MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

11842

Written by
sb/ke




DUPLICATE REPORT

Date : 00.00.00

Name of the Patient : Abc Xyzli Anlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzwalla.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 6-7 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 scoliosis of the lumbar spine with convexity to the right.

There is reduction in height and loss of water content of all the lumbar intervertebral discs except the L5-S1 disc. Some of the lumbar intervertebral discs show a hypointense signal on all the pulse sequences suggesting calcium/vacuum phenomena.

Posterior disc bulges with posterior peridiscal osteophytes are noted at the L1-L2, L2-L3, L3-L4 and L4-L5 levels with bilateral neural foraminal narrowing. Left far lateral disc bulges with peridiscal osteophytes are also noted at these levels.







A right postero-lateral and far lateral disc herniation is seen at the L3-L4 level indenting the traversing right L4 nerve root.

The right facet joint at the L4-L5 level and the facet joints at the L3-L4 level bilaterally show hypertrophic degenerative changes.

Type II degenerative marrow changes are noted adjacent to the L2-L3 and L4-L5 intervertebral discs.

A small hypointense focus on all the pulse sequences in the right sacral ala most likely represents a bone island. Similar lesion is noted in the D11 vertebral body, posteriorly.

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 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 :

18.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

Degenerative disease of the lumbar spine with :

1. Scoliosis of the lumbar spine with convexity to the right.
..3/.









- 3 - Scan-00002




2. Posterior disc bulges with posterior peridiscal osteophytes over the L1-L2 to L4-L5 levels with bilateral neural foraminal narrowing. Left far lateral disc bulges with peridiscal osteophytes are also noted at these levels.

3. A right postero-lateral and far lateral disc herniation at the L3-L4 level indenting the traversing right L4 nerve root.

4. Hypertrophic facetal arthropathy at the L4-L5 level on the right side and at the L3-L4 level bilaterally.

5. Lumbar canal stenosis at the L3-L4 and L4-L5 levels.











Sunday, 27 December 2015 16:48

11841

Written by
Date : 00.00.00

Name of the Patient : Abc Xyz Plmn / M / 42 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches since 2 months.
C/O right UMN facial palsy with decreased hearing on the right side.

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 hyperintense areas in the frontal periventricular and deep white matter bilaterally, right more than left, 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.

There is mild fullness of both the lateral ventricles. 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 gross inflammatory changes in the frontal sinuses and mild inflammatory changes in the ethmoidal air cells and maxillary sinuses. The frontal sinuses appear large. There is an approximately 1.5 x 1.0 x 2.5 cms sized mass lesion in the left frontal, epidural space, just superior to the left frontal sinus. Probably erosion of the left frontal bone at that site is noted with slight swelling of the subgaleal tissues in the left frontal region, overlying the erosive lesion in the bone. It is difficult to evaluate erosion of the roof of the left frontal sinus.

IMPRESSION :

1. Altered signal in the frontal periventricular and deep white matter bilaterally, right more than left is suggestive of areas of ischemia/infarction.

2. Inflammatory changes in the paranasal sinuses bilaterally. Mucocele of the frontal sinuses is a likely possibility.

3. An approximately 1.5 x 1.0 x 2.5 cms sized epidural lesion in the left frontal region, with suspicious erosion of the left frontal bone and overlying soft tissue swelling is most likely an inflammatory lesion in the given clinical setting.

Sunday, 27 December 2015 16:48

11839

Written by
/40 Date : 00.00.00

Name of the Patient : Abc Xyza Mohd. lmn / F / 42 yrs.
Referred by : Dr. Abc Xyzadhan.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 2 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 postero-central disc herniation is seen to indent the thecal sac at the L5-S1 level. The L5-S1 facet joints show mild degenerative changes.

Small bilateral postero-lateral disc bulges are noted at the L4-L5 level. There is resultant mild neural foraminal narrowing at this level.

The L5-S1 intervertebral disc shows 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-L2 level and the thecal sac terminates at the S2 level.

- 2 - scan-00009


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

16.0 mm at L3-L4

13.0 mm at L4-L5

13.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc herniation at the L5-S1 level.

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


Sunday, 27 December 2015 16:48

11838

Written by
hs/ke
Date : 00.00.00

Name of the Patient : Abc Xyznt S. Plmn / M / 45 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness, gait imbalance and tinnitus on the left side since 2 months. H/O discharge from the ear 2 months back.

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.
MR Cisternogram was obtained in the coronal plane.

OBSERVATION :

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

The seventh and eighth cranial nerve 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 mastoid air cells on the left side.

IMPRESSION :

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

2. Inflammatory changes in the mastoid air cells on the left side.
Sunday, 27 December 2015 16:48

11837

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc XyzK. Mlmn / F / 55 yrs.
Referred by : Dr. Abc Xyzorat.
Examination : M.R. Cholangiogram.

CLINICAL PROFILE :

C/O pain in the abdomen since 2 months.

EXAMINATION :

The upper abdomen was scanned with 7 mm thick T1 Weighted and T2 Weighted axial images and 4 mm thick T1 Weighted and STIR axial images.

MR cholangiogram was also obtained.

OBSERVATION :

There is seen an approximately 3.5 x 3.0 x 4.0 cms. sized well-marginated, hypointense mass lesion on the T1 Weighted images in the precaval region, in close relation to the head of the pancreas. This lesion appears heterogeneously hyperintense on the T2 Weighted and STIR images. Cystic/necrotic areas are noted within this region, posteriorly.

There is posterior displacement and mild compression of the inferior vena cava at the site of the lesion. The portal vein and the head of the pancreas are displaced slightly anteriorly. Slight extension of the lesion into the region of portahepatis is noted. The distal end of the common bile duct in the pancreatic head is well identified.

There is seen an approximately 3.0 cms diameter sized well-marginated, hypointense lesion on the T1 Weighted images in the right lobe of the liver, anteriorly and laterally, in close relation to the gall bladder fossa. This lesion appears relatively hypointense on the T2 Weighted images but is slightly hyperintense on the STIR images. No satellite lesions are noted.



There is no dilatation of the intrahepatic biliary radicles.

The gall bladder shows no intrinsic lesion. The body and tail of the pancreas are unremarkable.

Spleen, both kidneys and adrenal glands are unremarkable.

There is no free fluid in the abdomen.

The MRCP reveals a normal sized right and left hepatic ducts and common bile duct. No intrahepatic biliary radicle dilatation is noted. The pancreatic duct is not dilated.

IMPRESSION :

1. An approximately 3.5 x 3.0 x 4.0 cms. sized mass lesion in the precaval region, in close relation to the head of the pancreas as described is not specific for a single etiology. The differential diagnosis would include :

a. An exophytic carcinoma of the head of the pancreas.

b. A lymphnodal mass, ? metastatic.

c. Less likely to represent an inflammatory pancreatic lesion.

2. An approximately 3.0 cms diameter sized mass lesion in the right lobe of the liver, anteriorly and laterally, in close relation to the gall bladder fossa is also not specific for a single etiology, but most likely represents a neoplasm.

3. The MR cholangiogram reveals normal biliary tree.

Sunday, 27 December 2015 16:48

11836

Written by
hs/sb
/862 Date : 15/00.00.00

Name of the Patient : Abc Xyzee lmn / F / 50 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O pain over the right half of face since 6 years with difficulty in eating and speaking.

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.

MR cisternogram was obtained in the coronal plane.

A limited MRA was obtained through the region of interest.

OBSERVATION :

The seventh and eighth cranial nerve complex on the left side appears to be bulky with effacement of the CSF in the left IAM. The right seventh and eighth cranial nerve complex and both the visualized trigeminal nerves are unremarkable.

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

There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. Also seen is mild fullness of the third and both the lateral ventricles.







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.

IMPRESSION :

The MRI features are suggestive of a bulky seventh and eighth cranial nerve complex on the left side and this may suggest inflammation/acoustic neurinoma.

If clinically indicated a contrast enhanced scan may be worthwhile to rule out the same.

Sunday, 27 December 2015 16:48

11835

Written by
Date : 00.00.00

Name of the Patient : Abc Xyz Mirlmn / F / 23 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias 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 loss of water content of the L5-S1 intervertebral disc.

Small postero-central disc protrusion with posterior peridiscal osteophyte is noted at the L5-S1 level, indenting the dural theca anteriorly. Slight facetal hypertrophy is also noted at this 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.

The conus medullaris terminates at the D12-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 :

18.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
17.0 mm at L4-L5
13.0 mm at L5-S1.

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

IMPRESSION :

Degenerated L5-S1 disc with a small postero-central protruded disc with peridiscal osteophyte at this level.







Sunday, 27 December 2015 16:48

11834

Written by
Date : 00.00.00

Name of the Patient : Abc Xyzath Plmn / M / 37 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O 3 episodes of 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.

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.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

11833

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyza Behramkalmn / F / 35 yrs.
Referred by : Dr. Abc Xyzgalhalikar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache.

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 L5-S1 disc and loss of water content of the L4-L5 and L5-S1 intervertebral discs.

Small posterior disc bulge is noted at the L5-S1 level.

A small, postero-central protruded disc is seen at the L4-L5 level.

Type II degenerative marrow changes are noted adjacent to the L5-S1 disc.

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 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 :

22.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
13.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. A small posterior disc bulge at the L5-S1 level.

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








Sunday, 27 December 2015 16:48

11832

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyz Vishnupurlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O sudden onset of right sided hemiparesis with inability to speak since 11.30 am of 00.00.00. Paresis recovered but speech defect persist.
Similar complaint 1 week back, 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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the left temporo-parietal cortex. This lesion appears nearly isointense to normal grey matter on the T1 Weighted images. Resultant slight effacement of the cerebral cortical sulci in the left temporo-parietal region is noted.

Hyperintense signal is also noted in the posterior part of the putamen on the left side on the T2 Weighted and STIR images (se/im 103/12, 105/11).










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.

There is no obvious haemorrhage on this study.

Mucosal thickening is noted in the left maxillary antrum.

IMPRESSION :

Altered signal in the left temporo-parietal cortex and the posterior part of the putamen on the left side as described represents a recent infarct, in the given clinical setting.