MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14519

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

Name of the Patient : Abc Xyzarlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzshar / Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures 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.

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 hippocampal 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

14518

Written by
ke/sb/rg.
/20 Date : 00.00.00

Name of the Patient : Abc Xyzh Andlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzri / Dr. Abc Xyznghal.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O left hemiplegia on 00.00.00.

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 a fairly well-circumscribed, hyperintense area on the T2 Weighted images in the right corona radiata. This is hypointense to the normal white matter on the T1 Weighted images and would represent an infarct.

A lacunar infarct (isointense to CSF on all the pulse sequences) is seen anterior to the above mentioned lesion and the right lentiform nucleus.

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

Incidental note is made right maxillary polyp.

INTRACRANIAL MRA :

There is paucity of the Sylvian branches of the left middle cerebral artery.

The left vertebral artery is hypoplastic.
..2/.








The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, right middle cerebral, basilar, right vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

NECK MRA :

The left vertebral artery in the neck also appears hypoplastic.

Atherosclerotic plaques are noted along the postero-medial walls of the proximal internal carotid arteries bilaterally, just distal to the common carotid bifurcation. Resultant mild stenosis of these vessels is noted.

The common carotid arteries and their extracranial branches appear normal bilaterally.

IMPRESSION :

1. Altered signal in the right corona radiata would represent a subacute infarct.

2. A lacunar infarct in the right corona radiata, anteriorly
and the right lentiform nucleus.

3. Atherosclerotic plaques along the postero-medial walls of the proximal internal carotid arteries bilaterally, just distal to the common carotid bifurcation.


Sunday, 27 December 2015 16:48

14517

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

Name of the Patient : Abc XyzJuvalmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O vomiting since 2 days.
C/O acute onset of involuntary movements of neck 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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

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

There is mild fullness of both the lateral and fourth ventricles. The third ventricle is normal.

There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

A giant cisterna magna is noted.

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.













Sunday, 27 December 2015 16:48

14516

Written by
ke/hs/nl.
Date : 00.00.00

Name of the Patient : Abc XyzBlmn / M / 54 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 10 days.

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 mild retroplacement of the L4 vertebra over the L5 vertebra.

A posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. A small portion of the disc is seen to migrate inferiorly and lies posterior to the L5 vertebral body.

A small, postero-central disc herniation is seen to indent the thecal sac at the L5-S1 level. A postero-central disc protrusion is noted at the L1-L2 level.

Bilateral far lateral (extraforaminal) disc bulges are seen at the L4-L5 and L5-S1 levels.

Small posterior disc bulges are seen at the L2-L3 and L3-L4 levels with slight bilateral neural foraminal narrowing at the L3-L4 level.


Schmorls nodes are seen in the lumbar region. The D11-D12, L1-L2, L2-L3 and L4-L5 intervertebral discs show loss of water content.

The L3-L4, L4-L5 and L5-S1 facet joints show hypertrophic degenerative changes. Mild ligamentum flavum hypertrophy is noted over the L4-L5 to the L5-S1 level.

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 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
13.0 mm at L3-L4
10.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. Retroplacement of the L4 vertebra over the L5 vertebra.

2. A posterior disc herniation at the L4-L5 level with a small portion of the disc migrating inferiorly and lying posterior to the L5 vertebral body.

3. A small postero-central disc herniation at the L5-S1 level.
..3/.









- 3 - Scan-00006



4. A postero-central disc protrusion at the L1-L2 level.

5. Small posterior disc bulges at the L2-L3 and L3-L4 levels.

6. Hypertrophic facetal arthropathy at the L3-L4, L4-L5 and L5-S1 levels.

7. A tight canal at the L4-L5 level.












Sunday, 27 December 2015 16:48

14515

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

Name of the Patient : Abc Xyznay Ilmn / M / 5 1/2 yrs.
Referred by : Dr. Abc Xyzrade.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O acute weakness of BUE and BLE on 00.00.00 which has slightly improved since then.

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 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 and the visualized upper dorsal spinal cord reveals normal signal intensity.

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

IMPRESSION :

Normal study of the Cervical spine.


Sunday, 27 December 2015 16:48

14514

Written by
sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyznay Ilmn / M / 5 1/2 yrs.
Referred by : Dr. Abc Xyzrade.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O acute weakness of BUE and BLE on 00.00.00 which has slightly improved since then.

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 :

A small, focal, hypointense area on the T1 Weighted images is seen in the right posterior parietal deep white matter. This is seen to turn hyperintense on the proton and T2 Weighted images and represents a prominent perivascular space.

There is no focal area of abnormal signal 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 :

No significant abnormality is detected on this study.












Sunday, 27 December 2015 16:48

14513

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

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

CLINICAL PROFILE :

C/O backache radiating to BLE since 3 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 is straightening of the lumbar spine with probable sacralization of the L5 vertebra. (Please correlate with plain radiographs). The L5 vertebra appears as marked on the film.

A large posterior disc extrusion with peridiscal osteophytes is seen at the L4-L5 level with severe compression of the thecal sac and canal stenosis. There is inferior migration of the disc with indentation upon the traversing L5 nerve roots.

The L4-L5 intervertebral disc shows loss of water content.

Type II degenerative changes are noted in the L4 and L5 vertebral bodies adjacent to the L4-L5 disc.

The L3-L4 facet joint on the left side shows degenerative changes.
Scan-00003


The rest of 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 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
16.0 mm at L2-L3
14.0 mm at L3-L4
4.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. Probable sacralization of the L5 vertebra (Please correlate with plain radiographs).

2. A large posterior disc extrusion with peridiscal osteophytes and severe canal stenosis at the L4-L5 level. There is inferior migration of the disc with indentation upon the traversing L5 nerve roots.


Sunday, 27 December 2015 16:48

14512

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

Name of the Patient : Abc Xyzlmn / F / 36 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Left Forearm.

CLINICAL PROFILE :

C/o pain and swelling over the left forearm since 2 months with deformity of the fingers.
H/O Pulmonary Kochs. Completed AKT.

EXAMINATION :

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

8 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

5 mm thick T1 Weighted and STIR sagittal images.

5 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There is a fairly large, well marginated, hypointense lesion with a hyperintense periphery on the T1 Weighted images along the ulnar margin of the left forearm extending into the flexor compartment of the left forearm. This lesion turns hyperintense on the T2 Weighted and STIR images. Ill-defined, hyperintense signal on the T2 Weighted images is noted in the flexor digitorum
profundus muscle and the brachialis muscle suggestive of their involvement. This lesion is seen to tract from the level of the proximal left radio-ulna joint, medially, between the flexor digitorum profundus muscle and the flexor carpi ulnaris muscle, anteriorly into the left forearm, between the flexor digitorum profundus muscle (posteriorly), flexor carpi ulnaris muscle (medially) and the flexor digitorum superficialis muscle and flexor carpi radialis muscle (anteriorly). The distal extent of the lesion is nearly upto the distal left radio-ulna joint. Extension of the lesion between the flexor tendons is also noted.
The neurovascular bundle appears to be displaced anteriorly and medially at the periphery of this lesion.
..2/.




R>
Hyperintense signal on the T2 Weighted and STIR images is noted in the subcutaneous fat along the medial and anterior aspect of the left forearm which is suggestive of subcutaneous edema.

The rest of the visualized muscles of the left forearm show normal signal intensity. There is no obvious bone erosion or destruction seen.

IMPRESSION :

The MRI features suggest a fairly large mass lesion in the left
forearm, medially and anteriorly with signal characteristics and extensions as described. This most likely represents an abscess.

The possibility of a neoplasm is less likely.


Sunday, 27 December 2015 16:48

14511

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

Name of the Patient : Abc XyzRashid lmn / M / 48 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (right more than left) with slight numbness since 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 :

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

There is a posterior disc extrusion indenting the thecal sac at the L4-L5 level with slight inferior migration of the disc fragment. There is mild neural foraminal narrowing bilaterally at the L4-L5 level. Bilateral far lateral (extraforaminal) disc bulges are seen at this level.

A postero-central disc herniation is seen to indent the traversing S1 nerve roots, (right more than left) and the thecal sac at the L5-S1 level.

The L1-L2, L2-L3, L3-L4 and L4-L5 facet joints show degenerative changes.

Ligamentum flavum hypertrophy is seen at the L4-L5 level.



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 S2 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
16.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A posterior disc extrusion with ligamentum flavum and facetal hypertrophy with a tight canal at the L4-L5 level.

2. A postero-central disc herniation at the L5-S1 level.

3. Facetal arthropathy also at the L1-L2, L2-L3 and L3-L4 levels.

Sunday, 27 December 2015 16:48

14510

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

Name of the Patient : Abc Xylmn / M / 60 yrs.
Referred by : Dr. Abc Xyzadilkar / Dr. Abc Xyzni.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O painless ptosis (right more than left).

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, T2 Weighted, FLAIR and STIR coronal images.

OBSERVATION :

There is no focal area of altered signal intensity in the brain parenchyma. (The subtle hyperintense signal on the proton images at the ponto-mesencephalic junction just anterior to the aqueduct would represent nuclei of the medial raphe-marked by an arrow).

There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

There is mild fullness of the third and both the lateral ventricles.

The cavernous sinuses and visualized orbits on either side are unremarkable.

The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of mild cerebral and cerebellar atrophy.