MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14660

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

Name of the Patient : Abc Xyz Ponlmn / F / 56 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches (on the left side).
H/O being operated for meningioma on 00.00.00.
For follow up.

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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is evidence of left frontal craniotomy with post-operative changes.

There are hypointense areas on T1 Weighted images in the left frontal region which are seen to follow CSF signal characteristics on all the pulse sequences. Hyperintense areas on the proton, T2 Weighted and FLIAR images at the periphery of this lesion would represent gliosis and the lesion would represent an area of cystic encephalomalacia, the result of previous surgery. No residual tumor is visualized on this study. Hyperintense areas are also seen on the FLAIR images in the right inferior frontal lobe, which would represent gliosis, the result of surgery.

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. Post-operative status.

2. An area of cystic encephalomalacia in the left frontal region and an area of gliosis in the right frontal region.














Sunday, 27 December 2015 16:48

14659

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

Name of the Patient : Abc Xyz Galmn / M / 55 yrs.
Referred by : Dr. Abc Xyz Sane.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O loss of consciousness for 36 hours on 00.00.00.
No complaints after that.

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 T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

Dilated perivascular spaces are seen in the centrum semiovale bilaterally.

There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic with indentation upon the medulla and the pons.

IMPRESSION :

The MRI features are suggestive of age related cerebral and cerebellar atrophy.












Sunday, 27 December 2015 16:48

14658

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

Name of the Patient : Abc Xlmn / M / 36 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 3-1/2 years.

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 normal lumbar lordosis and loss of water content of the L4-L5 and L5-S1 intervertebral discs.

There is a fairly large, postero-central and left paracentral extruded disc with a peridiscal osteophyte at the L5-S1 level with indentation upon the traversing left S1 nerve root.

A small, postero-central protruded disc with peridiscal osteophyte is noted at the L4-L5 level.

A left postero-lateral peridiscal osteophyte is noted at the L3-L4 level (scan 105.10, 104.8).

Type II degenerative marrow changes are noted adjacent to the L5-S1 disc.
Scan-00008


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 D12-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
16.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
5.0 mm at L5-S1.

No significant abnormality is detected on the screening images of the sacro-iliac joints.

IMPRESSION :

1. A fairly large, postero-central and left paracentral extruded disc with a peridiscal osteophyte at the L5-S1 level with indentation upon the traversing left S1 nerve root.

2. A small, postero-central protruded disc with peridiscal osteophyte at the L4-L5 level.

Sunday, 27 December 2015 16:48

14657

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

Name of the Patient : Abc Xyza Mahlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

C/O weakness of BLE with bladder involvement since 6 days.

EXAMINATION :

M.R.I of the cervico-dorsal 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 increase in diameter of the cervical and upper dorsal spinal cord. There is an ill-defined, hyperintense signal on the T2 Weighted images in the cervico-dorsal spinal cord centrally extending from the C3 to D11 vertebral levels. This lesion is relatively hypointense on the T1 Weighted images. Slight effacement of the CSF space in the cervical region is noted.

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

There is no cord compression.

The conus medullaris terminates at the L1-L2 level.

T2 Weighted sagittal images of the dorso-lumbar region reveal a small posterior disc bulge at the L5-S1 level.

IMPRESSION :

Altered signal in the cervico-dorsal spinal cord over the C3 to D11 vertebral levels as described, most likely represents myelitis in the given clinical setting.

The possibility of demyelination seems less likely.



Sunday, 27 December 2015 16:48

14656

Written by
bv/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzHarilmn / M / 22 yrs.
Referred by : Dr. Abc Xyzra.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since July 0000.
For follow up.

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 are hypointense areas on the T1 Weighted images replacing the normal marrow of the L3 vertebral body and pedicles. These areas are seen to turn heterogeneously hyperintense on the T2 Weighted images. There is break in the superior cortical endplate of this vertebra with involvement of the adjoining L2-L3 intervertebral disc. This disc appears reduced in height and shows mild loss of water content. The intranuclear cleft is not well-identified within this disc. There is slight bulging of the vertebra circumferentially.

A small posterior disc bulge is noted 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.

The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
..2/.





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

17.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.

Screening of the dorsal and cervical spines reveals no feature of note.

IMPRESSION :

The MRI features are suggestive of altered signal of the L3 vertebral body with break in the superior cortical endplate and involvement of the L2-L3 disc is not specific for a single etiology. This most likely is infective in etiology (like tuberculosis).

The possibility of this lesion being neoplastic in origin
seems less likely.

As compared to the previous MRI dated 00.00.00, there is break in the superior cortical endplate with involvement of the L2-L3 intervertebral disc which was not seen on the previous MRI study.

Sunday, 27 December 2015 16:48

14655

Written by
bv/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzvadan J. lmn / M / 80 yrs.
Referred by : Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since Novembar 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 :

All the lumbar intervertebral discs show loss of water content except the L1-L2 disc.

There is evidence of a well-defined lesion measuring approximately 1.2 (L) x 0.9 (B) x 2.0 (H) cms located at the L4-L5 disc and L5 vertebral levels. This lesion is extradural in location with well-defined margins and is seen to compress the thecal sac and displace the sac anteriorly and to the right side. There is also probable impingement of the foraminal L4 nerve root on the left side. This lesion is slightly hyperintense to CSF on the T1 Weighted images and turns nearly isointense to CSF on the T2 Weighted images with a well-defined hypointense peripheral rim.

There is a posterior disc herniation at the L4-L5 level with ventral indentation on the thecal sac and causing bilateral neural foraminal narrowing. Bilateral foraminal and extraforaminal disc bulges are also seen at this level with indentation on the extraforaminal portion of the L4 nerve roots. Mild ligamentum flavum hypertrophy is identified at L4-L5 and L5 levels.
..2/.




R> A posterior disc herniation is seen at the L5-S1 level with ventral indentation of the thecal sac. There is facetal arthropathy on the right side at this level with joint effusion and narrowing of the right neural foramen.

There are right postero-lateral disc herniations at the L3-L4 and L2-L3 levels with probable indentation on the right L3 and L2 nerve roots respectively. A left far lateral disc herniation is also seen at the L3-L4 level.

The lumbar vertebral bodies show spotty fatty changes.
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-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
15.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. An extradural mass lesion measuring approximately 1.2 (L) x 0.9 (B) x 2.0 (H) cms located at the L4-L5 disc and L5 vertebral levels, compressing and displacing the thecal sac anteriorly and to the right side. This is not specific for a single etiology. The possibilities to be considered are,

A. Synovial cyst.

B. A sequestered disc fragment.

3. Posterior disc herniations at the L4-L5 and L5-S1 levels.
Sunday, 27 December 2015 16:48

14654

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

Name of the Patient : Abc Xyzhdas Pithlmn / M / 72 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyztrak.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O weakness and wasting of BUE with fasciculations.

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 slight retroplacement of the C3 over the C4 and C4 over the C5 vertebrae.

Posteriorly herniated discs with posterior peridiscal osteophytes are noted at the C4-C5, C5-C6 and C6-C7 levels, indenting the cervical spinal cord anteriorly. A smaller, postero-central disc herniation with peridiscal osteophytes is noted at the C3-C4 level.

A postero-central protruded disc is noted at the C2-C3 level.

The cervical spinal cord over the C4 to C6 vertebral levels appears atrophied and shows a hyperintense signal on the T2 Weighted images at the C4-C5 and C5-C6 levels which may suggest cord ischemia/myelomalacia.

Ligamentum flavum hypertrophy is noted at the C4-C5 and C5-C6 levels. Facetal hypertrophy is noted at the C3-C4 and C4-C5 levels bilaterally.


The joints of Luschka at the C6-C7 level bilaterally show degenerative changes.

Fatty marrow changes are noted in the C2 and C3 vertebral bodies and a hemangioma with fat content is noted in the C7 vertebral body.

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

IMPRESSION :

1. Slight retroplacement of the C3 over the C4 and C4 over the C5 vertebrae.

2. Posteriorly herniated discs with posterior peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels, indenting the cervical spinal cord anteriorly.

3. A smaller, postero-central disc herniation with peridiscal osteophytes at the C3-C4 level.

4. A postero-central protruded disc at the C2-C3 level.

5. Atrophy of the cervical spinal cord over the C4 to C6 vertebral levels with altered signal at the C4-C5 and C5-C6 levels which may suggest cord isclmn / Myelomalacia.

6. Ligamentum flavum hypertrophy at the C4-C5 and C5-C6 levels with facetal hypertrophy at the C3-C4 and C4-C5 bilaterally.

7. Cervical canal stenosis at the C4-C5, C5-C6 and C6-C7 levels.



Sunday, 27 December 2015 16:48

14653

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

Name of the Patient : Abc Xyzhai lmn / M / 79 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever with chills 15 days back.
C/O numbness all over the body, vertigo on walking since 3-4 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 FLAIR and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

There is fullness of the ventricular system. Also seen is prominence of the cerebral cortical sulci (more so in the occipital region) and cerebellar folia bilaterally.

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 mild cerebral and cerebellar atrophy which may be age related.












Sunday, 27 December 2015 16:48

14652

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

Name of the Patient : Abc Xyzuddin Anlmn / M / 24 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

C/O acute onset of paraplegia with bladder involvement since 00.00.00.

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 seen an ill-defined, hyperintense signal on the T2 Weighted images in the cervico-dorsal spinal cord, centrally extending over the C6 to about the D9 vertebral levels. This lesion appears iso to hypointense to normal cord on the T1 Weighted images. Slight increase in diameter of the cervico-dorsal spinal cord over the C6 to D5 vertebral levels is noted.

A small, postero-central protruded disc is noted at the C7-D1 level.

The visualized cervico-dorsal vertebral bodies reveal normal signal intensity. The visualized cervico-dorsal intervertebral discs show loss of water content. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.







There is no cord compression.

The conus medullaris terminates at the L1 level.

IMPRESSION :

Altered signal in the cervico-dorsal spinal cord, centrally extending over the C6 to about the D9 vertebral levels, as described, most likely represents myelitis, in the given clinical setting.

Sunday, 27 December 2015 16:48

14651

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

Name of the Patient : Abc Xyz Galmn / F / 52 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating 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 :

There is loss of water content of the L3-L4 and L4-L5 intervertebral disc.

There is seen a right paracentral disc herniation at the L4-L5 level with slight inferior migration of the disc fragment indenting the traversing right L5 nerve root. Bilateral far lateral (extraforaminal) disc bulges are seen at this level.

The articular facets at the L4-L5 and L5-S1 levels appear slightly hypertrophied.

The lumbar vertebral bodies and the remaining intervertebral discs reveal 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 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 :

16.0 mm at L1-L2
15.0 mm at L2-L3
16.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.

Screening images of the sacro-iliac joints are unremarkable.

IMPRESSION :

1. Degenerated L4-L5 disc with a right paracentral disc herniation at the L4-L5 level, with slight inferior migration of the disc fragment indenting the traversing right L5 nerve root.

2. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels.