MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14399

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzShlmn / M / 24 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 3 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.

5 mm thick FLAIR coronal images.

3 mm thick T2 Weighted coronal images.

OBSERVATION :

There is volume loss of the right cerebellar hemisphere, inferiorly and in the left parieto-occipital parafalcine region. The cortex in these areas appears hypointense on the T1 Weighted images and follows CSF signal on all pulse sequences, representing areas of cystic encephalomalacia, most likely the sequelae of a previous vascular insult. Hyperintense areas on the T2 Weighted and FLAIR images at the periphery of the lesion in the left parieto-occipital region would represent gliotic changes. A focus of similar signal is also noted in the left thalamus.

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 slight prominence of the cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Polyps are noted in the maxillary antra bilaterally.
..2/.





- 2 - Scan-00009


IMPRESSION :

Volume loss of the right cerebellar hemisphere, inferiorly and in the left parieto-occipital parafalcine region with altered signal along their cortex, represents areas of cystic encephalomalacia, most likely the sequelae of a previous vascular insult. An ischemic focus is also noted in the left thalamus.














Sunday, 27 December 2015 16:48

14398

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzilal N. Laplmn / M /52 yrs.
Referred by : Dr. Abc Xyzre.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 15-20 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.

6 mm thick T1 Weighted coronal images.

5 mm thick T1 Weighted sagittal images through the cervico-dorsal region.

OBSERVATION :

There is sacralization of the L5 vertebra which is as marked on the film.

There is scoliosis of the lumbar spine with convexity to the left. Resultant clockwise rotational anomaly of the lumbar vertebrae is noted.

There is reduction in height of L2-L3 and L3-L4 intervertebral discs and loss of water content of the lumbar intervertebral discs.

Small posterior disc bulges with peridiscal osteophytes are noted at the L2-L3 and L4-L5 levels.

A right postero-lateral disc herniation with peridiscal osteophytes is noted at the L3-L4 level, with right neural foraminal narrowing.
..2/.




R>
Facetal hypertrophy is noted at the L2-L3, L3-L4 and L4-L5 levels.

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.

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

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

The cervico-dorsal spine was screened with the help of 5 mm thick T1 Weighted sagittal images which does not reveal any diagnostic feature of note.

IMPRESSION :

1. Sacralization of the L5 vertebra which is as marked on the film.

2. Scoliosis of the lumbar spine with convexity to the left with resultant clockwise rotational anomaly of the lumbar vertebrae.

3. Small posterior disc bulges with peridiscal osteophytes at the L2-L3 and L4-L5 levels.

4. A right postero-lateral disc herniation with peridiscal osteophytes at the L3-L4 level, with right neural foraminal narrowing.

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


Sunday, 27 December 2015 16:48

14397

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Mlmn / M / 67 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE since 3 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.

OBSERVATION :

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

There is reduction in height of all the lumbar intervertebral discs except the L5-S1 disc and loss of water content of all the lumbar intervertebral discs.

Slight retroplacement of the L4 over L5 and L3 over L4 vertebrae is noted.

Posterior peridiscal osteophytes are noted at all the lumbar intervertebral disc levels. There is a right postero-lateral and far lateral disc herniation at the L4-L5 level with right neural narrowing and impingement of the right L4 nerve root in the right neural foramen at the L4-L5 level. There is also ligamentum flavum and facetal hypertrophy at the L4-L5 level with a tight canal.

Bilateral neural foraminal narrowing is noted at the L3-L4 level.


Type II degenerative marrow changes are noted in the lumbar vertebral bodies adjacent to all the intervertebral discs except the L5-S1 disc.

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 :

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

IMPRESSION :

1. Scoliosis of the lumbar spine with convexity to the right.

2. Slight retroplacement of the L4 over L5 and L3 over L4 vertebrae.

3. Posterior peridiscal osteophytes at all the lumbar intervertebral disc levels.

4. A right postero-lateral and far lateral disc herniation at the L4-L5 level with impingement of the right L4 nerve root in the right neural foramen at the L4-L5 level. There is also ligamentum flavum and facetal hypertrophy at the L4-L5 level with a tight canal.

Sunday, 27 December 2015 16:48

14395

Written by
sb/hs/rg.
Date :00.00.00

Name of the Patient : Abc Xyz Mlmn / M / 35 yrs.
Referred by : Dr. Abc Xyznghal.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O giddiness and pain in the left half of the body with weakness on 00.00.00.
No complaints at present.

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 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.

Inflammatory changes are noted in the paranasal sinuses.

INTRACRANIAL MRA :

There is hypoplasia of the left vertebral artery and the A1 segment of the left anterior cerebral artery.

The posterior communicating arteries are well-identified.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized right anterior cerebral, 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.
..2/.




R>
NECK MRA :

The left vertebral artery in the neck also appears hypoplastic.

The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

No significant abnormality is detected on the intracranial and neck MRA on this study.

Sunday, 27 December 2015 16:48

14394

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

Name of the Patient : Abc XyzR. Galmn / F / 48 yrs.
Referred by : Dr. Abc Xyzhru / Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE 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.

OBSERVATION :

The L5 vertebra is as marked on the film. (Please correlate with plain radiographs).

The D12-L1, L3-L4 and L4-L5 intervertebral discs show loss of water content.

There is mild forward listhesis of the L3 vertebra over the L4 vertebra.

A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L3-L4 level. There is slight superior migration of the disc posterior to the L3 vertebra. There is mild indentation upon the foraminal portion of both the exiting L3 nerve roots. Bilateral far lateral (extraforaminal) disc herniations are seen at the L3-L4 level.

A postero-central disc herniation is seen to indent the thecal sac at the L4-L5 level.

The L3-L4 facet joints show hypertrophic degenerative changes.
..2/.







Fat is noted within the filum terminale over the L2 to the L4 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-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
19.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. Forward listhesis of the L3 vertebra over the L4 vertebra.

2. Posterior and bilateral far lateral (extraforaminal) disc herniations with hypertrophic facetal arthropathy at the L3-L4 level.

3. A postero-central disc herniation at the L4-L5 level.


Sunday, 27 December 2015 16:48

14392

Written by
hs/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza Mahlmn / F / 5 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the right hip region with inability to sit since 2 months.

EXAMINATION :

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

4 mm thick T1 Weighted and STIR coronal images.

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

4 mm thick Proton density sagittal images.

OBSERVATION :

There are areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted and STIR images within the right hip joint space per se. This may represents effusion with ? synovial thickening. There is slight irregularity of the lateral aspect of the epiphysis of the right femoral head. It however shows normal signal intensity.

Areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted and STIR images are seen within the right acetabulum.

There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable.

The left hip joint is unremarkable.


The musculature surrounding both the hip joints and the visualized pelvis is normal.

IMPRESSION :

The MRI features are suggestive of a joint efffusion with probable synovial thickening with altered signal of the right acetabulum as described. This may represents an inflammatory/infective process.

Sunday, 27 December 2015 16:48

14391

Written by
hs/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzThlmn / F / 28 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the left hip joint since 5 months.

EXAMINATION :

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

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

5 mm thick T1 Weighted and STIR coronal images.

5 mm Proton Density sagittal images.

OBSERVATION :

There is evidence of an area of hypointensity on the T1 Weighted images which turns hyperintense on the STIR and T2 Weighted images within the left femoral head. This is surrounded by a hypointense rim on all the pulse sequences. A small effusion is seen in the left hip joint. There is slight irregularity of the left femoral head.

An area which is isointense to fat on all the pulse sequences is seen in the antero-superior aspect of the right femoral head. It is also surrounded by a hypointense rim on all the pulse sequences. There is no right hip joint effusion.

The muscles around the hip joints are unremarkable.

A cystic lesion (hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images and STIR images) is seen in the right adnexal region (? ovarian cyst).


IMPRESSION :

The MRI features are suggestive of :

1. Class C avascular necrosis involving the left femoral head.

2. Class A avascular necrosis involving the right femoral head.
Sunday, 27 December 2015 16:48

14390

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

Name of the Patient : Abc Xyzt Mlmn / M / 12 yrs.
Referred by : Dr. Abc XyzGawhale.
Examination : M.R.I. of the Lumbo-sacral Spine.
(Repeat Scan).

CLINICAL PROFILE :

C/O backache with pain radiating to BLE with tingling since 15 days.
C/O bladder involvement since 4 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.

6 mm thick T1 Weighted and T2 Weighted axial images.

The cervico-dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and 7 mm thick T2 Weighted axial images.

OBSERVATION :

Hypointense areas on the T1 Weighted images are seen to replace the normal marrow of the L4 vertebral body and its appendages. These are isointense to normal marrow on the T2 Weighted images. There is slight extension of this pathologic process into the left paravertebral soft tissue and the paraspinal soft tissues bilaterally. The cortical endplates are well-visualized. The adjoining discs are unremarkable.

An intermediate signal intensity lesion on the T1 Weighted images is seen within the spinal canal, most likely extradural in location over the L3 to S1 levels predominantly posteriorly and laterally. This is seen to turn mildly hyperintense on the T2 Weighted images.
..2/.







The thecal sac over the L2 to S1 vertebral levels shows areas which are near isointense to nerve roots on all the pulse sequences. The intrathecal nerve roots cannot be differentiated from this lesion over these levels.

The remaining lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The
screening images of the cervico-dorsal spine are unremarkable.

IMPRESSION :

Altered signal of the L4 vertebra with extension into the extradural space over the L3 to S1 levels with presence of an intradural component over the L2 to S1 levels as described. This is not specific for a single etiology. The possibilities to be considered are :

1. Infective processes like tuberculosis.

2. Neoplasia like round cell tumors - less likely.


Sunday, 27 December 2015 16:48

14389

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

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

CLINICAL PROFILE :

H/O fever 3 months back with altered sensorium 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.

5 mm thick T1 Weighted sagittal 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.

Inflammatory changes are noted in both maxillary sinuses (right more than left) and ethmoidal air cells.

IMPRESSION :

No significant abnormality is detected within the brain per se on this study.













Sunday, 27 December 2015 16:48

14388

Written by
hs/bv/rg.
Date : 00.00.00

Name of the Patient : Abc XyzPanlmn / M / 79 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left hemiplegia with slurred speech since 1 day.
H/O simiar complaints on 00.00.00.
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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There are fairly well-defined areas which are near isointense to CSF on all the pulse sequences within the right temporo-parietal lobes. Adjacent to this are areas which are hypointense on the T1 Weighted images and which turn hyperintense on the Proton, T2 Weighted and FLAIR images and would represent gliotic changes. This lesion in toto would represent an area of cystic encephalomalacia.

Diffuse areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images are seen within the periventricular white matter bilaterally. These are most likely ischemic in etiology. Smaller areas with similar signal characteristics are seen within the medulla, pons and fronto-parietal white matter bilaterally.

Lacunar infarcts (iso to hyperintense to CSF) are seen within the pons on the left side, lentiform nuclei bilaterally and the left paraatrial white matter.
..2/.







Calcification/paramagnetic substance deposition is seen within the left lentiform nucleus.

There is mild dilatation of the ventricular system. There is prominence of the basal cisternal spaces, cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of :

1. Areas of cystic encephalomalacia within the right temporo-parietal lobe as described.

2. Altered signal within the periventricular white matter and fronto-parietal white matter bilaterally and in the pons and medulla are most likely ischemic in etiology.

3. Lacunar infarcts in the pons on the left side, lentiform nuclei bilaterally and the left paraatrial white matter.

4. Mild dilatation of the ventricular system.