appears slightly more hyperintense on the T2 Weighted images. Subtle hyperintense signal is seen in the L3 vertebral body.

Left and right far lateral disc protrusion is noted at the L5-S1 level.

A posterior disc bulge is seen at the L4-L5 level with slight right neural foraminal narrowing and minimal indentation on the extraforaminal segment of the right L4 nerve root.

A minimal posterior disc bulge is noted at the L3-L4 level. A small right far lateral disc bulge is seen at the L3-L4 level with indentation upon the extraforaminal portion of the right L3 nerve root.
..2/.







The rest of the visualized lumbar vertebral bodies show fatty marrow changes suggesting osteoporosis. Slight anterior wedging of the L1 vertebral body is noted. The remaining lumbar intervertebral discs show loss of water content.

Schmorls nodes are noted in the lumbar region.

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 :

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

IMPRESSION :

1. Central wedging of the L2 vertebral body with altered signal most likely represents wedged fracture with bone bruise, in the given clinical setting. Altered signal in the L1-L2 disc may represent discal edema.

2. Bone bruise/edema in the L3 vertebra.

3. Fatty marrow changes in the rest of the visualized lumbar vertebrae may suggest osteoporotic changes.

4. Left and right far lateral disc protrusion at the L5-S1 level.
..3/.







- 3 - scan-00007


5. A posterior disc bulge at the L4-L5 level with slight right neural foraminal narrowing and minimal indentation on the extraforaminal segment of the right L4 nerve root.

6. A posterior and right far lateral disc bulge at the L3-L4 level with indentation upon the extraforaminal portion of the right L3 nerve root.







Sunday, 27 December 2015 16:48

12006

Written by
sb/hs
Date : 00.00.00

Name of the Patient : Abc Xyzth S. Glmn / M / 38 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 10 days.
H/O lifting heavy weights.

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 L1-L2, L3-L4, L4-L5 and L5-S1 intervertebral discs.

There is a postero-central and left paracentral disc herniation with peridiscal osteophytes at the L5-S1 level indenting the traversing left S1 nerve root.

A small, postero-central disc herniation is noted at the L4-L5 level.

A fairly large, postero-central extruded disc with peridiscal osteophytes is noted at the L3-L4 level, indenting the dural theca anteriorly. Inferior migration of the disc fragment is noted into the left lateral recess of L4, indenting the traversing left L4 nerve root.
Scan-00006


A postero-central protruded disc with peridiscal osteophytes is noted at the L1-L2 level.

Schmorls nodes are noted at the L2 and L5 vertebral 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 D12 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 :

18.0 mm at L1-L2
19.0 mm at L2-L3
11.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. A postero-central and left paracentral disc herniation with peridiscal osteophytes at the L5-S1 level indenting the traversing left S1 nerve root.

2. A small, postero-central disc herniation at the L4-L5 level.

3. A fairly large, postero-central extruded disc with peridiscal osteophytes at the L3-L4 level with inferior migration of the disc fragment into the left lateral recess of L4, indenting the traversing left L4 nerve root.

4. A postero-central protruded disc with peridiscal osteophytes at the L1-L2 level.







Sunday, 27 December 2015 16:48

12005

Written by
sb/hs
Date : 00.00.00

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

CLINICAL PROFILE :

C/O seizures since 8 1/2 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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

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

There is slight decrease in the volume of the tail of the left hippocampus.

The right hippocampal complex 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 mastoid air cells.

IMPRESSION :

The MRI features are suggestive of a slight decrease in the volume of the tail of the left hippocampus.