MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

11671

Written by
ke/hs
Date : 00.00.00

Name of the Patient : Abc Xyzl S. lmn / F / 23 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with tingling and fever since 2 1/2 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 :

The L5 vertebra appears to be as marked on the film.

There is destruction of the S1 vertebral body with slight forward subluxation of the S1 vertebra over the S2 vertebra. There is replacement of the normal marrow of the S1 and S2 vertebral bodies as well as the sacral ala bilaterally by hypointense signal on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The S1-S2 intervertebral disc is involved with breach of the adjacent S1-S2 cortical endplates. There is pre and paravertebral soft tissue extension over the L5 to S2 levels. There is involvement of the psoas muscles over the L4 to S2 levels atleast, bilaterally, left more than right (which show an intermediate signal on the T1 Weighted images and turn hyperintense on the T2 Weighted images suggestive of abscess formation). There is anterior epidural extension at the S1 and S2 levels with compression upon the thecal sac. Slight encroachment into the L5-S1 nerual foramina is noted. There is a suggestion of involvement of the ilio-psoas muscles.
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- 2 -

Subtle similar altered signal is also noted in the L4 and L5 vertebral bodies.

The L3-L4 intervertebral disc shows loss of water content.

The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. ]

The conus medullaris terminates at the L1-L2 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 :

15.0 mm at L1-L2

15.0 mm at L2-L3

18.0 mm at L3-L4

14.0 mm at L4-L5

17.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of altered signal of the S1 and S2 vertebrae with soft tissue extensions as described is most likely due to a granulomatous infective process like tuberculosis.

The possibility of this being a neoplastic process is less likely.
Sunday, 27 December 2015 16:48

11670

Written by
ke/hs
w Date : 00.00.00

Name of the Patient : Abc Xyzp Klmn / M / 45 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 1 week.

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 appears to be sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film. Please correlate with plain radiographs.

There is reduction in height and loss of water content of the L4-L5 intervertebral disc. The remaining lumbar intervertebral discs show slight loss of water content.

A posterior disc herniation with peridiscal osteophytes is noted at the L4-L5 level with anterior indentation upon the thecal sac. Bilateral far lateral (extraforaminal) disc herniations are also seen at this level. The L4-L5 facet joints show degenerative changes with ligamentum flavum hypertrophy at the L4-L5/L5 levels.

Small posterior peridiscal osteophytes are noted at the L3-L4 level.

Schmorls nodes are seen at the superior and inferior aspect of the D12 vertebral body.
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The lumbar vertebral bodies 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 S1 level.

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

20.0 mm at L1-L2

20.0 mm at L2-L3

15.0 mm at L3-L4

11.0 mm at L4-L5

9.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Sacralization of the L5 vertebra.

2. A posterior disc herniation with peridiscal osteophytes at the L4-L5 level with facetal arthropathy at this level.

3. Ligamentum flavum hypertrophy at the L4-L5/L5 levels.

4. Bilateral far lateral (extraforaminal) disc herniations at the L4-L5 level.


Sunday, 27 December 2015 16:48

11669

Written by
ke/hs
Date : 00.00.00

Name of the Patient : Abc Xyzhlmn / F / 63 yrs.
Referred by : Dr. Abc Xyzlaji.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 11 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 posterior disc herniation at the L5-S1 level with anterior indentation of the thecal sac and upon the traversing S1 nerve roots bilaterally, right more than left.

The lumbar intervertebral discs show loss of water content.

Diffuse fatty changes are seen within the lumbar vertebral bodies suggestive of osteoporosis. A hypointense area is seen within the L5 vertebral body on all the pulse sequences and which may represent sclerosis/fibrotic changes.

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 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

17.0 mm at L2-L3

13.0 mm at L3-L4

11.0 mm at L4-L5

11.0 mm at L5-S1.

The hip joints were screened with 7 mm thick T1 Weighted axial and 5 mm thick STIR coronal images and do not reveal any diagnostic feature of note.

IMPRESSION :

The MRI features are suggestive of a posterior disc herniation at the L5-S1 level with indentation upon the traversing S1 nerve roots bilaterally, right more than left.
Sunday, 27 December 2015 16:48

11668

Written by
sb/hs
Date : 00.00.00

Name of the Patient : Abc XyzBhattlmn / F / 28 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the left hip since 2 years.

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 axial images.

5 mm thick Proton density sagittal images.

OBSERVATION :

There is a well-marginated, hypointense signal on all the pulse sequences in the superior quadrant of the femoral heads on either side This lesion remains hypointense on all the pulse sequences. Focal hyperintense signal on the T2 Weighted and STIR images within this lesion may suggest cystic changes.

Slight flattening of the left femoral head is noted. Femoral herniation pits are noted on the left side. The right femoral head is slightly irregularly defined.

IMPRESSION :

The MRI features are suggestive of Class D avascular necrosis in the superior quadrant of the femoral heads on either side.


Sunday, 27 December 2015 16:48

11666

Written by
hs/sb
/67 Date : 00.00.00

Name of the Patient : Abc Xyzblmn / F / 35 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the LUE since 3-4 months.

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 :

A large postero-central disc herniation, more to the left of the midline is seen to compress upon the spinal cord and indent the left C7 nerve root at the C6-C7 level.

Postero-central disc herniations are seen to indent the cord at the C4-C5 and C5-C6 levels.

The cervical intervertebral discs show loss of water content.

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.




- 2 ­- Scan - 00006/67


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

The dorsal spine was screened with 5 mm thick T2 Weighted sagittal images and shows facetal hypertrophy at the D10-D11 level, more on the left.

IMPRESSION :

The MRI features are suggestive of :

1. A large postero-central disc herniation, more to the left of the midline at the C6-C7 level, indenting the left C7 nerve root.

2. Postero-central disc herniations at the C4-C5 and C5-C6 levels.
Sunday, 27 December 2015 16:48

11665

Written by
hs/sb
Date : 00.00.00

Name of the Patient : Abc Xyzi lmn / F / 43 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 00.00.00.
H/O fall prior to this.

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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra. Type II degenerative changes are seen within the L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc. The L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.

A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina with indentation upon the exiting L5 nerve roots at the L5-S1 level. The L5-S1 facet joints show hypertrophic degenerative changes, bilaterally.

There is a probable break of the pars interarticularis of the L5 vertebra bilaterally.

Small postero-central disc herniations are seen to indent the thecal sac at the L3-L4 and L4-L5 levels.

- 2 - Scan - 00005


The rest of 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 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 :

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

IMPRESSION :

The MRI features are suggestive of :

1. Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with probable spondylolysis of the L5 vertebra.

2. A posterior disc herniation with hypertrophic facetal arthropathy at the L5-S1 level.

3. Small postero-central disc herniations at the L3-L4 and L4-L5 levels.






Sunday, 27 December 2015 16:48

11664

Written by
ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzang Slmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O left sided hemiparesis on 00.00.00.

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 :

Hyperintense areas on the T2 Weighted images in the right corona radiata, centrum semiovale and the periatrial deep white matter would represent areas of ischemia.

Areas which are isointense to CSF are seen in the left parieto-occipital region and the right frontal region and would represent areas of cystic encephalomalacia.

Small bright foci are noted on the T2 Weighted images in the frontal deep white matter bilaterally and in the left centrum semiovale.

There is mild dilatation of both the lateral ventricles. There is slight prominence of the cerebral cortical sulcal spaces in the fronto-parietal regions and the cerebellar folia bilaterally.

The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Scan - 00004


INTRACRANIAL MRA :

There is non-visualization of the petrous, cavernous and supraclinoid portion of the internal carotid artery on the right side. The anterior cerebral, middle cerebral and left internal carotid artery show normal signal, calibre and wall margins.

There appears to be slight paucity of the right MCA branches.

The basilar artery appears slightly prominent. Right vertebral artery is hypoplastic.

The visualized left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

NECK MRA :

The internal carotid artery on the right side from the level of the common carotid bifurcation is not visualized. The right external and common carotid artery are unremarkable.

The left common carotid artery is visualized for about 2.2 cms from its origin. Collateral vessels are seen on the left side of the neck, which form the left internal carotid artery in the neck, distal to its bifurcation. The left external carotid artery is not visualized. Origin of left subclavian artery is also not identified.

IMPRESSION :

1. Altered signal in the right corona radiata, centrum semiovale and the periatrial deep white matter would represent areas of ischemia.
..3/.








00004
- 3 -

2. Areas of cystic encephalomalacia in the left parieto- occipital region and in the right frontal region.

3. Small bright foci in the frontal deep white matter bilaterally and in the left centrum semiovale would represent ishcemic foci.

4. Non visualization of the internal carotid artery on the right side from the level of the common carotid bifurcation.

5. Visualization of the proximal 2.2 cms stump of the left common carotid artery with collateral vessels forming the left internal carotid artery. The left external carotid artery is not visualized.

6. Non-visualization of the origin of the left subclavian artery.
Sunday, 27 December 2015 16:48

11663

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzelmn / M / 31 yrs.
Referred by : Dr. Abc Xyzddiqui.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 4 days.

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 L4-L5 and L5-S1 intervertebral discs.

There is a fairly large, postero-central and right paracentral extruded disc at the L5-S1 level indenting the traversing right S1 nerve root. A sequestered disc fragment is noted in the right lateral recess of S1. Bilateral far lateral disc herniations are also noted at this level with indentation upon the extraforaminal portion of the exiting L5 nerve roots at this level.

A postero-central and left paracentral disc herniation is noted at the L4-L5 level with slight left neural foraminal narrowing.

Posterior peridiscal osteophytes are noted at the L4-L5 and L5-S1 levels.

Type II degenerative marrow changes are noted adjacent to the L5-S1 disc. The L5-S1 facet joints show degenerative changes.
Scan - 00003


The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of
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 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
16.0 mm at L2-L3
16.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. A fairly large, postero-central and right paracentral extruded disc at the L5-S1 level indenting the traversing right S1 nerve root. A sequestered disc fragment is noted in the right lateral recess of S1.

2. A postero-central and left paracentral disc herniation at the L4-L5 level.

3. Posterior peridiscal osteophytes at the L4-L5 and L5-S1 levels.

4. Bilateral far lateral (extraforaminal) disc herniations at the L5-S1 level.

5. Facetal arthropathy at the L5-S1 level.



Sunday, 27 December 2015 16:48

11662

Written by
sb/hs
Date : 00.00.00

Name of the Patient : Abc Xyz Shlmn / M / 50 yrs.
Referred by : Dr. Abc Xyzs.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O gait imbalance with inability to concentrate and recognize objects on the right side.

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 an ill-defined, hyperintense area on the T2 Weighted images in the left parieto-occipital lobe. This lesion appears hypointense on the T1 Weighted images and represents an area of cystic encephalomalacia, most likely the sequelae of a previous vascular insult. Resultant mild dilatation of the atrium and occipital horn of the left lateral ventricle is noted.

Ill-defined, hyperintense areas on the T2 Weighted images are noted in the periventricular white matter bilaterally and in the corona radiata, centrum semiovale and subcortical white matter in the fronto-parietal regions bilaterally. These also most likely represent ischemic changes.

A lacunar infarct is noted in the right periatrial region.

There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no midline shift.
Scan - 00002


An antro-choanal polyp is noted on the right side. A polyp is also noted in the left maxillary antrum.

Incidentally noted is an empty sella.

The basal cisternal spaces are unremarkable.

INTRACRANIAL MRA :

The right vertebral artery appears hypoplastic. The posterior cerebral arteries are slightly attenuated, bilaterally.

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

NECK MRA :

The common carotid arteries and its bifurcation and branches bilaterally are unremarkable.

IMPRESSION :

1. An area of cystic encephalomalacia in the left parieto- occipital region, the sequelae of previous vascular insult.

2. Altered signal in the periventricular white matter and in the corona radiata, centrum semiovale and in the subcortical white matter in the fronto-parietal regions bilaterally, most likely represents ischemic changes.

3. Hypoplastic right vertebral artery with attenuated posterior cerebral arteries bilaterally.

4. Right sided antro-choanal polyp.



Sunday, 27 December 2015 16:48

11661

Written by
sb/hs
Date : 00.00.00

Name of the Patient : Abc Xyz J. Nalmn / M / 36 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O involuntary movements of the right half of the body since 4 years.

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 *) and FLAIR coronal images.

OBSERVATION :

Small bright foci on the T2 Weighted and FLAIR images are noted in the subcortical white matter in the right frontal region and in the left posterior parietal region.

Prominent perivascular spaces are noted in the posterior parietal region.

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 right maxillary sinus, frontal sinus and ethmoidal air cells on the right.

IMPRESSION :

Altered signal in the subcortical white matter in the right frontal and in the left posterior parietal region is of undetermined etiology (? ischemic).