MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14383

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

Name of the Patient : Abc Xyzrinath lmn / M / 38 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever in December 0000 with weakness of BLE and tingling in BUE and BLE 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 and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the cerebral peduncles and the putamen bilaterally. These are hypointense to normal white matter on the T1 Weighted images. Similar but smaller area is seen in the splenium of the corpus callosum in the centre (102.12/13).

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.

Incidental note is made of left maxillary polyp.

IMPRESSION :

Altered signal in the cerebral peduncles, the putamen bilaterally and in the splenium of the corpus callosum is not specific for a single etiology. A metabolic etiology/encephalopathy should be considered as a differential diagnosis.

As compared to the previous MRI dated 00.00.00, there is reduction in the size and distribution of the above mentioned lesions.














Sunday, 27 December 2015 16:48

14382

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

Name of the Patient : Abc Xyzt Bhojlmn / M / 20 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE since 8 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 :

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

There is a large postero-central disc extrusion at the L5-S1 level with slight inferior migration of the disc. There is resultant indentation upon the traversing right S1 nerve root. Posterior peridiscal osteophytes are also noted at this level. This disc shows loss of water content.

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

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

IMPRESSION :

The MRI features are suggestive of :

1. A large postero-central disc extrusion with posterior peridiscal osteophytes at the L5-S1 level with slight inferior migration of the disc and indentation upon the traversing right S1 nerve root.

2. Small posterior disc bulges at the L3-L4 and L4-L5 levels.

Sunday, 27 December 2015 16:48

14381

Written by
ke/hs/rg.
Date :00.00.00

Name of the Patient : Abc Xyzd O. lmn / M / 69 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O gait imbalance since 2 months.
H/O tingling in the LUE in September 0000 which subsequently recovered.
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 is no focal area of altered signal intensity within the brain parenchyma.

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

INTRACRANIAL MRA :

The cavernous and supraclinoid segments of the internal carotid artery on the right side appears smaller in calibre (concentric narrowing).

The left middle cerebral artery, distally is irregular and shows attenuation of the flow signal. There is a paucity of the Sylvian vessels on the left side.

Slight flow signal is seen in the distal left vertebral artery (? retrograde flow).
..2/.






The A1 segment of the right anterior cerebral artery is hypoplastic.

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

NECK MRA :

The left vertebral artery is not visualized along its entire course in the neck (? stenosed at origin ? dissection).

The common carotid arteries and their extracranial branches appear normal bilaterally.

IMPRESSION :

1. Concentric narrowing of the cavernous and supraclinoid segments of the right internal carotid artery.

2. Flow attenuation and irregularity of the left middle cerebral artery and a paucity of the Sylvian vessels on the left side.

3. Non-visualization of the left vertebral artery (? stenosed at origin ? dissection).
Sunday, 27 December 2015 16:48

14380

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

Name of the Patient : Abc Xyz lmn / M / 66 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O syncopal attacks while coughing on 00.00.00.
Known hypertensive/diabetic.

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 beaking of the cerebellar tonsils which are seen to lie just below the foramen magnum (tonsillar ectopia).

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.

Incidental note is made of bilateral maxillary sinusitis and inflammatory changes in the frontal and sphenoid sinus.

IMPRESSION :

Beaking of the cerebellar tonsils with cerebellar tonsillar ectopia.

No other significant abnormality is detected on this study.













Sunday, 27 December 2015 16:48

14379

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

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

CLINICAL PROFILE :

C/O seizures.
C/O burning sensation in the head upto to the neck since 1 year.

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.

OBSERVATION :

There is slight reduction in the volume of the hippocampus on the left side in the region of the body (scans 106.6-9, 105.5-9).

The right hippocampus is normal.

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 :

The MRI features suggest slight reduction in the volume of the left hippocampus.















Sunday, 27 December 2015 16:48

14378

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

Name of the Patient : Abc Xyz Slmn / F / 32 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to BUE with paresthesias since 5 years.

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 are small postero-central disc protrusions at the C3-C4, C4-C5, C5-C6 and C6-C7 levels with anterior indentation of the thecal sac. The cervical intervertebral discs show loss of water content.

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.

Incidentally noted is dilated ventricles in the brain which need to be further evaluated.

IMPRESSION :

1. Small postero-central disc protrusions at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.

2. Dilated ventricles, which need to be further evaluated.




Sunday, 27 December 2015 16:48

14377

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

Name of the Patient : Abc Xyzsa Almn / F / 43 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain to the RLE since 1 year.

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 partial sacralization of the L5 vertebra on the left side.

There is a right postero-lateral disc herniation at the L4-L5 level with antero-lateral indentation of the thecal sac and right neural foraminal narrowing. There is superior migration of the disc with impingement of the right L4 nerve root. An intermediate signal intensity lesion on the T1 Weighted images which appears hyperintense on the T2 Weighted images is noted in the right postero-lateral epidural space, compressing the thecal sac. This may either represent a synovial cyst (from the right facet joint), or a sequestered disc fragment. The L4-L5 facet joint on the right side also shows degenerative change with mild ligamentum flavum hypertrophy at the L5 level.

The L1-L2, L2-L3 and L4-L5 intervertebral discs show loss of water content.
Scan-00007


Focal fatty change is noted in the postero-superior aspect of the L2 vertebral body.

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 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 :

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

IMPRESSION :

1. Partial sacralization of the L5 vertebra on the left side.

2. A right postero-lateral disc herniation at the L4-L5 level with superior migration of the disc and impingement of the right L4 nerve root. There is also facetal arthropathy on the right side at this level with a ? synovial cyst, ?? sequestered fragment in the right postero-lateral epidural space at the L4-L5 level.


Sunday, 27 December 2015 16:48

14376

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

Name of the Patient : Abc Xyz. Glmn / M / 44 yrs.
Referred by : Dr. Abc Xyzangoi.
Examination : M.R.I. of the Left Ankle & Foot.

CLINICAL PROFILE :

C/O pain and swelling over the left ankle and foot since 3 years.
Left ankle was operated upon in 0000.
HP s/o pyogenic abscess (left lateral malleolus region).

EXAMINATION :

M.R.I. of the left ankle and foot was performed using the following parameters :

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

4 mm thick T1 Weighted and STIR coronal images.

4 mm thick T1 Weighted and GRASS sagittal images.

OBSERVATION :

There are hyperintense areas on the T2 Weighted, STIR and GRASS images in the subcutaneous region over the dorsal, medial and lateral aspect of the foot, around the left ankle joint and the visualized lower leg. Similar signal change is also seen posteriorly. This is hypointense to fat on the T1 Weighted images and may represent edema/inflammatory changes.

A calcaneal spur is seen. Also seen are a few hyperintense well-circumscribed areas on the GRASS and T2 Weighted images
within the inferior aspect of the calcaneum and these may represent subarticular cysts.

The rest of the visualized bones show normal signal intensity.
..2/.




R>
The visualized tendons and ligament show normal signal intensity. No joint effusion is evident.

IMPRESSION :

Areas of altered signal in the subcutaneous region around the foot, around the ankle joint and the visualized lower leg as described and these may represent edema/inflammatory changes.
Sunday, 27 December 2015 16:48

14375

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

Name of the Patient : Abc Xyza Chalmn / F / 18 yrs.
Referred by : Dr. Abc Xyzthare.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O weakness of BLE since 15 days.
C/O bleeding PV since 1 month.

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 T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There are ill-defined, hypointense areas on the T1 Weighted images replacing the normal marrow of the S1, L3, D12 and D10 vertebral bodies. These are nearly isointense to normal marrow on the T2 Weighted images.

The rest of 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 level.

The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and 5 mm thick Fast Scan (T2 *) axial images. Hyperintense areas are noted on the T2 Weighted and Gradient images within the spinal cord extending over the C7 to the D2 levels. No compressive pathology is noted.



IMPRESSION :

1. Altered signal in the S1, L3, D12 and D10 vertebral bodies is not specific for a single etiology. The possibilities to be considered are :

a. Infective osteitis, ? tuberculous in etiology.

b. Neoplastic process like small cell tumor.

2. Altered signal within the spinal cord extending over the C7 to the D2 levels may be seen with :

a. Myelitis.

b. Demyelination


Sunday, 27 December 2015 16:48

14374

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

Name of the Patient : Abc Xyz Valmn / F / 50 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with tingling.

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 partial sacralization of the L5 vertebra on the left side and the L1 vertebral body is as marked on the film.

There is a left postero-lateral disc herniation at the L4-L5 level with antero-lateral indentation of the thecal sac and left neural foraminal narrowing. A left far lateral disc herniation is also noted at this level with indentation upon the extraforaminal portion of the left L4 nerve root. This disc shows loss of water content.

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

A Schmorls node is noted in the postero-superior aspect of the D12 vertebral body.

A small, postero-central protruded disc is noted at the D12-L1 level.



The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints at the L4-L5 level appear slightly hypertrophied. Ligamentum flavum hypertrophy is noted at the L4 and L5 levels. 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 :

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

The iliac bones were screened with 6 mm thick T1 Weighted coronal images and do not reveal any diagnostic feature of note.

IMPRESSION :

1. Partial sacralization of the L5 vertebra on the left side.

2. A left postero-lateral and a left far lateral disc herniation at the L4-L5 level indenting the extraforaminal portion of the left L4 nerve root.

3. A right postero-lateral disc herniation at the L3-L4 level with right neural foraminal narrowing.