MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

11656

Written by
ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzidevi Palmn / F / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O paresthesias on the right side of the face since 15 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.

3 mm and 5 mm thick FLAIR coronal images.

OBSERVATION :

There is a hyperintense signal in the right postero-lateral aspect of the ponto-medullary junction on the proton, T2 Weighted and the FLAIR images. This is hypointense on the T1 Weighted images and is suggestive of an area of ischemia.

A small, bright focus on the FLAIR images is noted in the subcortical white matter in the right frontal 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. Slight prominence of the cerebellar folia is noted.

IMPRESSION :

The MRI features are suggestive of an area of ischemia in the right postero-lateral aspect of the ponto-medullary junction.
Sunday, 27 December 2015 16:48

11655

Written by
hs/sb
Date : 00.00.00

Name of the Patient : Abc XyzTibrelmn / M / 67 yrs.
Referred by : Dr. Abc Xyzra.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O stiffness of back with radiating pain to the RLE and paresthesias since 2 years which has increased since 6 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.

After administration of contrast, the following parameters were used :

5 mm thick T1 Weighted sagittal and axial images with fat saturation.

3 mm thick T1 Weighted coronal images.

OBSERVATION :

There appears to be partial sacralization of the L5 vertebra on the left side and it is as marked on the film. Please correlate with plain radiographs.

There is Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra.

A small posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. The L4-L5 facet joints show hypertrophic degenerative changes, bilaterally.
..2/.





- 2 - Scan - 00005

Mild ligamentum flavum hypertrophy is noted at the L4-L5 and L5 vertebral levels. A mild posterior disc bulge is noted at the L3-L4 level.

After contrast administration there is no enhancement along the intrathecal nerve roots in the lumbar region or within the visualized lumbar vertebral bodies or the meninges.

The L2-L3, L3-L4 and L4-L5 intervertebral discs 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 :

18.0 mm at L1-L2
19.0 mm at L2-L3
17.0 mm at L3-L4
12.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Partial sacralization of the L5 vertebra. Please correlate with plain radiographs.
2. Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra.
3. A small posterior disc herniation and hypertrophic facetal arthropathy with a tight canal at the L4-L5 level.






Sunday, 27 December 2015 16:48

11654

Written by
ke/sb
Date : 00.00.00

Name of the Patient : Abc XyzMilmn / F / 50 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 1 year.

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 postero-central disc herniation at the L4-L5 level with anterior indentation of the thecal sac and mild bilateral neural foraminal narrowing. There is resultant canal stenosis. Small disc portion is seen to migrate inferiorly.

There is a small postero-central disc herniation at the L5-S1 level with mild indentation upon the S1 nerve roots bilaterally.

Small postero-central disc herniation is seen at the L3-L4 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.
.2/.




00004

- 2 -


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 :

16.0 mm at L1-L2

16.0 mm at L2-L3

12.0 mm at L3-L4

7.0 mm at L4-L5

7.0 mm at L5-S1.

Multiple paraaortic, interaorticocaval and retrocaval lymphnodes are noted.

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc herniation at the L4-L5 level with resultant canal stenosis.

2. A small postero-central disc herniation at the L5-S1 level with mild indentation upon the S1 nerve roots bilaterally.

3. Small postero-central disc herniation at the L3-L4 level.

4. Multiple paraaortic, interaorticocaval and retrocaval lymphnodes noted.


Sunday, 27 December 2015 16:48

11653

Written by
ke/hs
can No : 00003 Date : 00.00.00

Name of the Patient : Abc XyzMlmn / M / 28 yrs.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches since 6 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 :

Few small bright foci on the FLAIR images are seen in the right frontal lobe.

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 ethmoidal air cells on the right side and deviation of the nasal septum to the right.

IMPRESSION :

The MRI features are suggestive of few foci of altered signal in the right frontal lobe and are of undetermined etiology (? related to migraine).

Sunday, 27 December 2015 16:48

11652

Written by
ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzllah Chaudlmn / M / 50 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (right more than left) with paresthesias since 2 years.
H/O fall.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm and 8 mm thick T2 Weighted axial images.

OBSERVATION :

The dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L2 level.

The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and 5 mm thick T2 Weighted axial images. There is a posterior and right postero-lateral disc herniation at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing, right more than left. There is indentation upon the foraminal and extraforaminal portion of the right L4 nerve root. A small portion of the disc is seen to lie in the right lateral recess of L5 vertebra with impingement of the right L5 nerve root.
.2/.








- 2 - Scan - 00002


There is a posterior and left postero-lateral disc herniation at the L5-S1 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing, left more than right.
There is indentation upon the foraminal and extraforaminal portion of the left L5 nerve root. There is suggestion of inflammation of left L5 nerve root.

A small postero-central disc herniation is seen at the L1-L2 level with mild superior migration of the disc.

The lumbar facet joints show mild degenerative changes.

IMPRESSION :

1. No significant abnormality is detected within the dorsal spine.

2. A posterior and right postero-lateral disc herniation at the L4-L5 level with indentation upon the foraminal and extraforaminal portion of the right L4 nerve root. A small portion of the disc is seen to lie in the right lateral recess of L5 vertebra with impingement of the right L5 nerve root.

3. A posterior and left postero-lateral disc herniation at the L5-S1 level with indentation upon the foraminal and extraforaminal portion of the left L5 nerve root.

4. A small postero-central disc herniation at the L1-L2 level with mild superior migration of the disc.

5. Mild facetal arthropathy in the lumbar region.




Sunday, 27 December 2015 16:48

11651

Written by
ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzumar Slmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O gradually progressive wasting of the RUE with weak grip since 3 years.
H/O fall prior to this.
EMG s/o anterior horn cell disorder in bilateral C8, T1 and right C7 segment.

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 appears to be slight reduction in the antero-posterior dimension of the spinal cord over the C5 to the C7 levels with loss of normal ventral bulge, more so on the left side.
However there is no altered signal intensity seen in the spinal cord.

Small posterior disc bulges with peridiscal osteophytes are noted at the C4-C5, C5-C6 and C6-C7 levels.

The C5-C6 and C6-C7 intervertebral discs show loss of water content.

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

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




00001

- 2 -


IMPRESSION :

1. Slight reduction in the antero-posterior dimension of the spinal cord over the C5 to the C7 levels with loss of normal ventral bulge, more so on the left side is suggestive of anterior horn cell disease (motor neurone disease).

2. Small posterior disc bulges with peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels.

Sunday, 27 December 2015 16:48

11650

Written by
Date : 00.00.00

Name of the Patient : Abc XyzHusain Olmn / M / 28 yrs.
Referred by : Dr. Abc Xyzurya.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches and occasional giddiness since several 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 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.

Inflammatory changes are noted in the left maxillary antrum.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

11649

Written by
ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzata Rasglmn / F / 40 yrs.
Referred by : Dr. Abc Xyznawane.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 1 month.

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 mild retrolisthesis of the L5 over S1 vertebra.

A posterior and right postero-lateral disc herniation is seen at the L5-S1 level with anterior indentation of the thecal sac and right S1 nerve root and right neural foraminal narrowing. There is suggestion of the right S1 nerve root being inflammed. This disc shows loss of water content.

A small posterior disc bulge is noted at the L4-L5 level.

The lower lumbar facet joints show mild degenerative changes.

Type II degenerative changes are noted in the L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc.

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.
..2/.




00009


- 2 -

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 :

18.0 mm at L1-L2

19.0 mm at L2-L3

19.0 mm at L3-L4

15.0 mm at L4-L5

10.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Mild retrolisthesis of the L5 over S1 vertebra.

2. A posterior and right postero-lateral disc herniation at the L5-S1 level with indentation on the the right S1 nerve root, which is probably inflammed.

3. A small posterior disc bulge at the L4-L5 level.


Sunday, 27 December 2015 16:48

11648

Written by
Date : 00.00.00

Name of the Patient : Abc Xyz Hassan Muthlmn / F / 5 yrs.
Referred by : Dr. Abc Xyzraf.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Born of consanguineous marriage. Right sided seizures since 8 months. Difficulty in speech.

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 T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There is no focal area of abnormal signal intensity within the brain parenchyma. (Diffuse, hyperintense signal on the T2 Weighted images in the posterior parietal periventricular white matter bilaterally, most likely represents areas of terminal myelination).

There is prominence of the cerebellar folia bilaterally with mild dilatation of the fourth ventricle. Mild fullness of both the lateral ventricles is noted. 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.

The hippocampal complex is unremarkable on either side.

IMPRESSION :

Prominent cerebellar folia with mild dilatation of the fourth ventricle suggests cerebellar atrophy.


Sunday, 27 December 2015 16:48

11647

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyz Falmn / M / 20 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O headaches and vomiting preceded by blurring of vision on the left side since 7 years - Left hemianopic migraine.

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.

The superior surface of the pituitary is convex ? cause ? normal.

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.



- 2 -


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.