MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14584

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

Name of the Patient : Abc Xyz Dslmn / M / 41 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache and pain in the right gluteal region radiating to the RLE since 6 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.

OBSERVATION :

There are congenital bony defects in the left pedicles of the L4 and L5 vertebrae. There appears to be congenital defect in the left lamina of the L3 vertebral body also, which appears thin and laterally placed and the left pedicle appears smaller in size.

There are small posterior disc bulges at the L4-L5 and L5-S1 levels with minimal indentation on the S1 nerve roots bilaterally at the L5-S1 level.

A conjoint nerve root is identified on the right side at the L5 level.

Small anterior disc herniations are noted at the L1-L2 and L2-L3 levels.

A meningeal cyst is seen following the course of the left L2 nerve root.



The lumbar intervertebral discs except for the L5-S1 disc shows loss of water content.

There is slight anterior wedging of the L1 and D12 vertebrae without any change in signal intensity.

Type II degenerative changes are noted in the L2, L3 and L4 vertebral bodies anteriorly.

Fat is noted in the filum terminale at the L2 and L3 vertebral levels.

The rest of the lumbar vertebral bodies 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 :

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

IMPRESSION :

1. Congenital bony defects in the left pedicles of the L4 and L5 vertebrae and in the left lamina and pedicle of the L3 vertebra.

2. Small posterior disc bulges at the L4-L5 and L5-S1 levels.

Sunday, 27 December 2015 16:48

14583

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

Name of the Patient : Abc Xyzunder lmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures.
H/O TBM with right sided hemiparesis at 4 months of age.

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 areas which are iso to hyperintense to CSF on all the pulse sequences within the left fronto-temporo-parietal lobes.

There are hyperintense areas on the proton, T2 Weighted and FLAIR images located adjacent to these areas and which appear hypointense to isointense on the T1 Weighted images and represent gliotic changes. There is crowding of the sulci in the left cerebral hemisphere. The head of the left caudate nucleus and left lentiform nucleus are not properly visualized. There is ex-vacuo dilatation of the left lateral ventricle. All these features are suggestive of loss of volume in the left cerebral hemisphere with cystic encephalomalacic changes. The left internal carotid artery and the left middle cerebral artery and its branches appear smaller as compared to the left side.

The right cerebellar hemisphere is slightly smaller as compared to the left and this may represent crossed cerebellar diaschisis.






The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable.

Incidental note is made inflammatory changes in the mastoid air cells on the right side.

IMPRESSION :

The MRI features are suggestive of volume loss in the left cerebral hemisphere with areas of cystic encephalomalacia within the left fronto-temporal-parietal lobes, probably the sequelae of a previous vascular insult in a C/O TBM.

As compared to the previous CT Scan of 0000, no significant change is noted.











Sunday, 27 December 2015 16:48

14582

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

Name of the Patient : Abc Xyz Dlmn / F / 64 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O head injury in August 0000 with a subdural collection. Patient was conserved.
C/O headaches since 3-4 months with right focal findings.

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 a well-defined area measuring approximately 1.2 cms in diameter located in the left lentiform nucleus and head of the left caudate nucleus and is seen to extend into the body on the left side. This area is nearly isointense to CSF on the T1 Weighted images and turns more hyperintense from the proton to the T2 Weighted images and represents a lacunar infarct. Surrounding hyperintense areas are seen on the FLAIR images and represent gliotic changes (scans 102.12, 13, 104.12, 13, 105.12, 13).

The left cerebral peduncle appears smaller in size as compared to the opposite side and is suggestive of Wallerian degeneration.

There is a small hyperintense area located on the proton density, T2 Weighted and FLAIR images in the grey matter in the left temporal lobe (scans 103.7, 8, 104.7, 8, 102.7, 8, 105.11, 12). This area appears hypointense on the T1 Weighted images and represents an area of gliosis, probably the result of previous head injury.



The left frontal horn is more prominent as compared to the opposite side. There is slight fullness of the rest of the lateral ventricles and the third ventricle. The fourth ventricle is 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. No obvious vascular anomaly is identified on this study.

Metallic susceptibility artifacts are seen at the base of the skull on the left side probably as a result of fixed dentures.

IMPRESSION :

1. Lacunar infarct in the left lentiform nucleus and head of the left caudate nucleus extending into the body.

2. An area of gliosis in the left temporal lobe, probably the sequelae of previous head injury.















Sunday, 27 December 2015 16:48

14581

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

Name of the Patient : Abc XyzSolmn / M / 49 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

Alleged H/O being knocked down by an autorickshaw 8-9 months back with pain in the low back.
C/O weakness of BLE with bladder/bowel involvement 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.

6 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is replacement of the normal marrow of the D8 and D9 vertebral bodies, pedicles and spinous processes by hypointense areas on the T1 Weighted images. These are seen to turn heterogenenously hyperintense on the T2 Weighted images. There is destruction of the inferior cortical endplate of the D8 and superior cortical endplate of the D9 vertebrae with involvement of the D8-D9 intervertebral disc. This disc appears partially destroyed by the disease process and appears more hyperintense on the T2 Weighted images. Also seen is involvement of the right pedicle and the postero-superior aspect of the body on the right side at the D10 level. There is paravertebral extension of the disease process more marked on the right side. There is also epidural extension with posterior bulging of the D8 and D9 vertebral bodies with cord compression maximum over the D8, D9 and D10 levels. The spinal cord over the D4 to the D11 levels shows a hyperintense signal on the T2 Weighted images and is
Scan-00001



suggestive of cord edema/ischemia/myelitis. There is encasement of the D9 and D10 nerve roots by the disease process on the right side and the D9 nerve root on the left side. There is also abscess formation in the right paraspinal muscles over the D8-D9 to the D12 level. There is extension of the posterior epidural collection into the lumbar region upto the S1 level with anterior displacement of the thecal sac and the nerve roots (?? intradural component also). There is involvement of the costo-vertebral and costo-transverse joint at the D8-D9 and the D9 levels on the right side.

A small posterior disc herniation is seen at the L5-S1 level. Also seen are small posterior disc herniations at the D3-D4 and D5-D6 levels.

The rest of the visualized dorsal vertebral bodies and remaining intervertebral discs are unremarkable.

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

IMPRESSION :

The MRI features are suggestive of altered signal of the D8 and D9 vertebrae with involvement of the D8-D9 disc and soft tissue extension of the disease process with cord compression and cord signal alteration as described. This strongly suggests a granulomatous infective process like tuberculosis.

The possibility of this being a neoplasm is less likely.

Sunday, 27 December 2015 16:48

14580

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

Name of the Patient : Abc Xyz Mlmn / M / 66 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O intracerebral hematoma for which tapping was done.
Patient remains drowsy post-operatively with level of consciousness being out of proportion to his left hemiparesis.
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 and Fast Scan (T2 *) coronal images.

IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is evidence of craniectomy on the right side in the right temporal region with post-operative changes in the soft tissues.

There is evidence of a lesion in the region of the right lentiform nucleus extending into the right temporal lobe. This lesion has a hyperintense rim on all the pulse sequences with a hypointense centre and is suggestive of subacute blood (extracellular methemoglobin) in an evolving hematoma. There is surrounding edema and mass effect with compression of the body and frontal horn of the right lateral ventricle, effacement of the sulci in the right fronto-temporal region and effacement of the Sylvian cistern and perimesencephalic cistern on the right side. Fluid-fluid levels are seen within the occipital horns of both the lateral ventricles and this would suggest intraventricular extension of the bleed.



Hyperintense foci are seen on the proton, T2 Weighted and FLAIR images in the thalami bilaterally, left lentiform nucleus, periventricular white matter bilaterally and left corona radiata and these probably represent ischemic changes.

A lacunar infarct (iso to hyperintense to CSF) is noted in the left thalamus.

There is a hypointense area on the T2 Weighted images located in the left external capsule and the left basal ganglia which is seen to bloom on the Fast Scan (T2 *) images and probably represents paramagnetic substances/hemosiderin.

The left lateral ventricle shows fullness. The fourth ventricle is normal. The remaining basal cisternal spaces are prominent. No obvious vascular anomaly is identified on this study.

IMPRESSION :

1. Post-operative status.

2. A subacute hematoma in the right lentiform nucleus extending into the right temporal lobe with mass effect as described.

As compared to the previous MRI (study no:00006) dated September 6, 0000, the hematoma appears smaller in size. However the surrounding edema has increased. Also seen is extension of this bleed into the ventricular system.













Sunday, 27 December 2015 16:48

14579

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

Name of the Patient : Abc Xyzray Dlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O paresthesias in BUE since 6 months.

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 :

The cervical intervertebral discs show loss of water content.

There is evidence of a large postero-central disc extrusion with peridiscal osteophytes compressing upon the cord at the C4-C5 level. The cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images and which would represent cord edema/ischemia.

A postero-central disc herniation with small peridiscal osteophytes is seen to indent the cord at the C3-C4 level.

Small postero-central disc herniations with small peridiscal osteophytes are seen at the C5-C6 and C6-C7 levels.

A posterior disc bulge is seen at the D1-D2 level.

The C4-C5, C5-C6 and C6-C7 facet joints show degenerative changes. Mild ligamentum flavum hypertrophy is seen at the C4-C5 level.
- 2 - Scan-00009



There is a suggestion of ossification of the posterior longitudinal ligament posterior to the C4 vertebral body.

The cervical vertebral bodies show 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.

IMPRESSION :

1. A large postero-central disc extrusion with peridiscal osteophytes, ligamentum flavum hypertrophy and canal stenosis at the C4-C5 level.

2. Cord signal alteration at the C4-C5 level represents cord edema/ischemia.

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

4. Small postero-central disc herniations with small peridiscal osteophytes at the C5-C6 and C6-C7 levels.


Sunday, 27 December 2015 16:48

14578

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

Name of the Patient : Abc XyzMontlmn / M / 35 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE (right more than left) with paresthesias in BUE and RLE.

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 L5-S1 intervertebral discs with reduction in height of the L3-L4 disc.

There is a small postero-central and a right postero-lateral (foraminal) disc herniation with peridiscal osteophytes at the L5-S1 level with indentation upon the traversing S1 nerve roots (right more than left) and right neural foraminal narrowing.

There is a postero-central disc herniation with small peridiscal osteophytes at the L3-L4 level with ventral indentation of the thecal sac.

A small posterior disc bulge is seen at the L4-L5 level.

The facets at the L3-L4 and L4-L5 levels show hypertrophic changes. Degeneration is seen of the L5-S1 facet joints bilaterally.



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-L2 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 :

18.0 mm at L1-L2
17.0 mm at L2-L3
11.0 mm at L3-L4
15.0 mm at L4-L5
14.0 mm at L5-S1.

IMPRESSION :

1. A postero-central disc herniation with small peridiscal osteophytes at the L3-L4 level.

2. A small postero-central and a right postero-lateral (foraminal) disc herniation with peridiscal osteophytes at the L5-S1 level with indentation upon the traversing S1 nerve roots (right more than left).

3. Facetal hypertrophy at the L3-L4 and L4-L5 levels and facetal arthropathy at the L5-S1 level.

As compared to the previous MRI dated 00.00.00, there is no significant change.
Sunday, 27 December 2015 16:48

14577

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

Name of the Patient : Abc Xyz.K. Shlmn / M / 12 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain and headaches with giddiness since 2 months.

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 :

Small posterior disc protrusion is seen at the C3-C4 level with anterior indentation of thecal sac.

Enlarged lymphnodes are noted in the deep cervical chain bilaterally, more marked on the right side.

The cervical vertebral bodies and the intervertebral discs 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.

IMPRESSION :

1. Small posterior disc protrusion at the C3-C4 level.

2. Enlarged lymphnodes in the deep cervical chain bilaterally, more marked on the right side.


Sunday, 27 December 2015 16:48

14576

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

Name of the Patient : Abc Xyzkumar Milmn / M / 21 yrs.
Referred by : Dr. Abc Xyzlke.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with numbness.

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 L4-L5 and L5-S1 intervertebral discs show loss of water content.

There is anti-clockwise rotation of the mid lumbar vertebrae.

There are small posterior disc herniations at the L4-L5 and L5-S1 levels with anterior indentation of the thecal sac. Schmorls nodes are noted in the inferior aspect of the L4 vertebral body and superior aspect of the S1 vertebral body.

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 S2 level.





The S. I. joints were screened with 4 mm thick STIR coronal images and 6 mm thick T1 Weighted coronal images which shows fatty changes in the right sacral and iliac bones.

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
14.0 mm at L3-L4
15.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

Small posterior disc herniations at the L4-L5 and L5-S1 levels.


Sunday, 27 December 2015 16:48

14575

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

Name of the Patient : Abc Xyza Mehrlmn / F / 72 yrs.
Referred by : Dr. Abc Xyzukar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with paresthesias in 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 :

The lumbar intervertebral discs show loss of water content.

There is a posterior disc herniation at the L5-S1 level with anterior indentation of the thecal sac. Bilateral extraforaminal disc bulges are seen at the L5-S1 level with indentation upon the extraforaminal portion of the traversing L5 nerve roots. Ligamentum flavum hypertrophy and facetal arthropathy is noted at this level.

Small posterior disc herniations are seen at the L1-L2, L2-L3, L3-L4 and L4-L5 levels with anterior indentation of the thecal sac and bilateral neural foraminal narrowing at the L3-L4 and L4-L5 levels and right neural foraminal narrowing at the L2-L3 level. The lumbar facet joints at these levels also show degenerative changes.

Schmorls nodes are seen at the L2-L3 and L1-L2 levels. Anterior disc herniations are noted at the L1-L2, L2-L3 and L3-L4 levels with anterior peridiscal osteophytes.


Lateral peridiscal osteophytes are seen in the lumbar region.

Fatty changes are noted in the lumbar vertebral bodies suggestive of osteoporosis.

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 :

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

IMPRESSION :

1. Posterior disc herniation with bilateral far lateral disc bulges at the L5-S1 level with indentation upon the extraforaminal portion of the traversing L5 nerve roots with ligamentum flavum hypertrophy and facetal arthropathy at this level.

2. Small posterior disc herniations at the L1-L2, L2-L3, L3-L4 and L4-L5 levels with facetal arthropathy at these levels.