MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

11856

Written by
hs/sb
Date : 00.00.00

Name of the Patient : Abc XyzJ. lmn / F / 37 yrs.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness.
H/O HT.

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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There are few foci which are near isointense to CSF on all the pulse sequences within the right periatrial white matter. These may represent prominent Virchow-Robin spaces or may be due to an ischemic insult.

Small bright foci on the proton and T2 Weighted images (iso to hypointense to white matter on the T1 Weighted images) are seen within the white matter in the frontal lobes bilaterally and these may be ischemic in etiology.

Prominent perivascular (Virchow-Robin) spaces are seen in both cerebral hemispheres. There is mild fullness of both the lateral ventricles. Also seen is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.







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.

Mild inflammatory changes are seen within both the maxillary sinuses.

IMPRESSION :

The MRI features are suggestive of :

1. Foci of altered signal intensity within the right periatrial white matter and may represent prominent Virchow-Robin spaces or may be due to an ischemic insult.

2. Foci of altered signal intensity within the white matter in the frontal lobes bilaterally and these may be ischemic in etiology.

3. Mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.


Sunday, 27 December 2015 16:48

11855

Written by
hs/sb
/57 Date : 00.00.00

Name of the Patient : Abc Xyz Vishnupurlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O sudden onset of right sided hemiparesis with inability to speak since 11.30 am on 00.00.00. Paresis recovered but speech defect persists.
Similar complaint 1 week back, recovered.

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 left temporo-parietal cortex and left lentiform nucleus, extending into the left corona radiata. This represents a recent infarct, which is increased in size since the previous MRI dated 00.00.00.

The ventricular system is unremarkable. There is no midline shift.

INTRACRANIAL MRA :

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized 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 :

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

IMPRESSION :

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

The left temporo-parietal and left lentiform nucleus infarct has increased in size since the previous MRI dated 00.00.00.
Sunday, 27 December 2015 16:48

11854

Written by
hs/sb
Date : 00.00.00

Name of the Patient : Abc Xyz V. Wakchlmn / F / 10 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 3 months.

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.

SOME IMAGES SHOW PATIENT MOTION.

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.

Inflammatory changes are noted in the sphenoid sinus, ethmoidal air cells and both maxillary sinuses.

IMPRESSION :

No significant abnormality is detected within the brain parenchyma on this study.

Sunday, 27 December 2015 16:48

11853

Written by
hs/sb
Date : 00.00.00

Name of the Patient : Abc XyzAnilklmn / F / 25 yrs.
Referred by : Dr. Abc Xyznawane.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 3-4 months.

EXAMINATION :

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

5 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

5 mm thick GRASS sagittal images.

OBSERVATION :

The femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within both the hip joints.

The musculature surrounding both the hip joints and the visualized pelvis is normal.

The sacro-iliac joints are unremarkable bilaterally.

Small, luteal cysts are noted in the ovaries, bilaterally.

IMPRESSION :

Normal study of both Hip Joints.

Sunday, 27 December 2015 16:48

11852

Written by
hs/sb
Date : 00.00.00

Name of the Patient : Abc Xyz Glmn / F / 19 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures at the age of 3 years (for 2 years) and 3 episodes in last 6 months.
H/O pulmonary kochs since 6 months. On AKT 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 T2 Weighted coronal 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.

IMPRESSION :

Normal study of the brain.
Sunday, 27 December 2015 16:48

11851

Written by
sb/hs
Date :00.00.00

Name of the Patient : Abc Xyzralmn / M / 38 yrs.
Referred by : Dr. Abc Xyzabhat / Dr. Abc Xyzpadia.
Examination : M.R.I. of the Pelvis & Sacro-iliac Joints.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 3-4 months.

EXAMINATION :

M.R.I of the pelvis and sacro-iliac joints was performed using the following parameters :

7 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

6 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted sagittal images through the lumbo-sacral spine.

OBSERVATION :

There is an ill-defined hypointense signal on the T1 Weighted images involving the S1 and S2 vertebral segments and the ala of the sacrum on the left. This lesion appears hyperintense on the T2 Weighted and STIR images. There is seen a fairly large, intermediate signal intensity (on the T1 Weighted images) mass lesion in the presacral soft tissues extending over the S1 to S3 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. Ill-defined hyperintense signal on the T1 Weighted images is also noted within the lesion. The lesion measures approximately 6.0 x 5.0 x 7.0 cms. There is extension of this soft tissue lesion into the anterior epidural space to the left of the midline at the S1 vertebral level with indentation on the traversing left S1 nerve root. The rectum is displaced anteriorly by this lesion.


The left sacro-iliac joint per se is unremarkable. The right sacro-iliac joint and the hip joints on either side are unremarkable.

The visualized dorso-lumbar spine is also unremarkable. Probable involvement of the L5-S1 and S1-S2 intervertebral discs is noted.

There are no abnormally enlarged pelvic lymphnodes identified.

IMPRESSION :

Altered signal in the S1 and S2 vertebral segments and the ala of the sacrum on the left with a fairly large presacral soft tissue mass lesion as described is not specific for a single etiology. This most likely is a neoplastic lesion. A round cell tumor or a sacral chordoma may be considered as a differential diagnosis. The possibility of an infective etiology seems less likely,

Slight extension of the lesion into the anterior epidural space to the left at the S1 vertebral level is noted with indentation on the traversing left S1 nerve root.

Sunday, 27 December 2015 16:48

11850

Written by
hs/sb
Date : 00.00.00

Name of the Patient : Abc Xyz Maknlmn / F / 25 yrs.
Referred by : Dr. Abc Xyz Kazerouni.
Examination : M.R.I. of the Abdomen.

CLINICAL PROFILE :

C/O backache.
H/O left lymphadenitis, ? psoas abscess, 2 1/2 years ago. Also H/O pulmonary kochs 1 year ago. On AKT since then.

EXAMINATION :

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

7 mm thick T1 Weighted and T2 Weighted axial images.

6 mm thick T1 Weighted and T2 Weighted coronal images.

6 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is seen a fairly large, lobulated mass lesion in the prevertebral region to the left of the midline, just anterior to the left psoas muscle extending over the D11 to L4 vertebral levels. This lesion is of intermediate signal on the T1 Weighted images and appears relatively hypointense on the T2 Weighted images and appears relatively hypointense on the T2 Weighted images. This represents a conglomerate lymph node mass. Multiple, enlarged lymphnodes are also noted in the preaortic region, interaortico-caval region and in the retrocrural regions. The aorta is displaced slightly anteriorly. The renal vessels are stretched over the lymphnodal mass. The axis of the left kidney is deviated slightly anteriorly.

Hypointensity on all the pulse sequences within the gall bladder would represent calculi. The liver is slightly enlarged.


Multiple hypointense lesions on all the pulse sequences in the spleen may represent calcified granulomas.

The liver is normal in position. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architexture is normal.

The pancreas is normal in bulk and signal characteristics.

Both adrenals are normal.

Both the kidneys are normal in size and shape.

There is no evidence of free fluid within the abdomen.

IMPRESSION :

1. Multiple enlarged lymphnodes in the abdomen as described. These may be of tuberculous etiology, in the given clinical setting of past history of pulmonary tuberculosis.

2. Gall stones.

3. Probable calcified granulomas in the spleen, posteriorly.

Similar MRI findings may also be seen with neoplastic processes like small cell tumor like lymphoma.

As compared to the previous MRI (study no:0000) dated 00.00.00, there is no significant change noted in the lymphnodal mass.


Sunday, 27 December 2015 16:48

11849

Written by
ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzah lmn / M / 38 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 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 a posterior and a right postero-lateral disc herniation at the L4-L5 level with anterior indentation of the thecal sac and the traversing right L5 nerve root. A sequestered disc fragment is seen to lie in the left lateral recess of the L5 vertebra with indentation on the traversing left L5 nerve root. Posterior peridiscal osteophytes are also noted at this level.

Posterior disc bulges are seen at the L2-L3 and L3-L4 levels with right far lateral disc bulge at the L3-L4 level.

Schmorls nodes are seen in the dorso-lumbar region. The L2-L3, L3-L4 and L4-L5 intervertebral discs show loss of water content.











The L2-L3 and L4-L5 facet joints bilaterally and the L3-L4 facet joint on the right side show degenerative changes.

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 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
19.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. A posterior and a right postero-lateral disc herniation with posterior peridiscal osteophytes at the L4-L5 level indenting the traversing right L5 nerve root. A sequestered disc is seen to lie in the left lateral recess of the L5 vertebra with indentation on the traversing left L5 nerve root.

2. Posterior disc bulges at the L2-L3 and L3-L4 levels with a right far lateral disc bulge at the L3-L4 level.

3. Degenerative changes of the L2-L3 and L4-L5 facet joints bilaterally and the L3-L4 facet joint on the right side.







Sunday, 27 December 2015 16:48

11848

Written by
Date : 00.00.00

Name of the Patient : Abc Xyzbai Klmn / F / 57 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 2-4 years.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is loss of normal lumbar lordosis and loss of water content of the lumbar intervertebral discs except the L5-S1 disc.

There is a posterior and a left postero-lateral disc herniation at the L4-L5 level with anterior indentation of the thecal sac and left neural foraminal narrowing. There is indentation upon the foraminal portion of the left L4 nerve root. The L4-L5 facet joints show mild degenerative changes.

A posterior and a left far lateral disc herniation is seen at the L3-L4 level, with anterior indentation of the thecal sac, left neural foraminal narrowing and indentation upon the extraforaminal and foraminal portion of the left L3 nerve root. The L3-L4 facet joint on the left side shows hypertrophic degenerative changes.







A diffuse posterior disc herniation with bilateral far lateral disc bulges is seen at the L1-L2 and L2-L3 levels with indentation of the thecal sac. There is bilateral neural foraminal narrowing at the L1-L2 level. A sequestered disc fragment is noted along the right, postero-lateral margin of the L1 vertebral body.

A small posterior disc bulge is noted at the D12-L1 level. The lumbar facet joints show degenerative changes.

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

The L3 vertebral body shows evidence of a hemangioma with fat content.

The rest of the lumbar vertebral bodies reveal normal signal intensity. 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 :

15.0 mm at L1-L2
10.0 mm at L2-L3
11.0 mm at L3-L4
9.0 mm at L4-L5
7.0 mm at L5-S1.

IMPRESSION :

1. A posterior and a left postero-lateral disc herniation at the L4-L5 level with indentation upon the foraminal portion of the left L4 nerve root.
..3/.











- 3 - Scan-00008



2. A posterior and a left far lateral disc herniation at the L3-L4 level, with indentation upon the extraforaminal and foraminal portion of the left L3 nerve root. Hypertrophic degenerative changes of the L3-L4 facet joint on the left side is noted.

3. A diffuse posterior disc herniation with bilateral far lateral disc bulges at the L1-L2 and L2-L3 levels. A sequestered disc fragment is noted along the right postero-lateral margin of L1.

4. A small posterior disc bulge at the D12-L1 level.

5. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions with lumbar canal stenosis.








Sunday, 27 December 2015 16:48

11847

Written by
ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyz A. Salmn / M / 11 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O petimal seizures, off and on since 1 year.

EXAMINATION :

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

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

3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

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

The hippocampus is unremarkable on either side.

There is slight prominence of the temporal horn of the right lateral ventricle which may be a normal variant.

The rest of 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 significant abnormality is detected on this study.