MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14505

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

Name of the Patient : Abc Xyzn Billmn / M / 55 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the RUE.
C/O backache with pain radiating to the LLE.
H/O fever since 15 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 replacement of the normal marrow by hypointense areas on the T1 Weighted images in the L5 vertebral body. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The pedicles are also involved by the pathology. There is pre and paravertebral soft tissue extension at the L4 and L5 levels with probable involvement of the L4-L5 intervertebral disc, anteriorly. The psoas muscle at these levels on the left side shows a hyperintense signal on the T1 Weighted images suggestive of its involvement. Minimal anterior epidural extension is seen at the L5 level.

Small posterior disc herniations are seen at the L3-L4, L4-L5 and L5-S1 levels with anterior indentation of the thecal sac and slight neural foraminal narrowing bilaterally at these levels. The L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.

The L4-L5 and L5-S1 facet joints bilaterally show degenerative changes. The left facet joint at the L2-L3 level also shows degenerative changes.
..2/.





Ligamentum flavum hypertrophy is noted at the L4-L5 and L5 levels.

The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints 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 :

14.0 mm at L1-L2
14.0 mm at L2-L3
12.0 mm at L3-L4
8.0 mm at L4-L5
8.0 mm at L5-S1.

The dorsal spine was screened with 4 mm thick T1 Weighted sagittal images and which does not reveal any diagnostic feature of note.

IMPRESSION :

The MRI features are suggestive of altered signal of the L5 vertebra with extensions as described. This may represents an infective process like tuberculosis or a neoplastic process like a round cell tumor or a secondary.

Sunday, 27 December 2015 16:48

14504

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

Name of the Patient : Abc Xyzn Billmn / M / 55 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the RUE.
C/O backache with pain radiating to the LLE.
H/O fever since 15 days.

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 :

A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the C5-C6 level.

There are small postero-central disc herniations at the C3-C4 and C4-C5 levels with anterior indentation of the thecal sac.

A small right paracentral disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the C6-C7 level.

The cervical intervertebral discs show loss of water contnet.

The C3-C4, C4-C5, C5-C6 and C6-C7 facet joints show degenerative changes.


The cervical vertebral bodies 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. A postero-central disc herniation with peridiscal osteophytes at the C5-C6 level.

2. Small postero-central disc herniations at the C3-C4 and C4-C5 levels.

3. A small right paracentral disc herniation at the C6-C7 level.

3. Facetal arthropathy bilaterally at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.

Sunday, 27 December 2015 16:48

14503

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

Name of the Patient : Abc XyzR. Plmn / M / 75 yrs.
Referred by : Dr. Abc Xyzatil / Dr. Abc Xyzvadekar
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache since 2 months.
H/O fall prior to this.

EXAMINATION :

M.R.I of the dorso-lumbar 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 anterior wedging of the D12 vertebral body. Hypointense signal is noted on the T1 Weighted images within this vertebral body anteriorly and superiorly. This area is seen to turn hyperintense on the T2 Weighted images and would represent edema. Some areas are seen to remain hypointense on all the pulse sequences and would represent compressed trabeculae. There is a break in the superior cortical endplate.

There is no pre/paravertebral extension of the disease process.

A CSF signal intensity lesion is noted on all the pulse sequences in the right neural foramen at the D12-L1 level and may represent a meningeal cyst. A similar smaller lesion is noted in the left neural foramen, at the D12-L1 level and on the right side at the D11-D12 level.


A diffuse posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. There is ligamentum flavum and facetal hypertrophy with resultant tight lumbar canal.

Left far lateral disc bulge is seen at the L3-L4 level. A small posterior disc bulge is noted at the L5-S1 level.

The lower lumbar intervertebral discs show loss of water content.

There is anterior wedging of the D6, D7 and D8 vertebral bodies without any change in signal intensity.

The L5-S1 facet joint also shows degenerative changes.

The lumbar vertebral bodies show spotty fatty changes suggesting osteoporosis. 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.

Incidental note is made of simple cortical cysts in both kidneys, large ones in the right kidney.

IMPRESSION :

The MRI features are suggestive of :

1. Anterior wedging of the D12 vertebral body with altered signal is most likely post-traumatic in etiology superimposed upon an osteoporotic spine.

2. A diffuse posterior disc herniation at the L4-L5 level.

3. Facetal arthropathy at the L4-L5 and L5-S1 levels with tight canal at the L4-L5 level.

Sunday, 27 December 2015 16:48

14502

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

Name of the Patient : Abc Xyz lmn / M / 25 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O diminished vision bilaterally since 2 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.
3 mm thick T1 Weighted and STIR coronal images through the optic nerves.
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.

The optic nerves show normal signal intensity on the STIR images.

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.

Inflammatory changes are seen in the right maxillary sinus, mastoid air cells, ethmoidal air cells bilaterally and right frontal sinus.

IMPRESSION :

1. Normal study of the Brain.
2. Right mastoiditis.













Sunday, 27 December 2015 16:48

14501

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

Name of the Patient : Abc XyzKlmn / M / 20 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided headaches, diminished vision bilaterally, fever and vomiting.
C/O involuntary movements of the RUE and RLE since 8 days.
? SSPE.

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 :

Subtle hyperintense signal on the proton, T2 Weighted and FLAIR images is seen within the periventricular white matter 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. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of subtle altered signal intensity within the periventricular white matter bilaterally and this is of undetermined etiology.












Sunday, 27 December 2015 16:48

14500

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

Name of the Patient : Abc Xyzharlmn / F / 44 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with numbness.
H/O fall 3 years back.

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 L4-L5 and L5-S1 intervertebral discs.

There is a very small, left postero-lateral (foraminal) protruded disc at the L4-L5 level (scans 104.7, 105.5). Small posterior peridiscal osteophytes are noted at this level.

A small posterior disc bulge is identified at the L5-S1 level.

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 S4 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
19.0 mm at L2-L3
19.0 mm at L3-L4
16.0 mm at L4-L5
16.0 mm at L5-S1.

IMPRESSION :

Degenerated L4-L5 and L5-S1 discs with a small left postero-lateral (foraminal) protruded disc at the L4-L5 level. Small posterior peridiscal osteophytes are noted at the L4-L5 level.

As compared to the previous MRI (study no:00006) dated 00.00.00, there is no significant change noted.

Sunday, 27 December 2015 16:48

14499

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

Name of the Patient : Abc Xyza Hulmn / M / 70 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O forgetfulness and pain on the right side of body since 4 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.

5 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a hypointense signal on the T1 Weighted images in the right lentiform nucleus which is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. Similar area is seen in the right frontal deep white matter and the periatrial deep white matter.

A lacunar infarct is seen in the right frontal region (scans 103.13, 102.13).

There is moderate dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci (more marked in temporal regions), Sylvian fissures and the basal cisternal spaces.

There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
- 2 - Scan-00009

IMPRESSION :

1. Altered signal in the right lentiform nucleus, in the frontal deep white matter and the periatrial deep white matter are ischemic in etiology.

2. Cerebral atrophy (more marked in both temporal regions).













Sunday, 27 December 2015 16:48

14498

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

Name of the Patient : Abc Xylmn / M / 23 yrs.
Referred by : Dr. Abc Xyzgaonkar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever 8 days ago with a single 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.

3 mm thick T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

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

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

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.

Hyperintense areas on all the pulse sequences are seen within the sphenoid sinus and these may represent inspissated secretions.

IMPRESSION :

The MRI features are suggestive of mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.













Sunday, 27 December 2015 16:48

14497

Written by
sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc XyzPlmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O schizophrenia with ? dyskinesia since 3-4 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.

5 mm thick FLAIR and Fast Scan (T2 *) coronal 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.













Sunday, 27 December 2015 16:48

14496

Written by
Date : 00.00.00

Name of the Patient : Abc Xyzt V. Klmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

H/O fever 1 month back with backache and paresthesias in BLE (right more than left) since then.

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 replacement of the normal marrow by hypointense areas on the T1 Weighted images involving the D11 and D12 vertebral bodies. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The D11-D12 intervertebral disc is involved with a breach in the inferior and superior cortical endplates aspect of the D11 and D12 vertebral bodies, respectively. There is pre and paravertebral soft tissue extension over the D11 and D12 levels with involvement of the costo-vertebral and costo-transverse joints at the D11-D12 and D12-L1 levels. Bilateral antero-lateral epidural extensions are noted over the D10-D11 to D12 levels. There is resultant compression of the spinal cord at the D11 and D12 levels. The spinal cord over the D10 to the D12 levels shows a hyperintense signal on the T2 Weighted images. This is isointense to cord on the T1 Weighted images and would represent cord edema/ischemia/myelitis. There is also encasement of the exiting nerve roots at the D11-D12 level bilaterally.

The rest of the visualized dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
..2/.






The conus medullaris terminates at the L1 level.

The cervico-dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and which does not reveal any diagnostic feature of note.

IMPRESSION :

The MRI features are suggestive of altered signal in the D11 and D12 vertebral bodies, D11-D12 intervertebral disc with extensions as described and cord compression at the D11 and D12 levels with cord signal alteration over the D10 to D12 levels suggesting cord edema/ischemia/myelitis. This most likely represents a granulomatous infective process like tuberculosis.

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