MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

11778

Written by
sb/hs
Date : 00.00.00

Name of the Patient : Abc Xyz Velmn / F / 64 yrs.
Referred by : Dr. Abc Xyzvade.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O low backpain with radiation to BLE and paresthesias since 3 1/2 months. Known C/O diabetic nephropathy, on renal dialysis.
EMG s/o sensory-motor peripheral neuropathy in the lower limbs.

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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is loss of water content of the D11-D12, L3-L4 and L2-L3 intervertebral discs.

Small, posterior disc bulges are noted at the L3-L4, L4-L5 and L5-S1 levels.

Slight facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 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 L2 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 :

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

IMPRESSION :

1. Small posterior disc bulges at the L3-L4, L4-L5 and L5-S1 levels.

2. Slight facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels with a tight canal at the L3-L4 and L4-L5 levels.








Sunday, 27 December 2015 16:48

11776

Written by
ke/sb
/77 Date : 00.00.00

Name of the Patient : Abc XyzDeshplmn / M / 30 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

H/O fall on 00.00.00 with twist of the LLE.
C/O pain in the left hip region and inner thigh since then.

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 (with fat saturation) axial images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is evidence of a fracture through the neck of the left femur.

Ill-defined, hypointense areas are seen within the marrow of the neck and the upper shaft of the left femur on the T1 Weighted images which are seen to turn heterogeneously hyperintense on the T2 Weighted and STIR images. The adjacent soft tissue also shows subtle hyperintense signal on the STIR images. Relative sparing of the head of the left femur is noted. Effusion is seen within the left hip joint.








There is involvement of the left iliopsoas, obturator externus and the quadratus femoris muscles which appear hyperintense on the T2 Weighted images. The muscles around the left hip joint appear atrophied as compared to the right. The left acetabulum is unremarkable.

The right femoral head and the acetabulum reveal normal signal intensity. The articular cartilages are unremarkable. There is no effusion within right hip joint.

IMPRESSION :

1. Fracture neck of the left femur, most likely a pathological fracture.

2. Altered signal within the neck and upper shaft of the left femur is not specific fot a single etiology. A neoplasm like a round cell tumor is a likely possibility. An infective pathology seems less likely. The possibility of the marrow changes representing only post fracture bone edema is also less likely.

3. Effusion within the left hip joint.


Sunday, 27 December 2015 16:48

11775

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc XyzAlmn / M / 26 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Left Knee Joint.

CLINICAL PROFILE :

C/O pain in the left knee joint in November 0000.
No complaints at present.

EXAMINATION :

M.R.I of the left knee joint was performed using the following parameters :

4 mm thick T1 Weighted, proton and GRASS sagittal images.

4 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick GRASS axial images.

OBSERVATION :

Menisci

There is a linear hyperintense signal on all the pulse sequences in the posterior horns of the medial and lateral menisci bilaterally, not reaching upto the articular margin. This represents Grade II meniscal signal (meniscal degeneration).

The anterior horns of the lateral and medial menisci reveal normal configuration and signal characteristics.

Cruciate Ligaments :

The anterior and posterior cruciate ligaments show normal contour and signal characteristics.
Scan-00005



Collateral Ligaments and the Patellar Tendon :

The medial and lateral collateral ligaments and the patellar tendon are normal.

Hoffas Fat Pad :

The Hoffas fat pad is normal.

Articular cartilage and bones :

The articular cartilage overlying the patella, tibia and femur appears normal.

Minimal fluid is noted in the left knee joint.

IMPRESSION :

1. Grade II meniscal signal (meniscal degeneration) in the posterior horns of the lateral and medial menisci bilaterally.

2. Minimal left knee joint effusion.

No previous films were available for comparison.


Sunday, 27 December 2015 16:48

11774

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzed Yunus Shlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since many 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 lower dorsal and the L3-L4, L4-L5 and L5-S1 intervertebral discs.

There is a fairly large, left paracentral and left postero-lateral disc herniation at the L5-S1 level with left neural foraminal narrowing and indentation on the traversing left S1 nerve root. A posterior peridiscal osteophyte is also noted at this level.

A posteriorly herniated disc with a posterior peridiscal osteophyte is noted at the L4-L5 level slightly more to the right of the midline. Resultant thecal sac compression and minimal indentation on the traversing right L5 nerve root is noted.







A small posterior disc bulge is noted at the L3-L4 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. Slight hypertrophy of the L4-L5 facet joints is noted. 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 :

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

IMPRESSION :

1. A fairly large, left paracentral and left postero-lateral disc herniation with peridiscal osteophyte at the L5-S1 level with left neural foraminal narrowing and indentation on the traversing left S1 nerve root.

2. A posteriorly herniated disc with a posterior peridiscal osteophyte at the L4-L5 level, slightly more to the right of the midline with minimal indentation on the traversing right L5 nerve root.

3. Slight facetal hypertrophy at the L4-L5 level with a tight canal at that level.









Sunday, 27 December 2015 16:48

11773

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc XyzJ. Palmn / F / 57 yrs.
Referred by : Dr. Abc Xyzdi / Dr. Abc Xyzedia.
Examination : M.R.I. of the Abdominal Wall.

CLINICAL PROFILE :

H/O Laproscopic cholecystectomy for gall stones done in November 0000.
C/O discharging sinus from the operative site since December 0000.
Known hypertensive.

EXAMINATION :

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

8 mm thick T1 Weighted, T2 Weighted and STIR axial images.

6 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is an ill-defined, hypointense signal on the T1 Weighted images in the anterior abdominal wall on the right, laterally, just proximal to the right iliac crest, approximately 6.0 cms proximal to the anterior superior iliac spine. This lesion appears hyperintense on the T2 Weighted and STIR images. The lesion is limited to the subcutaneous fat of the abdominal wall, not reaching upto the muscle layer. The underlying muscle of the anterior abdominal wall shows normal signal intensity. A linear sinus tract is noted within the above described lesion in the subcutaneous fat not extending into the anterior abdominal wall.







The visualized liver, pancreas, spleen and both adrenal glands are unremarkable.

The gall bladder is not visualized due to previous surgery.

Both kidneys are not identified in their normal positions. A kidney is seen in the pelvis and would require further evaluation.

There are no abnormally enlarged lymph nodes identified in the visualized abdomen and pelvis. There is no free fluid.

IMPRESSION :

1. Post-cholecystectomy status.

2. A sinus tract in the anterior abdominal wall on the right, anteriorly, just proximal to the iliac crest, which is limited to the subcutaneous fat of the abdominal wall. Altered signal around the sinus tract in the abdominal wall may represent inflammatory tissue.

3. Both kidneys are not visualized in their normal position.





Sunday, 27 December 2015 16:48

11771

Written by
Date : 00.00.00

Name of the Patient : Abc XyzWakchlmn / M / 63 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O twitching of the right half of the face with mild numbness.
Known hypertensive.

EXAMINATION :

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

5 mm thick T2 Weighted axial images.

5 mm thick T1 Weighted sagittal images.

3 mm thick T1 Weighted coronal images.

MR cisternogram was obtained in the coronal plane.

A limited MR angio sequence was obtained through the brainstem.

OBSERVATION :

There is an ill-defined, hyperintense signal on the T2 Weighted images in the right fronto-temporo-parietal region. This lesion follows CSF signal on all the pulse sequences and represents an area of cystic encephalomalacia. Resultant volume loss is noted, with mild dilatation of the right lateral ventricle.

The left lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. There is no shift of the midline structures.






The seventh and eighth cranial nerve complexes and the trigeminal nerves on either side are unremarkable. A vascular twig is noted at the root exit zone of the right seventh and eighth cranial nerve complex and at the root entry zone of the right trigeminal nerve without deforming the same.

IMPRESSION :

1. An area of cystic encephalomalacia in the right fronto-temporo-parietal region, most likely the sequelae of a previous vascular insult.

2. A vascular twig at the root exit zone of the right seventh and eighth cranial nerve complex and at the root entry zone of the right trigeminal nerve without deforming the same.


Sunday, 27 December 2015 16:48

11770

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzra Aslmn / M / 42 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Orbits.

CLINICAL PROFILE :

Operated for pseudotumor (HP confirmed in New York) in the left retrobulbar region and along the left optic nerve on 00.00.00.
At present, no vision in the left eye. Left seventh nerve paresis. No other complaints at present.

EXAMINATION :

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

3 mm thick T1 Weighted and STIR coronal and axial images.

The brain was scanned with 5 mm thick T2 Weighted axial images and 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

The left optic nerve is probably atrophied and shows a hyperintense signal on the STIR images. There is no obvious mass lesion identified in the suprasellar cistern, cavernous sinuses, perichiasmatic region or in the left orbit. The left orbital fat shows normal signal. The left intraorbital muscles are unremarkable.

The visualized right orbit and right optic nerve are unremarkable.










Mucosal thickening is noted in the maxillary sinuses and the ethmoidal air cells. The right inferior nasal turbinate is hypertrophied.

The pituitary gland and the pituitary stalk are also unremarkable.

Screening images of the brain reveal a susceptibility artifact in the left frontal region, most likely the sequelae of a previous surgery. Prominence of the sulcal spaces in the left anterior temporal region is also noted, ? the sequelae of previous surgery.

The ventricular system and the basal cisterns are unremarkable. There is no midline shift.

IMPRESSION :

1. Post-operative status.

2. Left optic atrophy.

3. No obvious mass lesion is identified in the left orbit or in the cavernous sinuses/suprasellar region on this study.

Sunday, 27 December 2015 16:48

11768

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzh Sundlmn / M / 37 yrs.
Referred by : Dr. Abc Xyz.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O low back pain radiating to BLE, right more than left, since 0000.

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.

There is Grade I spondylolisthesis of the L5 over the S1 vertebra, with spondylolysis at the L5, bilaterally. A resultant pseudoposterior disc bulge is noted at the L5-S1 level. There is compromise of the neural foramen, bilaterally, with impingement of the left L5 nerve root in the left neural foramen at the L5-S1 level.

Slight facetal hypertrophy is noted at the L4-L5 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 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 :

21.0 mm at L1-L2

20.0 mm at L2-L3

20.0 mm at L3-L4

15.0 mm at L4-L5

16.0 mm at L5-S1.

Screening, T2 Weighted sagittal images of the cervical spine reveal posterior peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels, the largest one being at the C6-C7 level.

IMPRESSION :

1. Grade I spondylolisthesis of the L5 over the S1 vertebra with spondylolysis at L5, bilaterally.

2. A pseudoposterior disc bulge at the L5-S1 level.

3. Compromise of the neural foramen at the L5-S1 level, bilaterally with impingement of the left L5 nerve root in the left neural foramen at the L5-S1 level.







Sunday, 27 December 2015 16:48

11767

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyz. Kachlmn / F / 36 yrs.
Referred by : Dr. Abc Xyzhankar / Dr. Abc Xyzaria.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided headaches, off and on since 0000. Recently continuous since 10 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.

5 mm thick T1 Weighted sagittal 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.

Mucosal thickening is noted in the left maxillary antrum.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

11766

Written by
sb/ke
/69 Date : 00.00.00

Name of the Patient : Abc Xyzani Machilmn / M / 62 yrs.
Referred by : Dr. Abc Xyzlkaka / Dr. Abc Xyzpariwala.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O right hemiparesis 2 days back.
Known hypertensive.

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 :

Small bright foci on the T2 Weighted images in the right cerebral peduncle, lentiform nucleii and posterior parietal periventricular white matter bilaterally, most likely represent prominent perivascular spaces.

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 slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures.

Mucosal thickening is noted in the maxillary antra bilaterally and ethmoidal air cells.










INTRACRANIAL MRA :

The left vertebral artery is hypoplastic. Ectasia of the vertebro-basilar system is noted.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, right vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

NECK MRA :

The left vertebral artery in the neck is also hypoplastic.

A plaque is seen in the right internal carotid artery after its bifurcation along the posterior wall.

The common carotid arteries and the left bifurcation is unremarkable. Tortuousity of the internal carotid arteries in the neck is noted, bilaterally. There is no stenosis of the vessels noted.

IMPRESSION :

1. Ectatic vertebro-basilar system and internal carotid arteries in the neck.

2. Plaque along the posterior wall of the right internal carotid artery at its bifurcation.

3. Mild age related cerebral cortical atrophy.