MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

11429

Written by
ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzi C. Golmn / F / 35 yrs.
Referred by : Dr. Abc Xyzewal.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O fever, headaches, giddiness with nausea and discharge from the left ear since 1 1/2 months.
C/O numbness over the left side of face, head and neck with decreased hearing, inability to swallow solids and loss of taste since 10-12 days.
C/O inability to see clearly from the left side since 10-12 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 T1 Weighted and T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is an intermediate signal intensity mass lesion in the left parapharyngeal space on the T1 Weighted images. This lesion is relatively hypointense on the T2 Weighted images. This is seen to involve the medial and lateral pterygoid muscles as well as the temporalis muscle medially. There is destruction of the pterygoid plate with bulging into the pharyngeal space on the left lateral aspect. Posteriorly, there is compression upon the carotid space and displacement of the carotid sheaths postero-laterally. However, the carotid artery shows normal flow void signal on all the pulse sequences. Medially, there is mild encroachment into the retropharyngeal space. Postero-superiorly there is extension into the left infratemporal fossa with erosion of the temporal bone and intracranial extension (extradural collection) which is seen to compress upon the left temporal lobe. There is mild involvement of the clivus on the left side with slight encroachment into the inferior aspect of the left cavernous sinus. Involvement of the hard palate on the left posteriorly, is also noted. A small hypointense area is seen on the T1 Weighted images in the left paravertebral soft tissue at the C1-C2 level which is seen to turn hyperintense on the T2 Weighted images. This may represent cystic/necrotic area.
...2/.









- 2 -


Note is made of inflammatory changes in the left mastoid air cells, with effacement of the left torus tubarius.

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.

Incidental note is made of right maxillary sinusitis and mild inflammatory changes in the left ethmoidal air cells.

Enlarged, left cervical lymph nodes are also noted.

IMPRESSION :

The MRI features are suggestive of a mass lesion in the left parapharyngeal space with extensions and signal characteristics as described.

An infective lesion like tuberculosis, or a skull base neoplasm should be considered as a differential diagnosis.

A contrast enhanced scan would be worthwhile.


Sunday, 27 December 2015 16:48

11428

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzlata Khanvilmn / F / 52 yrs.
Referred by : Dr. Abc Xyz. Mehta.
Examination : M.R.I. of the Brain and IAM.

CLINICAL PROFILE :

C/O giddiness since 1-2 months.
C/O tinnitus in both ears (right more than left) with decreased hearing.
Known hypertensive.

EXAMINATION :

M.R.I of the brain and IAM was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick T1 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

A MR cisternogram was obtained in the coronal plane.

OBSERVATION :

There is an ill-defined, hyperintense signal on the proton and T2 Weighted images in the periventricular white matter, corona radiata and centrum semiovale bilaterally. This signal appears iso to hypointense to normal white matter on the T1 Weighted images.

The seventh and eighth cranial nerve complexes are unremarkable.

There is mild dilatation of the third and both the lateral ventricles. The fourth ventricle is normal.

There is slight prominence of the cerebral cortical sulci in the temporal regions and left fronto-parietal region. The basal cisternal spaces are also prominent. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study. Skull vault marrow inhomogenity and an empty sella is noted.




- 2 -


IMPRESSION :

1. Altered signal in the periventricular white matter, corona radiata and centrum semiovale bilaterally most likely represent ischemic changes. In view of the H/O hypertension, Binswangers disease should be ruled out.

2. Mild cerebral cortical atrophy.

3. The seventh and eighth cranial nerve complexes are unremarkable on either side.

Sunday, 27 December 2015 16:48

11427

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyz Ganglmn / F / 52 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O radicular pain to the LUE since October 0000.

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 is reduction in height of the C4-C5 and C5-C6 discs with loss of water content of the upper cervical intervertebral discs.

Small, postero-central protruded disc is noted at the C3-C4 level

Posteriorly bulging discs with posterior peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels indenting the dural theca anteriorly.

The upper cervical vertebral bodies show spotty fatty marrow changes. The C5 vertebral body shows a subcentimeter, hypointense lesion on the T1 Weighted images which appears hyperintense on the T2 Weighted images. Focal fatty change is also noted in the D4 vertebral body.

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

The cervical spinal cord reveals normal signal intensity.

The atlanto-axial region and the cervico-medullary junction are unremarkable.
..2/.










- 2 -


IMPRESSION :

1. Small postero-central portruded disc at the C3-C4 level.

2. Posteriorly bulging discs with posterior peridiscal osteophytes at the C4-C5 and C5-C6 levels.

3. Focal, subcentimeter lesion in the C5 vertebral body follows the signal characteristics of a bone cyst.

Sunday, 27 December 2015 16:48

11425

Written by
sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzuddin Shlmn / M / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 1 year of age.
C/O progressive diminished vision bilaterally since 2 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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

The right hippocampus appears slightly smaller in volume when compared to left and shows a subtle hyperintense signal on the T2 Weighted images. This suggest right hippocampal sclerosis.

The left hippocampal complex is unremarkable.

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 sinus and ethmoidal air cells.

Incidental note is made of enlarged adenoids and Thornwaldts cyst.

IMPRESSION :

The MRI features are suggestive of right hippocampal sclerosis.




Sunday, 27 December 2015 16:48

11424

Written by
sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzay Walmn / M / 6 yrs.
Referred by : Dr. Abc Xyz Sampat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since the age of 8 months. On anti-epileptics.

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 within the brain parenchyma.

The hippocampal complex is unremarkable on either side.

The right temporal horn appears slightly larger than the left and may be a normal variant.

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 paranasal sinuses.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

11423

Written by
sb/bv
Date : 00.00.00

Name of the Patient : Abc XyzK. Dlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzo / Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

H/O left sided mastectomy done in 0000 for carcinoma breast, after which patient recovered.
Recurred in November 0000, Received radiotherapy - 32 sittings.
On AKT since 3 months for pulmonary kochs (AFB +ve in sputum).
C/O gait imbalance with bladder involvement since 15 days.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the posterior epidural space at the D8 and D9 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. There is resultant anterior displacement and compression of the dorsal spinal cord at these levels. The dorsal spinal cord shows a hyperintense signal on the T2 Weighted images at the D8 and D9 vertebral levels, suggesting cord edema/ischemia. Probable involvement of the laminae of D8 and D9 is noted.

There is slight loss of water content of the L5-S1 intervertebral disc.

Minimal posterior disc bulges are noted at the L3-L4 and L4-L5 levels.

The visualized dorsal and lumbar vertebral bodies show spotty fatty marrow changes.

The remaining visualized intervertebral discs show normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.


- 2 -


The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.

Incidentally noted is a left sided pleural effusion and a soft tissue lesion in the base of the left lung.

IMPRESSION :

Soft tissue lesion in the posterior epidural space at the D8 and D9 vertebral levels with cord compression and cord signal alteration , is not specific for a single etiology.

In a known C/O pulmonary tuberculosis this may represent tuberculous granulation tissue/abscess.

However, this is less likely to represent a metastatic deposit.

Soft tissue lesion in the base of the left lung with left pleural effusion may be inflammatory in etiology, in view of the AFB positive in sputum or may be due to metastasis.




Sunday, 27 December 2015 16:48

11422

Written by
sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyza Blmn / F / 56 yrs.
Referred by : Dr. Abc Xyzrikh.
Examination : Screening M.R.I. of Spine.

CLINICAL PROFILE :

? Parkinsonism since 2 years.
Now C/O difficulty in speech and aphasia since 16th of January 0000 with inability to walk.

EXAMINATION :

The cervical, dorsal and lumbo-sacral spines were screened with :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is slight loss of water content of the cervical and upper dorsal discs and the L4-L5 and L5-S1 intervertebral discs.

Small posterior peridiscal osteophytes is noted at the C4-C5 level.

Ligamentum flavum hypertrophy is noted at the C5 and C6 vertebral levels. Hypertrophy of the facet joint/capsular ligament complex is identified at the D11-D12 and D10-D11 levels.

Small postero-central protruded discs with peridiscal osteophytes are noted at the L4-L5 and L5-S1 levels.

The visualized vertebral bodies show spotty fatty marrow changes suggesting osteoporosis.







- 2 -


The visualized prevertebral soft tissues are unremarkable.

The visualized spinal cord reveals normal signal intensity. There is no cord compression.

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

The conus medullaris terminates at the L1 level and thecal sac terminates at the S2 level.

IMPRESSION :

The screening MRI images of the spine reveal mild degenerative changes in the cervical, dorsal and lumbo-sacral regions as described.

No other significant abnormality is detected on this study.



Sunday, 27 December 2015 16:48

11421

Written by
ke/bv
Date : 00.00.00

Name of the Patient : Abc XyzBhlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O 4 episodes of seizures on 00.00.00.

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 a well-circumscribed hyperintense lesion in the left frontal region measuring approximately 0.5 cms in diameter on the Proton, T2 Weighted and FLAIR images (se/im102.17, 103.17, 106.5, 105.4). This lesion has a hypointense rim on the T2 Weighted and FLAIR images.
This lesion appears isointense on the T1 Weighted images. There is surrounding white matter edema with mass effect and slight effacement of the adjacent sulci.

There is mild fullness of both the lateral ventricles. The 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 :

The MRI features are suggestive of :

1. A granulomatous infective lesion in the left frontal region measuring approximately 0.5 cms (? cysticercus).

2. Mild dilatation of both the lateral ventricles.

A contrast enhanced study and follow up would be worthwhile.

Sunday, 27 December 2015 16:48

11420

Written by
ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / F / 14 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O occasional headaches with momentary blackouts since 2 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 :

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

The hippocampus is unremarkable on either side.

The right lateral ventricle appears prominent as compared to the left and may be a normal variant.

The left 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 a right maxillary sinusitis.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

11419ls

Written by
Date : 00.00.00
sb/ke
Name of the Patient : Abc Xyz lmn / M / 36 yrs.
Referred by : Dr. Abc Xyzy B. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE since 7-8 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 water content of the L4-L5 intervertebral disc.

There is a small, postero-central disc herniation with a peridiscal osteophyte at the L4-L5 level, indenting the dural theca anteriorly.

The lumbar vertebral bodies and the remaining intervertebral discs show 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 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
15.0 mm at L2-L3
14.0 mm at L3-L4
11.0 mm at L4-L5
15.0 mm at L5-S1.

IMPRESSION :

Degenerated L4-L5 disc with a small, postero-central disc herniation with a peridiscal osteophyte at the L4-L5 level.