MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

15005

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

Name of the Patient : Abc Xyztalmn / F / 23 yrs.
Referred by : Dr. Abc Xyzah Matkar.
Examination : M.R.I. of the Sella & Perisellar Region.

CLINICAL PROFILE :

C/O headaches with weight gain since 1 year.
S. Prolactin level is 39 ng/ml.

EXAMINATION :

M.R.I of the sella and perisellar region was performed using the following parameters :

3 mm thick T1 Weighted and T2 Weighted coronal images.

3 mm thick T1 Weighted sagittal images.

The brain was screened with 5 mm thick T2 Weighted axial images.

After contrast administration, 3 mm thick T1 Weighted sagittal and coronal images and delayed, 3 mm thick T1 Weighted coronal images were also obtained.

The brain was screened with 5 mm thick T1 Weighted axial images with magnetization transfer after contrast administration.

OBSERVATION :

The pituitary gland is normal in its size, contour and location and reveals normal signal intensity. The pituitary gland measures approximately 5.0 mms in height. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable. The cavernous sinus and the suprasellar cistern are unremarkable.

After administration of contrast, there is no focal area of abnormal enhancement in the pituitary gland or the perisellar region.
..2/.






The study of the brain reveals focal dilatation of the left temporal horn when compared to the right, which may be a normal variant. No other significant abnormality is detected in the brain parenchyma before and after contrast administration.

IMPRESSION :

No significant abnormality is detected within the pituitary gland on this study.



Sunday, 27 December 2015 16:48

15004

Written by
ke/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzWlmn / M / 63 yrs.
Referred by : Dr. Abc Xyzlsara. Examination : M.R.Cholangiogram.
CLINICAL PROFILE : C/O abdominal pain since 6 months.
EXAMINATION :
MR Cholangiogram was performed. 6 mm thick T1 Weighted and T2 Weighted axial images. 6 mm thick T2 Weighted coronal images.OBSERVATION :
There are multiple hypointense areas on all the pulse sequences within the neck of the gall bladder and which represent gall stones. Similar areas are also noted within the cystic duct. The common bile duct in its extrahepatic portion is dilated along with dilatation of the right and left hepatic ducts with mild prominence of the intrahepatic biliary radicles. There are multiple hypointense areas within the common bile duct on all the pulse sequences which may represent calculi. The distal portion of the common bile duct is narrow and is seen to taper towards the ampulla. This is most probably due to edema, probably the result of passage of a stone (? inflammatory stricture).

The pancreatic duct is unremarkable.

The intrahepatic venous architecture is normal.






The gall bladder is well-distended and appears folded upon itself.
IMPRESSION :

The MRI features are suggestive of :

1. Multiple gall stones.

2. Presence of stones in the cystic duct and common bile duct.

3. Tapering of the distal portion of the common bile duct, probably due to passage of a stone (? inflammatory stricture).
Sunday, 27 December 2015 16:48

15003

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

Name of the Patient : Abc Xyzedali Nazlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

Alleged H/O being hit by a heavy object on the back 15-20 days back with pain in the back radiating to the LLE since then.

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 L2-L3 and L4-L5
intervertebral discs.

There is anterior wedging of the L1 vertebral body with break in the superior cortex anteriorly. Hypointense areas on the T1 Weighted images are seen to replace the normal marrow of the L1 vertebra. These are seen to turn hyperintense on the T2 Weighted images and would represent edema/bruise, in the given clinical setting.

There is a left paracentral disc herniation at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing at this level, more marked on the left side. The facet joints appear hypertrophied.

A small posterior disc herniation is seen at the L2-L3 level.

..2/.







Posterior disc bulges are identified at the L3-L4 and L5-S1 levels. A left far lateral disc bulge is seen at the L1-L2 level.

The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining 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 :

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

IMPRESSION :

1. Altered signal in the L1 vertebral body with anterior wedging and break in the superior cortex suggests a fracture with bone edema/bruise, in the given clinical setting.

2. A left paracentral disc herniation at the L4-L5 level with bilateral neural foraminal narrowing, facetal hypertrophy and tight lumbar canal.

3. A small posterior disc herniation at the L2-L3 level.

Sunday, 27 December 2015 16:48

15002

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

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

CLINICAL PROFILE :

C/O neckpain with pain radiating to the LLE and RUE with weakness in the LLE.
H/O cervical spine surgery. No details available.

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.

5 mm thick T2 Weighted and Gradient axial images.

OBSERVATION :

The visualized dorsal intervertebral discs show loss of water content.

The visualized dorsal 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 D12 level and the thecal sac terminates at the S1 level.

The lumbar spine was screened with 5 mm thick T1 Weighted and T2 Weighted sagittal images and which shows sacralization of the L5 vertebral body. 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. There is facetal arthropathy at the L2-L3 and L3-L4 levels. Lateral disc herniations with peridiscal osteophytes are seen in the lumbar region.

Anterior disc herniations with peridiscal osteophytes are seen at the D12-L1, L1-L2 and L2-L3 levels.
..2/.





IMPRESSION :

No significant abnormality is detected within the dorsal spine on this study.

Sacralization of the L5 vertebra.

Posterior disc herniations at the L1-L2, L2-L3, L3-L4 and L4-L5 levels with canal stenosis over the L2-L3 and L3-L4 levels.

Facetal arthropathy at the L2-L3 and L3-L4 levels.


Sunday, 27 December 2015 16:48

15001

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

Name of the Patient : Abc XyzJelmn / F / 38 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE since 2 months.
H/O L4-L5 hemilaminectomy with discectomy done in May 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 lumbar intervertebral discs except for the L1-L2 show loss of water content.

There are post-operative changes in the posterior soft tissues at the L5 level. A partial laminotomy with facetectomy at the L5 level on the right side is noted.
Small posterior peridiscal osteophytes are noted at the L4-L5 level. This disc is reduced in height. There are hypertropic changes in the facet joints at the L4-L5 level on the left side.

There is a small posterior disc herniation at the L3-L4 level with anterior indentation of the thecal sac.

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

Anterior peridiscal osteophytes are seen in the dorsal region.


The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining 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 :

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

IMPRESSION :

1. Post-operative status.

2. Hypertrophy of the facet joints at the L4-L5 level on the left side with small posterior peridiscal osteophytes at this level.

2. A small posterior disc herniation at the L3-L4 level.

Sunday, 27 December 2015 16:48

15000

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

Name of the Patient : Abc Xlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzankhla.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O pain in the neck with pain radiating to the LLE and RUE and weakness of the LLE.

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 hyperintense signal on the proton, T2 Weighted and FLAIR images in the periatrial deep white matter and is probably ischemic in etiology (scans 105.4 & 105.5).

There is mild dilatation of both the lateral and third ventricles. There is prominence of the cerebral cortical sulci.

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

Both eyes are aphakik. Inflammatory changes are seen in the right mastoid air cells.

IMPRESSION :

1. Altered signal in the periatrial deep white matter is probably ischemic in etiology.

2. Mild cerebral atrophy.

Sunday, 27 December 2015 16:48

14999

Written by
bv/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz. Nasim Anlmn / M / 1 year.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O inability to hold head with seizures.
Premature delivery.

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 T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
Patient had involuntary jaw movements.

OBSERVATION :

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

The myelination pattern appears normal for the patients age.

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

IMPRESSION :

Mild fullness of both the lateral and the third ventricles.

No other significant abnormality is detected.
Sunday, 27 December 2015 16:48

14998

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

Name of the Patient : Abc Xyzhant Toplmn / M / 15 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

H/O fall on 00.00.00 with pain in the back on the right side since then.

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 Gradient coronal images.
Vitamin E capsules were placed at the site of pain.

OBSERVATION :

There is no evidence of any lesion in the right renal area.

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 D12-L1 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 :

19.0 mm at L1-L2
19.0 mm at L2-L3
19.0 mm at L3-L4
13.0 mm at L4-L5
18.0 mm at L5-S1.

IMPRESSION :

Normal study of the lumbo-sacral spine.

Sunday, 27 December 2015 16:48

14997

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

Name of the Patient : Abc Xyz Fernalmn / F / 55 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain with pain radiating to BUE (right more than left) with numbness since August 0000. H/O fall prior to this.

EXAMINATION :

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

5 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 a right postero-lateral disc herniation with large peridiscal osteophyte at the C5-C6 level, causing bilateral neural foraminal narrowing and indentation upon the right C6 nerve root.

A small posterior disc bulge is seen at the C4-C5 level.

The joints of Luschka on the left side at the C3-C4 and C6-C7 levels show degenerative changes with mild left neural foraminal narrowing.

The facet joints on the left side at the C4-C5 and C5-C6 levels show hypertrophic changes.

Focal fatty changes are noted in the upper cervical vertebral bodies.
..2/.







The remaining cervical vertebral bodies show normal signal intensity. The rest of 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 right postero-lateral disc herniation with large peridiscal osteophyte at the C5-C6 level and indentation upon the right C6 nerve root.

2. Degenerative changes of the joints of Luschka on the left side at the C3-C4 and C6-C7 levels with mild left neural foraminal narrowing.

Sunday, 27 December 2015 16:48

14996

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

Name of the Patient : Abc Xyzhila Blmn / F / 42 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE and 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 are small posterior disc bulges at the L4-L5 and L5-S1 levels.

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 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
14.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.
>


The S. I. joints were screened with the help of 5 mm thick STIR coronal images which do not reveal any diagnostic feature of note.

IMPRESSION :

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


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