MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14569

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

Name of the Patient : Abc Xyzahadur Slmn / M / 50 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis with altered sensorium since 4 days.
H/O left sided hemiparesis in 0000 and 0000 from which patient recovered.
Known hypertensive.

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 are hypointense areas on the T1 Weighted images in the ventro-medial thalami bilaterally, subthalamus extending into the upper midbrain on the right side. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images and represents a recent infarct (scans 108.9, 10, 103.9 to 12, 102.9 to 12, 106.11).

Similar smaller areas are seen in bilateral corona radiata and centrum semiovale and represent ischemic changes.

Lacunar infarcts are seen in corona radiata with surrounding gliotic changes.







A linear hypointense signal on the T1 Weighted images is noted in the right external capsule which is seen to turn hyperintense on the proton and T2 Weighted images and blooms on the Fast Scan (T2 *) images and represents residual hemosiderin, the result of a previous bleed (scans 104.12, 106.12).

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic.

IMPRESSION :

1. Recent infarcts in the ventro-medial thalami bilaterally, subthalamus extending into the upper midbrain on the right side.

2. Residual hemosiderin in the right external capsule.

3. Lacunar infarcts in the corona radiata.













Sunday, 27 December 2015 16:48

14568

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

Name of the Patient : Abc Xyz. Jalmn / M / 42 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to BUE with paresthesias.

EXAMINATION :

M.R.I of the cervical spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

There is loss of water content of the cervical intervertebral discs.A small posterior and right paracentral disc herniation with peridiscal osteophytes is noted at the C4-C5 level with resultant minimal indentation on the cervical spinal cord anteriorly. Left paracentral disc herniations with peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels. Slight left neural foraminal narrowing is noted at the C5-C6 and C6-C7 levels with indentation upon the spinal cord and the left C6 and C7 nerve roots, respectively. A small posterior disc bulge is noted at the C3-C4 level. The cervical vertebral bodies reveal 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. A small posterior and right paracentral disc herniation with peridiscal osteophytes at the C4-C5 level.2. Left paracentral disc herniations with peridiscal osteophytes at the C5-C6 and C6-C7 levels with left neural foraminal narrowing and indentation upon the left C6 and C7 nerve roots, respectively.
As compared to the previous MRI (study no:0000) dated 00.00.00, there is no significant change noted.



Sunday, 27 December 2015 16:48

14567

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

Name of the Patient : Abc Xyzi Talmn / F / 22 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 1 year.

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.

5 mm thick Fast Scan (T2 *) coronal images.

OBSERVATION :

There is an ill-defined, hypointense area on the T1 Weighted images within the L3 vertebral body predominantly on the right side. Few hyperintense streaks are noted on the T1 Weighted images within this lesion. Lateral wedging of L3 is also identified on the right side. This lesion is seen to turn heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images. There is slight bulging of the posterior aspect of the L3 vertebra with indentation upon the thecal sac. The right pedicle is also involved. There is suspicion of a break in the posterior cortex (scans 103.4, 103.5, 102.4, 102.5, 105.3, 105.4, 206.10, 206.11).

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

A limbus vertebra is identified at the D12 level.



The rest of the lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 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
15.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

Altered signal in the L3 vertebral body and right pedicle as described is most probably due to a hemangioma.

The possibility of a neoplastic or an infective process is unlikely.




Sunday, 27 December 2015 16:48

14566

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

Name of the Patient : Abc Xyzmmed Ibrahim Anlmn / M / 1 yr.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O fever since 15 days with 1 episode of convulsion on 00.00.00.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

5 mm thick FLAIR coronal images.

OBSERVATION :

There is no focal area of altered signal intensity in the brain parenchyma. (Hyperintense signal on the proton and T2 Weighted images in the periatrial white matter represents areas of terminal myelination (scans 102.13, 14, 105.1, 2)).

The hippocampus complex is unremarkable on either side. The myelination pattern appears normal for the patients age.

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.

A contrast enhanced scan may be useful if cerebritis/meningitis is clinically suspected.












Sunday, 27 December 2015 16:48

14565

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

Name of the Patient : Abc Xyzshkumar Jailmn / M / 5 1/2 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since the age of 6 months.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There is reduction in the volume of the head of the hippocampus bilaterally extending into the body and tail, (right more than the left). Hyperintense signal is seen on the T2 Weighted images in the hippocampal complex bilaterally (scans 105.5 to 105.10, 106.5 to 106.10).

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.

Incidental note is made of enlarged adenoids and inflammatory changes are seen in the maxillary sinuses and ethmoidal air cells.

IMPRESSION :

The MRI features are suggestive of bilateral mesial temporal sclerosis.













Sunday, 27 December 2015 16:48

14564

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

Name of the Patient : Abc Xyzdin Shlmn / M / 15 yrs.
Referred by : Dr. Abc Xyzawale.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O altered behaviour since 10-15 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.

3 mm thick T2 Weighted coronal images.

OBSERVATION :

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

Hyperintense signal seen on the proton density images in the frontal regions bilaterally (scans 103.14, 103.15) probably represents trapped CSF.

The hippocampus complex on either side is unremarkable.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

Normal study of the Brain.













Sunday, 27 December 2015 16:48

14563

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

Name of the Patient : Abc Xyz H. Shlmn / M / 9 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since the age of 2 months.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

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

The hippocampus complex is unremarkable on either side.

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.

Incidental note is made of enlarged adenoids.

Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells bilaterally.

IMPRESSION :

Normal study of the Brain.









Sunday, 27 December 2015 16:48

14562

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

Name of the Patient : Abc Xyz D. Pandhilmn / M / 41 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever with chills on 00.00.00 with giddiness, numbness on the left half of the body, headaches and change in voice since 00.00.00.
C/O right sided hemiparesis in 0000.
Known hypertensive.

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 hyperintense areas located in the medulla on the right side (scans 103.3, 102.3, 104.3) on the T2 Weighted, FLAIR and proton density images. This area appears isointense on the T1 Weighted images.

There are lacunar infarcts (isointense to CSF on all the pulse sequences) in the pons, bilateral lentiform nuclei and corona radiata. Hyperintense areas on the proton, T2 Weighted and FLAIR images in the corona radiata bilaterally adjacent to the lacunar infarcts would represent areas of gliosis.

There is mild dilatation of the ventricular system. 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.

Incidental note is made of thickening of the mucosa in the maxillary sinuses bilaterally.

IMPRESSION :

1. Right lateral medullary infarct.

2. Lacunar infarcts in the pons, bilateral lentiform nuclei and corona radiata with gliotic changes in the corona radiata bilaterally.

3. Cerebral and cerebellar atrophy.













Sunday, 27 December 2015 16:48

14561

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

Name of the Patient : Abc Xyzm Klmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

H/O fall 5 years back with injury to the back.
C/O backache with radiating pain to the RLE (on and off) since then.
Now C/O pain in the RLE with paresthesias and weakness since 1 1/2 years.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

9 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is forward placement of the L4 over the L5 vertebra with a posterior disc herniation at the L4-L5 level. Another small posterior disc herniation is seen at the L5-S1 level.

The lower dorsal intervertebral discs show loss of water content.

Hemangioma with focal fatty change is seen in the D8 vertebral body.

The rest of the dorso-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



A hypointense lesion on the T1 Weighted images is seen in the region of the S2 vertebral body and represents a large perineural cyst.

IMPRESSION :

1. No significant abnormality is detected within the dorsal spine.

2. Forward translation of the L4 over the L5 vertebra with posterior disc herniations at the L4-L5 and L5-S1 levels.

3. Large perineural cyst at the S2 vertebral level.


Sunday, 27 December 2015 16:48

14560

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

Name of the Patient : Abc Xyza S. lmn / F / 21 yrs.
Referred by : Dr. Abc Xyz Ranade.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache with non-healing wound since 3 months.

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 collapse of the D5 vertebral body. There is replacement of the normal marrow of the superior portion of the D5 and the inferior portion of the D4 vertebral body by hypointense areas on the T1 Weighted images with destruction of the cortical endplates. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The D4-D5 disc is involved by the disease process with partial destruction. Subtle hypointense signal is identified in the D1, D2 and D3 vertebrae on the T1 Weighted images. The D6, D7, D8 and D9 vertebral bodies also show subtle hyperintense signal on the T2 Weighted images. There is pre and paravertebral soft tissue extension over the D1-D2 to the D9 vertebral levels. This lesion is hypointense with a peripheral hyperintense rim on the T1 Weighted images and turns hyperintense on the T2 Weighted images with a hypointense rim and would represent an abscess formation. The costo-vertebral and costo-transverse joints at the D4-D5, D5-D6, D6-D7 and D7-D8 levels appear to be involved by the pathology.

The rest of the visualized dorsal vertebral bodies and remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.


The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L1 level.

An ill-defined lesion is seen in the left upper zone of the lung (se/im:101/6, 7).

The lumbar spine was screened with 4 mm thick T1 Weighted sagittal images and 5 mm thick T1 Weighted axial images which shows a posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac and left neural foraminal narrowing. There is resultant indentation on the foraminal portion of the left L4 nerve root. Small postero-central disc herniations are noted at the L3-L4 and L5-S1 levels.

Hypointense signal is seen in the L1 vertebral body on the right side with destruction of the superior cortical endplate and involvement of the D12-L1 disc.

IMPRESSION :

The MRI features are suggestive of collapse of the D5 vertebral body with involvement of the D1 to D9 and the L1 vertebrae with pre and paravertebral abscess formation extending over the D1-D2 to D9 vertebral levels as described represents a granulomatous infective process like tuberculosis.

The possibility of a neoplastic process like a round cell tumor is less likely.