MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14429

Written by
ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzD. Talmn / M / 36 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fall 8 years back with injury to the back. Operated for the same.
C/O gradual progressive weakness of BLE and BUE, slurred speech and diminished vision 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.

3 mm thick T2 Weighted coronal images.

OBSERVATION :

There is a large, well-defined mass lesion in the right parapharyngeal space which measures approximately 3.8 x 4.5 x 3.1 cms. There is indentation upon the right lateral aspect of the oropharynx. This lesion shows an intermediate signal intensity on the T1 Weighted images and is seen to turn hyperintense on the T2 Weighted and FLAIR images at the periphery with the centre turning hypointense. Few septae are noted within this lesion.

There is no focal area of altered signal intensity within 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.
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IMPRESSION :

The MRI features are suggestive of a large, well-defined mass lesion in the right parapharyngeal space measuring approximately 3.8 x 4.5 x 3.1 cms as described.

The possibilities to be considered are,

1. Mixed tumor of the salivary rest cells in the parapharyngeal space.

2. Nerve sheath tumor.












Sunday, 27 December 2015 16:48

14428

Written by
hs/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzlal Malmn / M / 40 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 numbness and loss of sensation in the LLE 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 loss of water content of the L3-L4, L4-L5 and L5-S1 intervertebral discs.

There is mild retroplacement of the L5 over the S1 and the L4 over the L5 vertebrae.

There is a large posterior disc extrusion with peridiscal osteophytes at the L5-S1 level with inferior migration of the disc portion with resultant indentation upon both the traversing S1 nerve roots. Also seen is mild bilateral neural foraminal narrowing with indentation upon the exiting L5 nerve roots at this level.

A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the L3-L4 level.

A posterior disc herniation with peridiscal osteophytes is seen to indent the thecal sac with slight bilateral neural foraminal narrowing at the L4-L5 level.
..2/.






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

Facetal hypertrophy is seen at the L4-L5 and L5-S1 levels. Also seen is mild ligamentum flavum hypertrophy at these levels.

Type I degenerative changes (hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images) are noted in the L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc.

An anterior disc herniation is seen at the L5-S1 level.

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 L2 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 :

13.0 mm at L1-L2
13.0 mm at L2-L3
11.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.

The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and is unremarkable.

IMPRESSION :

The MRI features are suggestive of :

1. A posterior disc extrusion with peridiscal osteophytes at the L5-S1 level with inferior migration of the disc portion and indentation upon both the traversing S1 nerve roots. ..3/.


- 3 - Scan-00008

3. A postero-central disc herniation with peridiscal osteophytes at the L3-L4 level.

4. A posterior disc herniation with peridiscal osteophytes at the L4-L5 level.

4. Facetal hypertrophy at the L4-L5 and L5-S1 levels with mild ligamentum flavum hypertrophy at these levels.

5. Canal stenosis at L5-S1 level and a tight canal at the L4-L5 level.

6. Type I degenerative changes in the L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc (less likely to be osteitis).

Sunday, 27 December 2015 16:48

14426

Written by
hs/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 13 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 5 years.

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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

There is slight prominence of the cerebellar folia.

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.

Inflammatory changes are noted in the sphenoid sinus and maxillary sinuses bilaterally.

IMPRESSION :

The MRI features are suggestive of mild cerebellar atrophy.












Sunday, 27 December 2015 16:48

14425

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

Name of the Patient : Abc Xyznisa Mohd.Almn / F / 25 yrs.
Referred by : Dr. Abc Xyzhiri.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE with paresthesias in the RLE since 2 years.

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.

4 mm thick T2 Weighted coronal images.

OBSERVATION :

There is scoliosis of the lumbar spine with convexity to the right.

There is replacement of the normal marrow of the L2 and L3 vertebral bodies adjacent to the L2-L3 intervertebral disc by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. Adjacent cortical endplates are breached with involvement of the L2-L3 disc, more to the left. There is extension of the pathologic process into the left psoas muscles which appears bulky. Hypointense signal is noted on the T1 Weighted images within the left psoas muscle over the L2 to atleast the S1 levels. This is seen to turn hyperintense on the T2 Weighted images. Few hypointense areas within this lesion on all the pulse sequences may represent debris. The lesion most likely represents an abscess.


Small posterior disc bulges are seen at the L3-L4 and L4-L5 levels. The L3-L4 intervertebral disc shows loss of water content.

The rest of the lumbar vertebral bodies and 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 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 :

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

IMPRESSION :

The MRI features are suggestive of areas of altered signal intensity in the L2 and L3 vertebral bodies with involvement of the L2-L3 intervertebral disc with a left psoas abscess over the L2 to atleast the S1 vertebral levels. This most likely represents an infective pathology like tuberculosis.

The possibility of this being a neoplastic process like a small cell tumor is less likely.


Sunday, 27 December 2015 16:48

14424

Written by
ke/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Kalmn / M / 40 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O 2 episodes of seizures since 00.00.00.
C/O headaches since 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.

3 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

After administration of contrast the following parameters were used :

5mm thick T1 Weighted axial images with magnetization transfer.

3 mm thick T1 coronal images with magnetization transfer.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a well circumscribed hypointense lesion on the T1 Weighted images in the left frontal region which is seen to turn hyperintense to CSF on the proton and T2 Weighted images with surrounding edema and effacement of the adjacent sulci. There is slight inferior displacement of the body of the left lateral ventricle.
Scan-00004


After administration of contrast, there are two ring enhancing lesions in the left frontal region and the conglomerate lesion measures approximately 1.5 x 1.4 x 1.0 cms. There is no other area of abnormal enhancement within the brain parenchyma or the meninges.

The right 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 atleast two ring enhancing lesions in the left frontal region and the conglomerate lesion measuring approximately 1.5 x 1.4 x 1.0 cms. These may represent granulomas like cysticerci in the colloid-vesicular stage. The possibility of these being tuberculomas though less likely cannot be entirely excluded.












Sunday, 27 December 2015 16:48

14423

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

Name of the Patient : Abc Xyzra P. Upalmn / M / 37 yrs.
Referred by : Dr. Abc Xyzasde.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

Alleged H/O fall with injury to the right hip region 2 years back. Recovered with conservative treatment.
Now C/O low back pain, radiating to the LLE with limp and paresthesias in the right foot 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 a large postero-central disc extrusion with peridiscal osteophytes at the L5-S1 level with anterior compression of the thecal sac and canal stenosis. Inferior migration of the disc is seen with impingement of the traversing left S1 nerve root. The L5-S1 facet joint on the left side shows degenerative changes. This disc shows loss of water content.

Left postero-lateral and left far lateral disc herniations are seen at the L4-L5 level with indentation upon the extraforaminal portion of the exiting left L4 nerve root at the L4-L5 level. The L4-L5 facet joints show degenerative changes. This disc shows loss of water content. A postero-central disc bulge 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.
..2/.






The conus medullaris terminates at the D12-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
15.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
6.0 mm at L5-S1.

IMPRESSION :

1. A large postero-central disc extrusion with peridiscal osteophytes at the L5-S1 level with canal stenosis. Inferior migration of the disc is seen with impingement of the travesing left S1 nerve root.

2. Left postero-lateral and left far lateral disc herniations at the L4-L5 level with indentation upon the extraforaminal portion of the exiting left L4 nerve root.

3. Facetal arthropathy bilaterally at the L4-L5 level and on the left side at the L5-S1 level.
Sunday, 27 December 2015 16:48

14422

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

Name of the Patient : Abc Xyznd Shlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided hemiparesis with slurred speech since 1 day.
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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is a large mass lesion in the region of the left lentiform nucleus extending into the left external capsule which measures approximately 5.0 x 3.1 x 4.5 cms. This lesion is slightly iso to hypointense to white matter on the T1 Weighted images and is heterogenously hyperintense on the proton, T2 Weighted and FLAIR images with few areas turning hyperintense. Hypointense strands which are seen to bloom on the Fast Scan (T2 *) images would represent deoxyhemoglobin and the lesion would represent an acute hematoma. Hypointense areas seen at the periphery of this lesion which turns hyperintense on the proton and T2 Weighted images would represent serum from clot retraction. Mild surrounding edema is noted. There is mass effacement of the left Sylvian fissure, compression upon the body of the left lateral ventricle with resultant shift of the midline to the right. There does not seen to be any dissection into the ventricular system.
Scan-00002


Lacunar infarcts which are isointense to CSF on all the pulse sequences are seen in the right lentiform nucleus and left centrum semiovale.

There is mild fullness of the right lateral ventricle with periventricular ischemic changes.

No obvious vascular anomaly is identified on this study.

Incidental note is made of an empty sella.

Incidental note is made of right maxillary polyp.

IMPRESSION :

The MRI features are suggestive of an acute intracerebral hematoma in the left lentiform nucleus and left external capuslar region measuring approximately 5.0 x 3.1 x 4.5 cms with mass effect as described.














Sunday, 27 December 2015 16:48

14421

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

Name of the Patient : Abc Xyz Achlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache with numbness in BLE (left more than right).

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 of the D3, D4, D6 and D7 vertebral bodies by hypointense areas on the T1 Weighted images which are seen to turn heterogeneously hyperintense on the T2 Weighted images. The right pedicles of the D8, D7, D6 and D4 vertebrae are involved by the pathology.

There is a right paravertebral soft tissue extension over the D3 to D4-D5 levels with involvement of the costo-vertebral and costo-transverse joints at the D3-D4 and D4-D5 levels with involvement of the head of the rib on the right side. There is anterior and right lateral epidural extension with displacement and compression of the spinal cord to the left.

A large right paravertebral soft tissue mass is seen over the D6 to D11 levels with involvement of the costo-vertebral and costo-transverse joints at the D7-D8 and D8-D9 levels. There is involvement of the right paraspinal muscles over the these levels and the right ribs are also involved. Small anterior and large right lateral and posterior epidural extension is noted over the D6 and D7 levels with compression of the cord. The spinal cord at these levels shows a subtle hyperintense signal on the T2 Weighted images and is isointense to cord on the T1 Weighted images suggestive of cord edema/ischemia/myelitis.
..2/.





Note is made of enlarged lymph nodes in the pre and paratracheal regions.

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

The conus medullaris terminates at the L1 level.

The cervico-dorsal spine was screened with the help of 4 mm thick T1 Weighted sagittal images and does not reveal any diagnostic feature of note. The lumbar spine screening shows involvement of the S3 and L3 vertebrae on the right side.

The S I. joints were screened with 5 mm thick STIR coronal images which shows involvement of the left iliac bones, right lower sacral region with adjacent soft tissue extension.

IMPRESSION :

The MRI features are suggestive of altered signal of the D3, D4, D6, D7, L3 and S3 vertebral bodies, left iliac bones, ribs with soft tissue extensions as described and cord signal alteration over the D6 and D7 levels suggesting cord edema/ischemia/myelitis. This most likely represents a granulomatous infective process like tuberculosis.

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


Sunday, 27 December 2015 16:48

14419

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

Name of the Patient : Abc Xyztiprasad Ylmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Post-contrast Study of the Cervico-dorsal Spine.

CLINICAL PROFILE :

C/O weakness of BLE since 1 1/2 months with incontinence of urine since 3 days.
H/O Pulmonary kochs. On AKT since 3 months.


EXAMINATION :

M.R.I of the cervico-dorsal region was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

After administration of contrast, the following parameters were used :

4 mm thick T1 Weighted sagittal images (with fat saturation).

5 mm thick T1 Weighted axial images.

OBSERVATION :

There are hyperintense areas within the spinal cord on the T2 Weighted images over the C7 to the D4 vertebrae. These are isointense to hypointense to normal cord on the T1 Weighted images.

On administration of contrast, there is very subtle enhancement in the cord at the D2-D3 level (se/im: 106/8). There is no other area of enhancement in the spinal cord or the meninges.

Soft tissue intensity lesions are seen in the right lung.
R>
IMPRESSION :

The MRI features are suggestive of altered signal within the spinal cord over the C7 to the D4 vertebrae. The possibilities to be considered are :

1. Myelitis.

2. Demyelination.

3. Ischemia.






Sunday, 27 December 2015 16:48

14418

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

Name of the Patient : Abc XyzGondhallmn / M / 58 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to BUE with paresthesias since 4 months.

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 normal cervical lordosis and loss of water content of the cervical intervertebral discs.

There is occipitalization of the atlas. The atlanto-dens interval measures approximately 2.0 mms. There is no atlanto-dens subluxation.

Small postero-central protruded discs with peridiscal osteophytes are noted in the cervical region.

The upper cervical vertebral bodies show spotty fatty marrow changes.

The rest of 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 cervico-medullary junction is unremarkable.
R>

IMPRESSION :

1. Occipitalization of the atlas without atlanto-dens subluxation.

2. Small postero-central protruded discs with peridiscal osteophytes in the cervical region.