MRI Reports (3472)
MRI Reports Database
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / M / 7 yrs.
Reffered by : Dr. Abc Xyzar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O vehicular accident at 1.0 pm on 00.00.00 with right facial and brachial paralysis 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.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
5 mm thick T2 Weighted sagittal images.
The cervical spine was screened with 5 mm thick T2 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in 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.
There is a hyperintense signal on the T2 Weighted and FLAIR images in the subgaleal soft tissues in the right parieto-occipital region. This may represent a soft tissue contusion/hematoma, in the given clinical setting.
The T2 Weighted sagittal images of the cervical spine do not reveal any significant feature of note.
Incidental note is made of enlarged adenoids.
IMPRESSION :
Altered signal in the subgaleal soft tissues in the right parieto-occipital region may represent a subgaleal contusion/hematoma in the given clinical setting.
No other significant abnormality is detected on this study.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc Xyz Jalmn / F / 61 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
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 a hyperintense signal on the proton, T2 Weighted and FLAIR images in the left lentiform nucleus, posteriorly, extending into the left corona radiata. This lesion appears hypointense on the T1 Weighted images and most likely represents a recent ischemic lesion , in the given clinical setting.
A lacunar infarct is noted in the right corona radiata.
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.
There is no evidence of haemorrhage.
IMPRESSION :
1. Altered signal in the left lentiform nucleus, posteriorly, extending into the left
corona radiata, most likely represents a recent ischemic lesion, in the given clinical
setting.
2. Lacunar infarct in the right corona radiata.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc Xyz Jalmn / F / 61 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
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 a hyperintense signal on the proton, T2 Weighted and FLAIR images in the left lentiform nucleus, posteriorly, extending into the left corona radiata. This lesion appears hypointense on the T1 Weighted images and most likely represents a recent ischemic lesion , in the given clinical setting.
A lacunar infarct is noted in the right corona radiata.
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.
There is no evidence of haemorrhage.
IMPRESSION :
1. Altered signal in the left lentiform nucleus, posteriorly, extending into the left
corona radiata, most likely represents a recent ischemic lesion, in the given clinical
setting.
2. Lacunar infarct in the right corona radiata.
Published in
MRI Reports
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzandra Halmn / M / 18 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O paresthesias in BLE since 3-4 days.
EXAMINATION :
M.R.I of the cervico-dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is an ill-defined, hypointense signal on the T1 Weighted images involving the pedicles, laminae and spinous processes of the D2 and D3 vertebrae. This signal appears diffusely hyperintense on the T2 Weighted images.
There is seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the posterior epidural space extending over the D1 to D4 vertebral levels. This lesion appears hyperintense on the T2 Weighted images (minimal soft tissue is also noted in the interspinous region at the D2 and D3 level). There is resultant anterior displacement and compression of the dorsal spinal cord over the D1 to D4 vertebral levels. The dorsal spinal cord over these levels shows a hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia. There is also extension into the neural foramina bilaterally at the D2-D3 and D3-D4 levels.
Subtle signal change is also noted in the D2 and D3 vertebral bodies.
The rest of the visualized cervico-dorsal vertebral bodies and the intervertebral discs show normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
Enlarged paratracheal-retrocaval and pretracheal, mediastinal lymph nodes are noted.
- 2 -
IMPRESSION :
Altered signal of the pedicles, laminae and spinous processes of the D2 and D3 vertebrae most likely represents osteitis, probably tuberculous osteitis. Posterior epidural soft tissue lesion over the D1 to D4 vertebral levels may represent granulation tissue/abscess. There is resultant cord compression and cord signal alteration over these levels, suggesting cord edema/ischemia.
Enlarged mediastinal lymph nodes are noted as described.
Round cell tumors should be considered as a differential diagnosis.
Date : 00.00.00
Name of the Patient : Abc Xyzandra Halmn / M / 18 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O paresthesias in BLE since 3-4 days.
EXAMINATION :
M.R.I of the cervico-dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is an ill-defined, hypointense signal on the T1 Weighted images involving the pedicles, laminae and spinous processes of the D2 and D3 vertebrae. This signal appears diffusely hyperintense on the T2 Weighted images.
There is seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the posterior epidural space extending over the D1 to D4 vertebral levels. This lesion appears hyperintense on the T2 Weighted images (minimal soft tissue is also noted in the interspinous region at the D2 and D3 level). There is resultant anterior displacement and compression of the dorsal spinal cord over the D1 to D4 vertebral levels. The dorsal spinal cord over these levels shows a hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia. There is also extension into the neural foramina bilaterally at the D2-D3 and D3-D4 levels.
Subtle signal change is also noted in the D2 and D3 vertebral bodies.
The rest of the visualized cervico-dorsal vertebral bodies and the intervertebral discs show normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
Enlarged paratracheal-retrocaval and pretracheal, mediastinal lymph nodes are noted.
- 2 -
IMPRESSION :
Altered signal of the pedicles, laminae and spinous processes of the D2 and D3 vertebrae most likely represents osteitis, probably tuberculous osteitis. Posterior epidural soft tissue lesion over the D1 to D4 vertebral levels may represent granulation tissue/abscess. There is resultant cord compression and cord signal alteration over these levels, suggesting cord edema/ischemia.
Enlarged mediastinal lymph nodes are noted as described.
Round cell tumors should be considered as a differential diagnosis.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc Xyza Qurlmn / F / 8 mnths.
Referred by : Dr. Abc Xyzooq.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O atypical seizure like disorder since 2 months.
EEG - normal.
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 slight prominence of the cortical sulcal spaces in the fronto-parietal regions bilaterally with slight fullness of both the lateral ventricles.
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex is unremarkable on either side.
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 :
Slight fullness of both the lateral ventricles and prominence of the cortical sulcal spaces in the fronto-parietal regions.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc Xyzn R. Nilmn / M / 31 yrs.
Referred by : Dr. Abc Xyziya.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O giddiness with vomiting on 00.00.00 with left sided hemiplegia since then.
Patient is in altered sensorium.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial MRA was performed with 3D TOF sequence.
The study could not be completed as the patient was not very co-operative and could not be sedated as per the referring physicians instruction.
OBSERVATION :
The T2 Weighted axial images of the brain reveal an ill-defined hyperintense signal in the right cerebellar hemisphere, posteriorly, in the pons and at the junction of the midbrain and pons, centrally, in the right cerebral peduncle, right thalamus and in the right temporo-parietal region. This signal change suggest ischemic changes, in the given clinical setting. Limited MRA sequence which was possible identifies the cavernous and supraclinoid segments of the internal carotid arteries, proximal anterior and middle cerebral arteries and the posterior cerebral arteries bilaterally. These vessels do not reveal significant feature of note. The distal basilar artery is not well identified on the collapsed angiograpy images.
..2/.
- 2 -
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable.There is no shift of the midline structures.
IMPRESSION :
Altered signal in the right cerebellar hemisphere, posteriorly, in the pons and at the junction of the midbrain and pons, centrally, in the right cerebral peduncle , right thalamus and in the right temporo-parietal region most likely represents recent ischemic lesions, in the given clinical setting. There is no obvious haemorrhage noted.
The MR angio sequences needs to be repeated when the patient is co-operative.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc Xyzn R. Nilmn / M / 31 yrs.
Referred by : Dr. Abc Xyziya.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O giddiness with vomiting on 00.00.00 with left sided hemiplegia since then.
Patient is in altered sensorium.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial MRA was performed with 3D TOF sequence.
The study could not be completed as the patient was not very co-operative and could not be sedated as per the referring physicians instruction.
OBSERVATION :
The T2 Weighted axial images of the brain reveal an ill-defined hyperintense signal in the right cerebellar hemisphere, posteriorly, in the pons and at the junction of the midbrain and pons, centrally, in the right cerebral peduncle, right thalamus and in the right temporo-parietal region. This signal change suggest ischemic changes, in the given clinical setting. Limited MRA sequence which was possible identifies the cavernous and supraclinoid segments of the internal carotid arteries, proximal anterior and middle cerebral arteries and the posterior cerebral arteries bilaterally. These vessels do not reveal significant feature of note. The distal basilar artery is not well identified on the collapsed angiograpy images.
..2/.
- 2 -
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable.There is no shift of the midline structures.
IMPRESSION :
Altered signal in the right cerebellar hemisphere, posteriorly, in the pons and at the junction of the midbrain and pons, centrally, in the right cerebral peduncle , right thalamus and in the right temporo-parietal region most likely represents recent ischemic lesions, in the given clinical setting. There is no obvious haemorrhage noted.
The MR angio sequences needs to be repeated when the patient is co-operative.
Published in
MRI Reports
Name of the Patient : Abc Xyznshu Katlmn / M / 2 yrs.
Referred by : Dr. Abc XyzKher.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O delayed milestones.
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 T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of abnormal signal intensity in the brain parenchyma.
Ill-defined hyperintense signal on the T2 Weighted images in the posterior parietal periventricular white matter bilaterally most likely represents areas of terminal myelination.
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.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 6 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella and Perisellar Region.
CLINICAL PROFILE :
Full Term ceasarian delivery with normal growth and development till 5 months of age. Disproportionate short stature and frontal bossing. HGH not detected. Thyroid hormones normal.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images.
OBSERVATION :
There is seen a hyperintense focus on the T2 Weighted images in the subcortical white matter in the left occipital region. The ventricular system is unremarkable. There is no midline shift.
The pituitary gland measures 3.0 mms in height and shows normal contour and signal characteristics. The posterior pituitary gland shows a normal hyperintense signal on the T1 Weighted images.
The pituitary stalk is in the midline.
The cavernous sinuses and the supra sellar cistern are unremarkable.
IMPRESSION :
1. Altered signal in the subcortical white matter in the left occipital region is of ? etiology, ?? lacune.
2. The pituitary gland measures 3.0 mms in height without focal mass lesion.
Name of the Patient : Abc Xylmn / M / 6 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella and Perisellar Region.
CLINICAL PROFILE :
Full Term ceasarian delivery with normal growth and development till 5 months of age. Disproportionate short stature and frontal bossing. HGH not detected. Thyroid hormones normal.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images.
OBSERVATION :
There is seen a hyperintense focus on the T2 Weighted images in the subcortical white matter in the left occipital region. The ventricular system is unremarkable. There is no midline shift.
The pituitary gland measures 3.0 mms in height and shows normal contour and signal characteristics. The posterior pituitary gland shows a normal hyperintense signal on the T1 Weighted images.
The pituitary stalk is in the midline.
The cavernous sinuses and the supra sellar cistern are unremarkable.
IMPRESSION :
1. Altered signal in the subcortical white matter in the left occipital region is of ? etiology, ?? lacune.
2. The pituitary gland measures 3.0 mms in height without focal mass lesion.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 6 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella and Perisellar Region.
CLINICAL PROFILE :
Full Term ceasarian delivery with normal growth and development till 5 months of age. Disproportionate short stature and frontal bossing. HGH not detected. Thyroid hormones normal.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images.
OBSERVATION :
There is seen a hyperintense focus on the T2 Weighted images in the subcortical white matter in the left occipital region. The ventricular system is unremarkable. There is no midline shift.
The pituitary gland measures 3.0 mms in height and shows normal contour and signal characteristics. The posterior pituitary gland shows a normal hyperintense signal on the T1 Weighted images.
The pituitary stalk is in the midline.
The cavernous sinuses and the supra sellar cistern are unremarkable.
IMPRESSION :
1. Altered signal in the subcortical white matter in the left occipital region is of ? etiology, ?? lacune.
2. The pituitary gland measures 3.0 mms in height without focal mass lesion.
Name of the Patient : Abc Xylmn / M / 6 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella and Perisellar Region.
CLINICAL PROFILE :
Full Term ceasarian delivery with normal growth and development till 5 months of age. Disproportionate short stature and frontal bossing. HGH not detected. Thyroid hormones normal.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images.
OBSERVATION :
There is seen a hyperintense focus on the T2 Weighted images in the subcortical white matter in the left occipital region. The ventricular system is unremarkable. There is no midline shift.
The pituitary gland measures 3.0 mms in height and shows normal contour and signal characteristics. The posterior pituitary gland shows a normal hyperintense signal on the T1 Weighted images.
The pituitary stalk is in the midline.
The cavernous sinuses and the supra sellar cistern are unremarkable.
IMPRESSION :
1. Altered signal in the subcortical white matter in the left occipital region is of ? etiology, ?? lacune.
2. The pituitary gland measures 3.0 mms in height without focal mass lesion.
Published in
MRI Reports
More...
Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 45 yrs.
Referred by : Dr. Abc Xyzbrani.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O pain in the right hip joint since 2 1/2 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.
The hip joints were screened with 5 mm thick T1 Weighted and STIR coronal images.
OBSERVATION :
There is slight loss of water content of the L5-S1 intervertebral disc.
Posteriorly bulging discs are noted at the L4-L5 and L5-S1 levels with minimal indentation on the anterior dural theca. Slight hypertrophy of the facet joints at these levels is also noted.
Type II degenerative change is noted in the antero-superior portion of the L5 vertebral body.
Fat is noted in the filum terminale at the L3-L4 level.
The lumbar vertebral bodies and the remaining intervertebral discs show normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the theca sac terminates at the S2 level.
- 2 -
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
11.0 mm at L4-L5
8.0 mm at L5-S1.
Screening images of the hip hoints reveal an ill-defined hypointense signal on the T1 Weighted images in the left iliac bone adjacent to the left sacro-iliac joint. This lesion appears hyperintense on the STIR images.
Bone islands are noted in the head of the right femur. No other significant abnormality is detected in the hip joints on either side.
IMPRESSION :
1. Posteriorly bulging discs at the L4-L5 and L5-S1 levels with slight facetal hypertrophy at these levels.
2. Altered signal in the iliac bone adjacent to the left sacro-iliac joint may suggest sacro-ilitis.
If clinically indicated a dedicated study of the sacro-iliac joints would be worthwhile.
Name of the Patient : Abc Xylmn / M / 45 yrs.
Referred by : Dr. Abc Xyzbrani.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O pain in the right hip joint since 2 1/2 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.
The hip joints were screened with 5 mm thick T1 Weighted and STIR coronal images.
OBSERVATION :
There is slight loss of water content of the L5-S1 intervertebral disc.
Posteriorly bulging discs are noted at the L4-L5 and L5-S1 levels with minimal indentation on the anterior dural theca. Slight hypertrophy of the facet joints at these levels is also noted.
Type II degenerative change is noted in the antero-superior portion of the L5 vertebral body.
Fat is noted in the filum terminale at the L3-L4 level.
The lumbar vertebral bodies and the remaining intervertebral discs show normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the theca sac terminates at the S2 level.
- 2 -
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
11.0 mm at L4-L5
8.0 mm at L5-S1.
Screening images of the hip hoints reveal an ill-defined hypointense signal on the T1 Weighted images in the left iliac bone adjacent to the left sacro-iliac joint. This lesion appears hyperintense on the STIR images.
Bone islands are noted in the head of the right femur. No other significant abnormality is detected in the hip joints on either side.
IMPRESSION :
1. Posteriorly bulging discs at the L4-L5 and L5-S1 levels with slight facetal hypertrophy at these levels.
2. Altered signal in the iliac bone adjacent to the left sacro-iliac joint may suggest sacro-ilitis.
If clinically indicated a dedicated study of the sacro-iliac joints would be worthwhile.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc Xyzarayan Ylmn / M / 28 yrs.
Referred by : Dr. Abc Xyzrdikar.
Examination : M.R. Cholangiogram.
CLINICAL PROFILE :
C/O pain in the abdomen since 4 months.
C/O vomiting for 15 days in January 0000.
C/O jaundice since 1 month.
EXAMINATION :
The upper abdomen was scanned with 7 mm thick T1 Weighted and T2 Weighted axial images and 8 mm thick T2 Weighted coronal images.
MR cholangiogram was also obtained.
OBSERVATION :
There is moderate dilatation of the intrahepatic biliary radicles, the common bile duct and the pancreatic duct. Cut-off of the common bile duct and the pancreatic duct at the level of the uncinate process/periampullary region is noted. An intermediate signal intensity lesion on the T1 Weighted images which is relatively hypointense on the T2 Weighted images is noted in the periampullary region. The gall bladder is also moderately distended with evidence of layering. The pancreatic margins appear irregular with a beaded appearance of the pancreatic duct that is dilated.
There is no focal area of altered signal in the liver parenchyma. Mild hepatomegaly is noted.
Both the kidneys, spleen and the adrenal glands are unremarkable.
There are no abnormally enlarged abdominal lymph nodes or free fluid noted.
IMPRESSION :
Moderately dilated intrahepatic biliary radicles, common bile duct and the pancreatic duct with cut-off at the level of the uncinate process/periampullary region. Suspicious soft tissue lesion is noted in the periampullary region. A periampullary mass lesion (? malignant or as a result of chronic pancreatitis) should be ruled out.
Published in
MRI Reports
ke/bv
Date : 00.00.00
Name of the Patient : Abc Xyzm R. Rohlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O progressive gait imbalance with inability to walk since 6-7 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 slight retroplacement of the C5 over the C6 vertebra.
There is a posterior disc herniation at the C5-C6 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing, right more than left. A large posterior peridiscal osteophyte is seen at this level.
A postero-central disc herniation is seen at the C4-C5 level with anterior indentation of the cord. The joint of Luschka on the right side show slight degenerative changes at this level with right neural foraminal narrowing.
Posterior peridiscal osteophytes are also noted at this level.
Small posterior disc bulges are noted at the C2-C3 and C3-C4 levels.
The cervical intervertebral discs show loss of water content.
Mild ligamentum flavum hypertrophy is noted at the C4-C5 and C5-C6 levels.
The C5-C6 intervertebral disc shows hypointense areas on all the pulse sequences suggestive of calcification/vacuum phenomena.
...2/..
- 2 -
The cervical vertebral bodies show normal signal intensity. The rest of 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.
The brain was screened with 5 mm thick T2 Weighted axial images which shows hyperintense areas in the periatrial deep white matter, suggestive of areas of ischemic changes. A lacunar infarct is noted in the right lentiform nucleus with mild age related cerebral atrophy. Note is made of right maxillary sinusitis.
IMPRESSION :
1. A posterior disc herniation with a large posterior peridiscal osteophyte
at the C5-C6 level.
2. A postero-central disc herniation with small posterior peridiscal osteophytes at the C4-C5 level.
Date : 00.00.00
Name of the Patient : Abc Xyzm R. Rohlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O progressive gait imbalance with inability to walk since 6-7 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 slight retroplacement of the C5 over the C6 vertebra.
There is a posterior disc herniation at the C5-C6 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing, right more than left. A large posterior peridiscal osteophyte is seen at this level.
A postero-central disc herniation is seen at the C4-C5 level with anterior indentation of the cord. The joint of Luschka on the right side show slight degenerative changes at this level with right neural foraminal narrowing.
Posterior peridiscal osteophytes are also noted at this level.
Small posterior disc bulges are noted at the C2-C3 and C3-C4 levels.
The cervical intervertebral discs show loss of water content.
Mild ligamentum flavum hypertrophy is noted at the C4-C5 and C5-C6 levels.
The C5-C6 intervertebral disc shows hypointense areas on all the pulse sequences suggestive of calcification/vacuum phenomena.
...2/..
- 2 -
The cervical vertebral bodies show normal signal intensity. The rest of 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.
The brain was screened with 5 mm thick T2 Weighted axial images which shows hyperintense areas in the periatrial deep white matter, suggestive of areas of ischemic changes. A lacunar infarct is noted in the right lentiform nucleus with mild age related cerebral atrophy. Note is made of right maxillary sinusitis.
IMPRESSION :
1. A posterior disc herniation with a large posterior peridiscal osteophyte
at the C5-C6 level.
2. A postero-central disc herniation with small posterior peridiscal osteophytes at the C4-C5 level.
Published in
MRI Reports
ke/sb
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 38 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O high blood pressure with left hemiparesis on 00.00.00. Patient is in subconscious state.
Known hypertensive. On Rx.
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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a large lesion which measures approximately 6.2 x 4.5 x 6.1 cms in the right lentiform nucleus/external capsular region. Superiorly this lesion is seen to extend into the right corona radiata and inferiorly into the right temporal lobe. This lesion has a thick hyperintense periphery with a hypointense centre on the T1 Weighted images. The periphery is seen to remain hyperintense and the centre heterogeneously hyperintense on the proton, T2 Weighted and FLAIR images and would represent hemoglobin breakdown products. There is a complete hypointense rim better appreciated on the Fast Scan (T2 *) images which represents haemosiderin rim and the lesion in toto represents a subacute hematoma. Hypointense areas peripherally which are slightly hyperintense to CSF on the T1 Weighted images are seen
to turn hyperintense on the proton and T2 Weighted images would represent serum due to clot retraction. There is dissection of the hematoma in the body of the right lateral ventricle. There is surrounding edema in the right cerebral hemisphere region with effacement of the adjacent sulci and compression upon the right lateral and the third ventricles and shift of the midline structures to the left. There is effacement of the right Sylvian fissure.
Hypointense areas are seen within the thalamus, caudate nucleus, subthalamus, midbrain, pons and the occipital lobe on the right side on the T1 Weighted images which are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images would represent an infarct.
There is dilatation of the left lateral and the fourth ventricle with periventricular CSF ooze.
There is prominence of the cerebellar folia bilaterally.
No obvious vascular anomaly is identified on this study.
Incidental note is made of inflammatory changes in the mastoid air cells, sphenoid and maxillary sinus.
IMPRESSION :
The MRI features are suggestive of :
1. A large subacute hematoma measuring approximately 6.2 x 4.5 x 6.1 cms in the right lentiform nucleus and external capsular region with extensions as described.
2. Altered signal within the thalamus, caudate nucleus, subthalamus, midbrain, pons and the occipital lobe on the right side would represent an infarct.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 38 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O high blood pressure with left hemiparesis on 00.00.00. Patient is in subconscious state.
Known hypertensive. On Rx.
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.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a large lesion which measures approximately 6.2 x 4.5 x 6.1 cms in the right lentiform nucleus/external capsular region. Superiorly this lesion is seen to extend into the right corona radiata and inferiorly into the right temporal lobe. This lesion has a thick hyperintense periphery with a hypointense centre on the T1 Weighted images. The periphery is seen to remain hyperintense and the centre heterogeneously hyperintense on the proton, T2 Weighted and FLAIR images and would represent hemoglobin breakdown products. There is a complete hypointense rim better appreciated on the Fast Scan (T2 *) images which represents haemosiderin rim and the lesion in toto represents a subacute hematoma. Hypointense areas peripherally which are slightly hyperintense to CSF on the T1 Weighted images are seen
to turn hyperintense on the proton and T2 Weighted images would represent serum due to clot retraction. There is dissection of the hematoma in the body of the right lateral ventricle. There is surrounding edema in the right cerebral hemisphere region with effacement of the adjacent sulci and compression upon the right lateral and the third ventricles and shift of the midline structures to the left. There is effacement of the right Sylvian fissure.
Hypointense areas are seen within the thalamus, caudate nucleus, subthalamus, midbrain, pons and the occipital lobe on the right side on the T1 Weighted images which are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images would represent an infarct.
There is dilatation of the left lateral and the fourth ventricle with periventricular CSF ooze.
There is prominence of the cerebellar folia bilaterally.
No obvious vascular anomaly is identified on this study.
Incidental note is made of inflammatory changes in the mastoid air cells, sphenoid and maxillary sinus.
IMPRESSION :
The MRI features are suggestive of :
1. A large subacute hematoma measuring approximately 6.2 x 4.5 x 6.1 cms in the right lentiform nucleus and external capsular region with extensions as described.
2. Altered signal within the thalamus, caudate nucleus, subthalamus, midbrain, pons and the occipital lobe on the right side would represent an infarct.
Published in
MRI Reports