MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14475

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

Name of the Patient : Abc Xyzsh Chourlmn / M / 10 yrs.
Referred by : Dr. Abc Xyzhiri.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 2 months.
C/O gait ataxia since 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.

3 mm 3D SPGR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are broad flat gyri in the high frontal regions bilaterally. The cortex appears slightly thickened, however it shows normal signal intensity in that region.

The hippocampus 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.

IMPRESSION :

The MRI features suggest cortical dysplasia in the high frontal regions bilaterally.















Sunday, 27 December 2015 16:48

14474

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

Name of the Patient : Abc Xyzn lmn / F / 8 yrs.
Referred by : Dr. Abc Xyzhiri.
Examination : M.R.I. of the Abdomen.

CLINICAL PROFILE :

C/O CRF in April 0000.

EXAMINATION :

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

8 mm thick T1 Weighted and T2 Weighted axial images.

5 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

There is situs inverses with the heart placed right of the midline in the thorax, the liver and the inferior vena cava seen to the left of the midline and the spleen, aorta and the fundus of the stomach seen to the right of the midline.

Both the kidneys show multiple, small, cortical and parenchymal renal cysts. Both kidneys however appear normal in size.

The liver is normal in size and signal characteristics. There is no focal or diffuse area of altered signal intensity. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architexture is normal.

The gall bladder is normal and reveals no intrinsic abnormality.

The pancreas is normal in bulk and signal intensity.






The spleen and both adrenals are normal in bulk and signal intensity.

No lymphadenopathy is detected. There is no evidence of free fluid within the abdomen.

IMPRESSION :

1. Situs inverses.

2. Multiple cortical and parenchymal renal cysts. Polycystic kidneys is a likely possibility.


Sunday, 27 December 2015 16:48

14473

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

Name of the Patient : Abc Xyzc Dslmn / M / 68 yrs.
Referred by : Dr. Abc Xyzndhi.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O fever with giddiness and blackouts since 3-4 days.
Known hypertensive.

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 are ill-defined, hypointense areas on the T1 Weighted images in the cortex and subcortical white matter in the right high frontal region. This lesion appears hyperintense on the T2 Weighted images and represents an area of cystic encephalomalacia, most likely a sequelae of previous vascular insult. Resultant focal dilatation of the body of the right lateral ventricle is noted.

There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.










INTRACRANIAL MRA :

There is irregularity and narrowing of the distal segments of the vertebral arteries bilaterally and the proximal segment of the basilar artery. The left posterior cerebral artery is slightly attenuated.

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

NECK MRA :

There is seen slight irregularity of the terminal left common carotid artery along its anterior wall which may suggest an atherosclerotic plaque in that region. Resultant mild stenosis of the terminal left common carotid artery is noted. The right common carotid artery and its bifurcation and the vertebral arteries are unremarkable.

IMPRESSION :

1. Area of cystic encephalomalacia, most likely a sequelae of previous vascular insult, in the cortex and subcortical white matter in the right high frontal region.

2. Irregularity and narrowing of the distal segments of the vertebral arteries bilaterally and the proximal segment of the basilar artery may suggest atherosclerotic changes.

3. An atherosclerotic plaque along anterior wall of the terminal left common carotid artery with slight irregularity and stenosis of the same.









Sunday, 27 December 2015 16:48

14472

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

Name of the Patient : Abc Xlmn / M / 30 yrs.
Referred by : Dr. Abc Xyznawane.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE with numbness since 1 month.

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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is a large postero-central disc extrusion compressing the thecal sac at the L4-L5 level.

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

The L4-L5 and L5-S1 facet joints show degenerative changes.

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

A small cystic lesion is noted in the left renal cortex.

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.
..2/.





R>

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

17.0 mm at L1-L2
18.0 mm at L2-L3
16.0 mm at L3-L4
9.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A large postero-central disc extrusion at the L4-L5 level with canal stenosis.

2. Facetal degeneration at the L4-L5 and L5-S1 levels.



Sunday, 27 December 2015 16:48

14471

Written by
hs/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz U. lmn / F / 31 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE with paresthesias.

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 postero-central disc herniation indenting the thecal sac at the L5-S1 level

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

Mild facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels. Mild ligamentum flavum hypertrophy is seen at the L4-L5 and L5 levels.

The lumbar intervertebral discs show mild loss of water content.

The lumbar vertebral bodies 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 S1 level.

R>

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

19.0 mm at L1-L2
19.0 mm at L2-L3
19.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

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

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


Sunday, 27 December 2015 16:48

14470

Written by
hs/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xylmn / F / 13 yrs.
Referred by : Dr. Abc Xyzi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O ALL. Detected in 0000. Received Chemotherapy and Radiotherapy.
No complaints at present.

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 are diffuse areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the periatrial white matter bilaterally. These are iso to hypointense to normal white
matter on the T1 Weighted images.

Lacunar infarcts (iso to hyperintense to CSF) are noted in the white matter in the left frontal lobe, left centrum semiovale and within the left paraatrial white matter.

There is mild fullness of the ventricular system. There is prominence of the cerebral cortical sulci (more marked in the right high parietal region) 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.

R>

IMPRESSION :

1. Altered signal within the periatrial white mater bilaterally most likely represents areas of ischemia/demyelination.

2. Lacunar infarcts in the white matter in the left frontal lobe, left centrum semiovale and within the left paraatrial white matter.

3. Mild cerebral cortical and cerebellar atrophy.












Sunday, 27 December 2015 16:48

14469

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

Name of the Patient : Abc Xyzni lmn / F / 22 mnths.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since the age of 6 months.
C/O delayed milestones.

EXAMINATION :

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

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

4 mm thick FLAIR coronal images.

3 mm thick T2 Weighted coronal images.

OBSERVATION :

There is no focal area of abnormal signal intensity in the brain parenchyma. Ill-defined hyperintense signal on the T2 Weighted images in the posterior parietal paraventricular white matter bilaterally represents areas of terminal myelination.

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.

IMPRESSION :

Normal study of the Brain.













Sunday, 27 December 2015 16:48

14468

Written by
hs/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzohd. Qurlmn / M / 50 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE with paresthesias since 20 years.
H/O spinal surgery 15-20 years ago (Details not available).

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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There appears to be sacralization of the L5 vertebra and the L1 vertebra is as marked on the film.

There is laminectomy of the L3 and L4 vertebrae and partial laminectomy of the L2 and L5 vertebrae with post-operative changes within the posterior soft tissues at these levels.

A postero-central disc herniation, more to the left of the midline, with peridiscal osteophytes is seen to indent the thecal sac at the L4-L5 level.

There are bilateral postero-lateral (foraminal) disc herniations with peridiscal osteophytes narrowing both neural foramina at the L3-L4 level.

A posterior disc bulge with peridiscal osteophytes is seen to indent the thecal sac at the L2-L3 level. Bilateral far lateral (extraforaminal) disc bulges are noted at the L2-L3, L3-L4 and L4-L5 levels.
..2/.




The L2-L3, L3-L4 and L4-L5 facet joints show degenerative changes. Mild facetal hypertrophy is noted at the L1-L2 level.

The intrathecal nerve roots at the L3 and L4 levels are irregularly defined and clumped and this may suggest Group I arachnoiditis. The nerve roots at the L5 level are plastered to the periphery of the thecal sac and this may suggest Group II arachnoiditis.

The lumbar intervertebral discs show loss of water content. A hyperintense area on the T2 Weighted images within the L3-L4 intervertebral disc on the left side is noted (? calcified disc).

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 dorsal spine was screened with 5 mm thick T2 Weighted sagittal images and shows mild facetal hypertrophy at the D9-D10 level.

IMPRESSION :

The MRI features are suggestive of :

1. Post-operative status.

2. Sacralization of the L5 vertebra.

3. A postero-central disc herniation, more to the left of the midline, with peridiscal osteophytes at the L4-L5 level.

4. Bilateral postero-lateral (foraminal) disc herniations with peridiscal osteophytes at the L3-L4 level.
..3/.





- 3 - Scan-00008


5. Facetal arthropathy at the L2-L3, L3-L4 and L4-L5 levels.

6. Arachnoiditis over the L3 to the L5 levels.
Sunday, 27 December 2015 16:48

14467

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

Name of the Patient : Abc Xyzi Gulam Mehlmn / F / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gradually progressive loss of vision of the left eye since 2 months.
Now C/O diminished vision on the right side since 2-4 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.
3 mm thick T1 Weighted and STIR coronal images through the optic nerves.

OBSERVATION :

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

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 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.

The left optic nerve appears smaller in calibre when compared to the right, with increased perioptic CSF. Both optic nerves however show normal signal characteristics. The visualized orbits are also unremarkable.

IMPRESSION :

No significant abnormality is detected within the brain parenchyma per se.

Left optic nerve atrophy.














Sunday, 27 December 2015 16:48

14466

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

Name of the Patient : Abc XyzShlmn / F / 29 yrs.
Referred by : Dr. Abc Xyznghal.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE with paresthesias since 2 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 loss of water content of the L4-L5 and L5-S1 intervertebral discs.

There is a fairly large, right paracentral extruded disc at the L4-L5 level with right neural foraminal narrowing. Slight inferior migration of the disc fragment is noted with impingement of the traversing right L5 nerve root.

A small, postero-central protruded disc is noted at the L5-S1 level.

The facet joints at the L4-L5 and L5-S1 levels show hypertrophic degenerative changes.

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.

Fat is noted in the filum terminale at the L3 and L4 vertebral levels.

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

21.0 mm at L1-L2
18.0 mm at L2-L3
19.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. Right paracentral extruded disc at the L4-L5 level with right neural foraminal narrowing and slight inferior migration of the disc fragment impinging the traversing right L5 nerve root.

2. A small, postero-central protruded disc at the L5-S1 level.

3. Hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels.