MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

11823

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzand Thlmn / M / 59 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O tingling in the RUE and on the right side of face with numbness in the RUE since 8 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 a well marginated, hyperintense lesion on the proton, T2 Weighted and FLAIR images in the left thalamus. This lesion appears hypointense to normal grey matter on the T1 Weighted images.

Ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images are noted in the posterior parietal periventricular white matter bilaterally, in the left fronto-parietal and right frontal deep white matter.

There is mild fullness of both the lateral ventricles. The third and 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 right maxillary antrum.

IMPRESSION :

Altered signal in the left thalamus represents an ischemic lesion, most likely recent, in the given clinical setting.

Altered signal in the posterior parietal periventricular white matter bilaterally, in the left fronto-parietal and right frontal deep white matter may also represent ischemic changes.


Sunday, 27 December 2015 16:48

11822

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzakash Goslmn / M / 35 yrs.
Referred by : Dr. Abc Xyz.
Examination : M.R.I. of the Lumbo-sacral Spine and
Sacrum.

CLINICAL PROFILE :

Operated for a lymphoma of the left S. I. joint on 00.00.00. Received 25 sittings of radiation and 6 cycles of chemotherapy. Still C/O pain in the LLE with paresthesias.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T2 Weighted axial images.

6 mm thick T1 Weighted and T2 Weighted axial images.

4 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

There is an ill-defined, hypointense signal on the T1 Weighted images in the marrow of the sacral ala, bilaterally, in the left half of the sacral segments and in the left iliac bone. This signal appears hyperintense on the T2 Weighted and STIR images. Erosion of the posterior margin of the left iliac bone and part of the sacral segments is noted.







There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images anterior and posterior to the left sacro-iliac joint. This lesion appears hyperintense on the T2 Weighted and STIR images. Extension into the left lateral epidural space and into the upper sacral foramina is noted over the S1 to S3 sacral segments, with resultant encasement of the corresponding sacral nerve roots. The left S. I. joint is involved by the lesion.

The left gluteus maximus muscle shows a hyperintense signal on the T2 Weighted and STIR images. Atrophy of the left gluteus muscle is also noted.

The lower lumbar vertebrae, right half of sacral segments and visualized right iliac bone show fatty marrow changes, the sequelae of previous radiotherapy.

No significant discal herniation is noted in the lumbar region. The conus medullaris terminates at the L1 level.

The right S. I. joint is unremarkable.

IMPRESSION :

Altered signal involving the sacral segments and the left iliac bone as described most likely represents residual/recurrent lesion, in a known C/O lymphoma. Soft tissue extension is noted anterior and posterior to the left S. I. joint and into the left sacral foramina over the S1 to S3 segments with encasement of the corresponding sacral nerve roots. The patient is status post-operative and post-radiotherapy.

As compared to the previous CT Scan dated 00.00.00, there is a decrease in the soft tissue posterior to the left S. I. joint.







Sunday, 27 December 2015 16:48

11821

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzti Malmn / F / 48 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O major depression with involuntary movements and speech difficulty since 4 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.

5 mm thick FLAIR coronal images.

OBSERVATION :

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

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

IMPRESSION :

Prominent cerebellar folia bilaterally.

No other significant abnormality is detected on this study.


Sunday, 27 December 2015 16:48

11820

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyza Ibrlmn / F / 43 yrs.
Referred by : Dr. Abc Xyzwalla.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O neckpain, radiating to the LUE and LLE since 1 year with paresthesias.

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.

OBSERVATION :

There is loss of water content of the cervical intervertebral discs.

There is ossification of the posterior longitudinal ligament at the C4 vertebral level.

Small postero-central protruded discs are noted at the C3-C4 and C4-C5 levels.

A posterior disc bulge with a fairly large, posterior peridiscal osteophyte is noted at the C5-C6 level, more to the left of the midline, indenting the dural theca anteriorly. Slight left neural foraminal narrowing is noted at this level.






A hemangioma with fat content is noted in the C7 vertebral body.

The rest of the cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The cervical spinal cord shows normal signal intensity.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

1. Ossification of the posterior longitudinal ligament at the C4 vertebral level.

2. Small postero-central protruded disc at the C3-C4 and C4-C5 levels.

3. A posterior disc bulge with posterior peridiscal osteophyte at the C5-C6 level, more to the left of the midline.

Sunday, 27 December 2015 16:48

11819

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyza M.U. lmn / F / 17 yrs.
Referred by : Dr. Abc Xyz. Sidhwa.
Examination : M.R.I. of the Abdomen.

CLINICAL PROFILE :

C/O pain in the costo-phrenic region since October 0000.

EXAMINATION :

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

8 mm thick T1 Weighted and T2 Weighted axial images.

6 mm thick T1 Weighted coronal images.

5 mm thick STIR coronal images.

OBSERVATION :

The liver is normal in size, shape and position. There is no focal or diffuse area of altered signal intensity. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architexture is normal.

The gall bladder is normal and reveals no intrinsic abnormality.

The pancreas is normal in size and shape.

The spleen and both adrenals are normal.

Both the kidneys are normal in size and shape.








No lymphadenopathy is detected. There is no evidence of free fluid within the abdomen.

No significant abnormality is detected in the costo-phrenic and cardio-phrenic angles on either side, on this study.

There is seen an ill-defined, hypointense signal on the T1 Weighted images in the D10 and D11 vertebral bodies which appears hyperintense on the T2 Weighted images. The D10-D11 disc is also involved. Paravertebral and anterior epidural soft tissue lesion is noted at this level with mild cord compression.

IMPRESSION :

No significant abnormality is detected in the abdominal viscerae on this study.

Altered signal in the D10 and D11 vertebral bodies and the D10-D11 intervertebral disc most likely represents osteitis with discitis, most likely tuberculous in etiology. Paravertebral and anterior epidural soft tissue may represent granulation tissue/abscess. There is resultant cord compression. The possibility of this lesion representing a neoplasm seems less likely.

A dedicated study of the dorso-lumbar spine is indicated to evaluate this region and cord signal alteration, if any.



Sunday, 27 December 2015 16:48

11818

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc XyzB. lmn / F / 47 yrs.
Referred by : Dr. Abc Xyzvadekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with paresthesias in BLE.

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 intervertebral disc. A small posterior disc bulge is noted at this 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 L2 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








18.0 mm at L2-L3

19.0 mm at L3-L4

16.0 mm at L4-L5

14.0 mm at L5-S1.

Screening, T1 Weighted sagittal images of the cervico-dorsal and dorso-lumbar regions do not reveal any significant feature of note.

IMPRESSION :

Degenerated L5-S1 disc with a small posterior disc bulge at that level.







Sunday, 27 December 2015 16:48

11817

Written by
ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyz. Chalmn / F / 86 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fall on 00.00.00, followed with backache and loss of appetite.
C/O loss of bladder/bowel control since 00.00.00.
C/O headaches since 00.00.00, and drowsiness since the morning of 00.00.00.
Known 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 in the centrum semiovale bilaterally, left more than right and in the frontal deep white matter 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.

Similar areas are also noted in the periventricular deep white matter.

There is mild to moderate dilatation of the ventricular system. There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally.





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

IMPRESSION :

1. Areas of altered signal in the centrum semiovale bilaterally, left more than right, in the frontal deep white matter and in the periventricular deep white matter are suggestive of ischemic changes.

2. Cerebral and cerebellar atrophy.

Sunday, 27 December 2015 16:48

11816

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyz. Jlmn / F / 56 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with 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.

OBSERVATION :

There is slight loss of water content of the lower lumbar intervertebral discs.

There is minimal forward translation of the L5 over the S1 vertebra without obvious spondylolysis.

Minimal posterior and left far lateral disc bulges are noted at the L4-L5 and L5-S1 levels.

There is hypertrophic facetal arthropathy at the L5-S1 level, more on the right side and at the L4-L5 level on the left with slight right neural foraminal narrowing at the L5-S1 level. Slight ligamentum flavum hypertrophy is also noted at these levels.

The lumbar vertebral bodies show spotty fatty marrow changes. A hemangioma with fat content is noted in the L5 vertebral body.






The remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L2 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 :

15.0 mm at L1-L2
18.0 mm at L2-L3
15.0 mm at L3-L4
16.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

1. Minimal forward translation of the L5 over the S1 vertebra without obvious spondylolysis.

2. Minimal posterior and left far lateral disc bulges at the L4-L5 and L5-S1 levels.

3. Hypertrophic facetal arthropathy at the L5-S1 level, more on the right side and at the L4-L5 level on the left.






Sunday, 27 December 2015 16:48

11815

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyz Thlmn / M / 52 yrs.
Referred by : Dr. Abc Xyztdar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided headaches since 2 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.
5 mm thick FLAIR coronal images.

OBSERVATION :

There are small bright foci on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the fronto-parietal regions bilaterally and in the left periatrial region. These lesions appear isointense to normal white matter on the T1 Weighted images.

There is mild asymmetric fullness of the left lateral ventricle as compared to the right.

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.

Inflammatory changes are noted in the right maxillary antrum.

IMPRESSION :

Altered signal in the subcortical white matter in the fronto-parietal regions bilaterally and in the left periatrial region most likely represent ischemic changes. The possibility of demyelinating plaques is less likely.


Sunday, 27 December 2015 16:48

11814

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc XyzDelmn / F / 32 yrs.
Referred by : Dr. Abc Xyz/ Dr. Abc Xyzatt.
Examination : M.R.I. of the Abdomen.

CLINICAL PROFILE :

Left sided radical nephrectomy done for a left sided abdominal mass on 00.00.00. Histopathology s/o ? adrenal cortical carcinoma, ? pheochromocytoma. Now C/O pain in the left iliac bone and left sacro-iliac joint since 6 months.

EXAMINATION :

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

6 mm thick T1 Weighted and T2 Weighted axial images.

5 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is seen an approximately 2.5 x 3.0 x 4.8 cms sized, lobulated intermediate signal intensity mass lesion on the T1 Weighted images in the left paraaortic region along the left antero-lateral margin of the vertebral body at about the D11 to L1 vertebral levels. This lesion appears hyperintense on the T2 Weighted and STIR images with a central hypointense signal in the lesion, superiorly. This lesion is retrocrural in location and is seen posterior to the left crus of the diaphragm. The crus of the diaphragm is displaced laterally.

The left kidney is not visualized, the sequelae of previous nephrectomy.





The liver is normal in size, shape and position. There is no focal or diffuse area of altered signal intensity. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architexture is normal.

The gall bladder is normal and reveals no intrinsic abnormality.

The pancreas is normal in bulk and signal intensity.

The spleen and the right adrenal gland are normal.

The right kidney is normal in size and signal intensity.

There is no evidence of free fluid within the abdomen.

IMPRESSION :

An approximately 2.5 x 3.0 x 4.8 cms sized, lobulated mass lesion in the left para-aortic region along the left antero-lateral margin of the vertebral bodies over about the D11 to L1 vertebral levels as described is not specific for a single etiology. The retrocrural location of the mass favours this lesion to be a lypmphnodal mass, probably metastasis from the previous left adrenal lesion.

The possibility of recurrence of the tumor is less likely.

The patient is status post-left nephrectomy.

The preoperative scans were not available for review.