MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14753

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

Name of the Patient : Abc Xyzti K. lmn / F / 54 yrs.
Referred by : Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain to the RLE 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 appears to be partial sacralization of the L5 vertebra on the left side. There appears to be fusion of the D8, D9, D10 and D11 vertebral bodies with a D10 hemivertebra.

A small postero-central disc herniation is seen to indent the thecal sac at the L4-L5 level. A posterior disc bulge is noted at the L5-S1 level.

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

The lumbar intervertebral discs more so at the L4-L5 and L5-S1 levels show loss of water content.

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 D12 level and the thecal sac terminates at the S1 level.

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

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

IMPRESSION :

1. Partial sacralization of the L5 vertebra on the left side.

2. Fusion of the D8, D9, D10 and D11 vertebral bodies with a D10 hemivertebra.

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

4. Facetal arthropathy at the L3-L4 and L4-L5 levels.

Sunday, 27 December 2015 16:48

14752

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

Name of the Patient : Abc Xyzi Palmn / F / 45 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

Known C/O Kochs spine with paraplegia since April 0000.
On AKT.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is near complete collapse of the D2 vertebral body with retropulsion and a resultant kyphus at this level.

Areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images are seen to involve the D1, D2 and D3 vertebral bodies and the apendages of the D2 and D3 vertebrae. Also seen is involvement of the D1-D2 and D2-D3 intervertebral discs.

There is extension of this pathologic process into the anterior and left lateral epidural space and the pre and paravertebral soft tissues over the D1 to D3 levels. The cord is seen to be compressed at the D2/D3 levels. The spinal cord at these levels shows a hyperintense signal on the T2 Weighted images and this would be suggestive of cord edema/ischemia/myelitis.

The costo-vertebral joints on the left side at the D2 and D3 levels are involved by the pathologic process.
..2/.







Small postero-central disc herniations are seen at the C5-C6 and C6-C7 levels. Ligamentum flavum hypertrophy is also seen at these levels.

The cervical intervertebral discs show loss of water content.

The rest of the visualized cervico-dorsal vertebral bodies and the remaining dorsal intervertebral discs show normal signal intensity.

IMPRESSION :

The MRI features are suggestive of a pathologic process involving the D1, D2 and D3 vertebrae and the D1-D2 and D2-D3 intervertebral discs with soft tissue extensions and cord compression with cord edema/ischemia/myelitis as described. This most likely represents an infective process like tuberculosis.

The possibility of this being a neoplastic process like a small cell tumor is less likely.

As compared to the previous MRI dated 00.00.00, there is no significant change in the degree of cord compression.

Sunday, 27 December 2015 16:48

14751

Written by
hs/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz V. Glmn / F / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 7 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 T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

Areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images are seen within the periatrial white matter bilaterally with a decrease in the bulk of the white matter. These would represent gliotic changes. The atria of the ventricles have an irregular wavy outline and are seen to nearly abut the gray matter. There is ex-vacuo dilatation of the atrium and occipital horn of both the lateral ventricles. Also seen is a slight decrease in the size of the posterior body and splenium of the corpus callosum.

Smaller areas with similar signal characteristics are seen within the the corona radiata bilaterally and right cerebellar hemisphere.

The 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 pansinusitis.

IMPRESSION :

The MRI features are suggestive of periventricular leukomalacia as described.












Sunday, 27 December 2015 16:48

14749

Written by
hs/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzm lmn / M / 8 yrs.
Referred by : Dr. Abc Xyzvadekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fall with 2 episodes of seizures and gait imbalance since then.

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 FLAIR coronal images.

The cervical spine was scanned with 4 mm thick T2 Weighted sagittal images and 5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

There is no focal area of altered signal intensity in 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.

Note is made of enlarged adenoids.

There is evidence of a well-circumscribed lesion which is hypointense on the T1 Weighted, T2 Weighted, Fast Scan (T2 *) and FLAIR images with a hyperintense rim on the T2 Weighted, Fast Scan (T2 *) and FLAIR images within the spinal cord at the C1/C2 level.



IMPRESSION :

1. No abnormality detected within the brain per se on this study.

2. A space occupying lesion within the spinal cord at the C1/C2 level and having a diameter of approximately 1.0 cms.

In the given clinical setting this represents a haemorrhagic contusion.

However granulomas may have similar appearances on MRI.











Sunday, 27 December 2015 16:48

14748

Written by
hs/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzddin Adamjilmn / M / 70 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE with paresthesias since 15-20 days.

EXAMINATION :

M.R.I of the dorsal 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.

The lumbo-sacral spine was screened with 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

The D7 vertebra appears to be as marked on the film. Please correlate with plain radiographs.

Areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted and Fast Scan (T2 *) images are seen to involve the D4, D5 and D6 vertebral bodies and their pedicles. Also seen is involvement of the D5-D6 intervertebral disc with erosion of the adjacent cortical endplates. This disc appears hyperintense on the T2 Weighted images.

There is extension of this pathologic process into the epidural space, more so posteriorly over the D2 to D6 vertebral levels with resultant cord compression. Also seen is extension into the paravertebral soft tissues over the D4 to D6 vertebral levels.
Scan-00008



There is encroachment of the pathologic process into the D4-D5 and D5-D6 neural foramina bilaterally with involvement of the costo-vertebral joints at these levels. There is also encasement of the D5 and D6 nerve roots at this level, bilaterally.

The visualized dorsal intervertebral disc show loss of water content.

The rest of the visualized dorsal vertebral bodies reveal normal signal intensity.

Anterior peridiscal osteophytes are seen in the mid dorsal region.

The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L1 level.

IMPRESSION :

The MRI features are suggestive of a pathologic process involving the D4, D5 and D6 vertebrae and the D5-D6 intervertebral disc as described. This most likely represents an infective process like tuberculosis.

The possibility of this being a neoplastic process is less likely.
Sunday, 27 December 2015 16:48

14747

Written by
hs/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Shlmn / F / 35 yrs.
Referred by : Dr. Abc Xyzsari.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (left more than right) with paresthesias since 2-3 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 mild retroplacement of the L4 vertebra over the L5 vertebra.

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

A posterior disc herniation with peridiscal osteophytes is seen to indent the thecal sac and narrow both neural foramina at the L5-S1 level. Bilateral far lateral (extraforaminal) disc bulges are seen at this level.

A small postero-central disc herniation is seen to indent the thecal sac at the L4-L5 level. The facet joints at this level show degenerative changes.

The L5-S1 facet joints show hypertrophic degenerative changes.

Type I (hypointense on the T1 Weighted and hyperintense on the T2 Weighted images) and Type II (isointense to fat) degenerative changes are seen within the L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc.
..2/.




R>
The uterus appears to be slightly bulky.

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 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
17.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
14.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A posterior disc herniation with peridiscal osteophytes at the L5-S1 level.

2. Hypertrophic facetal arthropathy at the L5-S1 level.

3. A small postero-central disc herniation with facetal arthropathy at the L4-L5 level.

Sunday, 27 December 2015 16:48

14746

Written by
sb/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzMlmn / M / 12 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

H/O fall of weight on the back on 00.00.00 with paraplegia and bladder involvement since then.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is slight anterior wedging of the D12 vertebral body with slight retropulsion of the same. The D12 vertebra shows a hypointense signal on the T1 Weighted images which appears hyperintense on the T2 Weighted images. The D11-D12 and D12-L1 intervertebral discs appear unremarkable. Fracture of the pedicles, transverse process, the laminae and probably the spinous process of the D12 vertebra is noted. There is rupture of the posterior longitudinal ligament. The anterior longitudinal ligament appears intact but is probably stripped away from the D12 vertebra. The D11-D12 facet joints show diastasis. Intermediate signal on the T1 Weighted images in the anterior epidural space at the D12 vertebral level, which appears relatively hypointense to CSF on the T2 Weighted images may represent epidural haemorrhage. There is resultant mild cord compression at the D12 vertebral level. The lower dorsal spinal cord over about D6 upto the conus medullaris shows a hyperintense signal on the T2 Weighted images (iso to hypointense to normal cord on the T1 Weighted images) which suggest cord contusion/edema in the given clinical setting.



Ill-defined, hyperintense signal on the T2 Weighted images is noted in the prevertebral, paravertebral and posterior paraspinal soft tissues over the D11 to L1 vertebral levels, which may represent soft tissue injury.

Mild central wedging of the L1 vertebral body is noted with subtle altered signal along its superior cortical endplate.

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

The conus medullaris terminates at the L1-L2 level.

IMPRESSION :

Anterior wedging of the D12 vertebral body with slight retropulsion and fracture of the posterior elements of D12 as described is the sequelae of previous trauma. Cord signal alteration over about D6 upto the conus medullaris would represent cord contusion/edema. There is mild cord compression at the D12 vertebral level.



Sunday, 27 December 2015 16:48

14744

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

Name of the Patient : Abc Xyza Bholmn / F / 31 yrs.
Referred by : Dr. Abc Xyzgpal.
Examination : M.R.I. of the Sella & Perisellar Region.

CLINICAL PROFILE :

C/O primary amenorrhea.
Detected to have a pituitary microadenoma 1 1/2 years back.
C/O CSF rhinorrhea since 2 months.

EXAMINATION :

M.R.I of the sella and perisellar region was performed using the following parameters :

3 mm thick T1 Weighted sagittal and coronal images.

3 mm thick Fast Scan (T2 *) coronal images.

MR cisternogram was obtained in the coronal (supine and prone)and sagittal planes.

The brain was screened with 5 mm thick T2 Weighted axial images.

OBSERVATION :

There is still seen an approximately 8.0 x 10.0 x 15.0 mms sized intermediate signal intensity mass lesion on the T1 Weighted images in the right cavernous sinus inclose relation to the postero-inferior margin of the anterior pituitary gland on the right. This lesion appears relatively hypointense on the T2 Weighted images. Probable extension of the lesion into the sphenoid sinus along its right lateral margin is noted.

The rest of the pituitary gland appears normal in height and shows a concave superior margin.

The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the
midline. The hypothalamus is unremarkable.
..2/.





The suprasellar cistern and the left cavernous sinus are unremarkable.

Minimal mucosal thickening is noted in the maxillary antra bilaterally. Minimal fluid is noted along the posterior wall of the sphenoid sinus. A small amount of fluid is also noted in the left lateral recess of the sphenoid sinus (scan 106.16).

There is no obvious outpouching of the meninges through a break in the floor of the anterior cranial fossa or the sphenoid sinus.
Review of the CT Scan dated 00.00.00, reveals thinning of the right lateral wall of the sphenoid sinus with probable erosion of the same and extension of the previously described lesion in the right cavernous sinus into the sphenoid sinus.

The T2 Weighted axial images of the brain do not reveal any significant feature of note, except for mild fullness of both the lateral ventricles.

IMPRESSION :

1. A residual pituitary adenoma in the right cavernous sinus inclose relation to the postero-inferior margin of the anterior pituitary gland on the right. Probable extension of the lesion into the sphenoid sinus along its right lateral margin is noted.

2. Minimal mucosal thickening in the maxillary antra bilaterally with minimal fluid along the posterior margin of the sphenoid sinus and in the left lateral recess of sphenoid sinus.

3. No definite meningeal outpouching is noted on this study, though extension of the lesion in the right cavernous sinus into the sphenoid sinus along its right lateral margin is noted.


















Sunday, 27 December 2015 16:48

14743

Written by
hs/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzyans N. lmn / M / 7 1/2 yrs.
Referred by : Dr. Abc Xyzadkat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches since 15 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 in 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.

Incidental note is made of enlarged adenoids.

IMPRESSION :

No abnormality detected within the brain per se on this study.













Sunday, 27 December 2015 16:48

14742

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

Name of the Patient : Abc XyzVaslmn / F / 58 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness and loss of consciousness.
Known diabetic/hypertensive.

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 are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the fronto-parietal regions bilaterally and in the posterior parietal periventricular white matter bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and represents ischemic changes.

There is no evidence of haemorrhage on this study.

Focal hypointense signal, more pronounced on the Fast Scan (T2 *) images in the globus pallidus bilaterally most likely represents globus pallidus calcification.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.



IMPRESSION :

Altered signal in the subcortical white matter in the fronto-parietal regions bilaterally and in the posterior parietal periventricular white matter bilaterally most likely represent ischemic changes.