MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

11731

Written by
ke/sb
Date : 00.00.00

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

CLINICAL PROFILE :

H/O giddiness with fall on the right side 2 weeks 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.

OBSERVATION :

There is a small bright focus in the right postero-parietal deep white matter on the FLAIR images which would represent an ischemic focus.

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 polyp and mild inflammatory changes in the ethmoidal air cells.

IMPRESSION :

The MRI features are suggestive of altered signal in the right postero-parietal deep white matter which would represent an ischemic focus.


Sunday, 27 December 2015 16:48

11730

Written by
ke/sb
Date : 00.00.00

Name of the Patient : Abc XyzRiyaz Shlmn / M / 24 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyz Shah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain since 1 year.

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 are small posterior disc bulges at the C5-C6 and C6-C7 levels with anterior indentation of the thecal sac. The C5-C6 intervertebral disc shows slight loss of water content.

The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The tissues are unremarkable.

The cjoints of Luschka and the visualized pre and paravertebral soft ervical spinal cord reveals normal signal intensity.

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

IMPRESSION :

The MRI features are suggestive of small posterior disc bulges at the C5-C6 and C6-C7 levels.
Sunday, 27 December 2015 16:48

11729

Written by
sb/ke
/32 Date : 00.00.00

Name of the Patient : Abc Xyz N. lmn / F / 55 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

H/O fall with loss of sensation waist downwards and bladder/bowel involvement since 15 days.

EXAMINATION :

M.R.I of the cervico-dorsal 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 near complete collapse of the D2 vertebral body. The D1, D2 and D3 vertebral bodies appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. The D2-D3 intervertebral disc appears hyperintense on the T2 Weighted images. Involvement of the spinous processes of the D2 and D3 vertebrae is also noted.

There is a fairly large prevertebral and right paravertebral intermediate signal intensity soft tissue lesion on the T1 Weighted images extending over C6 to D4 vertebral levels. This lesion appears heterogenously hyperintense on the T2 Weighted images. Resultant anterior displacement of the trachea is noted. There is also extension of the soft tissue lesion into the anterior and right lateral epidural space over C6-C7 to D4 vertebral levels, with cord compression and posterior displacement of the cord. The upper dorsal spinal cord over D1 to D4 vertebral levels shows a hyperintense signal on the T2 Weighted images which suggests cord edema/ischemia.
00009
- 2 -


The D4 vertebral body shows altered signal along its right lateral margin.

The rest of the visualized cervico-dorsal vertebral bodies show spotty fatty marrow changes. The D5, D6, D7 and D8 vertebral bodies appears slightly wedged, centrally.

The facet joints are unremarkable.

Screening T1 Weighted sagittal images of the dorso-lumbar spine reveal a hypointense signal involving the L3 vertebral body.

IMPRESSION :

Near complete collapse of D2 vertebral body with altered signal of the D1 to D3 vertebral bodies and the D2-D3 intervertebral disc suggests osteitis with discitis, most likely tuberculous in etiology. Prevertebral, right paravertebral and anterior epidural soft tissue lesion as described may represent granulation tissue/abscess. There is cord compression and cord signal alteration over D1 to D4 vertebral levels which suggests cord edema/ischemia.

The D4 and L3 vertebrae also show altered signal as described.

The possibility of the above described lesion representing a neoplasm seems less likely.

Slight central wedging of the D5 to D8 vertebral bodies as described may be due to osteoporosis.


Sunday, 27 December 2015 16:48

11728

Written by
hs/bv
Date : 00.00.00

Name of the Patient : Abc Xyz Klmn / M / 46 yrs.
Referred by : Dr. Abc Xyzla.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with diplopia since 1 month.
C/O 1 episode of seizure in June 0000.

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 T2 Weighted coronal images.

OBSERVATION :

There are areas which are iso to hyperintense to CSF on all the pulse sequences within the head of the caudate nucleus and anterior aspect of the lentiform nucleus on the left side and the left posterior parietal lobe. These would most likely represent lacunar infarcts.

Hyperintense signal is identified in the left posterior parietal lobe on the FLAIR sequences which would represent gliotic changes (scans 106.1-3)

There is a decrease in the volume of the right hippocampus (head and body) and it shows a subtle hyperintense signal on the T2 Weighted images. The right temporal horn is dilated.

There is mild fullness of the fourth and both the lateral ventricles.

There is prominence of the cerebellar folia and cerebral cortical sulci bilaterally.
00008
- 2 -

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 :

1. Lacunar infarcts within the head of the caudate nucleus and anterior aspect of the lentiform nucleus on the left side and the left posterior parietal lobe.

2. Gliotic changes in the right posterior parietal lobe.

3. Hippocampal sclerosis on the right side.


Sunday, 27 December 2015 16:48

11727

Written by
Date : 00.00.00

Name of the Patient : Abc Xyzta Palmn / F / 52 yrs.
Referred by : Dr. Abc Xyzlwalkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias 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 partial sacralization of the L5 vertebra.

The L5 vertebra is as marked on the film.

The L3-L4 and L4-L5 intervertebral discs show loss of water content.

There is retroplacement of the L3 over the L4 vertebra.

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. Bilateral far lateral (extraforaminal) disc bulges are seen at these levels.

A postero-central disc protrusion is seen to indent the thecal sac at the L2-L3 level.



Type II degenerative changes are noted within the L3, L4 and L5 vertebral bodies adjacent to the L2-L3, L3-L4 and L4-L5 intervertebral discs. A focal hyperintensity on all the pulse sequences is seen within the D11 and D12 vertebral bodies ? hemangioma with high fat content.

An anterior disc herniation is noted at the L3-L4 level.

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 :

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

IMPRESSION :

1. Partial sacralization of the L5 vertebra.

2. Posterior disc herniations with peridiscal osteophytes at the L3-L4 and L4-L5 levels with bilateral neural foraminal narrowing.








Sunday, 27 December 2015 16:48

11726

Written by
hs/sb
Date : 00.00.00

Name of the Patient : Abc Xyza Khanlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O irritability and loss of memory for half an hour, 25 days back.
Similar history next day but for 2-3 minutes.

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 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.

Incidental note is made of pansinusitis and a deviated nasal septum to the right side.

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.

Sunday, 27 December 2015 16:48

11725

Written by
hs/sb
Date : 00.00.00

Name of the Patient : Abc Xyzh Valmn / M / 55 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE.
Alleged H/O fall.

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 large postero-central disc herniation indenting the thecal sac at the L3-L4 level. A small right postero-lateral (foraminal) disc herniation is seen to indent the exiting right L3 nerve root and cause mild right neural foraminal narrowing at this level.

Postero-central disc herniations are seen to indent the thecal sac at the L4-L5 and L5-S1 levels.

A mild posterior disc bulge is noted at the L2-L3 level.

Far lateral (extraforaminal) disc bulges are noted bilaterally at the L3-L4, L4-L5 and L5-S1 levels. Also seen is mild facetal hypertrophy at these levels. The intervertebral discs at these levels show 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 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
14.0 mm at L2-L3
11.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. A large postero-central disc herniation at the L3-L4 level.

2. Postero-central disc herniations at the L4-L5 and L5-S1 levels.

As compared to the previous MRI dated 00.00.00, there is no significant change noted.






Sunday, 27 December 2015 16:48

11724

Written by
hs/bv
Date : 00.00.00

Name of the Patient : Abc Xyzana lmn / F / 72 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzagwati /
Dr. Abc Xyzmani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever, disorientation, inability to move the RLE and retention of urine.
H/O fall 1 month back with compression fracture of the D7 and D12 vertebrae.

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.

IMAGES SHOW PATIENT MOTION.

OBSERVATION :

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

There is prominence of the cerebellar folia, cerebral cortical sulci and Sylvian fissures bilaterally. There is fullness of the ventricular system.

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 within the right maxillary sinus and posterior ethmoidal air cells on the right side.

IMPRESSION :

The MRI features are suggestive of mild cerebral and cerebellar atrophy.



Sunday, 27 December 2015 16:48

11723

Written by
hs/ke
Date : 00.00.00

Name of the Patient : Abc XyzR. Motalmn / M / 77 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

H/O fall +.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

There appears to be partial fusion of the C3, C4 and C5 vertebral bodies. The cervical intervertebral discs show loss of water content. The cervical vertebral bodies show areas of fatty replacement of normal marrow.

Posterior disc herniations with peridiscal osteophytes are seen to indent the cord over the C2-C3 to C6-C7 levels. Ligamentum flavum hypertrophy is noted at the C2-C3, C5-C6 and C6-C7 levels with resultant indentation upon the dorsal aspect of the cord at these levels.

The spinal cord at the C2-C3 and C6-C7 levels shows a hyperintense signal on the T2 Weighted images and this may suggest cord edema/ischemia.







The facet joints on the right side at the C3-C4, C4-C5 and C5-C6 levels show hypertrophic degenerative changes. The joints of Luschka on the left side show degenerative changes with left neural foraminal narrowing at the C5-C6 and C6-C7 levels.

Anterior disc herniations with peridiscal osteophytes are noted over the C3-C4 to the C6-C7 level.

The rest of the joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

Intermediate signal intensity is seen around the odontoid process with slight irregularity of the lens on the T1 Weighted images. This is seen to turn heterogenously hyperintense on the T2 Weighted and Fast Scan (T2 *) images and may be due to ? pannus ? degenerative changes.

The cervico-medullary junction are unremarkable.

IMPRESSION :

The MRI features are suggestive of :

1. Partial fusion of the C3, C4 and C5 vertebral bodies.

2. Posterior disc herniations with peridiscal osteophytes over the C2-C3 to C6-C7 levels.

3. Ligamentum flavum hypertrophy at the C2-C3, C5-C6 and C6-C7 levels with severe canal stenosis.

4. Cord signal alteration at the C2-C3 and C6-C7 levels may suggest cord edema/ischemia.

5. Hypertrophic facetal arthropathy on the right side at the C3-C4, C4-C5 and C5-C6 levels.

Sunday, 27 December 2015 16:48

11722

Written by
hs/ke
Date : 00.00.00

Name of the Patient : Abc XyzR. Motalmn / M / 72 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fall +.

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.

OBSERVATION :

Susceptibility artifacts are noted.

There are multiple small bright foci on the proton and T2 Weighted images within the corona radiata and centrum semiovale bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.

Areas of similar signal intensity are seen in the periventricular white matter bilaterally.

Prominent Virchow Robin spaces are noted in the lentiform nuclei bilaterally.

There is fullness of the third and both the lateral ventricles. There is prominence of the basal cisternal spaces, cerebral cortical sulci and cerebellar folia bilaterally.







Note is made of hypointensities on the proton and T2 Weihgted images within the left globe and this may represent air, the result of trauma.

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

IMPRESSION :

1. Areas of altered signal within the corona radiata and centrum semiovale bilaterally and in the periventricular white matter bilaterally are most likely ischemic in etiology

2. Air within the left globe and this may be the result of trauma.