MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14674

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

Name of the Patient : Abc Xyz lmn / F / 22 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O delivery 2 months back with behavioural changes, and loss of consciousness since 1 month.
C/O pregnancy induced hypertension.

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 ill-defined, hypointense areas on the T1 Weighted images involving the cortex and subcortical white matter in the frontal and parietal regions bilaterally and to some extent in the left occipital region. These areas appear hyperintense on the proton, T2 Weighted and FLAIR images. A hyperintense signal on the T1 Weighted images is noted along the cortex in the right high parietal region. This signal change may either represent paramagnetic substance deposition or hemoglobin breakdown products.

There is mild dilatation of both the lateral, third and the fourth ventricles. Hypointense signal is seen in the posterior third ventricle and aqueduct suggesting increased flow. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the mastoid air cells on the right side. The pituitary gland has a superior convex margin which is consistent with the patients physiological status.
..2/.







IMPRESSION :

Altered signal involving the cortex and subcortical white matter in the frontal and parietal regions bilaterally and to some extent in the left occipital region represent gliotic/ encephalomalacic changes, most likely the sequelae of a previous vascular insult. Mild communicating hydrocephalus is also noted.















Sunday, 27 December 2015 16:48

14673

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

Name of the Patient : Abc Xylmn / M / 54 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O single episode of loss of consciousness for half a minute 6 months back.
Known hypertensive/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 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.

Inflammatory changes are noted in the right maxillary sinus.

INTRACRANIAL MRA :

There is slight concentric narrowing of the cavernous and supraclinoid segments of the left internal carotid artery. The A1 segment of the left anterior cerebral artery is not well identified and is probably hypoplastic. Slight irregularity of the anterior cerebral arteries and some of the Sylvian branches of the left middle cerebral artery is noted.
Scan-00003


The petrous, cavernous and supraclinoid segments of the right internal carotid artery bilaterally show normal signal and calibre. The visualized right anterior cerebral, right 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 a small atheromatous plaque along the postero-medial wall of the proximal right internal carotid artery just at the bifurcation of right common carotid artery.

The left common carotid artery and its extracranial branches and the vertebral arteries appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

1. Slight concentric narrowing of the cavernous and supraclinoid segments of the left internal carotid artery with slight irregularity of the anterior cerebral arteries and some of the Sylvian branches of the left middle cerebral artery, may be atherosclerotic in etiology.

2. A small atheromatous plaque along the postero-medial wall of the proximal right internal carotid artery just at the bifurcation of right common carotid artery.

3. No significant abnormality is detected in the brain parenchyma per se on this study.

Sunday, 27 December 2015 16:48

14672

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

Name of the Patient : Abc Xyzi lmn / F / 30 yrs.
Referred by : Dr. Abc Xyzon.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O speech disturbance with memory impairement since 2 days.
C/O acute myeloid leukemia since June 0000. Received 2 cycles of chemotherapy with cytosar. To R/O any structural lesions.

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.

FEW IMAGES SHOW PATIENT MOTION.

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.

IMPRESSION :

Normal study of the Brain.













Sunday, 27 December 2015 16:48

14671

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

Name of the Patient : Abc Xyznt Khlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with slight weakness of BLE.

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 slight loss of water content of the D12-L1 and L1-L2 intervertebral discs.

There are small posterior disc bulges at the L2-L3, L3-L4 and L4-L5 levels. Small posterior peridiscal osteophytes are identified at the L2-L3 and L3-L4 levels.

A small, postero-central disc herniation with peridiscal osteophytes is noted at the L1-L2 level, indenting the dural theca anteriorly.

Small postero-central protruded disc with peridiscal osteophytes is noted at the D12-L1 level.

Schmorls nodes are seen in the upper lumbar region.

There is slight posterior wedging of the L2 vertebral body, with focal fatty marrow changes. Slight anterior wedging of the L1 vertebral body without change in signal intensity.

The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
..2/.






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.

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 :

11.0 mm at L1-L2
10.0 mm at L2-L3
9.0 mm at L3-L4
11.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

1. Small posterior disc bulges at the L2-L3, L3-L4 and L4-L5 levels.

2. A small, postero-central disc herniation with peridiscal osteophytes at the L1-L2 level.

3. Small postero-central protruded disc with peridiscal osteophytes at the D12-L1 level.

4. Slight posterior wedging of the L2 vertebral body and anterior wedging of the L1 vertebral body, is ? the sequelae of previous trauma.

5. Tight canal at the L3-L4 level.

Sunday, 27 December 2015 16:48

14670

Written by
PROVISIONAL REPORT
sb/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

C/O neckpain with swelling over the neck since 2-3 months.
C/O weakness of all four extremities with bladder involvement.

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.

7 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is collapse of C7, D2 and D3 vertebral bodies with a kyphus at that level. The C6 to D4 vertebral bodies appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. Some of the intervening intervertebral discs also appear more hyperintense on the T2 Weighted images. The posterior elements of C7, D1 and D2 vertebrae appear to be destroyed.

There is seen a fairly large, intermediate signal intensity mass lesion on the T1 Weighted images in the prevertebral and paravertebral soft tissues, extending over C5 to D6 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. Extension into the epidural space, circumferentially over the C6 to D2 vertebral levels is noted with resultant cord compression. The cervico-dorsal










spinal cord over these levels appears hyperintense on the T2 Weighted images, suggesting cord edema/ischemia. There is also extension of this soft tissue lesion into the posterior paraspinal region at D2 vertebral level.

Probable involvement of the head and neck of the first and second ribs is noted bilaterally.

The mediastinal structures are displaced anteriorly by the prevertebral soft tissue lesion.


Suspicious signal change is noted in the D9 and D11 vertebral bodies. The visualized lumbar vertebrae do not show any obvious signal change on this study.

The conus medullaris terminates at the D12-L1 level.

IMPRESSION :

Collapse of the C7, D2 and D3 vertebral bodies with altered signal of the C6 to D4 vertebral bodies and some of the intervening intervertebral discs as described, most likely represents osteitis with discitis, probably tuberculous in etiology.

Fairly large pre and paravertebral soft tissue lesion over C5 to D6 vertebral levels represents an abscess. Extension of the soft tissue lesion into the epidural space is noted, with cord compression and cord signal alteration as described, suggesting cord edema/ischemia.

The possibility of the above described lesion being neoplastic lesion seems less likely.





Sunday, 27 December 2015 16:48

14669

Written by
ke/sb/nl/rg.
/692 Date : 22/00.00.00

Name of the Patient : Abc Xylmn / M / 63 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O 2 episodes of seizures (first on 00.00.00 and second 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.

5 mm thick T1 Weighted sagittal images.

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.

OBSERVATION :

There is seen a well-marginated, approximately 2.0 x 2.8 x 2.2 cms sized hypointense mass lesion on the T1 Weighted images in the right temporal lobe. This lesion appears hyperintense on the proton, T2 Weighted and FLAIR images with a central, relatively hypointense area within. There is perilesional edema with effacement of the sulcal spaces and the right Sylvian cistern in that region.
Scan-00009/692


After administration of contrast there is thick peripheral enhancement of the lesion. There is no other abnormal area of enhancement within the brain parenchyma or the meninges.

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. No obvious vascular anomaly is identified on this study.

IMPRESSION :

An approximately 2.0 x 2.8 x 2.2 cms sized rim enhancing mass lesion in the right temporal lobe as described, is not specific for a single etiology. A glial cell tumor or metastasis may be considered as differential diagnosis. The possibility of an infective/inflammatory pathology is less likely.















Sunday, 27 December 2015 16:48

14668

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

Name of the Patient : Abc XyzPalmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O gradual progressive weakness of BLE (right more than left) since 2 years.
C/O gait ataxia.

EXAMINATION :

M.R.I of the dorsal 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.

The cervico-dorsal spine was screened with 4 mm thick T2 Weighted sagittal images.

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

OBSERVATION :

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.

The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L2 level.

Screening images of the cervico-dorsal spine and the brain reveal no significant feature of note.

IMPRESSION :

Normal study of the Dorsal Spine.

Sunday, 27 December 2015 16:48

14667

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

Name of the Patient : Abc Xyznt lmn / M / 30 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gait imbalance since 1 1/2 years and speech disturbances since 2-3 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 in the brain parenchyma.

There is prominence of the cerebellar folia bilaterally. Fullness of the fourth ventricle is noted.

Both the lateral and the third 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 :

Mild cerebellar atrophy.














Sunday, 27 December 2015 16:48

14666

Written by
Scan No : Date : 99

Name of the Patient :
Referred by : Dr.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :


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 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 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 :

.0 mm at L1-L2
.0 mm at L2-L3
.0 mm at L3-L4
.0 mm at L4-L5
.0 mm at L5-S1.

IMPRESSION :

Normal study of the lumbo-sacral spine.
Sunday, 27 December 2015 16:48

14665

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

Name of the Patient : Abc Xyzt Walmn / M / 25 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain and pain in both shoulders since 1 1/2 years.

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 normal cervical curvature.

The cervical intervertebral discs except for the C2-C3 disc show loss of water content.

Small posterior disc herniations with peridiscal osteophytes are seen at the C4-C5, C6-C7 and C7-D1 levels with anterior indentation of the thecal sac.

There is anticlockwise rotation of the C1 over the C2 vertebra.

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.






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

Note is made of subcentimeter lymphnodes in the deep cervical chain bilaterally.

IMPRESSION :

The MRI features are suggestive of small posterior disc herniations with peridiscal osteophytes at the C4-C5, C6-C7 and C7-D1 levels.