MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

11808

Written by
hs/ke
Date : 00.00.00

Name of the Patient : Abc Xyzakant S. Kawalmn / M / 67 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O weakness of the LUE with mild headaches since 1 day from which patient has recovered.
Known diabetic.

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 gyral thickening with effacement of the adjacent sulci in the right temporo-parietal lobe. These gyri are hypointense on the T1 Weighted images and turn hyperintense on the proton, T2 Weighted and FLAIR images. This would represent an area of ischemia/infarction.

Smaller areas with similar signal characteristics are noted within the medial and inferior aspect of the right temporal lobe, right corona radiata and head of the right caudate nucleus.

There is fullness of the fourth ventricle and prominence of the cerebellar folia bilaterally. There is mild fullness of both the lateral ventricles and mild prominence of the Sylvian fissures and cerebral cortical sulci.







Note is made of an empty sella.

The third ventricle is 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 :

The MRI features are suggestive of :

1. An area of ischemia/infarction in the right temporo-parietal lobe as described.

2. Smaller areas of altered signal within the medial and inferior aspect of the right temporal lobe, right corona radiata and head of the right caudate nucleus and these are most likely ischemic in etiology.


Sunday, 27 December 2015 16:48

11807

Written by
hs/ke
Date : 00.00.00

Name of the Patient : Abc Xyzn Plmn / M / 68 yrs.
Referred by : Dr. Abc XyzBR> 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 a evidence of a posterior disc herniation with peridiscal osteophytes, more to the right of the midline and indenting the thecal sac at the L4-L5 level. There is bilateral neural foraminal narrowing and impingement of the exiting L4 nerve roots bilaterally (right more than left) at this level. There is probable inflammation of the exiting right L4 nerve root.

The L4-L5 facet joints show hypertrophic degenerative changes. Also seen is ligamentum flavum hypertrophy with a resultant tight canal at this level.

A postero-central disc protrusion is seen to indent the thecal sac at the L5-S1 level.







There is a right far lateral (extraforaminal) disc herniation at the L4-L5 level. Also seen are far lateral (extraforaminal) disc bulges bilaterally over the D12-L1 to L3-L4 levels and on the left side at the L4-L5 level.

The lumbar intervertebral discs show loss of water content. The superior cortical endplate of the L5 vertebra is irregularly defined and shows evidence of Type I degenerative changes.

There appears to be conjoint nerve roots on the left side at the S1 vertebral level.

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 L1 level and the thecal sac terminates at the S1-S2 level.

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

14.0 mm at L1-L2

16.0 mm at L2-L3

14.0 mm at L3-L4

12.0 mm at L4-L5

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
















- 3 - Scan-00007


IMPRESSION :

1. A posterior disc herniation with peridiscal osteophytes, more to the right of the midline with impingement of the exiting L4 nerve roots bilaterally, right more than left at the L4-L5 level. There is probable inflammation of the exiting right L4 nerve root.

2. Hypertrophic facetal hypertrophy and ligamentum flavum hypertrophy with canal stenosis at the L4-L5 level.

3. A right far lateral (extraforaminal) disc herniation at the L4-L5 level.

4. A postero-central disc protrusion at the L5-S1 level.









Sunday, 27 December 2015 16:48

11806

Written by
hs/ke
Date : 00.00.00

Name of the Patient : Abc XyzBharlmn / F / 44 yrs.
Referred by : Dr. Abc Xyzlkaka.
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 :

A right postero-lateral (foraminal) disc protrusion is seen to narrow the right neural foramen and indent the exiting right L4 nerve root at the L4-L5 level. Also seen is a right far lateral (extraforaminal) disc bulge at this level.

The right L4-L5 facet joint shows mild degenerative changes.

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

The L2-L3 and L4-L5 intervertebral discs show mild loss of water content. Small anterior disc herniations with anterior osteophytes are noted at the L2-L3, L3-L4 and L4-L5 levels.








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 :

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

IMPRESSION :

1. A right postero-lateral (foraminal) disc protrusion indenting the exiting right L4 nerve root at the L4-L5 level.

2. Mild facetal arthropathy on the right side at the L4-L5 level.




Sunday, 27 December 2015 16:48

11805

Written by
ke/bv
Date : 00.00.00

Name of the Patient : Abc Xyz.lmn / F / 28 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Right Thigh.

CLINICAL PROFILE :

C/O pain in the right thigh since 1 year.

EXAMINATION :

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

8 mm thick T1 Weighted and T2 Weighted axial images.

8 mm thick STIR and T2 Weighted coronal images.

4 mm thick Proton sagittal images.

OBSERVATION :

There is replacement of the normal marrow in the upper shaft of the right femur from the level of the lesser trochanter till the mid shaft level (approximately 11.0 cms in length) by hypointense areas on the T1 Weighted images. This is seen to turn hyperintense on the T2 Weighted and STIR images. There is a break in the cortex along the medial aspect (se/im 104/10) with extension of the pathologic process just below the periosteum with resultant elevation of the same. Subtle hyperintense signal seen in the adjacent soft tissue on the T2 Weighted images may represent edema. The rest of the right femur and the left femur is unremarkable.








IMPRESSION :

The MRI features are suggestive of altered signal in the upper shaft of the right femur from the level of the lesser trochanter till the mid shaft level (approximately 11.0 cms) with break in the cortex and smooth periosteal reaction as described.

This most likely represents sclerosing osteomyelitis of Garre.

The possibility of a neoplastic process appears less likely.

Sunday, 27 December 2015 16:48

11804

Written by
ke/hs
Date : 00.00.00

Name of the Patient : Abc Xyzm Shlmn / F / 5 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O measles (fever for 7 days) with weakness of all four extremities and difficulty in speech since 20 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 within 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.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

11803

Written by
ke/hs
Date : 00.00.00

Name of the Patient : Abc Xylmn / F / 22 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Hippocampal Region.

CLINICAL PROFILE :

C/O 3 episodes of seizures (1st episode at the age of 6 years, 2nd at the age of 8 years and 3rd episode on 00.00.00).

EXAMINATION :

M.R.I of the hippocampal region was performed, as requested, using the following parameters :

3 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick T2 Weighted axial images through the brain.

OBSERVATION :

There is no area of focal altered signal intensity on the T2 Weighted axial images of the brain.

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 Hippocampus.


Sunday, 27 December 2015 16:48

11802

Written by
ke/hs
Date : 00.00.00

Name of the Patient : Abc XyzM. Jalmn / M / 40 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with numbness since 3 days.
H/O paresthesias in BLE (on and off) since 2 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 lordosis.

There is a posterior disc herniation, more to the left, at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.

The L4-L5 facet joints show degenerative changes.

A posterior and a right far lateral (extraforaminal) disc herniation is seen at the L3-L4 level with anterior indentation of the thecal sac and mild right neural foraminal narrowing.

Small posterior disc bulges are noted at the L1-L2, L2-L3 and L5-S1 levels. A small left postero-lateral disc herniation is noted at the L2-L3 level.




Right far lateral (extraforaminal) disc bulges are noted at the L4-L5 and L5-S1 levels.

Schmorls nodes are seen in the dorso-lumbar region.

The lumbar intervertebral discs except at the L5-S1 level show loss of water content.

The rest of the lumbar facet joints show mild degenerative changes.

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 :

14.0 mm at L1-L2
13.0 mm at L2-L3
11.0 mm at L3-L4
6.0 mm at L4-L5
8.0 mm at L5-S1.

IMPRESSION :

1. A posterior disc herniation, more to the left at the L4-L5 level with degenerative changes of the L4-L5 facet joints.

2. A posterior and a right far lateral (extraforaminal) disc herniation at the L3-L4 level.

3. A small left postero-lateral (foraminal) disc herniation at the L2-L3 level.





Sunday, 27 December 2015 16:48

11801

Written by
hs/ke
Date : 00.00.00

Name of the Patient : Abc Xyzmal H. Hilmn / M / 57 yrs.
Referred by : Dr. Abc Xyzdhani.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE 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 :

The L5 vertebra appears to be as marked on the film. Please correlate with plain radiographs.

There is scoliosis of the lumbar spine with convexity to the left.

There is mild retroplacement of the L3 over the L4 and L4 over the L5 vertebrae.

Posterior disc herniations with peridiscal osteophytes are seen to indent the thecal sac and narrow both neural foramina at the L3-L4 and L4-L5 levels. Also seen are bilateral far lateral (extraforaminal) disc herniations at these levels.

A small posterior disc herniation with peridiscal osteophytes is seen to indent the thecal sac and narrow both neural foramina at the L2-L3 level. Also seen is a small postero-central disc herniation at the L1-L2 level. There are posterior disc bulges at the D11-D12 and D12-L1 levels.


Left far lateral (extraforaminal) disc herniations are seen to indent the extraforaminal portion of the exiting left D12 and L1 nerve roots at the D12-L1 and L1-L2 levels, respectively.

The L3-L4 and L4-L5 facet joints show hypertrophic degenerative changes. Also seen is ligamentum flavum hypertrophy with resultant canal stenosis at these levels.

Bilateral far lateral (extraforaminal) disc bulges are noted at the L1-L2 and L2-L3 levels.

There are anterior disc herniations with peridiscal osteophytes at the L2-L3, L3-L4 and L4-L5 levels. The lumbar intervertebral discs show loss of water content. The lumbar vertebral bodies show areas of fatty replacement of normal marrow.

The remaining 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 S1-S2 level.

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

11.0 mm at L1-L2

9.0 mm at L2-L3

8.0 mm at L3-L4

6.0 mm at L4-L5

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














- 3 - Scan-00001


IMPRESSION :

The MRI features are suggestive of :

1. Posterior disc herniations with peridiscal osteophytes, hypertrophic facetal arthopathy and ligamentum flavum hypertrophy with canal stenosis at the L3-L4 and L4-L5 levels.

2. Bilateral far lateral (extraforaminal) disc herniations at the L3-L4 and L4-L5 levels.

3. Left far lateral (extraforaminal) disc herniations indenting the extraforaminal portion of the exiting left D12 and L1 nerve roots at the D12-L1 and L1-L2 levels, respectively.

4. Bilateral far lateral (extraforaminal) disc bulges at the L1-L2 and L2-L3 levels.








Sunday, 27 December 2015 16:48

11800

Written by
ke/hs
Date : 00.00.00

Name of the Patient : Abc Xyz Mohlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Neck.

CLINICAL PROFILE :

C/O hyperparathyroidism with multiple bone lesions.
To look for ectopic sites of parathyroid gland.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

4 mm thick T1 Weighted and T2 Weighted (with fat saturation) coronal images.

3 mm thick T1 Weighted and STIR axial images.

OBSERVATION :

There is a well-defined lesion in the region of the inferior parathyroid gland on the right side. This lesion measures approximately 1.3 x 0.7 x 1.8 cms. This lesion is located lateral to the trachea and medial to the carotid sheath and is iso to hyperintense to muscle on the T1 Weighted images and turns heterogeneously hyperintense on the T2 Weighted and STIR images (scans 102.9, 106.11-106.14, 105.11-105.14, 103.9).

No mass lesion is seen in the region of the superior parathyroid, left inferior parathyroid and the visualized mediastinum.

The thyroid gland per se is unremarkable.

No obviously enlarged lymphnodes are evident on this scan.







The thyroid and the larynx show normal configuration and signal characteristics. The visualized bones show normal signal intensity. No obvious bone destruction is evident.

The visualized salivary glands are unremarkable.

A well-defined lesion is seen in the left mandible which is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images. Similar ill-defined area is seen in the right mandible, ? brown tumor, ?? cyst.

IMPRESSION :

The MRI features are suggestive of :

1. A mass lesion in the region of the inferior parathyroid gland on the right side measuring approximately 1.3 x 0.7 x 1.8 cms may represent a parathyroid adenoma.

2. A well-defined lesion in the mandibular region, left more than right and may represent brown tumors.

Sunday, 27 December 2015 16:48

11799

Written by
ke/hs
Date : 00.00.00

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

CLINICAL PROFILE :

C/O seizures since 1 year. On anti-epileptics.

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 Fast Scan (T2 *) coronal images.

3 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a well-defined lesion in the medial aspect of the left temporal lobe in the region of the hippocampus which measures approximately 1.5 x 1.1 x 0.8 cms. This lesion is isointense to grey matter on the T1 Weighted images and turns hypointense on the proton and T2 Weighted images and blooms on the Fast Scan (T2 *) images. There is mild indentation upon the left temporal horn. There is no surrounding edema.

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 :

The MRI features are suggestive of a lesion measuring approximately 1.5 x 1.1 x 0.8 cms in the medial aspect of the left temporal lobe in the region of the hippocampus as described.

The possibilities to be considered are :

a. Glial cell tumors like an Oligodendroglioma.

b. Hamartoma.

c. Calcified granuloma.