MRI Reports (3472)
MRI Reports Database
ke/sb
Date : 00.00.00
Name of the Patient : Abc XyzBhlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzhacker.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with occasional vomiting since 6 months which has increased since 3 months.
C/O bilateral papilloedema.
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.
After administration of contrast, 5 mm thick T1 Weighted axial images and 5 mm thick T1 Weighted coronal images (with magnetization transfer) and 5 mm thick T1 Weighted sagittal images were obtained.
OBSERVATION :
There is an extracerebral (extradural)_ collection along the right frontal convexity which measures 2.0 cms in its maximum width and 5.5 cms in its antero-posterior dimensions. This lesion is of mixed signal intensity characteristics on the T1 Weighted images and is seen to turn predominantly hypointense on the proton, T2 Weighted and FLAIR images. There is resultant compression upon the underlying brain parenchyma.
There are ill-defined hypointense areas in the right frontal region adjacent to above mentioned extradural lesion on the T1 Weighted images which are seen to turn heterogeneously hyperintense on the proton, T2 Weighted and FLAIR images. There is surrounding white matter edema with mass effect and compression upon the body and frontal horn of the right lateral ventricle. There is resultant shift of the midline structures to
..2/.
the left with compression upon the body and frontal horn of the left lateral and third ventricles. There is effacement of the right Sylvian fissure and the adjacent cortical sulcal spaces. The edema is also seen to encroach into the external capsule and the clostrum and genu of the corpus callosum on the right side.
After administration of contrast, there is thin, peripheral homogeneous enhancement of the right frontal extradural lesion. Subtle enhancement of the adjacent meninges is also noted. Nodular enhancement which is irregular in outline is seen in the right frontal region just medial to the extradural lesion. Enhancement of the meninges in the frontal regions bilaterally is noted with subtle enhancement along the interhemispheric fissure.
There is slight dilatation of the posterior part of the body and occipital horn of the left lateral ventricle. The fourth ventricle is normal. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of
1. An extradural collection in the right frontal region measuring 2.0 cms. in its maximum width and 5.5 cms in its antero-posterior dimensions, most likely a chronic inflammatory lesion.
2. Nodular, enhancing lesions, along the medial margin of the above described extracerebral lesion in the right frontal lobe are most likely granulomas.
The signal characteristics of the above described extracerebral lesion and nodular enhancing lesions, favours the diagnosis of tuberculous lesions. The possibility of a neoplasm seems less likely.
Date : 00.00.00
Name of the Patient : Abc XyzBhlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzhacker.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with occasional vomiting since 6 months which has increased since 3 months.
C/O bilateral papilloedema.
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.
After administration of contrast, 5 mm thick T1 Weighted axial images and 5 mm thick T1 Weighted coronal images (with magnetization transfer) and 5 mm thick T1 Weighted sagittal images were obtained.
OBSERVATION :
There is an extracerebral (extradural)_ collection along the right frontal convexity which measures 2.0 cms in its maximum width and 5.5 cms in its antero-posterior dimensions. This lesion is of mixed signal intensity characteristics on the T1 Weighted images and is seen to turn predominantly hypointense on the proton, T2 Weighted and FLAIR images. There is resultant compression upon the underlying brain parenchyma.
There are ill-defined hypointense areas in the right frontal region adjacent to above mentioned extradural lesion on the T1 Weighted images which are seen to turn heterogeneously hyperintense on the proton, T2 Weighted and FLAIR images. There is surrounding white matter edema with mass effect and compression upon the body and frontal horn of the right lateral ventricle. There is resultant shift of the midline structures to
..2/.
the left with compression upon the body and frontal horn of the left lateral and third ventricles. There is effacement of the right Sylvian fissure and the adjacent cortical sulcal spaces. The edema is also seen to encroach into the external capsule and the clostrum and genu of the corpus callosum on the right side.
After administration of contrast, there is thin, peripheral homogeneous enhancement of the right frontal extradural lesion. Subtle enhancement of the adjacent meninges is also noted. Nodular enhancement which is irregular in outline is seen in the right frontal region just medial to the extradural lesion. Enhancement of the meninges in the frontal regions bilaterally is noted with subtle enhancement along the interhemispheric fissure.
There is slight dilatation of the posterior part of the body and occipital horn of the left lateral ventricle. The fourth ventricle is normal. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of
1. An extradural collection in the right frontal region measuring 2.0 cms. in its maximum width and 5.5 cms in its antero-posterior dimensions, most likely a chronic inflammatory lesion.
2. Nodular, enhancing lesions, along the medial margin of the above described extracerebral lesion in the right frontal lobe are most likely granulomas.
The signal characteristics of the above described extracerebral lesion and nodular enhancing lesions, favours the diagnosis of tuberculous lesions. The possibility of a neoplasm seems less likely.
Published in
MRI Reports
ke/sb
Date : 00.00.00
Name of the Patient : Abc Xyzen Milmn / F / 70 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided hemiplegia.
H/O hypertension.
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 hypointense area in the left thalamus on the T1 Weighted images which is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images and would represent a recent infarct.
Hyperintense areas are seen in the periventricular deep white matter, right thalamus, bilateral corona radiata, the left centrum semiovale, the head of the caudate nucleus on the left side and subcortical white matter in the fronto-temporal regions bilaterally on the proton, T2 Weighted and FLAIR images. These are iso to hypointense to normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.
A lacunar infarct which is hyperintense to CSF on all the pulse sequences is seen in the left cerebellar hemisphere.
There is slight prominence of the cerebral cortical sulcal spaces in the fronto-parietal regions.
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 left maxillary sinusitis and inflammatory changes in the ethmoidal air cells.
IMPRESSION :
1. A recent infarct in the left thalamus.
2. Altered signal in the periventricular deep white matter, right thalamus, bilateral corona radiata, the left centrum semiovale, the head of the caudate nucleus on the left side and subcortical white matter in the fronto-temporal regions bilaterally are suggestive of areas of ischemia/infarction.
3. A lacunar infarct in the left cerebellar hemisphere.
Date : 00.00.00
Name of the Patient : Abc Xyzen Milmn / F / 70 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided hemiplegia.
H/O hypertension.
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 hypointense area in the left thalamus on the T1 Weighted images which is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images and would represent a recent infarct.
Hyperintense areas are seen in the periventricular deep white matter, right thalamus, bilateral corona radiata, the left centrum semiovale, the head of the caudate nucleus on the left side and subcortical white matter in the fronto-temporal regions bilaterally on the proton, T2 Weighted and FLAIR images. These are iso to hypointense to normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.
A lacunar infarct which is hyperintense to CSF on all the pulse sequences is seen in the left cerebellar hemisphere.
There is slight prominence of the cerebral cortical sulcal spaces in the fronto-parietal regions.
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 left maxillary sinusitis and inflammatory changes in the ethmoidal air cells.
IMPRESSION :
1. A recent infarct in the left thalamus.
2. Altered signal in the periventricular deep white matter, right thalamus, bilateral corona radiata, the left centrum semiovale, the head of the caudate nucleus on the left side and subcortical white matter in the fronto-temporal regions bilaterally are suggestive of areas of ischemia/infarction.
3. A lacunar infarct in the left cerebellar hemisphere.
Published in
MRI Reports
sb/ke
Date : 00.00.00
Name of the Patient : Abc XyzThlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
C/O pain in both the knee joints, right more than left since 4 months.
H/O fall 3-4 months back.
EXAMINATION :
M.R.I of the left 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.
4 mm thick T1 Weighted and GRASS axial images.
OBSERVATION :
Menisci
There is a linear, hyperintense signal on all the pulse sequences in the posterior horn of the medial meniscus of the left knee joint, reaching upto the inferior articular margin. This represents a horizontal flap tear.
The anterior and posterior horn of the lateral meniscus and the anterior horn of the medial meniscus show Grade II meniscal signal (Meniscal degeneration).
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show 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.
Minimal fluid is noted in the patello-femoral joint.
IMPRESSION :
1. Horizontal flap tear in the posterior horn of the medial meniscus of the left knee joint.
2. Minimal fluid in the patello-femoral joint.
Date : 00.00.00
Name of the Patient : Abc XyzThlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Left Knee Joint.
CLINICAL PROFILE :
C/O pain in both the knee joints, right more than left since 4 months.
H/O fall 3-4 months back.
EXAMINATION :
M.R.I of the left 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.
4 mm thick T1 Weighted and GRASS axial images.
OBSERVATION :
Menisci
There is a linear, hyperintense signal on all the pulse sequences in the posterior horn of the medial meniscus of the left knee joint, reaching upto the inferior articular margin. This represents a horizontal flap tear.
The anterior and posterior horn of the lateral meniscus and the anterior horn of the medial meniscus show Grade II meniscal signal (Meniscal degeneration).
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show 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.
Minimal fluid is noted in the patello-femoral joint.
IMPRESSION :
1. Horizontal flap tear in the posterior horn of the medial meniscus of the left knee joint.
2. Minimal fluid in the patello-femoral joint.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc Xyzati Muruglmn / F / 28 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain radiating to the LLE since 3-4 years which has increased since 1 week.
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 loss of water content of the L5-S1 disc.
There is a right paracentral disc herniation with a peridiscal osteophyte at the L5-S1 level, with indentation on the traversing right S1 nerve root.
There is a postero-central and right postero-lateral disc herniation with a peridiscal osteophyte at the L4-L5 level with indentation upon the thecal sac and slight right neural foraminal narrowing.
Slight facetal hypertrophy is noted at the L5-S1 level.
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-00000
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 :
15.0 mm at L1-L2
15.0 mm at L2-L3
16.0 mm at L3-L4
12.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. A right paracentral disc herniation with a peridiscal osteophyte at the L5-S1 level, with indentation on the traversing right S1 nerve root.
2. A postero-central and right postero-lateral disc herniation with a peridiscal osteophyte at the L4-L5 level.
Name of the Patient : Abc Xyzati Muruglmn / F / 28 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain radiating to the LLE since 3-4 years which has increased since 1 week.
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 loss of water content of the L5-S1 disc.
There is a right paracentral disc herniation with a peridiscal osteophyte at the L5-S1 level, with indentation on the traversing right S1 nerve root.
There is a postero-central and right postero-lateral disc herniation with a peridiscal osteophyte at the L4-L5 level with indentation upon the thecal sac and slight right neural foraminal narrowing.
Slight facetal hypertrophy is noted at the L5-S1 level.
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-00000
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 :
15.0 mm at L1-L2
15.0 mm at L2-L3
16.0 mm at L3-L4
12.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. A right paracentral disc herniation with a peridiscal osteophyte at the L5-S1 level, with indentation on the traversing right S1 nerve root.
2. A postero-central and right postero-lateral disc herniation with a peridiscal osteophyte at the L4-L5 level.
Published in
MRI Reports
hs/ke
Date : 00.00.00
Name of the Patient : Abc Xyzm S. lmn / M / 73 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden onset of giddiness and tendency to fall on the right with numbness since 1 day.
H/O similar complaints 1 month back from which patient recovered.
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 a small area of hypointensity on the T1 Weighted images which turns hyperintense on the proton, T2 Weighted and FLAIR images within the left thalamus with involvement of the posterior limb of the left internal capsule.
Foci with similar signal characteristics are noted within the pons and white matter in the fronto-parietal lobes bilaterally and these are most likely ischemic in etiology.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. A lacune is seen in the right thalamus.
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 :
The MRI features are suggestive of fresh ischemic lesion/infarct in the left thalamus as described.
Date : 00.00.00
Name of the Patient : Abc Xyzm S. lmn / M / 73 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden onset of giddiness and tendency to fall on the right with numbness since 1 day.
H/O similar complaints 1 month back from which patient recovered.
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 a small area of hypointensity on the T1 Weighted images which turns hyperintense on the proton, T2 Weighted and FLAIR images within the left thalamus with involvement of the posterior limb of the left internal capsule.
Foci with similar signal characteristics are noted within the pons and white matter in the fronto-parietal lobes bilaterally and these are most likely ischemic in etiology.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. A lacune is seen in the right thalamus.
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 :
The MRI features are suggestive of fresh ischemic lesion/infarct in the left thalamus as described.
Published in
MRI Reports
sb/hs
Date : 00.00.00
Name of the Patient : Abc Xyzuklmn / F / 26 yrs.
Referred by : Dr. Abc Xyzrvekar / Dr. Abc Xyzdam.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low backpain, radiating to BLE (RLE more than the LLE) since 00.00.00.
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 loss of water content of the L4-L5 and L5-S1 intervertebral discs.
A small, postero-central herniated disc with posterior peridiscal osteophytes, more to the right of the midline is noted at the L4-L5 level.
A mild posterior disc bulge with small posterior peridiscal osteophytes are noted at the L5-S1 level.
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 S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. A small, postero-central herniated disc with posterior
peridiscal osteophytes, more to the right of the midline at the L4-L5 level.
2. A mild posterior disc bulge with small posterior peridiscal osteophytes at the L5-S1 level.
Date : 00.00.00
Name of the Patient : Abc Xyzuklmn / F / 26 yrs.
Referred by : Dr. Abc Xyzrvekar / Dr. Abc Xyzdam.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low backpain, radiating to BLE (RLE more than the LLE) since 00.00.00.
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 loss of water content of the L4-L5 and L5-S1 intervertebral discs.
A small, postero-central herniated disc with posterior peridiscal osteophytes, more to the right of the midline is noted at the L4-L5 level.
A mild posterior disc bulge with small posterior peridiscal osteophytes are noted at the L5-S1 level.
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 S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. A small, postero-central herniated disc with posterior
peridiscal osteophytes, more to the right of the midline at the L4-L5 level.
2. A mild posterior disc bulge with small posterior peridiscal osteophytes at the L5-S1 level.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc Xyz S. Ralmn / F / 17 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neckpain with radiation to the LUE and LLE since 1 year. Paresthesias in BLE.
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.
4 mm thick T1 Weighted coronal images.
OBSERVATION :
There is seen a well marginated, intermediate signal intensity mass lesion on the T1 Weighted images in the region of the foramen magnum and cervico-medullary junction. This lesion appears heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images with a central hypointensity. The lesion is intradural-extramedullary in location and extends from just above the foramen magnum, upto the mid segment of C2. This lesion measures approximately 2.5 x 2.0 x 3.3 cms and is located posterior to the cervical cord at the C. V. junction. There is resultant cord compression and anterior displacement of the cord at the cervico-medullary junction. The cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia. Slight extension of the lesion along the left lateral margin of the cord is also noted.
The cervical vertebral bodies and the intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region is unremarkable.
Screening, T2 Weighted sagittal images of the dorsal spine do not reveal any significant feature of note.
IMPRESSION :
An approximately 2.5 x 2.0 x 3.3 cms sized intradural-extramedullary mass lesion posterior to the cervical spinal cord at the foramen magnum and cervico-medullary junction as described is not specific for a single etiology. This most likely represents a nerve sheath tumor. There is resultant cord compression and cord signal alteration suggesting cord edema/ischemia.
A contrast enhanced scan would be worthwhile (patient refused contrast scan).
Name of the Patient : Abc Xyz S. Ralmn / F / 17 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE:
C/O neckpain with radiation to the LUE and LLE since 1 year. Paresthesias in BLE.
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.
4 mm thick T1 Weighted coronal images.
OBSERVATION :
There is seen a well marginated, intermediate signal intensity mass lesion on the T1 Weighted images in the region of the foramen magnum and cervico-medullary junction. This lesion appears heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images with a central hypointensity. The lesion is intradural-extramedullary in location and extends from just above the foramen magnum, upto the mid segment of C2. This lesion measures approximately 2.5 x 2.0 x 3.3 cms and is located posterior to the cervical cord at the C. V. junction. There is resultant cord compression and anterior displacement of the cord at the cervico-medullary junction. The cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia. Slight extension of the lesion along the left lateral margin of the cord is also noted.
The cervical vertebral bodies and the intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region is unremarkable.
Screening, T2 Weighted sagittal images of the dorsal spine do not reveal any significant feature of note.
IMPRESSION :
An approximately 2.5 x 2.0 x 3.3 cms sized intradural-extramedullary mass lesion posterior to the cervical spinal cord at the foramen magnum and cervico-medullary junction as described is not specific for a single etiology. This most likely represents a nerve sheath tumor. There is resultant cord compression and cord signal alteration suggesting cord edema/ischemia.
A contrast enhanced scan would be worthwhile (patient refused contrast scan).
Published in
MRI Reports
sb/ke
Date : 00.00.00
Name of the Patient : Abc XyzThlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain in both the knee joints, right more than left since 4 months.
H/O fall 3-4 months back.
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.
4 mm thick T1 Weighted and GRASS axial images.
OBSERVATION :
Menisci
There is a linear, hyperintense signal on all the pulse sequences in the posterior horn of the medial meniscus of the right knee joint, reaching upto the inferior articular margin. This may represent a horizontal flap tear. A probable corner tear along the postero-superior margin of the medial meniscus, medially, is noted (scans 102.12/13).
The anterior and posterior horn of the lateral meniscus and the anterior horn of the medial meniscus show Grade II meniscal signal (Meniscal degeneration).
Scan-00006
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show 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.
Minimal fluid is noted in the patello-femoral joint.
IMPRESSION :
1. Horizontal flap tear in the posterior horn of the medial meniscus of the right knee joint with a probable corner tear along the postero-superior margin of the medial meniscus, medially.
2. Minimal fluid in the patello-femoral joint.
Date : 00.00.00
Name of the Patient : Abc XyzThlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain in both the knee joints, right more than left since 4 months.
H/O fall 3-4 months back.
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.
4 mm thick T1 Weighted and GRASS axial images.
OBSERVATION :
Menisci
There is a linear, hyperintense signal on all the pulse sequences in the posterior horn of the medial meniscus of the right knee joint, reaching upto the inferior articular margin. This may represent a horizontal flap tear. A probable corner tear along the postero-superior margin of the medial meniscus, medially, is noted (scans 102.12/13).
The anterior and posterior horn of the lateral meniscus and the anterior horn of the medial meniscus show Grade II meniscal signal (Meniscal degeneration).
Scan-00006
Cruciate Ligaments :
The anterior and posterior cruciate ligaments show 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.
Minimal fluid is noted in the patello-femoral joint.
IMPRESSION :
1. Horizontal flap tear in the posterior horn of the medial meniscus of the right knee joint with a probable corner tear along the postero-superior margin of the medial meniscus, medially.
2. Minimal fluid in the patello-femoral joint.
Published in
MRI Reports
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyz Slmn / F / 50 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O numbness from knee downwards in BLE since 2 months.
H/O fever prior to this.
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.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is scoliosis of the lumbar spine with convexity to the left.
There is slight loss of water content of the L4-L5 intervertebral disc.
A posteriorly herniated disc is noted at the L4-L5 level indenting the dural theca anteriorly. A right postero-lateral and far lateral disc herniation is also noted at this level with right neural foraminal narrowing and indenting the extraforaminal segment of the right L4 nerve root.
A minimal posterior disc bulge is seen at the L3-L4 level.
Left far lateral peridiscal osteophytes are noted at the L2-L3 and L1-L2 levels.
Slight facetal arthropathy is noted at the L4-L5 and L5-S1 levels, more on the right side.
The visualized dorso-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 visualized lower dorsal spinal cord shows normal signal intensity.
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
10.0 mm at L4-L5
12.0 mm at L5-S1.
The cervical and dorsal spines were screened with 5 mm thick T2 Weighted sagittal images and do not reveal any significant feature of note.
IMPRESSION :
1. Scoliosis of the lumbar spine with convexity to the left.
2. A posteriorly herniated disc with a right postero-lateral and far lateral disc herniation at the L4-L5 level indenting the extraforaminal segment of the right L4 nerve root.
3. Left far lateral peridiscal osteophytes at the L2-L3 and L1-L2 levels.
4. Slight facetal arthropathy at the L4-L5 and L5-S1 levels, more on the right side.
Date : 00.00.00
Name of the Patient : Abc Xyz Slmn / F / 50 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O numbness from knee downwards in BLE since 2 months.
H/O fever prior to this.
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.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is scoliosis of the lumbar spine with convexity to the left.
There is slight loss of water content of the L4-L5 intervertebral disc.
A posteriorly herniated disc is noted at the L4-L5 level indenting the dural theca anteriorly. A right postero-lateral and far lateral disc herniation is also noted at this level with right neural foraminal narrowing and indenting the extraforaminal segment of the right L4 nerve root.
A minimal posterior disc bulge is seen at the L3-L4 level.
Left far lateral peridiscal osteophytes are noted at the L2-L3 and L1-L2 levels.
Slight facetal arthropathy is noted at the L4-L5 and L5-S1 levels, more on the right side.
The visualized dorso-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 visualized lower dorsal spinal cord shows normal signal intensity.
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
10.0 mm at L4-L5
12.0 mm at L5-S1.
The cervical and dorsal spines were screened with 5 mm thick T2 Weighted sagittal images and do not reveal any significant feature of note.
IMPRESSION :
1. Scoliosis of the lumbar spine with convexity to the left.
2. A posteriorly herniated disc with a right postero-lateral and far lateral disc herniation at the L4-L5 level indenting the extraforaminal segment of the right L4 nerve root.
3. Left far lateral peridiscal osteophytes at the L2-L3 and L1-L2 levels.
4. Slight facetal arthropathy at the L4-L5 and L5-S1 levels, more on the right side.
Published in
MRI Reports
sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyz K. Kallmn / M / 70 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyz
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain since 18 years, increased since 2 years with difficulty in bending forward.
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 scoliosis of the lumbar spine with convexity to the left. There is reduction in height and loss of water content of the lumbar intervertebral discs.
The lumbar discs show evidence of calcium/vacuum phenomena.
There is a postero-central and right postero-lateral disc herniation with peridiscal osteophyte at the L4-L5 level with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L4 nerve root.
Posterior and bilateral far lateral peridiscal osteophytes are noted at the L5-S1 level.
Small, posterior peridiscal osteophytes are noted at the L1-L2, L2-L3 and L3-L4 levels.
Anterior disc herniatoins with anterior peridiscal osteophytes are noted in the lumbar region.
..2/.
- 2 - scan-00004
The right facet joints at the L5-S1 level appears slightly hypertrophied.
Haemangiomas with fatty content are seen at the L2 and L3 vertebral levels on the right side.
Type III degenerative marrow changes (sclerosis) are noted adjacent to the L2-L3 disc.
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 L1 level and the thecal sac terminates at the S3 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
17.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Scoliosis of the lumbar spine with convexity to the left.
2. A postero-central and right postero-lateral disc herniation with peridiscal osteophyte at the L4-L5 level indenting the extraforaminal segment of the right L4 nerve root.
3. Small, posterior peridiscal osteophytes at the L1-L2, L2-L3 and L3-L4 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz K. Kallmn / M / 70 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyz
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain since 18 years, increased since 2 years with difficulty in bending forward.
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 scoliosis of the lumbar spine with convexity to the left. There is reduction in height and loss of water content of the lumbar intervertebral discs.
The lumbar discs show evidence of calcium/vacuum phenomena.
There is a postero-central and right postero-lateral disc herniation with peridiscal osteophyte at the L4-L5 level with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L4 nerve root.
Posterior and bilateral far lateral peridiscal osteophytes are noted at the L5-S1 level.
Small, posterior peridiscal osteophytes are noted at the L1-L2, L2-L3 and L3-L4 levels.
Anterior disc herniatoins with anterior peridiscal osteophytes are noted in the lumbar region.
..2/.
- 2 - scan-00004
The right facet joints at the L5-S1 level appears slightly hypertrophied.
Haemangiomas with fatty content are seen at the L2 and L3 vertebral levels on the right side.
Type III degenerative marrow changes (sclerosis) are noted adjacent to the L2-L3 disc.
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 L1 level and the thecal sac terminates at the S3 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
17.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Scoliosis of the lumbar spine with convexity to the left.
2. A postero-central and right postero-lateral disc herniation with peridiscal osteophyte at the L4-L5 level indenting the extraforaminal segment of the right L4 nerve root.
3. Small, posterior peridiscal osteophytes at the L1-L2, L2-L3 and L3-L4 levels.
Published in
MRI Reports
More...
Date : 00.00.00
Name of the Patient : Abc Xyzha V. Tholmn / F / 2 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fall from 7 feet height 1 year back with injury to head and fracture of parieto-occipital bone.
Now C/O gait imbalance with ? weakness of the RLE.
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 coronal images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is seen a small, CSF intensity lesion on all the pulse sequences in the right frontal cortex. This lesion represents an area of cystic encephalomalacia.
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.
Thickening of the right frontal bone is noted.
IMPRESSION :
1. An area of cystic encephalomalacia in the right frontal cortex (? due to previous contusion/vascular insult).
2. Thickening of the right frontal bone.
Name of the Patient : Abc Xyzha V. Tholmn / F / 2 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fall from 7 feet height 1 year back with injury to head and fracture of parieto-occipital bone.
Now C/O gait imbalance with ? weakness of the RLE.
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 coronal images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is seen a small, CSF intensity lesion on all the pulse sequences in the right frontal cortex. This lesion represents an area of cystic encephalomalacia.
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.
Thickening of the right frontal bone is noted.
IMPRESSION :
1. An area of cystic encephalomalacia in the right frontal cortex (? due to previous contusion/vascular insult).
2. Thickening of the right frontal bone.
Published in
MRI Reports
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzka Mlmn / F / 21 yrs.
Referred by : Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain, radiating to the LLE since 15 days. Occasional 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.
IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of water content of the L5-S1 intervertebral disc.
There is a small postero-central and right paracentral disc herniation with peridiscal osteophyte at the L5-S1 level. Slight inferior migration of the disc fragment is noted with minimal indentation on the traversing right S1 nerve root.
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 :
21.0 mm at L1-L2
19.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
12.0 mm at L5-S1.
Screening T1 Weighted coronal images of the S. I. joints and hip joints, do not reveal any significant feature of note.
IMPRESSION :
Degenerated L5-S1 disc with a small postero-central and right paracentral disc herniation with peridiscal osteophyte at the L5-S1 level, with minimal indentation on the traversing right S1 nerve root.
Date : 00.00.00
Name of the Patient : Abc Xyzka Mlmn / F / 21 yrs.
Referred by : Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain, radiating to the LLE since 15 days. Occasional 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.
IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of water content of the L5-S1 intervertebral disc.
There is a small postero-central and right paracentral disc herniation with peridiscal osteophyte at the L5-S1 level. Slight inferior migration of the disc fragment is noted with minimal indentation on the traversing right S1 nerve root.
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 :
21.0 mm at L1-L2
19.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
12.0 mm at L5-S1.
Screening T1 Weighted coronal images of the S. I. joints and hip joints, do not reveal any significant feature of note.
IMPRESSION :
Degenerated L5-S1 disc with a small postero-central and right paracentral disc herniation with peridiscal osteophyte at the L5-S1 level, with minimal indentation on the traversing right S1 nerve root.
Published in
MRI Reports
ke/sb
Date : 00.00.00
Name of the Patient : Abc Xyz Panlmn / M / 14 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 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 a hyperintense signal on the T2 Weighted images in the right hippocampus.
The left hippocampus 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.
Incidental note is made of inflammatory changes in the left mastoid air cells and enlarged adenoids.
IMPRESSION :
Altered signal in the right hippocampus may suggest right hippocampal sclerosis.
Date : 00.00.00
Name of the Patient : Abc Xyz Panlmn / M / 14 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 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 a hyperintense signal on the T2 Weighted images in the right hippocampus.
The left hippocampus 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.
Incidental note is made of inflammatory changes in the left mastoid air cells and enlarged adenoids.
IMPRESSION :
Altered signal in the right hippocampus may suggest right hippocampal sclerosis.
Published in
MRI Reports
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzai Ylmn / F / 45 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 1 year.
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 L4-L5 and L5-S1 discs.
Small, postero-central protruded discs are noted at the L4-L5 and L5-S1 levels.
Type II degenerative marrow changes are seen in the L5 vertebra adjacent to the L4-L5 disc, anteriorly.
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-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 :
19.0 mm at L1-L2
19.0 mm at L2-L3
16.0 mm at L3-L4
15.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
Degenerated L4-L5 and L5-S1 discs with small, postero-central protruded discs at these levels.
Date : 00.00.00
Name of the Patient : Abc Xyzai Ylmn / F / 45 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 1 year.
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 L4-L5 and L5-S1 discs.
Small, postero-central protruded discs are noted at the L4-L5 and L5-S1 levels.
Type II degenerative marrow changes are seen in the L5 vertebra adjacent to the L4-L5 disc, anteriorly.
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-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 :
19.0 mm at L1-L2
19.0 mm at L2-L3
16.0 mm at L3-L4
15.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
Degenerated L4-L5 and L5-S1 discs with small, postero-central protruded discs at these levels.
Published in
MRI Reports