MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

11369

Written by
ke/hs
Date : 00.00.00

Name of the Patient : Abc XyzSalmn / M / 53 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain and numbness/tingling in both hands and BLE with gait imbalance since 6-8 months.

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 loss of normal cervical curvature. There is a decrease in the height of the C4 and C5 vertebral bodies with slight anterior wedging of the C3, C4 and C5 vertebral bodies.

There is retroplacement of the C5 vertebra over the C6 vertebra.

There are large posterior peridiscal osteophytes, more to the right of the midline, at the C3-C4, C4-C5 and C5-C6 levels with anterior indentation of the cord and bilateral neural foraminal narrowing.

The spinal cord at the C4-C5 and C5-C6 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. This is isointense to normal cord on the T1 Weighted images and is suggestive of cord edema/ischemia/gliosis.

The C3-C4, C4-C5 and C5-C6 facet joints show degenerative changes. Anterior disc herniations with anterior peridiscal osteophytes are noted at these levels.

The joints of Luschka on the right side show degenerative changes at the C4-C5 and C5-C6 levels.
..2/.









- 2 -


There is reduction in height of the C3-C4, C4-C5 and C5-C6 intervertebral discs with loss of water content of the cervical and upper dorsal intervertebral discs.

The cervical vertebral bodies show areas of fatty replacement of normal marrow. The
visualized pre and paravertebral soft tissues are unremarkable.

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

The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images which shows degenerative changes in the lumbar spine with posterior disc bulges at the L3-L4, L4-L5 and L5-S1 levels and Schmorls nodes in the dorso-lumbar region.

IMPRESSION :

1. Retroplacement of the C5 vertebra over the C6 vertebra.

2. Large posterior peridiscal osteophytes (hard discs) at the C3-C4, C4-C5 and C5-C6 levels with resultant canal stenosis at the C4-C5 and C5-C6 levels.

3. Cord signal alteration at the C4-C5 and C5-C6 levels suggests cord edema/ ischemia/gliosis.


Sunday, 27 December 2015 16:48

11368br

Written by
Date : 00.00.00

Name of the Patient : Abc Xyza G. lmn / F / 41 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided weakness on 00.00.00 with loss of consciousness for 2 hours and increased blood pressure.
Patient is a 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.

3 mm thick Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is evidence of a fairly well-defined space-occupying lesion in the pons on the right side and measuring approximately 1.3 x 2.2 x 1.2 cms. It is hypointense with a hyperintnese rim on the T1 Weighted images and turns hyperintense on the proton and T2 Weighted images and would be suggestive of a subacute bleed. There is mild indentation upon the fourth ventricle.

Few well-defined areas which are iso to hyperintense to CSF on all the pulse sequences are evident within the head of the left caudate nucleus, left thalamus/left cerebral peduncle and right para-atrial white matter. These would most likely represent lacunar infarcts.

Few hyperintense foci on the proton and T2 Weighted images are noted within the corona radiata bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.

There is mild fullness of both the lateral ventricles. The third ventricle and basal cisternal spaces are unremarkable.


- 2 -


There is no shift of the midline structures.

No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of a subacute bleed within the pons on the right side and measuring approximately 1.3 x 2.2 x 1.2 cms.




Sunday, 27 December 2015 16:48

11368

Written by
Date : 00.00.00

Name of the Patient : Abc Xyza G. lmn / F / 41 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided weakness on 00.00.00 with loss of consciousness for 2 hours and increased blood pressure.
Patient is a 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.

3 mm thick Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is evidence of a fairly well-defined space-occupying lesion in the pons on the right side and measuring approximately 1.3 x 2.2 x 1.2 cms. It is hypointense with a hyperintnese rim on the T1 Weighted images and turns hyperintense on the proton and T2 Weighted images and would be suggestive of a subacute bleed. There is mild indentation upon the fourth ventricle.

Few well-defined areas which are iso to hyperintense to CSF on all the pulse sequences are evident within the head of the left caudate nucleus, left thalamus/left cerebral peduncle and right para-atrial white matter. These would most likely represent lacunar infarcts.

Few hyperintense foci on the proton and T2 Weighted images are noted within the corona radiata bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.

There is mild fullness of both the lateral ventricles. The third ventricle and basal cisternal spaces are unremarkable.


- 2 -


There is no shift of the midline structures.

No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of a subacute bleed within the pons on the right side and measuring approximately 1.3 x 2.2 x 1.2 cms.




Sunday, 27 December 2015 16:48

11367br

Written by
hs/ke
Date : 00.00.00

Name of the Patient : Abc Xyz R. lmn / M / 60 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O Parkinsons disease.

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.

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

The fourth 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.

Note is made of a giant cisterna magna.

IMPRESSION :

The MRI features are suggestive of mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally and this may be age related.


Sunday, 27 December 2015 16:48

11367

Written by
hs/ke
Date : 00.00.00

Name of the Patient : Abc Xyz R. lmn / M / 60 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O Parkinsons disease.

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.

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

The fourth 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.

Note is made of a giant cisterna magna.

IMPRESSION :

The MRI features are suggestive of mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally and this may be age related.


Sunday, 27 December 2015 16:48

11365br

Written by
hs/ke
Name of the Patient : Abc Xyzr S. Jalmn / M / 40 yrs.
Referred by : Dr. Abc Xyzgla.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left facial twitching, below the eye.

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.

MR cisternogram was obtained in the coronal plane.

OBSERVATION :

There is evidence of a focal hyperintensity on the T2 Weighted, proton and FLAIR images (hypointense on the T1 Weighted images) within the left middle cerebellar peduncle.

The seventh and eighth cranial nerve complex on either side are 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.

Incidental note is made of bilateral maxillary sinusitis.

IMPRESSION :

The MRI features are suggestive of a focal signal alteration within the left middle cerebellar peduncle and this may represent demyelination/ischemia.

Sunday, 27 December 2015 16:48

11365

Written by
hs/ke
Name of the Patient : Abc Xyzr S. Jalmn / M / 40 yrs.
Referred by : Dr. Abc Xyzgla.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left facial twitching, below the eye.

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.

MR cisternogram was obtained in the coronal plane.

OBSERVATION :

There is evidence of a focal hyperintensity on the T2 Weighted, proton and FLAIR images (hypointense on the T1 Weighted images) within the left middle cerebellar peduncle.

The seventh and eighth cranial nerve complex on either side are 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.

Incidental note is made of bilateral maxillary sinusitis.

IMPRESSION :

The MRI features are suggestive of a focal signal alteration within the left middle cerebellar peduncle and this may represent demyelination/ischemia.

Sunday, 27 December 2015 16:48

11364ls

Written by
Date : 00.00.00

Name of the Patient : Abc Xyza Hlmn / F / 52 yrs.
Referred by : Dr. Abc Xyzrdiwalla.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with radiation of pain to the RLE with paresthesias.

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 :

A postero-central disc herniation is seen at the L5-S1 level. This intervertebral disc is dessicated.

A small posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level.

The right L4-L5 facet joint shows degenerative changes.

The rest of the lumbar intervertebral discs show mild loss of water content. A well-circumscribed hyperintensity on all the pulse sequences within the L2 vertebral body may represent a hemangioma with high fat content.

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













- 2 -

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

19.0 mm at L1-L2

20.0 mm at L2-L3

18.0 mm at L3-L4

19.0 mm at L4-L5

15.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc herniation at the L5-S1 level.

2. A small posterior disc herniation and facetal arthropathy on the right side at the L4-L5 level.

Sunday, 27 December 2015 16:48

11364

Written by
Date : 00.00.00

Name of the Patient : Abc Xyza Hlmn / F / 52 yrs.
Referred by : Dr. Abc Xyzrdiwalla.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with radiation of pain to the RLE with paresthesias.

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 :

A postero-central disc herniation is seen at the L5-S1 level. This intervertebral disc is dessicated.

A small posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level.

The right L4-L5 facet joint shows degenerative changes.

The rest of the lumbar intervertebral discs show mild loss of water content. A well-circumscribed hyperintensity on all the pulse sequences within the L2 vertebral body may represent a hemangioma with high fat content.

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













- 2 -

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

19.0 mm at L1-L2

20.0 mm at L2-L3

18.0 mm at L3-L4

19.0 mm at L4-L5

15.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc herniation at the L5-S1 level.

2. A small posterior disc herniation and facetal arthropathy on the right side at the L4-L5 level.

Sunday, 27 December 2015 16:48

11363

Written by
hs/ke
Date : 00.00.00

Name of the Patient : Abc Xyzra D. Klmn / M / 26 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O neck pain (nape) with numbness of the tongue on the left side with difficulty in speaking and swallowing.
H/O fever.
O/E lower cranial nerve (X, XI and XII) palsy.

EXAMINATION :

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

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

4 mm thick GRASS coronal images through the region of interest.

5 mm thick GRASS and T1 Weighted axial images. .

OBSERVATION :

Areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted and GRASS images are seen to involve the left lateral mass of the atlas and the left occipital condyle with involvement of the left atlanto-occipital joint. There is extension into the left paravertebral soft tissues and left anterior epidural space with indentation upon the cord and cervico-medullary junction at this level.

Enlarged lymph nodes are noted in the cervical region. Inflammatory changes are seen within the paranasal sinuses.

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.
..2/.









- 2 -


IMPRESSION :

The MRI features are suggestive of a pathologic process involving the left atlanto-occipital joint and enlarged lymph nodes in the cervical region. This is most likely the result of an infective process like tuberculosis.

The possibility of this being a neoplastic process is less likely.