MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

11629

Written by
Date : 00.00.00

Name of the Patient : Abc Xyzoylmn / M / 30 yrs.
Referred by : Dr. Abc Xyzs.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

H/O accidental injury in October 0000 with quadriplegia. Treated with traction and improved partially.
C/O weakness of grip on the right side, walks with crutches, low back pain, gait imbalance, more to the left and buckling of knees since then.

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 thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is slight loss of water content of the D12-L1 intervertebral disc.

Slight ligamentum flavum/capsular ligament hypertrophy is noted at the D5-D6, D6-D7 and D7-D8 levels.

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

The visualized dorsal spinal cord appears slightly smaller in diameter, without signal intensity change. There is no cord compression.

The conus medullaris terminates at the D12-L1 level.

IMPRESSION :

1. Slight ligamentum flavum/capsular ligament hypertrophy at the D5-D6, D6-D7 and D7-D8 levels.
2. The dorsal spinal cord appears slightly small in diameter, without change in signal intensity.


Sunday, 27 December 2015 16:48

11628

Written by
sb/hs
Date : 00.00.00

Name of the Patient : Abc Xyz Mohalmn / M / 70 yrs.
Referred by : Dr. Abc Xyzarucha.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O difficulty in getting up without support since 4-5 months.
Known hypertensive.

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 an ill-defined, hypointense signal on the T1 Weighted images in the right temporo-parieto-frontal lobes and in the right lentiform nucleus and head of the right caudate nucleus. This follows CSF signal on all the pulse sequences. Areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images adjacent to this would represent gliotic changes. This lesion in toto represents an area of cystic encephalomalacia, most likely the sequelae of a previous vascular insult. Resultant mild fullness of the right lateral ventricle is noted when compared to the left.

A lacunar infarct (iso to hyperintense to CSF) is noted in the pons on the right.

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, cerebellar folia and basal cisternal spaces bilaterally.

There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
..2/.













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IMPRESSION :

1. Altered signal in the right temporo-parieto-frontal lobes and in the right lentiform nucleus and head of right caudate nucleus represents an area of cystic encephalomalacia most likely the sequelae of a previous vascular insult.

2. A lacunar infarct in the pons to the right of the midline.

3. Mild age related cerebral cortical and cerebellar atrophy.

Sunday, 27 December 2015 16:48

11627

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyz Patralmn / F / 37 yrs.
Referred by : Dr. Abc Xyzwalla.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the LUE since 2 years which has increased since 1 month with paresthesias in the LUE.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted axial images.

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

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

OBSERVATION :

There is slight loss of water content of the cervical intervertebral discs.

A hemangioma is noted in the C7 vertebral body, to the right of the midline.

The cervical vertebral bodies reveal normal signal intensity. The joints of Luschka and the pre and paravertebral soft tissues are unremarkable.

The cervical spinal cord shows normal signal intensity.

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

The left lobe of thyroid gland appears slightly larger than the right.

There is no obvious mass lesion identified at the thoracic inlet on this study.

IMPRESSION :

No significant abnormality is detected on this study.


Sunday, 27 December 2015 16:48

11626

Written by
sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyz. Almn / M / 70 yrs.
Referred by : Dr. Abc Xyznshah.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the left hip region since 1 month.

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 are well-marginated, geographical areas following fat signal characteristics on all the pulse sequences in the head of the left femur. The left femoral head shows loss of normal contour. The double line sign is well-identified. The neck of the left femur and the left acetabulum reveal an ill-defined hypointense signal on the T1 Weighted images which appears hyperintense on the T2 Weighted and STIR images. No obvious break in the cortex is noted. A small left hip joint effusion is noted. The articular cartilage overlying the left femoral head appears thinned out posteriorly. Slight atrophy of the left gluteal muscles in relation to the right is noted.

A well-marginated area following fat signal characteristics on all the pulse sequences is noted in the head of the right femur, which shows normal contour. The right femoral neck, right acetabulum and the articular cartilage overlying the right femoral head are unremarkable. There is no right hip joint effusion.

The pelvic bones and femora show spotty fatty changes suggesting osteoporosis.

IMPRESSION :

1. Class A avascular necrosis of the left femoral head with a small left hip joint effusion. Altered signal in the left acetabulum and neck of the left femur may represent bone bruise/edema.

2. Class A avascular necrosis of the right femoral head.

Sunday, 27 December 2015 16:48

11622

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyza Deshlmn / M / 33 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (left more than right) with paresthesias 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.

OBSERVATION :

There is loss of normal lumbar lordosis and loss of water content of the L3-L4, L4-L5 and L5-S1 intervertebral discs.

A small, postero-central protruded disc with peridiscal osteophyte is noted at the L5-S1 level.

A posteriorly herniated disc with peridiscal osteophyte is noted at the L4-L5 level with thecal sac compression. There is ligamentum flavum hypertrophy at this level with a tight canal.

A fairly large, left paracentral extruded disc is noted at the L3-L4 level with left neural foraminal narrowing and indentation on the traversing left L4 nerve root.

A small posterior peridiscal osteophyte is noted at the L2-L3 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.

The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
....2/.







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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 :

16.0 mm at L1-L2

13.0 mm at L2-L3

8.0 mm at L3-L4

6.0 mm at L4-L5

8.0 mm at L5-S1.

IMPRESSION :

1. A small, postero-central protruded disc with peridiscal osteophyte at the L5-S1 level.

2. A posteriorly herniated disc with peridiscal osteophyte at the L4-L5 level.

3. A fairly large, left paracentral extruded disc at the L3-L4 level with indentation on the traversing left L4 nerve root.

4. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.

5. Canal stenosis at the L3-L4, L4-L5 and L5-S1 levels.

Sunday, 27 December 2015 16:48

11621

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyza Blmn / M / 22 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

H/O fall from a train on 00.00.00 with weakness of BUE since than.

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.

3 mm thick Fast Scan (T2 *) coronal images and 4 mm thick T2 Weighted coronal images (with fat saturation) through the brachial plexus.

OBSERVATION :

There is slight loss of water content of the C5-C6 and C6-C7 intervertebral discs.

There is seen a horizontal fracture line passing through the base of the odontoid process
and the right lateral mass of C2. Minimal lateral translation and anti-clockwise rotation of the fractured fragment is noted with slight right neural foraminal narrowing at the C2-C3 level. The cervical spinal cord at the C2 vertebral level, at the fracture site, shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord contusion, in the given clinical setting. There is however no cord compression identified. The C2 vertebral body shows a subtle hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which may suggest bone bruise in the given clinical setting.

A hyperintense signal on the Fast Scan (T2 *) images is noted in the periodontoid space, posteriorly and to the left, which may represent soft tissue injury, in the given clinical setting. The transverse ligament however appears intact. Hyperintense signal on the T2 Weighted images is also noted in the prevertebral space over the C2 to C4 vertebral levels which may also represent soft tissue injury.
...2/..








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No significant abnormality is detected along the brachial plexus on either side.

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

IMPRESSION :

1. A horizontal fracture line passing through the base of the odontoid process
and the right lateral mass of C2 with minimal lateral translation and anti-clockwise rotation of the fractured fragment

2. Altered signal in the cervical spinal cord at the C2 vertebral level, at the fracture site, suggests cord contusion, in the given clinical setting.

3. Altered signal in the C2 vertebral body may suggest bone bruise in the given clinical setting.

4. Signal alteration in the periodontoid space, posteriorly and to the left and in the prevertebral space over the C2 to C4 vertebral levels may represent soft tissue injury, in the given clinical setting.

Sunday, 27 December 2015 16:48

11620

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzsham Ylmn / M / 20 yrs.
Referred by : Dr. Abc Xyzlwalkar.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 00.00.00.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

8 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is a hyperintense signal on the T2 Weighted images in the dorsal spinal cord over the D1 to D9 vertebral levels, centrally which appears iso to hypointense to normal cord on the T1 Weighted images. No significant increase in the size of the dorsal spinal cord over these levels is noted. A skip lesion of similar signal is noted in the dorsal spinal cord at the D10 and D11 vertebral levels.

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

There is no cord compression.

The conus medullaris terminates at the L1 level.

IMPRESSION :

Altered signal in the dorsal spinal cord over the D1 to D9 vertebral levels, centrally and at the D10 and D11 vertebral levels may suggest myelitis/demyelination. No compressive pathology is identified.



Sunday, 27 December 2015 16:48

11618

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyz Jolmn / M / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O hoarseness of voice, difficulty in swallowing solids and vomiting since 22 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.

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial images with magnetization transfer.

3 mm thick SPGR coronal images with fat saturation.

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.

After contrast administration, there is no focal area of abnormal enhancement within the brain parenchyma or the meninges.

Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells bilaterally.

IMPRESSION :

No significant abnormality is detected on this study.

Sunday, 27 December 2015 16:48

11617

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyz Shlmn / M / 76 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain and Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O momentary loss of memory since 00.00.00 and mild momentary loss of speech since 00.00.00.
Known hypertensive.

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.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

BRAIN :

There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the left thalamus, anteriorly. This lesion appears isointense to normal grey matter on the T1 Weighted images.

A small bright focus on the T2 Weighted and FLAIR images is noted in the posterior parietal deep white matter, which may represent an ischemic focus.

There is mild dilatation of both of the lateral and third ventricles. The fourth ventricle is normal.
There is slight prominence of the slight cerebral cortical sulci, cerebellar folia and basal cisternal spaces, bilaterally.

There is no shift of the midline structures.

There is no obvious haemorrhage on this study.
....2/.








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Mucosal thickening is noted in the maxillary antra, bilaterally.

INTRACRANIAL MRA :

There is ectasia of the vertebro-basilar system.

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. The anterior communicating artery on the right side is hypoplastic and may be a normal variant. 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 :

1. Altered signal in the left thalamus, anteriorly and in the left posterior parietal deep white matter, may represent ischemic focus.

2. Ectatic vertebro-basilar system.

3. No other significant abnormality is detected within the brain parenchyma or on the intracranial and neck MRA on this study.

Sunday, 27 December 2015 16:48

11616

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyz.lmn / M / 51 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O involuntary contraction of neck muscles with grimacing of face since 3 months.
C/O involuntary movements of BUE with abnormal posturing 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 and Fast Scan (T2 *) 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.