MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14326

Written by
Date : 00.00.00

Name of the Patient : Abc Xyzhandlmn / M / 23 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O single episode of seizure on 00.00.00.
Alleged H/O RTA with injury to the right side of face 4 years back.

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 a small, well marginated, CSF signal intensity lesion on all the pulse sequences in the left inferior frontal and frontal cortex. This lesion most likely represents an area of cystic encephalomalacia, ? the sequelae of previous trauma.

The hippocampal complex is unremarkable on either side.

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.

Inflammatory changes are noted in the maxillary antra bilaterally.

IMPRESSION :

Altered signal in the left inferior frontal and frontal cortex as described, most likely represents an area of cystic encephalomalacia, ? the sequelae of previous trauma.



Sunday, 27 December 2015 16:48

14325

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

Name of the Patient : Abc XyzJayklmn / F / 36 yrs.
Referred by : Dr. Abc Xyzrman.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches since 2 years.
C/O giddiness with occasional nausea since 1 month.

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 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 :

Normal study of the Brain.




Sunday, 27 December 2015 16:48

14324

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

Name of the Patient : Abc Xyzed Almn / M / 22 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 2 years with numbness in the lower lumbar region.
H/O fall 2 1/2 years back.

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 dorsal spine was screened with 4 mm thick T1 Weighted sagittal images.

OBSERVATION :

The L3 vertebral body is as marked on the film.

There is Grade I spondylolisthesis of the L5 over the S1 vertebra with probable spondylolysis at L5, bilaterally.

There are ill-defined, hyperintense areas on the T2 Weighted images in the L4, L5 and S1 vertebral bodies. These areas appear hypointense on the T1 Weighted images. The L5-S1 intervertebral disc is also reduced in height and appears hyperintense on the T2 Weighted images. Similar signal intensity changes are noted in the D12 and L1 vertebral bodies and the D12-L1 intervertebral disc. The D12 and L1 vertebral bodies are slightly wedged, anteriorly. Altered signal is also noted in the sacral ala on the right and in the left iliac bone adjacent to the left sacro-iliac joint. Involvement of the left sacro-iliac joint per se is noted.
..2/.







There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the prevertebral and paravertebral soft tissues at the L5 and S1 vertebral levels and in the anterior epidural space over the L4 to S1 vertebral levels. This lesion also appears hyperintense on the T2 Weighted images. Encasement of the L5 nerve roots in the neural foramen bilaterally is noted.

At the D12 and L1 vertebral levels, soft tissue lesion is noted in the anterior epidural space and in the right paravertebral region involving the right psoas muscle. Indentation on the lower dorsal spinal cord at the D12/L1 levels is also noted. The lower dorsal spinal cord at these levels show a subtle hyperintense signal on the T2 Weighted images which suggest cord edema/ischemia.

The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.

The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.

IMPRESSION :

Altered signal in the D12, L1, L4, L5 and S1 vertebral bodies and the D12-L1 and L5-S1 intervertebral discs most likely suggest osteitis with discitis, probably tuberculous in etiology. Paravertebral and anterior epidural soft tissue lesion at these levels would represent granulation/abscess. There is mild cord compression at the D12 and L1 levels with subtle cord signal alteration suggesting cord edema/ischemia.

The possibility of these lesions representing neoplasm seems less likely.

Altered signal is also noted in the ala of the sacrum on the right, left iliac bone adjacent to the left sacro-iliac joint and the left sacro-iliac joint per se.


Sunday, 27 December 2015 16:48

14323

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

Name of the Patient : Abc XyzChaurlmn / F / 11 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the right hip joint since 1 year with a limp and inability to bend RLE.

EXAMINATION :

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

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

5 mm thick T1 Weighted and STIR coronal images.

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

OBSERVATION :

There is seen an expansile lesion in the right ischial bone, which appears hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. Probable fracture to the right ischial bone is noted. There is thickening of the synovium of the right hip joint with a right hip joint effusion. There is slight loss of normal contour of the right acetabulum. The epiphysis of the right femoral head is slightly hypointense on the T1 Weighted images. The trochanters and the neck of the right femur show normal signal intensity. The articular cartilage overlying the right femoral head is unremarkable. Minimal extension of the right ischial lesion is noted along the right lateral pelvic wall. There is slight decrease in the bulk of the muscles around the right hip joint.



The visualized left hip joint is unremarkable.

Small, subcentimeter inguinal lymph nodes are noted bilaterally.

IMPRESSION :

Slightly expansile right ischial bone with altered signal and a probable fracture through it is not specific for a single etiology. An infective lesion (probably tuberculous) is a likely possibility in view of the associated synovitis and right hip joint effusion.

A neoplastic process cannot be entirely excluded.


Sunday, 27 December 2015 16:48

14322

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

Name of the Patient : Abc Xyznisa Anlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O weakness of the LUE with twitching on the left side of the face since 3 months.

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 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 :

Normal study of the Brain.



Sunday, 27 December 2015 16:48

14321

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

Name of the Patient : Abc Xyz Salmn / M / 63 yrs.
Referred by : Dr. Abc Xyzathak.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O left sided hemiparesis in February 0000.
C/O slurred speech with gait imbalance since 3-4 days.
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 coronal images.

OBSERVATION :

There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the pons, more to the left of the midline. This lesion appears iso to hypointense to normal white matter on the T1 Weighted images and most likely represents an ischemic lesion.

Similar signal intensity changes are noted in the left posterior parietal deep white matter and in the periventricular white matter in the frontal regions bilaterally.

Mild fullness of the third and both the lateral ventricles is noted. The fourth ventricle is 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 :

1. Altered signal in the pons, more to the left of the midline most likely represents an ischemic lesion (? recent).

2. Altered signal in the left posterior parietal deep white matter and in the periventricular white matter in the frontal regions bilaterally also represent ischemic lesions.


Sunday, 27 December 2015 16:48

14320

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

Name of the Patient : Abc XyzKundlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzavkar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O severe headaches since 1 week with 1 episode of LOC for 2-3 minutes.
C/O neckpain radiating to both shoulders (right more than left) 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 :

There is loss of water content of the cervical intervertebral discs.

Small posterior disc bulges with peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels.

An anterior disc herniation with anterior peridiscal osteophytes is noted at the C6-C7 level.

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.

IMPRESSION :

Small posterior disc bulges with peridiscal osteophytes at the C4-C5 and C5-C6 levels.


Sunday, 27 December 2015 16:48

14319

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

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

CLINICAL PROFILE :

C/O severe headaches since 1 week with 1 episode of LOC for 2-3 minutes.
C/O neckpain radiating to both shoulders (right more than left) 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.

5 mm thick FLAIR coronal 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 the right maxillary sinus and ethmoidal air cells bilaterally.

IMPRESSION :

Normal study of the Brain.










Sunday, 27 December 2015 16:48

14318

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

Name of the Patient : Abc Xyz Tibrlmn / M / 21 yrs.
Referred by : Dr. Abc Xyzrani / Dr. Abc Xyzkar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

Alleged H/O RTA on 00.00.00, C/O neckpain radiating to BLE and RUE with paresthesias since then. H/O bilateral Erls palsy since birth.

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.

3 mm thick T2 Weighted coronal images (with fat saturation).

OBSERVATION :

There is slight loss of water content of the C2-C3 and C3-C4 intervertebral discs.

There is a transverse, undisplaced fracture through the base of the odontoid process. The atlanto-dens interval is normal. There is no cord compression or cord signal alteration. The atlanto-occipital joints are unremarkable. Minimal fluid is noted in the left atlanto-occipital joint.

Ill-defined, hyperintense signal on the Fast Scan (T2 *) images in the left posterior paraspinal soft tissues over the C5-C6 to the C7-D1 level may represent soft tissue injury.
Scan-00008


There is a probable avulsion of the right C7 nerve root with a pseudomeningocele along the right C7 nerve root and in the right neural foramen at the C6-C7 level (scans 103.6, 102.6, 105.18, 19). The cervical spinal cord at the C7 and D1 vertebral levels appears slightly smaller in calibre than normal without an obvious change in its signal intensity.

Linear, hypointense signal on the T1 Weighted images along the superior cortical endplates of the C4 and C5 vertebral bodies which appears isointense to normal vertebral bodies on the T2 Weighted images may be the sequelae of previous trauma.

Small posterior peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels.

The rest of 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 shows normal signal intensity.

The cervico-medullary junction is unremarkable.

IMPRESSION :

1. Undisplaced, transverse fracture through the base of the odontoid process with minimal fluid in the left atlanto-occipital joint.

2. Avulsion of the right C7 nerve root with a pseudomeningocele as described.

3. Atrophy of the cervico-dorsal spinal cord at the C7 and D1 vertebral bodies.

Sunday, 27 December 2015 16:48

14317

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

Name of the Patient : Abc Xyzrth Jlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzhatt / Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (left more than right) since 3 weeks.

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 L5-S1 intervertebral disc.

There is a left paracentral disc herniation with peridiscal osteophytes at the L5-S1 level indenting the traversing left S1 nerve root. Slight inferior migration of the disc fragment into the left lateral recess of S1 is noted.

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

The pedicles of the L4 and L5 vertebrae appear congenitally short in their antero-posterior dimensions. Slight facetal hypertrophy is also noted at these levels with a resultant tight lumbar canal. The remaining lumbar facet joints also show hypertrophic changes.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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 :

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

IMPRESSION :

1. A left paracentral disc herniation with peridiscal osteophytes at the L5-S1 level indenting the traversing left S1 nerve root with slight inferior migration of the disc fragment into the left lateral recess of S1.

2. A small posterior disc bulge at the L4-L5 level.

3. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels with a resultant tight lumbar canal.