MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14340

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

Name of the Patient : Abc Xylmn / M / 28 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever with chills 1 month 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.

IMAGES SHOW GROSS PATIENT MOTION.

PATIENT REFUSED SEDATION.

OBSERVATION :

There is a hyperintense area in the right thalamus on the proton, T2 Weighted and FLAIR images. This is iso to 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. No obvious vascular anomaly is identified on this study.

IMPRESSION :

Altered signal in the right thalamus is not specific for a single diagnosis. The possibilities to be considered are :

1. An ischemic lesion.

2. Encephalitis.

Sunday, 27 December 2015 16:48

14339

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

Name of the Patient : Abc Xyzbhai Pavslmn / M / 36 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain on the left side with pain radiating to the LUE since 2 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 a small, right paracentral disc herniation at the C6-C7 level with left anterior indentation of the thecal sac. Posterior peridiscal osteophytes are also noted at this level.

A left postero-lateral disc protrusion with peridiscal osteophytes is seen at he C3-C4 level. A mild posterior disc bulge is seen at the C5-C6 level.

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.
Scan-00009



The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

The MRI features are suggestive of :

1. A small, right paracentral disc herniation with posterior peridiscal osteophytes at the C6-C7 level.

2. A left postero-lateral disc protrusion with peridiscal osteophytes at the C3-C4 level.

Sunday, 27 December 2015 16:48

14338

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

Name of the Patient : Abc Xyzumar Kanlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O wasting of BUE with tingling since 3-4 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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is a posterior disc bulge with posterior peridiscal osteophytes at the C4-C5 level with anterior indentation of the thecal sac. This disc shows loss of water content.

Mild posterior disc bulges with small peridiscal osteophytes are seen at the C2-C3 and C3-C4 levels.

The cervical vertebral bodies and the remaining 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.
Scan-00008


IMPRESSION :

The MRI features are suggestive of :

1. A posterior disc bulge with posterior peridiscal osteophytes at the C4-C5 level.

2. Mild posterior disc bulges with small peridiscal osteophytes at the C2-C3 and C3-C4 levels.


Sunday, 27 December 2015 16:48

14337

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

Name of the Patient : Abc Xyznt Manjrlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzzare.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O slight weakness of BUE and BLE since 00.00.00 with neckpain.

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 a small postero-central disc protrusion at the C5-C6 level with mild anterior indentation of the thecal sac. Small posterior peridiscal osteophytes are also noted at this level.

Mild posterior disc bulges with small peridiscal osteophytes are seen at the C3-C4 and C4-C5 levels.

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.




The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and shows mild degenerative changes.

IMPRESSION :

The MRI features are suggestive of :

1. A small postero-central disc protrusion with small posterior peridiscal osteophytes at the C5-C6 level.

2. Mild posterior disc bulges with small peridiscal osteophytes at the C3-C4 and C4-C5 levels.

Sunday, 27 December 2015 16:48

14336

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

Name of the Patient : Abc XyzAgalmn / M / 56 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 with paresthesias since 6 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 suggestion of sacralization of the L5 vertebra and it is as marked on the film. Please correlate with plain radiographs.

A posterior disc bulge is seen at the L4-L5 level with anterior indentation of the thecal sac.

Small posterior disc bulges are noted at the L1-L2, L2-L3, L3-L4 and L5-S1 levels.

The lumbar intervertebral discs show slight loss of water content.

Mild ligamentum flavum hypertrophy is seen at the L4-L5 and L5 levels. The L2-L3 to L5-S1 facet joints show hypertrophic degenerative changes. The L1-L2 facet joints show mild degenerative changes.

The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
..2/.





- 2 - Scan-00006


The conus medullaris terminates at the L1-L2 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
12.0 mm at L2-L3
14.0 mm at L3-L4
11.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Probable sacralization of the L5 vertebra. Please correlate with plain radiographs.

2. A posterior disc bulge with a tight canal at the L4-L5 level.

3. Small posterior disc bulges at the L1-L2, L2-L3, L3-L4 and L5-S1 levels.

4. Mild ligamentum flavum hypertrophy at the L4-L5 and L5 levels.

5. Hypertrophic facetal arthropathy over the L2-L3 to the L5-S1 levels.

6. Mild facetal arthropathy at the L1-L2 level.



Sunday, 27 December 2015 16:48

14335

Written by
ke/hs/nl/nl
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.

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.

5 mm thick T1 Weighted and T2 Weighted axial images.

5 mm thick T1 Weighted coronal images.

IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.

OBSERVATION :

There is replacement of the normal marrow by hypointense areas on the T1 Weighted images of the L4 vertebral body. This is seen to be isointense to normal marrow on the T2 Weighted images.

An intermediate signal intensity lesion on the T1 Weighted images is seen within the spinal canal, probably 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.

The remaining lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.



The conus medullaris terminates at the L1-L2 level.

IMPRESSION :

Altered signal of the L4 vertebral body and a soft tissue lesion within the spinal canal, probably extradural in location over the L3 to S1 levels predominantly posteriorly and laterally is not specific for a single etiology. The possibilities to be considered are :

1. Infective processes like tuberculosis.

2. Neoplasia like round cell tumors.


Sunday, 27 December 2015 16:48

14334

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

Name of the Patient : Abc Xyz Fajalmn / M / 39 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O progessive swelling in the lower lumbar region with pain 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 STIR coronal images through the region of interest.

Vitamen E capsules were placed at the site of swelling.

OBSERVATION :

There is a postero-central disc protrusion with posterior peridiscal osteophytes at the L5-S1 level.

A posterior disc bulge is seen at the L4-L5 level.

Schmorls nodes are noted in the dorso-lumbar region.

The L4-L5 and L5-S1 facet joints on the right side show mild degenerative changes.

The lumbar intervertebral discs show loss of water content.

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

No obvious mass lesion is seen in the gluteal region on this scan.

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc protrusion with posterior peridiscal osteophytes at the L5-S1 level.

2. Mild facetal arthropathy at the L4-L5 and L5-S1 levels on the right side.



Sunday, 27 December 2015 16:48

14333

Written by
KE/HS/RG.
Date : 00.00.00

Name of the Patient : Abc XyzDlmn / M / 55 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O 2 episodes of momentary blackouts (1st episode 1 1/2 months back and 2nd episode 2 days back).
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 are subtle hyperintense areas on the T2 Weighted images in the bilateral centrum semiovale and the left corona radiata. These are probably ischemic in etiology.

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 posterior communicating artery is seen to be continuing as the left posterior cerebral artery which shows slight vessel wall irregularity and slight attenuation in the flow signal.

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 right posterior cerebral artery also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
..2/.





R>
NECK MRA :

Images show slight patient motion.

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

IMPRESSION :

The MRA features are suggestive of :

1. Altered signal in the bilateral centrum semiovale and the left corona radiata are most probably ischemic in etiology.

2. Slight vessel wall irregularity and slight attenuation of the flow signal of the left posterior cerebral artery.


Sunday, 27 December 2015 16:48

14332

Written by
ke/hs/rg/nbl
Date : 00.00.00

Name of the Patient : Abc Xyzan Shlmn / M / 59 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O raised blood pressure on 00.00.00 with slurred speech and weakness of BLE since then.
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 are hyperintense areas on the T2 Weighted images in the periventricular white matter, bilateral corona radiata and centrum semiovale and most likely represent ischemic changes.

Lacunar infarcts which are isointense to CSF on all the pulse sequences are seen within the lentiform nuclei, thalami and fronto-parietal deep white matter bilaterally.

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

INTRACRANIAL MRA :

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 posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
..2/.








NECK MRA :

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

IMPRESSION :

1. Altered signal within the periventricular white matter, bilateral corona radiata and centrum semiovale represent ischemic changes.

2. Lacunar infarcts in the lentiform nuclei, thalami and fronto-parietal deep white matter bilaterally.

3. Mild cerebral and cerebellar atrophy.

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

Sunday, 27 December 2015 16:48

14331

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

Name of the Patient : Abc XyzD. lmn / M / 32 yrs.
Referred by : Dr. Abc Xyzmath.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches and pain on the right side of the face upto the neck with generalized weakness all over the body since 15 days.
H/O fever prior to this.

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 :

The right cerebellar hemisphere appears to be swollen. This is hypointense to gray matter on the T1 Weighted images and turns hyperintense on the proton, T2 Weighted and FLAIR images. There is mass effect with indentation upon the right lateral aspect of the fourth ventricle and slight effacement of the quadrigeminal cistern on the right side. Mild indentation upon the inferior tectum is also noted. There is a slight shift of the fourth ventricle to the left.

There is gyral thickening in the right occipital lobe and it is hyperintense on the FLAIR images.

There is mild dilatation of both the lateral and third ventricles. There is slight effacement of the cerebral cortical sulci bilaterally and this may suggest increased intracranial tension. No obvious vascular anomaly is identified on this study. Incidental note is made of right maxillary sinusitis.


There is slight herniation of the cerebellar tonsils through the foramen magnum.

IMPRESSION :

The MRI features are suggestive of :

1. A large infarct involving the the right cerebellar hemisphere as described and a smaller one involving the right occipital lobe.

2. Mild dilatation of both the lateral and third ventricles.