MRI Reports (3472)
MRI Reports Database
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyznnisa lmn / F / 55 yrs.
Referred by : Dr. Abc Xyzpase.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE since 2-3 months.
C/O weakness of BLE since 15 days.
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.
OBSERVATION :
There is slight wedging of the D9 and D10 vertebral bodies which appear hypointense on the T1 Weighted images and heterogeneously hyperintense on the T2 Weighted images. The D9-D10 intervertebral disc is also involved and appears more hyperintense (as compared to normal) on the T2 Weighted images.
There is seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the anterior epidural space over the D9 and D10 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. There is resultant cord compression at these levels with cord signal alteration (hyperintense on the T2 Weighted images and iso to hypointense on the T1 Weighted images) over D9 to D10 vertebral levels, suggesting cord edema/ischemia. Similar signal intensity soft tissue lesion is also noted in the left paravertebral region over D8 and D9 vertebral levels with resultant involvement of the costo-transverse and costo-vertebral joints at the D9 vertebral level. The pedicles of these vertebrae are also involved by the pathologic process.
Involvement of the left transverse process of D9 is also noted. Minimal soft tissue extension is noted in the prevertebral region at the D9/D10 vertebral levels.
The rest of the visualized dorsal vertebral bodies show spotty fatty marrow changes. The remaining dorsal intervertebral discs show slight loss of water content. The facet joints are unremarkable.
The conus medullaris terminates at the D12-L1 level.
The T1 Weighted sagittal images of the lumbar spine show degenerative changes in the upper and mid lumbar region.
IMPRESSION :
Altered signal of the D9 and D10 vertebral bodies and the D9-D10 intervertebral disc as described, most likely represents osteitis with discitis, probably tuberculous in etiology. Anterior epidural and left paravertebral soft tissue lesion would represent granulation tissue/abscess. There is resultant cord compression and cord signal alteration over the D9 and D10 vertebral levels which represent cord edema/ischemia.
The possibility of this lesion representing a neoplasm seems less likely.
Date : 00.00.00
Name of the Patient : Abc Xyznnisa lmn / F / 55 yrs.
Referred by : Dr. Abc Xyzpase.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE since 2-3 months.
C/O weakness of BLE since 15 days.
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.
OBSERVATION :
There is slight wedging of the D9 and D10 vertebral bodies which appear hypointense on the T1 Weighted images and heterogeneously hyperintense on the T2 Weighted images. The D9-D10 intervertebral disc is also involved and appears more hyperintense (as compared to normal) on the T2 Weighted images.
There is seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the anterior epidural space over the D9 and D10 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. There is resultant cord compression at these levels with cord signal alteration (hyperintense on the T2 Weighted images and iso to hypointense on the T1 Weighted images) over D9 to D10 vertebral levels, suggesting cord edema/ischemia. Similar signal intensity soft tissue lesion is also noted in the left paravertebral region over D8 and D9 vertebral levels with resultant involvement of the costo-transverse and costo-vertebral joints at the D9 vertebral level. The pedicles of these vertebrae are also involved by the pathologic process.
Involvement of the left transverse process of D9 is also noted. Minimal soft tissue extension is noted in the prevertebral region at the D9/D10 vertebral levels.
The rest of the visualized dorsal vertebral bodies show spotty fatty marrow changes. The remaining dorsal intervertebral discs show slight loss of water content. The facet joints are unremarkable.
The conus medullaris terminates at the D12-L1 level.
The T1 Weighted sagittal images of the lumbar spine show degenerative changes in the upper and mid lumbar region.
IMPRESSION :
Altered signal of the D9 and D10 vertebral bodies and the D9-D10 intervertebral disc as described, most likely represents osteitis with discitis, probably tuberculous in etiology. Anterior epidural and left paravertebral soft tissue lesion would represent granulation tissue/abscess. There is resultant cord compression and cord signal alteration over the D9 and D10 vertebral levels which represent cord edema/ischemia.
The possibility of this lesion representing a neoplasm seems less likely.
Published in
MRI Reports
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzevi Plmn / F / 15 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain, stiffness and swelling over the left side of neck since 6 months. On AKT since 00.00.00.
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 replacement of the normal marrow by hypointense areas on the T1 Weighted images, of the C2, C3, C4 as well as the left lateral mass of atlas. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. There is left paravertebral soft tissue extension of the lesion from the level of the foramen magnum to the C2 level. There is encroachment inbetween the odontoid process and the lateral mass of the atlas bilaterally. This lesion is hypointense to muscle on the T1 Weighted images and turns hyperintense on the T2 Weighted images and would represent an abscess formation. Extension into the left paraspinal muscles is also noted over the C2 to the C3-C4 levels. A large anterior epidural extension is seen over the C2 to the C5 vertebral levels with compression of the spinal cord maximum at the C3 level. The spinal cord at the C3 vertebral level shows a subtle hyperintense signal on the T2
Weighted and Fast Scan (T2 *) images (isointense to normal cord on the T1 Weighted images) suggestive of cord edema/ischemia/myelitis. There is encroachment into the C2-C3 and C3-C4 neural foramina on the right side with encasement of the C3 and C4 nerve roots. There is a suggestion of involvement of the C2-C3, C3-C4 and C4-C5 intervertebral discs.
The rest of the cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized prevertebral soft tissues are unremarkable.
The cervico-medullary junction is unremarkable.
Incidental note is made of enlarged deep cervical lymph nodes bilaterally, left more than right.
The dorsal spine was screened with the help of 4 mm thick T1 Weighted sagittal images and 6 mm thick T1 Weighted coronal images which shows hypointense areas replacing the normal marrow of the D5, D6, D7 and D8 vertebral bodies with pre and paravertebral soft tissue extension and probably minimal epidural extension at the D6 level with encroachment into the D6-D7 neural foramen on the left side.
IMPRESSION :
In a known C/O Kochs spine the MRI features suggest involvement of the atlanto-axial region, upper cervical and dorsal vertebrae as described with paravertebral and anterior epidural abscess with granulation tissue.
The possibility of a round cell tumor is less likely.
Date : 00.00.00
Name of the Patient : Abc Xyzevi Plmn / F / 15 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain, stiffness and swelling over the left side of neck since 6 months. On AKT since 00.00.00.
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 replacement of the normal marrow by hypointense areas on the T1 Weighted images, of the C2, C3, C4 as well as the left lateral mass of atlas. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. There is left paravertebral soft tissue extension of the lesion from the level of the foramen magnum to the C2 level. There is encroachment inbetween the odontoid process and the lateral mass of the atlas bilaterally. This lesion is hypointense to muscle on the T1 Weighted images and turns hyperintense on the T2 Weighted images and would represent an abscess formation. Extension into the left paraspinal muscles is also noted over the C2 to the C3-C4 levels. A large anterior epidural extension is seen over the C2 to the C5 vertebral levels with compression of the spinal cord maximum at the C3 level. The spinal cord at the C3 vertebral level shows a subtle hyperintense signal on the T2
Weighted and Fast Scan (T2 *) images (isointense to normal cord on the T1 Weighted images) suggestive of cord edema/ischemia/myelitis. There is encroachment into the C2-C3 and C3-C4 neural foramina on the right side with encasement of the C3 and C4 nerve roots. There is a suggestion of involvement of the C2-C3, C3-C4 and C4-C5 intervertebral discs.
The rest of the cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized prevertebral soft tissues are unremarkable.
The cervico-medullary junction is unremarkable.
Incidental note is made of enlarged deep cervical lymph nodes bilaterally, left more than right.
The dorsal spine was screened with the help of 4 mm thick T1 Weighted sagittal images and 6 mm thick T1 Weighted coronal images which shows hypointense areas replacing the normal marrow of the D5, D6, D7 and D8 vertebral bodies with pre and paravertebral soft tissue extension and probably minimal epidural extension at the D6 level with encroachment into the D6-D7 neural foramen on the left side.
IMPRESSION :
In a known C/O Kochs spine the MRI features suggest involvement of the atlanto-axial region, upper cervical and dorsal vertebrae as described with paravertebral and anterior epidural abscess with granulation tissue.
The possibility of a round cell tumor is less likely.
Published in
MRI Reports
hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzana lmn / F / 55 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O vomiting with giddiness (8 days back) and retention of urine with inability to walk and speak since 10 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 coronal images.
OBSERVATION :
There are small bright foci on the proton, T2 Weighted and FLAIR images within the white matter in the frontal lobes bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.
A lacune (iso to hyperintense to CSF) is seen within the pons on the right side.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. Also seen is mild fullness of the ventricular system.
Hyperintense signal on all the pulse sequences is seen within the sigmoid and transverse sinuses on the left side and this may represent slow flow.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted within both the maxillary sinuses.
IMPRESSION :
The MRI features are suggestive of :
1. Foci of altered signal within the frontal lobes bilaterally
is most likely ischemic in etiology.
2. A lacune within the pons on the right side.
Date : 00.00.00
Name of the Patient : Abc Xyzana lmn / F / 55 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O vomiting with giddiness (8 days back) and retention of urine with inability to walk and speak since 10 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 coronal images.
OBSERVATION :
There are small bright foci on the proton, T2 Weighted and FLAIR images within the white matter in the frontal lobes bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.
A lacune (iso to hyperintense to CSF) is seen within the pons on the right side.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. Also seen is mild fullness of the ventricular system.
Hyperintense signal on all the pulse sequences is seen within the sigmoid and transverse sinuses on the left side and this may represent slow flow.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted within both the maxillary sinuses.
IMPRESSION :
The MRI features are suggestive of :
1. Foci of altered signal within the frontal lobes bilaterally
is most likely ischemic in etiology.
2. A lacune within the pons on the right side.
Published in
MRI Reports
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzDlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain in the right knee with locking since 2 days.
H/O aspiration of the right knee done in 0000.
EXAMINATION :
M.R.I of the right knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and STIR coronal images.
4 mm thick Fast Scan (T2 *) axial images.
OBSERVATION :
There is slight medial and posterior subluxation of the right femur over the right tibia.
Menisci :
There is an ill-marginated, hyperintense signal on all the pulse sequences in the posterior horn of the medial meniscus of the right knee joint, extending upto the inferior articular margin. This most likely represents a meniscal tear.
The posterior horn of the lateral meniscus and anterior horns of the lateral and medial menisci reveal normal configuration and signal characteristics.
Cruciate Ligaments :
There is slight thinning and irregularity of the anterior cruciate ligament at its femoral attachment, without change in signal intensity which may suggest a chronic partial tear of the anterior cruciate ligament. Buckling of the posterior cruciate ligament is noted without change in signal intensity.
..2/.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
There is irregularity of the medial patellar retinaculum.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
The articular cartilage overlying the patella, tibia and femur appears normal.
There is a small, subchondral degenerative cyst/pit along the inferior articular margin of the medial femoral condyle (scans 105.11, 106.11).
A small amount of fluid is noted in the right knee joint.
IMPRESSION :
1. Slight medial and posterior subluxation of the right femur over the right tibia.
2. Meniscal tear in the posterior horn of the medial meniscus of the right knee joint.
3. Chronic partial tear of the anterior cruciate ligament towards its femoral attachment, with buckling of the posterior cruciate ligament.
4. Degenerative subchondral cyst/pit along the inferior articular margin of the medial femoral condyle.
5. Small amount of fluid in the right knee joint.
Date : 00.00.00
Name of the Patient : Abc XyzDlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Right Knee Joint.
CLINICAL PROFILE :
C/O pain in the right knee with locking since 2 days.
H/O aspiration of the right knee done in 0000.
EXAMINATION :
M.R.I of the right knee joint was performed using the following parameters :
4 mm thick T1 Weighted, proton and GRASS sagittal images.
4 mm thick T1 Weighted and STIR coronal images.
4 mm thick Fast Scan (T2 *) axial images.
OBSERVATION :
There is slight medial and posterior subluxation of the right femur over the right tibia.
Menisci :
There is an ill-marginated, hyperintense signal on all the pulse sequences in the posterior horn of the medial meniscus of the right knee joint, extending upto the inferior articular margin. This most likely represents a meniscal tear.
The posterior horn of the lateral meniscus and anterior horns of the lateral and medial menisci reveal normal configuration and signal characteristics.
Cruciate Ligaments :
There is slight thinning and irregularity of the anterior cruciate ligament at its femoral attachment, without change in signal intensity which may suggest a chronic partial tear of the anterior cruciate ligament. Buckling of the posterior cruciate ligament is noted without change in signal intensity.
..2/.
Collateral Ligaments and the Patellar Tendon :
The medial and lateral collateral ligaments and the patellar tendon are normal.
There is irregularity of the medial patellar retinaculum.
Hoffas Fat Pad :
The Hoffas fat pad is normal.
Articular cartilage and bones :
The articular cartilage overlying the patella, tibia and femur appears normal.
There is a small, subchondral degenerative cyst/pit along the inferior articular margin of the medial femoral condyle (scans 105.11, 106.11).
A small amount of fluid is noted in the right knee joint.
IMPRESSION :
1. Slight medial and posterior subluxation of the right femur over the right tibia.
2. Meniscal tear in the posterior horn of the medial meniscus of the right knee joint.
3. Chronic partial tear of the anterior cruciate ligament towards its femoral attachment, with buckling of the posterior cruciate ligament.
4. Degenerative subchondral cyst/pit along the inferior articular margin of the medial femoral condyle.
5. Small amount of fluid in the right knee joint.
Published in
MRI Reports
hs/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Dslmn / M / 25 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 3 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 a small posterior disc herniation with peridiscal osteophytes indenting the thecal sac and causing mild neural foraminal narrowing bilaterally at the L4-L5 level.
A posterior disc bulge with small peridiscal osteophytes is seen at the L5-S1 level.
The L4-L5 and L5-S1 facet joints show degenerative changes.
There appears to be a spina bifida at the S1 vertebral level.
The L4-L5 intervertebral disc shows mild loss of water content.
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 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 :
19.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A small posterior disc herniation with peridiscal osteophytes at the L4-L5 level.
2. Facetal arthropathy at the L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz Dslmn / M / 25 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 3 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 a small posterior disc herniation with peridiscal osteophytes indenting the thecal sac and causing mild neural foraminal narrowing bilaterally at the L4-L5 level.
A posterior disc bulge with small peridiscal osteophytes is seen at the L5-S1 level.
The L4-L5 and L5-S1 facet joints show degenerative changes.
There appears to be a spina bifida at the S1 vertebral level.
The L4-L5 intervertebral disc shows mild loss of water content.
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 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 :
19.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A small posterior disc herniation with peridiscal osteophytes at the L4-L5 level.
2. Facetal arthropathy at the L4-L5 and L5-S1 levels.
Published in
MRI Reports
hs/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzang Shilmn / M / 48 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O backache with pain radiating to the LLE since 2-3 months.
C/O acute retention of urine since 15 days and weakness of the LLE.
EXAMINATION :
M.R.I of the lumbo-sacral 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.
OBSERVATION :
The L5 vertebra is as marked on the film. Please correlate with plain radiographs.
The lumbar intervertebral discs show loss of water content. Type II degenerative changes are seen within the L4, L5 and S1 vertebral bodies adjacent to the intervertebral discs.
A large posterior disc extrusion is seen to compress upon the thecal sac and narrow both neural foramina with impingement of the exiting left L5 nerve root at the L5-S1 level. A disc portion is seen within the anterior epidural space at the S1 vertebral level with resultant impingement of both the traversing S1 nerve roots.
A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level.
A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the L1-L2 level.
Bilateral far lateral (extraforaminal) disc bulges are seen at the L1-L2, L4-L5 and L5-S1 levels.
The L4-L5 and L5-S1 facet joints show hypertrophic degenerative changes. The L1-L2, L2-L3 and L3-L4 facet joints show degenerative changes.
A posterior disc bulge is noted at the L3-L4 level. Small posterior peridiscal osteophytes are seen at the L4-L5 and L5-S1 levels.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 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
14.0 mm at L2-L3
11.0 mm at L3-L4
10.0 mm at L4-L5
4.0 mm at L5-S1.
The dorsal spine was screened with 5 mm thick T2 Weighted sagittal images and which does not reveal any significant feature of note.
IMPRESSION :
The MRI features are suggestive of :
1. A large posterior disc extrusion at the L5-S1 level with severe canal stenosis and a disc portion seen within the anterior epidural space at the S1 vertebral level impinging both the traversing S1 nerve roots.
..3/.
- 3 - Scan-00004
2. A posterior disc herniation at the L4-L5 level with a tight canal.
3. A postero-central disc herniation with peridiscal osteophytes at the L1-L2 level.
4. Hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels and facetal arthropathy at the L1-L2, L2-L3 and L3-L4 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzang Shilmn / M / 48 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O backache with pain radiating to the LLE since 2-3 months.
C/O acute retention of urine since 15 days and weakness of the LLE.
EXAMINATION :
M.R.I of the lumbo-sacral 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.
OBSERVATION :
The L5 vertebra is as marked on the film. Please correlate with plain radiographs.
The lumbar intervertebral discs show loss of water content. Type II degenerative changes are seen within the L4, L5 and S1 vertebral bodies adjacent to the intervertebral discs.
A large posterior disc extrusion is seen to compress upon the thecal sac and narrow both neural foramina with impingement of the exiting left L5 nerve root at the L5-S1 level. A disc portion is seen within the anterior epidural space at the S1 vertebral level with resultant impingement of both the traversing S1 nerve roots.
A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level.
A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the L1-L2 level.
Bilateral far lateral (extraforaminal) disc bulges are seen at the L1-L2, L4-L5 and L5-S1 levels.
The L4-L5 and L5-S1 facet joints show hypertrophic degenerative changes. The L1-L2, L2-L3 and L3-L4 facet joints show degenerative changes.
A posterior disc bulge is noted at the L3-L4 level. Small posterior peridiscal osteophytes are seen at the L4-L5 and L5-S1 levels.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 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
14.0 mm at L2-L3
11.0 mm at L3-L4
10.0 mm at L4-L5
4.0 mm at L5-S1.
The dorsal spine was screened with 5 mm thick T2 Weighted sagittal images and which does not reveal any significant feature of note.
IMPRESSION :
The MRI features are suggestive of :
1. A large posterior disc extrusion at the L5-S1 level with severe canal stenosis and a disc portion seen within the anterior epidural space at the S1 vertebral level impinging both the traversing S1 nerve roots.
..3/.
- 3 - Scan-00004
2. A posterior disc herniation at the L4-L5 level with a tight canal.
3. A postero-central disc herniation with peridiscal osteophytes at the L1-L2 level.
4. Hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels and facetal arthropathy at the L1-L2, L2-L3 and L3-L4 levels.
Published in
MRI Reports
ke/sb/nl/nl
/625 Date : 00.00.00
Name of the Patient : Abc Xyzabh Slmn / M / 12 yrs.
Referred by : Dr. Abc XyzS. Sawant.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O inability to lift the RUE since 2-3 months.
H/O the RUE being pulled prior to this.
H/O aspiration and exploration of the swelling in the right scapular/infrascapular region done on 00.00.00.
EXAMINATION :
M.R.I of the cervico-dorsal spine was performed using the following parameters :
5 mm thick T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick T1 Weighted coronal images.
OBSERVATION :
The visualized cervical and 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 paraspinal muscles and the visualized muscles around the scapula on the right show normal signal intensity. There is no obvious mass lesion or collection noted on this study. The visualized pleural space appears to be normal.
IMPRESSION :
Normal study of the cervico-dorsal spine and the paravertebral/ paraspinal region.
/625 Date : 00.00.00
Name of the Patient : Abc Xyzabh Slmn / M / 12 yrs.
Referred by : Dr. Abc XyzS. Sawant.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O inability to lift the RUE since 2-3 months.
H/O the RUE being pulled prior to this.
H/O aspiration and exploration of the swelling in the right scapular/infrascapular region done on 00.00.00.
EXAMINATION :
M.R.I of the cervico-dorsal spine was performed using the following parameters :
5 mm thick T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick T1 Weighted coronal images.
OBSERVATION :
The visualized cervical and 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 paraspinal muscles and the visualized muscles around the scapula on the right show normal signal intensity. There is no obvious mass lesion or collection noted on this study. The visualized pleural space appears to be normal.
IMPRESSION :
Normal study of the cervico-dorsal spine and the paravertebral/ paraspinal region.
Published in
MRI Reports
hs/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzJhlmn / F / 32 yrs.
Referred by : Dr. Abc XyzSingh.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, giddiness and (occasional) momentary blackouts since 3-4 years.
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 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.
Date : 00.00.00
Name of the Patient : Abc XyzJhlmn / F / 32 yrs.
Referred by : Dr. Abc XyzSingh.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, giddiness and (occasional) momentary blackouts since 3-4 years.
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 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.
Published in
MRI Reports
hs/ke/rg/nl
/22 Date : 00.00.00
Name of the Patient : Abc Xyzrlmn / M / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches with giddiness since 2 years.
Now C/O weakness of the LUE, heaviness and paresthesias since 15 days.
Also C/O diplopia on the left side.
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 evidence of an area of hyperintensity on the T2 Weighted images involving the cortical gray and white matter in the right temporo-occipital region. This most likely represents an area of ischemia/infarction (watershed of the right middle cerebral and right posterior cerebral arteries).
Lacunar infarcts (isointense to CSF) are seen within the right thalamus and left cerebellar hemisphere.
There is mild prominence of the cerebellar folia bilaterally.
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 seen within the right maxillary sinus and ethmoidal air cells.
Scan-00000/622
INTRACRANIAL MRA :
The calibre of the cavernous segment of the right internal carotid artery is smaller as compared to the left side.
The petrous and supraclinoid segments of the internal carotid arteries bilaterally and cavernous segment of the left internal carotid artery shows normal signal and calibre. The visualized anterior cerebral, 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 :
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 within the right temporo-occipital region most likely represents an area of ischemia/infarction (watershed of the right middle cerebral and right posterior cerebral arteries).
2. Lacunar infarcts within the right thalamus and left cerebellar hemisphere.
3. Smaller calibre of the cavernous segment of the right internal carotid artery as compared to the left side.
/22 Date : 00.00.00
Name of the Patient : Abc Xyzrlmn / M / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches with giddiness since 2 years.
Now C/O weakness of the LUE, heaviness and paresthesias since 15 days.
Also C/O diplopia on the left side.
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 evidence of an area of hyperintensity on the T2 Weighted images involving the cortical gray and white matter in the right temporo-occipital region. This most likely represents an area of ischemia/infarction (watershed of the right middle cerebral and right posterior cerebral arteries).
Lacunar infarcts (isointense to CSF) are seen within the right thalamus and left cerebellar hemisphere.
There is mild prominence of the cerebellar folia bilaterally.
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 seen within the right maxillary sinus and ethmoidal air cells.
Scan-00000/622
INTRACRANIAL MRA :
The calibre of the cavernous segment of the right internal carotid artery is smaller as compared to the left side.
The petrous and supraclinoid segments of the internal carotid arteries bilaterally and cavernous segment of the left internal carotid artery shows normal signal and calibre. The visualized anterior cerebral, 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 :
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 within the right temporo-occipital region most likely represents an area of ischemia/infarction (watershed of the right middle cerebral and right posterior cerebral arteries).
2. Lacunar infarcts within the right thalamus and left cerebellar hemisphere.
3. Smaller calibre of the cavernous segment of the right internal carotid artery as compared to the left side.
Published in
MRI Reports
hs/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzbai Suterlmn / F / 76 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O pain on the right side of the face.
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 :
Subtle areas of hyperintensity on the proton, T2 Weighted and FLAIR images (iso to hypointense to normal white matter on the T1 Weighted images) are seen within the pons, left lentiform nucleus, thalamus bilaterally and the fronto-parietal and periatrial white matter bilaterally. These are most likely ischemic in etiology.
There is mild fullness of the third and both the lateral ventricles. There is prominence of the cerebral cortical sulci bilaterally. Also seen is mild prominence of the cerebellar folia bilaterally.
Punctate signal voids vascular loops are seen adjacent to the cisternal components of both trigeminal nerves. However there is no deformity of the root entry zones of these nerves bilaterally.
Prominent perivascular spaces are seen within both cerebral hemispheres.
Scan-00009
The fourth ventricle is normal. There is no shift of the midline structures.
Incidental note is made of pansinusitis.
IMPRESSION :
The MRI features are suggestive of :
1. Areas of altered signal intensity within the pons, left lentiform nucleus, thalamus bilaterally and the fronto-parietal and periatrial white matter bilaterally and these are most likely ischemic in etiology.
2. Small vascular loops adjacent to the cisternal components of both trigeminal nerves without deforming the same.
Date : 00.00.00
Name of the Patient : Abc Xyzbai Suterlmn / F / 76 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O pain on the right side of the face.
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 :
Subtle areas of hyperintensity on the proton, T2 Weighted and FLAIR images (iso to hypointense to normal white matter on the T1 Weighted images) are seen within the pons, left lentiform nucleus, thalamus bilaterally and the fronto-parietal and periatrial white matter bilaterally. These are most likely ischemic in etiology.
There is mild fullness of the third and both the lateral ventricles. There is prominence of the cerebral cortical sulci bilaterally. Also seen is mild prominence of the cerebellar folia bilaterally.
Punctate signal voids vascular loops are seen adjacent to the cisternal components of both trigeminal nerves. However there is no deformity of the root entry zones of these nerves bilaterally.
Prominent perivascular spaces are seen within both cerebral hemispheres.
Scan-00009
The fourth ventricle is normal. There is no shift of the midline structures.
Incidental note is made of pansinusitis.
IMPRESSION :
The MRI features are suggestive of :
1. Areas of altered signal intensity within the pons, left lentiform nucleus, thalamus bilaterally and the fronto-parietal and periatrial white matter bilaterally and these are most likely ischemic in etiology.
2. Small vascular loops adjacent to the cisternal components of both trigeminal nerves without deforming the same.
Published in
MRI Reports
More...
hs/ke/rg.
Date : 00.00.00
Name of the Patient : Abc XyzHlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : Intracranial MR Venogram.
CLINICAL PROFILE :
H/O abortion at 5 months, 15 days back with convulsions 12 days back.
Loss of consciousness since then.
EXAMINATION :
The brain was screened with the help of 5 mm thick T1 Weighted and T2 Weighted axial images and 5 mm thick T1 Weighted sagittal images.
MRV was performed using a 2D TOF technique.
OBSERVATION :
There is evidence of a diffuse area of hypointensity on the T1 Weighted images which turns hyperintense on the T2 Weighted images involving the white matter and the cortical gray matter in the left temporo-fronto-parietal lobes with effacement of the adjacent cerebral cortical sulci. Areas of hyperintensity on the T1 Weighted images within this lesion would most likely represent subacute blood.
A small hyperintense area is noted on the T2 Weighted images in the pons on the left side and is hypointense on the T1 Weighted images. This is probably ischemic in etiology.
There is compression upon the left lateral ventricle, aqueduct and the third ventricle and left cerebral peduncle with a shift of the midline to the right. Also seen is left uncal herniation and effacement of the left perimesencephalic cistern.
There is mild dilatation of the right lateral ventricle.
Inflammatory changes are seen within the mastoid air cells bilaterally.
..2/.
INTRACRANIAL MRV :
On the MRV a streak of flow is seen within the left transverse and sigmoid sinuses (? hypoplastic ? recanalized thrombus).
The rest of the visualized dural and deep venous sinuses show normal flow characteristics.
IMPRESSION :
The MRV features are suggestive of :
1. An area of altered signal within the left temporo-fronto-parietal lobes which most likey represents a haemorrhagic infarct (probably venous).
2. Ischemic focus in the pons on the left side.
3. Inflammatory changes within the mastoid air cells bilaterally.
4. A streak of flow within the left transverse and sigmoid sinuses (? hypoplastic ? recanalized thrombus).
Date : 00.00.00
Name of the Patient : Abc XyzHlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : Intracranial MR Venogram.
CLINICAL PROFILE :
H/O abortion at 5 months, 15 days back with convulsions 12 days back.
Loss of consciousness since then.
EXAMINATION :
The brain was screened with the help of 5 mm thick T1 Weighted and T2 Weighted axial images and 5 mm thick T1 Weighted sagittal images.
MRV was performed using a 2D TOF technique.
OBSERVATION :
There is evidence of a diffuse area of hypointensity on the T1 Weighted images which turns hyperintense on the T2 Weighted images involving the white matter and the cortical gray matter in the left temporo-fronto-parietal lobes with effacement of the adjacent cerebral cortical sulci. Areas of hyperintensity on the T1 Weighted images within this lesion would most likely represent subacute blood.
A small hyperintense area is noted on the T2 Weighted images in the pons on the left side and is hypointense on the T1 Weighted images. This is probably ischemic in etiology.
There is compression upon the left lateral ventricle, aqueduct and the third ventricle and left cerebral peduncle with a shift of the midline to the right. Also seen is left uncal herniation and effacement of the left perimesencephalic cistern.
There is mild dilatation of the right lateral ventricle.
Inflammatory changes are seen within the mastoid air cells bilaterally.
..2/.
INTRACRANIAL MRV :
On the MRV a streak of flow is seen within the left transverse and sigmoid sinuses (? hypoplastic ? recanalized thrombus).
The rest of the visualized dural and deep venous sinuses show normal flow characteristics.
IMPRESSION :
The MRV features are suggestive of :
1. An area of altered signal within the left temporo-fronto-parietal lobes which most likey represents a haemorrhagic infarct (probably venous).
2. Ischemic focus in the pons on the left side.
3. Inflammatory changes within the mastoid air cells bilaterally.
4. A streak of flow within the left transverse and sigmoid sinuses (? hypoplastic ? recanalized thrombus).
Published in
MRI Reports
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzayan Ylmn / M / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O wasting of the LLE with difficulty in walking since 3 1/2 months.
EXAMINATION :
The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images. No significant feature of note was identified. Hence a cervical spine study was performed.
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 fairly large posteriorly extruded disc with a peridiscal osteophyte at the C6-C7 level. Slight superior migration of the disc fragment is noted. The cervical spinal cord at this level appears slightly atrophied and shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images (hypointense on the T1 Weighted images) suggesting myelomalacic changes.
A posteriorly herniated disc with a peridiscal osteophyte is noted at the C5-C6 level, with cord compression.
Postero-central protruded discs with peridiscal osteophytes are noted at the C2-C3, C3-C4 and C4-C5 levels.
Facetal hypertrophy is noted at the C3-C4 level on the right and at the C6-C7 level bilaterally.
Slight ligamentum flavum hypertrophy is noted at the D1-D2 and D2-D3 levels.
The cervical vertebral bodies reveal normal signal intensity. 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.
Screening, T2 Weighted sagittal images of the dorsal spine reveal slight facetal hypertrophy at the D8-D9 and D9-D10 levels.
IMPRESSION :
1. A fairly large posteriorly extruded disc with a peridiscal osteophyte at the C6-C7 level with slight superior migration of the disc fragment and resultant canal stenosis.
2. Atrophy of the cord at the C6-C7 level with cord signal alteration suggests myelomalacic changes.
3. A posteriorly herniated disc with a peridiscal osteophyte at the C5-C6 level, with cord compression.
Date : 00.00.00
Name of the Patient : Abc Xyzayan Ylmn / M / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O wasting of the LLE with difficulty in walking since 3 1/2 months.
EXAMINATION :
The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images. No significant feature of note was identified. Hence a cervical spine study was performed.
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 fairly large posteriorly extruded disc with a peridiscal osteophyte at the C6-C7 level. Slight superior migration of the disc fragment is noted. The cervical spinal cord at this level appears slightly atrophied and shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images (hypointense on the T1 Weighted images) suggesting myelomalacic changes.
A posteriorly herniated disc with a peridiscal osteophyte is noted at the C5-C6 level, with cord compression.
Postero-central protruded discs with peridiscal osteophytes are noted at the C2-C3, C3-C4 and C4-C5 levels.
Facetal hypertrophy is noted at the C3-C4 level on the right and at the C6-C7 level bilaterally.
Slight ligamentum flavum hypertrophy is noted at the D1-D2 and D2-D3 levels.
The cervical vertebral bodies reveal normal signal intensity. 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.
Screening, T2 Weighted sagittal images of the dorsal spine reveal slight facetal hypertrophy at the D8-D9 and D9-D10 levels.
IMPRESSION :
1. A fairly large posteriorly extruded disc with a peridiscal osteophyte at the C6-C7 level with slight superior migration of the disc fragment and resultant canal stenosis.
2. Atrophy of the cord at the C6-C7 level with cord signal alteration suggests myelomalacic changes.
3. A posteriorly herniated disc with a peridiscal osteophyte at the C5-C6 level, with cord compression.
Published in
MRI Reports
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyza B. Mahlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fever with weakness of BLE with bladder involvement since 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 coronal images.
SOME 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.
Date : 00.00.00
Name of the Patient : Abc Xyza B. Mahlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fever with weakness of BLE with bladder involvement since 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 coronal images.
SOME 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.
Published in
MRI Reports
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzen lmn / F / 75 yrs.
Referred by : Dr. Abc Xyzrikh.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O loss of speech from 5.00 pm on 00.00.00 with 1 episode of vomiting and loss of consciousness.
H/O headaches on the same day.
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 an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the cerebellar hemispheres bilaterally and at the right occipital pole. This lesion appears hypointense to normal white matter on the T1 Weighted images and represents a recent infarct. Resultant effacement of the cerebellar folia is noted bilaterally.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the fronto-parietal regions bilaterally, posterior parietal periventricular white matter bilaterally and in the left thalamus. These appear iso to hypointense to white matter on the T1 Weighted images and represent ischemic changes.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci bilaterally. 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 on this study.
IMPRESSION :
1. Non-haemorrhagic, recent infarcts in the cerebellar hemispheres bilaterally and at the right occipital pole.
2. Altered signal in the subcortical white matter in the fronto-parietal regions bilaterally, posterior parietal periventricular white matter bilaterally and in the left thalamus represent ischemic changes.
Date : 00.00.00
Name of the Patient : Abc Xyzen lmn / F / 75 yrs.
Referred by : Dr. Abc Xyzrikh.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O loss of speech from 5.00 pm on 00.00.00 with 1 episode of vomiting and loss of consciousness.
H/O headaches on the same day.
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 an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the cerebellar hemispheres bilaterally and at the right occipital pole. This lesion appears hypointense to normal white matter on the T1 Weighted images and represents a recent infarct. Resultant effacement of the cerebellar folia is noted bilaterally.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the fronto-parietal regions bilaterally, posterior parietal periventricular white matter bilaterally and in the left thalamus. These appear iso to hypointense to white matter on the T1 Weighted images and represent ischemic changes.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci bilaterally. 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 on this study.
IMPRESSION :
1. Non-haemorrhagic, recent infarcts in the cerebellar hemispheres bilaterally and at the right occipital pole.
2. Altered signal in the subcortical white matter in the fronto-parietal regions bilaterally, posterior parietal periventricular white matter bilaterally and in the left thalamus represent ischemic changes.
Published in
MRI Reports