MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14368

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

Name of the Patient : Abc Xyzeer Almn / M / 10 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures.

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

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.

Note is made of cavum septum pellucidum and cavum vergae.

Incidental note is made of enlarged adenoids and inflammatory changes in the ethmoidal air cells.

IMPRESSION :

Normal study of the Brain.













Sunday, 27 December 2015 16:48

14367

Written by
sb/hs/nl/rg.
/9 Date: 00.00.00

Name of the Patient : Abc Xyz G. Blmn / M / 68 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O giddiness and slurred speech for a day, 8 days back.
C/O neck pain radiating to BUE and BLE with tingling in the RUE and RLE since 8 days.

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 :

Small areas of hyperintensity on the T2 Weighted images are seen within the fronto-parietal white matter and periatrial white matter and are most likely ischemic in etiology.

There is slight fullness of both the lateral ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

INTRACRANIAL MRA :

There is slight attenuation of flow signal in the right posterior cerebral artery. The right posterior communicating artery is well-visualized.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and left posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
..2/.




NECK MRA :

There is fusiform dilatation of the proximal left internal carotid artery with slight narrowing distal to it.

The right vertebral artery appears smaller in calibre as compared to the left and is probably hypoplastic.

The common carotid arteries appear normal bilaterally.

IMPRESSION :

1. Areas of altered signal within the fronto-parietal white matter and periatrial white matter are most likely ischemic in etiology.

2. Slight flow signal attenuation of the right posterior cerebral artery.

3. Fusiform dilatation of the proximal left internal carotid
artery with slight narrowing distal to it.

Sunday, 27 December 2015 16:48

14366

Written by
sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Jarilmn / M / 12 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain since 1 year.

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 :

The cervical vertebral bodies and the intervertebral discs 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.

Small subcentimeter lymphnodes are noted deep to the sternocliedomastoid muscles bilaterally.

No significant abnormality is detected in the visualized lower skull or the dorsal spine on this study.

IMPRESSION :

No significant abnormality detected on this study.
Sunday, 27 December 2015 16:48

14365

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

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

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias 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 loss of normal lumbar lordosis and loss of water content of the L2-L3, L3-L4 and L4-L5 intervertebral discs.

There is a fairly large, posteriorly extruded disc at the L4-L5 level with thecal sac compression and bilateral neural foraminal narrowing. There is indentation on the traversing L5 nerve roots bilaterally. There is also slight facetal hypertrophy and canal stenosis at that level.

Minimal, posterior disc bulges are noted at the L3-L4 and L5-S1 levels.

Anterior disc herniations with anterior peridiscal osteophytes are noted in the lumbar region.

Type II degenerative marrow changes are noted adjacent to the L2-L3, L3-L4 and L4-L5 intervertebral discs.




Schmorls nodes are seen at the L3 and L4 vertebral levels.

The pedicles of the lower lumbar vertebrae appear smaller in their antero-posterior dimensions.

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 L1 level and the thecal sac terminates at the S1 level.

Fat is noted in the filum terminale over the L3 to S1 vertebral levels.

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

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

IMPRESSION :

1. A fairly large, posteriorly extruded disc at the L4-L5 level with indentation on the traversing L5 nerve roots bilaterally with facetal hypertrophy and canal stenosis at this level.

2. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.



Sunday, 27 December 2015 16:48

14364

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

Name of the Patient : Abc XyzTelmn / M / 40 yrs.
Referred by : Dr. Abc Xyza.
Examination : M.R.I. of the Sella & Perisellar Region.

CLINICAL PROFILE :

Known C/O pituitary adenoma. Detected in 0000. On Tablet Bromocryptine. No complaints at present.
For follow up.

EXAMINATION :

M.R.I. of the sella and perisellar region was performed using the following parameters :4 mm thick T1 Weighted and T2 Weighted sagittal images. 4 mm thick T1 Weighted and T2 Weighted coronal images.The brain was screened with 5 mm thick T2 Weighted axial images. OBSERVATION :There is near complete destruction of the clivus and the sella.

There is seen a fairly large, predominantly cystic (hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images) in the region of the clivus and sella turcica. The lesion extends anteriorly into the floor of the anterior cranial fossa, which is eroded. Extension into the posterior ethmoidal air cells and right orbital apex is noted. Laterally there is indentation on the medial temporal pole on the right and extension into the right cavernous sinus. The cavernous segment of the right internal carotid artery is encased by the lesion but shows normal flow void signal. Mild lateral displacement of the cavernous segment of the left internal carotid artery is noted. The supraclinoid segments of the internal carotid arteries




bilaterally and the proximal anterior cerebral arteries are also encased by the lesion. Posteriorly the lesion extends upto the dorsum sella. Inferiorly there is erosion of the floor of the sphenoid sinus with probable extension of the lesion in the nasopharyngeal region.

The optic chiasma and the proximal optic nerves are pulled inferiorly by this lesion. Hyperintense signal on the T1 Weighted images of the posterior pituitary gland is not well-identified on this study. The pituitary stalk is also not well identified. The sphenoid sinus seems to be occupied by the cystic tumor.

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

Mucosal thickening is noted in the maxillary sinuses bilaterally.
IMPRESSION :In a known C/O an invasive pituitary adenoma, the MRI features now show a predominantly cystic lesion in the sella and perisellar region as described which is the sequelae of resolution of the previous pituitary adenoma.

As compared to the previous MRI dated 00.00.00 (Study No. 0000), there is further cystic degeneration of the lesion. The extent of the lesion is however unchanged.

Sunday, 27 December 2015 16:48

14363

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

Name of the Patient : Abc XyzTlmn / M / 53 yrs.
Referred by : Dr. Abc Xyzosle.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since February 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 :

There is loss of water content of the L4-L5 intervertebral disc.

There is a postero-central disc herniation with peridiscal osteophytes, slightly more to the right of the midline at the L4-L5 level indenting the dural theca and the traversing right L5 nerve root. A left far lateral disc herniation is also noted at this level.

A minimal posterior disc bulge is noted at the L3-L4 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 :

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

IMPRESSION :

A postero-central disc herniation, slightly more to the right of the midline at the L4-L5 level indenting the traversing right L5 nerve root.

Sunday, 27 December 2015 16:48

14362

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

Name of the Patient : Abc Xyzhai K. Paclmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O left sided hemiparesis 8-10 years back.
H/O giddiness with vomiting and fall with LOC for few minutes and forgetfulness 3 months back.
Now C/O tingling in the RUE and gait ataxia.
Known hypertensive.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick T1 Weighted sagittal images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

There are ill-defined, hyperintense areas on the T2 Weighted images in the right cerebellar hemisphere, inferiorly, (along the distribution of the right posterior inferior cerebellar artery), in the left cerebellar hemisphere, superiorly and inferiorly (along the distribution of the left superior cerebellar artery and left posterior inferior cerebellar artery). The cerebellar vermis is also involved. These lesions appear hypointense on the T1 Weighted images.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.







INTRACRANIAL MRA :

The left vertebral artery appears smaller in calibre as compared to the right and is most likely hypoplastic.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized 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.

NECK MRA :

The left vertebral artery in the neck also appears hypoplastic as compared to the right.

The common carotid arteries and their bifurcations are unremarkable. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

1. Altered signal in the cerebellar hemispheres bilaterally represent old infarcts.

2. Hypoplastic left vertebral artery.

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







Sunday, 27 December 2015 16:48

14361

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

Name of the Patient : Abc Xyza Bhalmn / F / 38 yrs.
Referred by : Dr. Abc Xyzelwal / Dr. Abc Xyzsbekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O positional giddiness since 4 days.
Audiogram s/o bilateral sensory - neural deafness.

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.

MR cisternogram was obtained in the coronal plane.

OBSERVATION :

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

The seventh and eighth cranial nerve complex are unremarkable on either side.

Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the 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.

IMPRESSION :

No significant abnormality is detected on this study.













Sunday, 27 December 2015 16:48

14360

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

Name of the Patient : Abc Xyz Jhalmn / F / 10 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Left Knee Joint.

CLINICAL PROFILE :

C/O pain in the left knee joint with swelling since 4 months.
H/O fall from a chair prior to this.

EXAMINATION :

M.R.I of the left knee joint was performed using the following parameters :

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

4 mm thick T1 Weighted, proton and GRASS coronal images.

4 mm thick Fast Scan (T2 *) axial images.

OBSERVATION :

Menisci

The anterior and posterior horns of the lateral and medial menisci reveal normal configuration and signal characteristics.

Cruciate Ligaments :

The anterior and posterior cruciate ligaments show normal contour and signal characteristics.

Collateral Ligaments and the Patellar Tendon :

The medial and lateral collateral ligaments and the patellar tendon are normal.




Hoffas Fat Pad :

The Hoffas fat pad is normal.

Articular cartilage and bones :

The articular cartilage overlying the patella, tibia and femur and epiphysis appear normal.

IMPRESSION :

Normal study of the Left Knee Joint.





Sunday, 27 December 2015 16:48

14359

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

Name of the Patient : Abc Xyznmlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

H/O fever with chills on 00.00.00.
C/O retention of urine 2 days back.
Patient HIV +ve.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

10 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

The dorsal spinal cord appears slightly increased in diameter and shows a patchy ill-defined, hyperintense signal on the T2 Weighted images, centrally, over the D2 to D11 vertebral levels (better appreciated on axial images). This signal appears isointense to the normal cord on the T1 Weighted images.

The intrathecal CSF in the visualized dorsal and lumbar regions appears more hyperintense than normal.

There is a small, collection, intradurally, along the posterior margin of the dorsal spinal cord over the D5 to D7 vertebral levels. This lesion is slightly hyperintense to CSF on all the pulse sequences and is best appreciated on the sagittal T2 Weighted images (scans 105.4, 103.5).







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

There is no cord compression.

Screening images of the cervical spine reveals patchy hyperintense signal on the T2 Weighted images in the cervical spinal cord. Screening images of the lumbar spine reveal a slightly hyperintense signal of the CSF on the T1 Weighted images as compared to normal.

IMPRESSION :

1. Altered signal of the intrathecal CSF in the dorsal and lumbar regions as described may suggest an infective/inflammatory meningeal pathology, with subsequent arachnoiditis.

2. Patchy altered signal in the dorsal spinal cord, centrally, over the D2 to D11 vertebral levels most likely represents infective/inflammatory myelitis.

3. Small, intradural collection along the posterior margin of the dorsal spinal cord over the D5 to D7 vertebral levels may represent a small effusion/granulation tissue, in the given clinical setting.

A contrast enhanced scan may be useful.