MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14721

Written by
sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz B. lmn / M / 82 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O sudden onset of left hemiparesis and subsequent fall and altered sensorium at 9.30 pm on 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 FLAIR and Fast Scan (T2 *) coronal images.

OBSERVATION :

There is an ill-defined, hypointense area on the T1 Weighted images in the right inferior frontal region. This lesion appears hyperintense on the proton, T2 Weighted and FLAIR images with a focal hypointense signal within, laterally.

Ill-defined hyperintense areas on the proton, T2 Weighted and FLAIR images are noted at the right occipital pole, posterior parietal periventricular white matter bilaterally and in the right posterior parietal white matter. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.

The petrous and cavernous segments of the right internal carotid artery and probably also the right middle cerebral artery show an intraluminal signal on all the pulse sequences. Very subtle, effacement of the sulcal spaces is noted in the right cerebral hemisphere.






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

IMPRESSION :

1. Altered signal in the right inferior frontal region most likely represents a haemorrhagic contusion, (with the given h/o fall).

2. Altered signal in the right occipital pole, posterior parietal periventricular white matter bilaterally and in the right posterior parietal white matter most likely represent ischemic changes.

3. Intraluminal signal in the petrous and cavernous segments of the right internal carotid artery and probably also the right middle cerebral artery most likely represents a thrombus (less likely to represent slow flow).

















Sunday, 27 December 2015 16:48

14720

Written by
sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzana lmn / F / 73 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches, vomiting and altered sensorium at 6.00 pm on 00.00.00.
Known hypertensive/diabetic.

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 :

Lacunar infarcts are noted in the right cerebellar hemisphere, bilateral thalami, lentiform nuclei, head of the left caudate nucleus and in the corona radiata bilaterally.

Ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images is seen in the periventricular white matter bilaterally and in the subcortical white matter in the left fronto-temporal region and in the right frontal region. These areas appear hypointense to normal white matter on the T1 Weighted images.

There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.






Incidentally noted is hyperostosis frontalis interna.

IMPRESSION :

1. Lacunar infarcts in the right cerebellar hemisphere, bilateral thalami, lentiform nuclei, head of left caudate nucleus and in the corona radiata bilaterally.

2. Altered signal in the periventricular white matter bilaterally and in the subcortical white matter in the left fronto-temporal region and in the right frontal region represent ischemic changes.














Sunday, 27 December 2015 16:48

14718

Written by
ke/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzar Relmn / M / 68 yrs.
Referred by : Dr. Abc Xyzala.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O 3 episodes of deviation of the angle of the mouth with slurred speech since last one month.
Known diabetic.

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 a hyperintense signal on the T2 Weighted images in the left corona radiata extending into the left centrum semiovale and may represent an area of ischemia.

There is an ill-defined, hyperintense signal on the T1 Weighted images in the left lentiform nucleus, which appears isointense to normal grey matter on the T2 Weighted images. This may represent paramagnetic substance deposition/calcification.

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.

The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Incidental note is made of left mastoiditis.

INTRACRANIAL MRA :

The right vertebral artery is hypoplastic.
..2/.








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 :

There is slight narrowing of the internal carotid artery on the left side just distal to the common carotid bifurcation with a plaque along its postero-lateral wall.

The right vertebral artery in the neck is also hypoplastic.

The common carotid arteries and their extracranial branches appear normal bilaterally.

IMPRESSION :

1. Altered signal in the left corona radiata extending into the left centrum semiovale may represent an area of ischemia.

2. Mild cerebral and cerebellar atrophy.

3. Slight narrowing of the internal carotid artery on the left side just distal to the left common carotid bifurcation with a plaque along its postero-lateral wall.

4. No other significant abnormality is detected on the intracranial and neck MRA on this study.


Sunday, 27 December 2015 16:48

14717

Written by
sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzli Anlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever with chills 15-20 days back.
C/O giddiness with fall and loss of consciousness for 2 days 9 days back.
C/O altered behaviour and 2 episodes of seizures since then.

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 thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

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

The hippocampal complex is unremarkable on either side.

There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. 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.

IMPRESSION :

No significant abnormality is detected on this study.













Sunday, 27 December 2015 16:48

14716

Written by
sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyza Slmn / F / 23 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O 3 episodes of paresthesias in the RUE and RLE since 1 month.
H/O seizures 3-4 years ago.

EXAMINATION :

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial and coronal images with magnetization transfer.

5 mm thick T1 Weighted sagittal images.

3 mm thick STIR coronal images were obtained through optic nerves.

OBSERVATION :

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

Lesions in the frontal region and the left occipital region do not show any evidence of enhancement after contrast administration.




Sunday, 27 December 2015 16:48

14715

Written by
sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Andlmn / M / 52 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O giddiness with gait ataxia since 3 months.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick FLAIR coronal images.

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

OBSERVATION :

There is slight prominence of the right cerebellar folia, posteriorly, with a hyperintense signal on the T2 Weighted and FLAIR images in the cerebellar hemisphere in that region, which most likely is the sequelae of a previous vascular insult.

There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

INTRACRANIAL MRA :

The A1 segment of the right anterior cerebral artery and the right vertebral artery appears hypoplastic. The right posterior cerebral artery appears as a continuation of the right posterior communicating artery.











The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, middle cerebral, basilar, 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 right vertebral artery in the neck also appears hypoplastic.

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 right cerebellar hemisphere most likely represents an old infarct.

2. Hypoplastic A1 segment of the right anterior cerebral artery and the right vertebral artery.

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


Sunday, 27 December 2015 16:48

14713

Written by
sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzka Nlmn / F / 4 1/2 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O fall with unresponsiveness for half an hour and deviation of left eyelid towards inner side on 00.00.00 which is recovered now.

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 a small, approximately 4.0 mms diameter sized hypointense lesion on the T1 Weighted images in the right para-atrial region. This lesion appears hyperintense on the T2 Weighted images.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Inflammatory changes are noted in the sphenoid sinus.

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 :

A small, approximately 4.0 mms diameter sized lesion in the right para-atrial region is a ? prominent perivascular space, ?? lacune.

No abnormality is detected on the intracranial and neck MRA on this study.

Sunday, 27 December 2015 16:48

14712

Written by
sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzajlmn / M / 11 yrs.
Referred by : Dr. Abc Xyzwadekar
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O weakness of BLE with bladder involvement since 7 days.
H/O fever.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.
9 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is slight increase in the diameter of the dorsal spinal cord which shows hyperintense signal on the T2 Weighted images, centrally extending over D1 to the tip of the conus medullaris (isointense to the normal cord on the T1 Weighted images).

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-L2 level.

T2 Weighted sagittal images of the cervico-dorsal region, reveals the signal change extending into the cervical region upto the C1-C2 level.

IMPRESSION :

Altered signal in the cervical and dorsal spinal cord extending over the C2 upto the conus medullaris as described most likely represents myelitis in the given clinical setting.

Sunday, 27 December 2015 16:48

14710

Written by
sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / F / 52 yrs.
Referred by : Dr. Abc Xyzchale / Dr. Abc Xyzmpat.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O multiple myeloma detected in March 0000. Received 9 cycles of chemotherapy.
C/O backache since April 0000 with limping.

EXAMINATION :

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

6 mm thick T1 Proton and T2 Weighted axial (with fat saturation)
images.
5 mm thick T1 Weighted and STIR coronal images.

8 mm thick T2 Weighted axial (with fat saturation) images through the proximal thighs.

The lumbo-sacral spine was screened with 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is seen a fairly large, approximately 6.0 x 7.0 x 7.0 cms sized intermediate signal intensity mass lesion on the T1 Weighted images in the left iliac bone medially adjacent to the left sacro-iliac joint. This lesion appears hyperintense on the T2 Weighted images. Resultant destruction of the left iliac bone adjacent to the left sacro-iliac joint is noted. Probable extension of the lesion into the left sacro-iliac joint per se is noted. The sacrum is however not involved. Inferiorly the lesion is seen to extend upto the roof of the left acetabulum. There is however no extension into the left hip joint per se. Soft tissue component of the lesion is seen to extend deep to the left ilio-psoas muscle along the left iliac wing. Slight extension into the posterior soft tissues deep to the left gluteal muscles is also noted.
..2/.






A focal hypointense signal on T1 Weighted images is noted in the right ischial bone and in the L5 vertebral body on the left which appears hyperintense on the STIR images (scans 105.9 & 104.9, 106.2 & 107.2)).

The visualized right hip joint per se is otherwise unremarkable.

The left femoral head and proximal shafts are also unremarkable.

The rest of the visualized bones of the pelvis show spotty fatty marrow changes. Slight atrophy of the left gluteal muscle is noted as compared to the right.

The proximal right thigh appears slightly increased in diameter as compared to the left. There is an ill-defined hyperintense signal on the T2 Weighted and STIR images in the subcutaneous fat and along the fatplanes in the anterior compartment of the proximal right thigh. This signal is hypointense to normal fat on the T1 Weighted images. Probable intraluminal signal is noted in the proximal right femoral vein.

Screening images of the lumbar spine do not reveal any significant feature of note, except for altered signal in the L5 vertebral body.

IMPRESSION :

A fairly large, approximately 6.0 x 7.0 x 7.0 cms sized mass lesion in the left iliac bone, medially with erosion of the left iliac bone and soft tissue extensions as described represents a myelomatous deposit. Focal lesion in the right ischium and in the L5 vertebral body on the left are also myelomatous deposits. As compared to the previous MRI dated 00.00.00, there is increase in the size of the left iliac bone lesion. The lesions in the right ischium and L5 vertebral body appear to be new lesions.

Altered signal along the fat planes in the anterior compartment of the proximal right thigh may represents cellulitis. Intraluminal signal in the proximal right femoral vein is suspicious for a thrombus (this however needs to be confirmed).


Sunday, 27 December 2015 16:48

14709

Written by
sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzi B. Shlmn / F / 17 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Both hips.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 15 days.
H/O tuberculous cervical lymphadenopathy detected in May 0000. On AKT.

EXAMINATION :

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

5 mm thick T1 Weighted and STIR coronal images.

7 mm thick T1 Weighted and T2 Weighted axial (with fat saturation) images.

OBSERVATION :

There is an ill-defined hypointense signal on the T1 Weighted images in the neck and proximal shaft of the right femur. This lesion appears hyperintense on the T2 Weighted and STIR images. Similar signal change is noted in the iliac bones on either side, ala of the sacrum bilaterally, right ischial bone, roof of the right acetabulum and at the junction of the neck and proximal shaft of the left femur with minimal involvement of the lateral aspect of the right femoral head. The femoral heads on either side show normal contour. There is obliteration of the right sided first sacral foramen. Hyperintense signal is seen on the T2 Weighted and STIR images in the adductor group of muscles on the right side and the ilio-psoas muscle anterior to the upper shaft of the femur (se/im:102.18-20).
..2/.









>

A small right hip joint effusion is noted.

There is no definite involvement of the sacro-iliac joints per se on this study.

No obvious enlarged lymphnodes are noted in the visualized pelvis.

Slight decrease in the bulk of the muscles around the right hip joint is noted.

Hyperintense signal on the T2 Weighted and STIR images in the gluteal muscles bilaterally may be due to intramuscular injection.

T1 Weighted sagittal images of the lumbar spine reveal focal hypointense areas in the L3, L4 and L5 vertebral bodies.

IMPRESSION :

Altered signal in the head, neck and proximal shaft of the right femur, iliac bones on either side, ala of the sacrum bilaterally, right ischial bone, roof of the right acetabulum and at the junction of the neck and proximal shaft of the left femur and soft tissues as described is not specific for a single etiology. In view of recent history of tuberculous cervical lymphadenitis, the possibility of these lesions representing multifocal tuberculosis should be considered.