MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14704

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

Name of the Patient : Abc Xyz lmn / M / 20 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O RTA with head injury 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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

There are hyperintense areas on the T1 Weighted images in the left frontal lobe which are seen to remain so on the proton, T2 Weighted and FLAIR images and represent haemorrhagic contusions in the given clinical setting.

An extracerebral lesion with a maximum width of 1.0 cm is seen in the left frontal region. This is hyperintense on all the pulse sequences and represents an extracerebral collection of blood. A similar smaller collection is seen anterior to the left temporal lobe.

Fracture is noted of the left frontal bone. Altered signal in the ethmoidal air cells, sphenoid sinus as well as the frontal sinus may represent altered blood.

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 :

1. Altered signal in the left frontal lobe would represent haemorrhagic contusions in the given clinical setting.

2. An extracerebral collection of blood with a maximum width of 1.0 cm in the left frontal region and a smaller one anterior to the left temporal lobe.

3. Fracture of the left frontal bone and altered signal in the ethmoidal air cells, sphenoid sinus as well as the frontal sinus may represent altered blood.














Sunday, 27 December 2015 16:48

14703

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

Name of the Patient : Abc Xylmn / M / 28 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain and backache since 3 years.
H/O Pulmonary kochs 5 years back. Received AKT.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

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

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is a reversal of the normal cervical lordotic curve. The cervical intervertebral discs show loss of water content and the upper cervical vertebrae show areas of fatty replacement of normal marrow.

A postero-central disc herniation more to the right of the midline, with a large peridiscal osteophytes is seen to indent the cord at the C5-C6 level.

A small posterior peridiscal osteophytes is noted at the C6-C7 level. Mild posterior disc bulges are seen at the C3-C4 and C4-C5 levels.

The rest of 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 reveals normal signal intensity.

(Hyperintense signal in the cord over the C3 to C6 level on the gradient images is artifactual).

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

IMPRESSION :

The MRI features are suggestive of a postero-central disc herniation, more to the right of the midline with a large peridiscal osteophyte at the C5-C6 level.
Sunday, 27 December 2015 16:48

14701

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

Name of the Patient : Abc Xyz Khailmn / M / 48 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain and tingling in the RUE and RLE since 5-6 months.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

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

OBSERVATION :

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

There is a left postero-lateral disc herniation with peridiscal osteophytes at the C4-C5 level with left neural foraminal narrowing.

Small postero-central protruded discs are noted at the C2-C3 and C3-C4 levels. Posterior disc bulges with small peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.

Degenerative changes of the joints of Luschka are noted at the C6-C7 level, bilaterally.

The upper cervical vertebral bodies show spotty fatty marrow changes.
Scan-00001


The rest of the cervical vertebral bodies show normal signal intensity. The remaining 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.

IMPRESSION :

1. A left postero-lateral disc herniation with peridiscal osteophytes at the C4-C5 level.

2. Small postero-central protruded discs at the C2-C3 and C3-C4 levels.

3. Degenerative changes of the joints of Luschka at the C6-C7 level, bilaterally.
Sunday, 27 December 2015 16:48

14700

Written by
ke/hs/nl/nl
/702 Date : 00.00.00

Name of the Patient : Abc Xyzam Jalmn / M / 60 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O tingling of the right half of the body since the morning of 00.00.00.
Known hypertensive.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images, 5 mm thick FLAIR coronal images and 5 mm thick T1 Weighted sagittal images.

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

OBSERVATION :

There are hyperintense areas on the T2 Weighted and FLAIR images
in the periatrial white matter, left more than right and are probably ischemic in etiology.

There is mild fullness of the third and both the lateral 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 maxillary sinusitis and inflammatory changes in the region of the left middle ear.

INTRACRANIAL MRA :

The A1 segment of the left anterior cerebral artery and the left vertebral artery is hypoplastic.
Scan-00000/702



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

NECK MRA :

The left vertebral artery in the neck is also hypoplastic. It is seen to arise directly from the aortic arch.

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 periatrial white matter, left more than right is probably ischemic in etiology.

2. The left vertebral artery is seen to arise from the aortic arch.

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

Sunday, 27 December 2015 16:48

14699

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

Name of the Patient : Abc Xyz R. Salmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE with numbness 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 :

The L5 vertebra appears to be as marked on the film. Please correlate with plain radiographs.

There is loss of normal lumbar lordosis and loss of water content of the L2-L3, L4-L5 and L5-S1 intervertebral discs.

There is a posteriorly herniated disc with a peridiscal osteophyte at the L5-S1 level with bilateral neural foraminal narrowing. A disc fragment is noted in the right lateral recess of S1, indenting the traversing right S1 nerve root. Facetal hypertrophy is also noted at this level with canal stenosis.

Posterior and bilateral far lateral disc herniations are noted at the L4-L5 level with bilateral neural foraminal narrowing. Facetal hypertrophy is also noted at this level with canal stenosis.
Scan-00009


Mild facetal hypertrophy is also noted in the rest of the lumbar region. Mild ligamentum flavum hypertrophy is seen at the L5-S1 level.

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

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 :

14.0 mm at L1-L2
14.0 mm at L2-L3
14.0 mm at L3-L4
13.0 mm at L4-L5
8.0 mm at L5-S1.

IMPRESSION :

1. A posteriorly herniated disc with a peridiscal osteophyte at the L5-S1 level with a disc fragment in the right lateral recess of S1, indenting the traversing right S1 nerve root.

2. Posterior and bilateral far lateral disc herniations at the L4-L5 level.

3. Facetal hypertrophy in the lumbar region as described.

4. Canal stenosis at the L5-S1 level and a tight canal at the L4-L5 level.

Sunday, 27 December 2015 16:48

14698

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

Name of the Patient : Abc Xyz. Wanklmn / F / 83 yrs.
Referred by : Dr. Abc XyzV. Shah
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE since 2 months.
Alleged H/O fall in July 0000.

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 wedging of the L1 vertebral body which shows hypointense areas on the T1 Weighted images in its inferior half. These are iso to hypointense to normal marrow on the T2 Weighted images. There is slight bulging of the vertebral body anteriorly and laterally. A hypointense signal on all the pulse sequences within the L1 body, antero-inferiorly may represent vacuum phenomena.

Small posterior disc protrusions are seen at the L5-S1, L4-L5, L1-L2 and D12-L1 levels. The lumbar intervertebral discs show loss of water content.

The lumbar vertebral bodies show fatty changes of their marrow. The facet joints at the L4-L5 and L5-S1 levels appear hypertrophied. Minimal soft tissue is noted in the pre and paravertebral regions at the L1 vertebral level.






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 :

18.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.

Incidentally noted is a hypoplastic left kidney and a 2.8 cms diameter sized right suprarenal lesion which needs to be further evaluated.

IMPRESSION :

1. Wedging of the L1 vertebral body with altered signal represents traumatic compression superimposed upon an osteoporotic spine.

The possibility of this being due an infective/ neoplastic process seems less likely.

2. Small posterior disc protrusions at the L5-S1, L4-L5, L1-L2 and D12-L1 levels.

3. Facetal hypertrophy at the L4-L5 and L5-S1 levels.

4. Hypoplastic left kidney.

5. Right suprarenal lesion needs to be further evaluated.




Sunday, 27 December 2015 16:48

14697

Written by
ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Ayub lmn / F / 24 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 6 months.
H/O fall from a scooter 4-5 months back.
C/O radicular pain to the RLE with paresthesias since 15 days with bladder involvement since 4-5 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 :

The L5-S1 intervertebral disc shows loss of water content and is reduced in height.

There is a large postero-central disc extrusion at the L5-S1 level with severe compression of the thecal sac and canal stenosis. There is indentation on the traversing S1 nerve roots. There is rupture of the posterior longitudinal ligament. Small posterior peridiscal osteophytes are seen at this level.

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

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

The rest of 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/.





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
18.0 mm at L3-L4
15.0 mm at L4-L5
3.0 mm at L5-S1.

IMPRESSION :

A large postero-central disc extrusion at the L5-S1 level with severe compression of the thecal sac and canal stenosis with indentation on the traversing S1 nerve roots.

Sunday, 27 December 2015 16:48

14696

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

Name of the Patient : Abc Xyzndra D. Banlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O alcoholism.
Alleged H/O fight with fall and swelling over the mastoid region on 00.00.00 at 10.30 pm.
C/O inability to speak with 2 episodes of convulsions in the morning of 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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

There is seen a fairly large, approximately 4.3 x 4.5 x 3.5 cms sized ill-marginated, iso to slightly hyperintense lesion on the T1 Weighted images in the left inferior frontal and frontal regions. This lesion appears hyperintense on the proton, T2 Weighted and FLAIR images and shows a peripheral hypointense rim on the Fast Scan (T2 *) images. There is indentation on the frontal horn of the left lateral ventricle. Extension of this lesion is noted into the left lateral and third ventricles. This lesion represents a hyperacute to acute intracerebral hematoma/haemorrhagic contusion in the given clinical setting. Multiple smaller lesions of similar signal intensity are noted in the anterior temporal regions bilaterally, right inferior frontal region and bilateral hi-frontal parafalcine region. Extension of the haemorrhage into the subarachnoid space is noted in some places. Suspicious extracerebral haemorrhage is noted in the right high parietal region in the midline.
..2.







BR>
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is mild bulge of the midline structures to the right. No obvious vascular anomaly is identified on this study.

Subgaleal hematoma is noted in the left periorbital region, left fronto-temporo-parietal region and in the high parietal regions bilaterally.

A probable fracture of the zygoma is noted anteriorly with a fairly large hematoma deep to the left zygomatic arch.

IMPRESSION :

1. An approximately 4.3 x 4.5 x 3.5 cms sized intracerebral hematoma/haemorrhage contusion in the left inferior frontal and frontal regions, dissecting into the left lateral and third ventricles.

2. Multiple smaller haemorrhagic contusions/hematomas in the anterior temporal regions bilaterally, right inferior frontal region and bilateral hi-frontal parafalcine regions.

3. Subgaleal hematoma in the left periorbital region, left fronto-temporo-parietal region and in the high parietal regions bilaterally.

4. A probable fracture of the zygoma anteriorly with a fairly large hematoma deep to the left zygomatic arch.











Sunday, 27 December 2015 16:48

14695

Written by
ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzha Malmn / F / 37 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Left Thigh.

CLINICAL PROFILE :

C/O pain over the left hip region to the left thigh with difficulty in walking since 4 days.

EXAMINATION :

M.R.I of the left thigh was performed using the following parameters :

6 mm thick T1 Weighted coronal images.

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

8 mm thick Fast Scan (T2 *) sagittal images.

OBSERVATION :

The intermascular fat plane in the anterior compartment (particularly in the region of vastus lateralis, the iliopsoas and pectineus muscles) from the level of the hip joint till the junction of the mid and lower thigh shows a hypointense signal on the T1 Weighted images. This is seen to turn hyperintense on the T2 Weighted and STIR images. Slight streaking of the fat planes posterior to the upper shaft of the left femur is also noted.

There is no obvious mass lesion or collection seen on this study.

Enlarged inguinal lymphnodes are seen bilaterally, more marked on the left side.

IMPRESSION :

Streaking of the fat planes in the anterior compartment from the level of the hip joint till the junction of the mid and lower thigh is probably inflammatory in etiology.

Sunday, 27 December 2015 16:48

14694

Written by
sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzl Qlmn / M / 18 mnths.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O meningomyelocele.
C/O retention of urine.

EXAMINATION :

M.R.I of the lumbo-sacral spine was performed using the following parameters :

3 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is evidence of an open lumbo-sacral canal from the L4 level to the S2 level.

There is outpouching of the thecal sac at the L4 and L5 levels. The spinal cord is tethered at the L4 level to a neural placode at the L4 vertebral level.

A syrinx is seen within the lower dorsal and lumbar spinal cord and is multi-septate.

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

The cervico-dorsal spine screened with 4 mm thick T1 Weighted sagittal images and the brain was screened with 5 mm thick T1 Weighted axial images and which shows moderate dilatation of both the lateral and third ventricles. The fourth ventricle is small. There is beaking of the cerebllar tonsils and the tip is seen to lie below the foramen magnum level. A syrinx is noted in the lower cervical and dorsal regions.
..2/.





IMPRESSION :

A Chiari malformation with meningocele at the L4 and L5 vertebral levels with tethering of the spinal cord at the L4 level to a neural placode at the L4 vertebral level with other changes of a Chiari malformation as described above.