MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

11888

Written by
ke/hs
Date : 00.00.00

Name of the Patient : Abc Xyz Shlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O pain on the right side of the face 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.

Limited 3D TOF sequences through the region of interest.

4 mm thick GRASS coronal images through the region of interest.

OBSERVATION :

There is a small ill-marginated lesion in the left parietal region which measures approximately 0.5 x 0.6 x 0.7 cms which is hypointense on the T1 Weighted images and turns heterogeneously hypointense on the proton, T2 Weighted and GRASS images with few hyperintense areas in the centre. There is mild surrounding edema/gliotic changes (hyperintense on the proton and T2 Weighted images).

A vascular loop is seen to indent the root entry zone of the right trigeminal nerve. A small vascular loop is seen superior to the cisternal component of the left trigeminal nerve. However it is not seen to indent the nerve.







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 inflammatory changes in the sphenoid sinus on the right side.

IMPRESSION :

1. A lesion in the left parietal region measuring approximately 0.5 x 0.6 x 0.7 cms may represent a granuloma (? calcified).

A contrast enhanced scan may be worthwhile, if clinically indicated.

2. A vascular loop indenting the root entry zone of the right trigeminal nerve.

Sunday, 27 December 2015 16:48

11887

Written by
hs/ke
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / F / 40 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 6 months.

EXAMINATION :

M.R.I of the lumbo-sacral spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

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 S1 level.

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

.0 mm at L1-L2
.0 mm at L2-L3
.0 mm at L3-L4
.0 mm at L4-L5
.0 mm at L5-S1.

IMPRESSION :









Sunday, 27 December 2015 16:48

11886

Written by
hs/ke
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / F / 40 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 6 months.

EXAMINATION :

M.R.I of the lumbo-sacral spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

A right paracentral disc herniation is seen to indent the traversing right S1 nerve root at the L5-S1 level.

A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. A disc portion is seen to lie within the left lateral recess of L5 vertebra with resultant impingement of the traversing left L5 nerve root.

Slight facetal and ligamentum flavum hypertrophy is noted at the L4-L5 and L5-S1 levels. The intervertebral discs at these levels show loss of water content.

Focal fatty change is seen in the antero-superior portion of the L4 vertebra and a hemangioma in the S1 vertebral body.

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


The conus medullaris terminates at the 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 :

17.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
8.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. A posterior disc herniation with canal stenosis at the L4-L5 level with a disc portion lying within the left lateral recess of L5 vertebra with resultant impingement of the traversing left L5 nerve root.

2. A right paracentral disc herniation indenting the traversing right S1 nerve root at the L5-S1 level.

3. Slight facetal and ligamentum flavum hypertrophy at the L4-L5 and L5-S1 levels.








Sunday, 27 December 2015 16:48

11885

Written by
ke/hs
Date : 00.00.00

Name of the Patient : Abc Xyz P. Milmn / M / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since the age of 2 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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

The hippocampus is unremarkable on either side.

Note is made of a cavum septum pellucidum.

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 enlarged adenoids.

IMPRESSION :

The MRI features are suggestive of a cavum septum pellucidum.
Sunday, 27 December 2015 16:48

11884

Written by
hs/ke
Date : 00.00.00

Name of the Patient : Abc Xyzm Salmn / M / 59 yrs.
Referred by : Dr. Abc XyzDsouza.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 3 months.

EXAMINATION :

M.R.I of the lumbo-sacral spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is a postero-central disc herniation indenting the traversing S1 nerve roots (right more than left) at the L5-S1 level. There appears to be slight inflammation of the traversing S1 nerve roots. The right L5-S1 facet joint shows mild hypertrophic degenerative changes.

A postero-central disc extrusion is seen to indent the thecal sac at the L4-L5 level. A disc fragment is seen to lie in the right lateral recess of L5 vertebra with resultant impingement of the traversing right L5 nerve root.

Posterior disc bulge is seen to indent the thecal sac at the L2-L3 level. Facetal hypertrophy is noted at the L2-L3, L3-L4 and L4-L5 levels.








The pedicles of the lumbar verterbae are congenitally short in their antero-posterior dimensions.

The L2-L3 to L5-S1 intervertebral discs show loss of water content.

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

The conus medullaris terminates at the L1 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 :

13.0 mm at L1-L2

14.0 mm at L2-L3

14.0 mm at L3-L4

12.0 mm at L4-L5

10.0 mm at L5-S1.
..3/.

















- 3 - Scan-00004


IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc herniation indenting the traversing S1 nerve roots (right more than left) at the L5-S1 level.

2. A postero-central disc extrusion at the L4-L5 level with a disc fragment lying in the right lateral recess of L5 vertebra with resultant impingement of the traversing right L5 nerve root.

3. Congenitally short pedicles of the lumbar verterbae in their antero-posterior dimensions.

4. Hypertrophic facetal arthropathy on the right at the L5-S1 level and facetal hypertrophy at the L2-L3, L3-L4 and L4-L5 levels.

5. Canal stenosis at the L4-L5 level.








Sunday, 27 December 2015 16:48

11883

Written by
hs/ke
Date : 00.00.00

Name of the Patient : Abc Xyzeet Klmn / M / 7 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O 3 episodes of left facial focal seizures since 00.00.00.

EXAMINATION :

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

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

OBSERVATION :

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

The hippocampus is unremarkable on either side.

The left cerebellar hemisphere appears to be slightly hypoplastic.

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 maxillary sinuses bilaterally and within the mastoid air cells on the right side.

IMPRESSION :

The MRI features are suggestive of slightly hypoplastic cerebellar hemisphere.

No abnormality is detected within the hippocampus per se.

Sunday, 27 December 2015 16:48

11882

Written by
ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyz Phlmn / M / 77 yrs.
Referred by : Dr. Abc Xyzodak.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 3 months.

EXAMINATION :

M.R.I of the lumbo-sacral spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is reduction in height of the L4-L5 and L5-S1 intervertebral discs with loss of water content of the lumbar intervertebral discs. Minimal forward translation of L4 over L5 vertebra is noted, without obvious spondylolisthesis.

There is a left postero-lateral and far lateral disc herniation at the L5-S1 level with antero-lateral indentation of the thecal sac and left neural foraminal narrowing. There is indentation upon the foraminal and extraforaminal portion of the left L5 nerve root. The L5-S1 facet joint on the left side shows mild degenerative changes. Anterior disc herniations with anterior and posterior peridiscal osteophytes are also noted at this level.

There is posterior disc herniation with posterior peridiscal osteophyte at the L4-L5 level with anterior indentation of the thecal sac. A right far lateral disc herniation is also noted at this level with indentation upon the extraforaminal portion of the right L4 nerve root. The L4-L5 facet joints show hypertrophic degenerative changes. Ligamentum flavum hypertrophy is seen at the L4-L5 and L5 levels with resultant canal stenosis.
..2/.





A disc fragment is seen in the left lateral recess of the L5 vertebra with indentation upon the traversing left L5 nerve root.

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

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

The conus medullaris terminates at the 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
17.0 mm at L2-L3
18.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. A left postero-lateral and far lateral disc herniation with peridiscal osteophyte at the L5-S1 level with indentation upon the foraminal and extraforaminal portion of the left L5 nerve root.

2. Posterior disc herniation with posterior peridiscal osteophyte at the L4-L5 level with a right far lateral disc herniation at this level with indentation upon the extraforaminal portion of the right L4 nerve root. There is facetal and ligamentum flavum hypertrophy at the L4-L5 and L5 levels with resultant canal stenosis.

3. A disc fragment in the left lateral recess of the L5 vertebra with indentation upon the traversing left L5 nerve root.








Sunday, 27 December 2015 16:48

11881

Written by
bv/ke
Date : 00.00.00

Name of the Patient : Abc XyzA. Golmn / F / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O fall at 10.30 pm on 00.00.00 with altered sensorium.

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.

FEW IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.

OBSERVATION :

Areas of intermediate signal intensity on the T1 Weighted images which turn hyperintense on the STIR images are seen within the suprasellar cistern, more so to the right of the pituitary stalk (scans 105.14, 108.9, 108.10).

There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

The odontoid process appears placed more to the left of the midline ? positional.

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






Both the lateral, third and the fourth ventricles are normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of areas of altered signal intensity within the suprasellar cistern as described. In the given clinical setting of trauma this may represent subarachnoid haemorrhage.


Sunday, 27 December 2015 16:48

11880

Written by
hs/bv
Date : 00.00.00

Name of the Patient : Abc Xyz Dolmn / F / 83 yrs.
Referred by : Dr. Abc Xyzh Shah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O weakness of the left side of the body since 1 day.

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 irregularly defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the periventricular white matter, corona radiata, centrum semiovale, caudate and lentiform nuclei, pons and the external capsules bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.

There is mild fullness of the third and both the lateral ventricles. Also seen is prominence of the basal cisternal spaces, Sylvian fissures, cerebellar folia and cerebral cortical sulci bilaterally. Note is made of an empty sella.

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








Incidental note is made of pansinusitis. The normal intraocular lens is not seen bilaterally (? the result of previous cataract surgery).

IMPRESSION :

The MRI features are suggestive of areas of altered signal intensity within the periventricular white matter, corona radiata, centrum semiovale, caudate and lentiform nuclei, pons and the external capsules bilaterally and are most likely ischemic in etiology.



Sunday, 27 December 2015 16:48

11879

Written by
hs/bv
Date : 00.00.00

Name of the Patient : Abc XyzPalmn / M / 27 yrs.
Referred by : Dr. Abc Xyzndu / Dr. Abc Xyzdi.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

C/O paresthesias in BLE with inability to stand since 2-3 days.
H/O tuberculosis of spine since September 0000. On AKT since then.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

6 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

Diffuse areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen to involve the D1 and D2 vertebral bodies and their spinous processes and pedicles, laminae and transverse processes on the right side. Also seen is similar involvement of the pedicle, transverse process and lamina of the D3 vertebra on the right side. The head and neck of the D2 and D3 ribs on the right side appear to be involved.

There is evidence of a large soft tissue component within the prevertebral soft tissues (right more than left) and within the paraspinal and paravertebral soft tissues on the right side over the C6/C7 to D4 vertebral levels. This soft tissue component is







hypointense on the T1 Weighted images and turns relatively hyperintense on the T2 Weighted images. There is encroachment into the neural foramina on the right side at the D1-D2 and D2-D3 levels. This soft tissue component is also seen to lie within the right lateral and posterior epidural space over the C7-D1 to D3-D4 levels. There is resultant compression and displacement of the spinal cord anteriorly and to the left over these levels. The cord over these levels shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia/myelitis.

Note is made of pleural thickening on the right side. There is a suspicious old fracture of the odontoid process. Enlarged paratracheal lymph nodes are identified on the right side.

The CSF in the visualized upper dorsal region appears more hyperintense than normal and may be due to increased protein content.

The visualized cervico-dorsal intervertebral discs show loss of water content.

IMPRESSION :

In a known C/O tuberculosis, the MRI features are suggestive of involvement of the D1, D2 and D3 vertebrae with soft tissue extensions and cord compression with cord edema/ischemia/myelitis over the C7-D1 to D3-D4 levels.

However similar features may be seen in neoplastic processes like small cell tumors.