MRI Reports (3472)
MRI Reports Database
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzi Jlmn / F / 42 yrs.
Referred by : Dr. Abc Xyzve.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache since 4 months.
H/O low grade fever, loss of appetite and weight.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images.
OBSERVATION :
The L4 vertebral body is as marked on the film and the L5 vertebra appears to be sacralized. Please correlate with plain radiographs.
There is Grade I spondylolisthesis of the L4 over the L5 vertebra with probable spondylolysis at L4, bilaterally.
There are ill-defined, hyperintense areas on the T2 Weighted images in the D7 and D8 vertebral bodies. These areas appear hypointense on the T1 Weighted images. The D7-D8 intervertebral disc is also reduced in height and appears hyperintense on the T2 Weighted images. Similar signal intensity changes are noted in the L4, L2, D11, D10, D5, D1 and D2 vertebral bodies and in the ala of the sacrum to the left.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the right paravertebral region, prevertebral region and in the anterior epidural space at the D7 and D8 vertebral levels. This lesion appears hyperintense on the T2 Weighted images and is also seen to extend into the neural foramen at the D7-D8 level bilaterally and minimally into the left paravertebral region. There is mild cord compression at the D7 and D8 levels. The dorsal spinal cord at these levels shows a subtle hyperintense signal on the T2 Weighted images which suggests cord edema/ischemia/myelitis.
The rest of the visualized dorsal vertebral bodies and the remaining intervertebral discs are unremarkable.
The conus medullaris terminates at the L1-L2 level.
IMPRESSION :
Altered signal in the D7 and D8 vertebral bodies and the D7-D8 intervertebral disc suggests osteitis with discitis, most likely tuberculous in etiology. Prevertebral and paravertebral soft tissue lesion would represent granulation tissue/abscess. There is also cord compression and cord signal alteration at this level suggesting cord edema/ischemia/myelitis.
Altered signal is also noted in the L4, L2, D11, D10, D5, D1 and D2 vertebral bodies and in the ala of the sacrum to the left and this also represents osteitis.
The possibility of these lesions representing a neoplastic process like a small cell tumor is less likely.
Date : 00.00.00
Name of the Patient : Abc Xyzi Jlmn / F / 42 yrs.
Referred by : Dr. Abc Xyzve.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache since 4 months.
H/O low grade fever, loss of appetite and weight.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images.
OBSERVATION :
The L4 vertebral body is as marked on the film and the L5 vertebra appears to be sacralized. Please correlate with plain radiographs.
There is Grade I spondylolisthesis of the L4 over the L5 vertebra with probable spondylolysis at L4, bilaterally.
There are ill-defined, hyperintense areas on the T2 Weighted images in the D7 and D8 vertebral bodies. These areas appear hypointense on the T1 Weighted images. The D7-D8 intervertebral disc is also reduced in height and appears hyperintense on the T2 Weighted images. Similar signal intensity changes are noted in the L4, L2, D11, D10, D5, D1 and D2 vertebral bodies and in the ala of the sacrum to the left.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the right paravertebral region, prevertebral region and in the anterior epidural space at the D7 and D8 vertebral levels. This lesion appears hyperintense on the T2 Weighted images and is also seen to extend into the neural foramen at the D7-D8 level bilaterally and minimally into the left paravertebral region. There is mild cord compression at the D7 and D8 levels. The dorsal spinal cord at these levels shows a subtle hyperintense signal on the T2 Weighted images which suggests cord edema/ischemia/myelitis.
The rest of the visualized dorsal vertebral bodies and the remaining intervertebral discs are unremarkable.
The conus medullaris terminates at the L1-L2 level.
IMPRESSION :
Altered signal in the D7 and D8 vertebral bodies and the D7-D8 intervertebral disc suggests osteitis with discitis, most likely tuberculous in etiology. Prevertebral and paravertebral soft tissue lesion would represent granulation tissue/abscess. There is also cord compression and cord signal alteration at this level suggesting cord edema/ischemia/myelitis.
Altered signal is also noted in the L4, L2, D11, D10, D5, D1 and D2 vertebral bodies and in the ala of the sacrum to the left and this also represents osteitis.
The possibility of these lesions representing a neoplastic process like a small cell tumor is less likely.
Published in
MRI Reports
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzRauf Shlmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
Known C/O TBM with hydrocephalus. On AKT.
C/O weakness of the RLE and RUE with diminished vision bilaterally, right more than left 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 loss of water content of the cervical intervertebral discs.
There is seen an approximately 1.9 x 0.9 x 2.3 cms sized, lobulated, intramedullary mass lesion within the cervical spinal cord at the C1/C2 level. This lesion is iso to slightly hypointense to the normal cord on the T1 Weighted images and appears hyperintense with a peripheral hypointense rim on the T2 Weighted images. There is resultant increase in the diameter of the of the cervical spinal cord at the site of the lesion with effacement of the surrounding CSF space at this level. Ill-defined hyperintense signal on the T2 Weighted images in the lower medulla and in the cervico-dorsal spinal cord over the C3 to D2 vertebral levels would represent perilesional edema.
Small postero-central protruded discs are noted at the C3-C4, C4-C5 and C5-C6 levels.
..2/.
R>
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region is unremarkable.
Screening T2 Weighted axial images of the brain reveal mild dilatation of both the lateral, third and the fourth ventricles suggesting a communicating hydrocephalus. Minimal periventricular white matter hyperintense signal is noted on the T2 Weighted images. Compared to the previous CT Scan dated 19th August 0000, the ventricles appear slightly smaller in size.
Hyperintense signal in the medulla represents perilesional edema due to the intramedullary lesion at the C1/C2 level (described in the cervical spine study).
IMPRESSION :
1. An approximately 1.9 x 0.9 x 2.3 cms sized, lobulated, intramedullary mass lesion within the cervical spinal cord at the C1/C2 level as described, most likely represent tuberculomas, in the given clinical setting. Perilesional edema is noted in the lower medulla and the cervico-dorsal spinal cord as described.
2. Mild communicating hydrocephalus.
A contrast enhanced scan would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc XyzRauf Shlmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
Known C/O TBM with hydrocephalus. On AKT.
C/O weakness of the RLE and RUE with diminished vision bilaterally, right more than left 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 loss of water content of the cervical intervertebral discs.
There is seen an approximately 1.9 x 0.9 x 2.3 cms sized, lobulated, intramedullary mass lesion within the cervical spinal cord at the C1/C2 level. This lesion is iso to slightly hypointense to the normal cord on the T1 Weighted images and appears hyperintense with a peripheral hypointense rim on the T2 Weighted images. There is resultant increase in the diameter of the of the cervical spinal cord at the site of the lesion with effacement of the surrounding CSF space at this level. Ill-defined hyperintense signal on the T2 Weighted images in the lower medulla and in the cervico-dorsal spinal cord over the C3 to D2 vertebral levels would represent perilesional edema.
Small postero-central protruded discs are noted at the C3-C4, C4-C5 and C5-C6 levels.
..2/.
R>
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region is unremarkable.
Screening T2 Weighted axial images of the brain reveal mild dilatation of both the lateral, third and the fourth ventricles suggesting a communicating hydrocephalus. Minimal periventricular white matter hyperintense signal is noted on the T2 Weighted images. Compared to the previous CT Scan dated 19th August 0000, the ventricles appear slightly smaller in size.
Hyperintense signal in the medulla represents perilesional edema due to the intramedullary lesion at the C1/C2 level (described in the cervical spine study).
IMPRESSION :
1. An approximately 1.9 x 0.9 x 2.3 cms sized, lobulated, intramedullary mass lesion within the cervical spinal cord at the C1/C2 level as described, most likely represent tuberculomas, in the given clinical setting. Perilesional edema is noted in the lower medulla and the cervico-dorsal spinal cord as described.
2. Mild communicating hydrocephalus.
A contrast enhanced scan would be worthwhile.
Published in
MRI Reports
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzti Nalmn / F / 39 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the RUE and RLE with paresthesias.
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 postero-central protruded discs are noted at the C2-C3 and C4-C5 levels.
Degenerative changes of the joints of Luschka are noted at the C3-C4 level bilaterally, more on the left side, with resultant corresponding neural foraminal narrowing.
Minimal posterior disc bulges are noted at the C5-C6 and C6-C7 levels.
The cervical vertebral bodies appear slightly hypointense as compared to normal marrow on the T1 Weighted images but appear isointense to normal marrow on the T2 Weighted images, which may suggest conversion of normal fatty marrow to hematopoietic marrow.
The rest of 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 sternocleidomastoid muscles bilaterally.
IMPRESSION :
1. Small postero-central protruded discs at the C2-C3 and C4-C5 levels.
2. Degenerative changes of the joints of Luschka at the C3-C4 level bilaterally, more on the left side, with resultant corresponding neural foraminal narrowing.
3. Preponderance of hematopoeitic marrow which needs further evaluation.
Date : 00.00.00
Name of the Patient : Abc Xyzti Nalmn / F / 39 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain radiating to the RUE and RLE with paresthesias.
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 postero-central protruded discs are noted at the C2-C3 and C4-C5 levels.
Degenerative changes of the joints of Luschka are noted at the C3-C4 level bilaterally, more on the left side, with resultant corresponding neural foraminal narrowing.
Minimal posterior disc bulges are noted at the C5-C6 and C6-C7 levels.
The cervical vertebral bodies appear slightly hypointense as compared to normal marrow on the T1 Weighted images but appear isointense to normal marrow on the T2 Weighted images, which may suggest conversion of normal fatty marrow to hematopoietic marrow.
The rest of 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 sternocleidomastoid muscles bilaterally.
IMPRESSION :
1. Small postero-central protruded discs at the C2-C3 and C4-C5 levels.
2. Degenerative changes of the joints of Luschka at the C3-C4 level bilaterally, more on the left side, with resultant corresponding neural foraminal narrowing.
3. Preponderance of hematopoeitic marrow which needs further evaluation.
Published in
MRI Reports
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzray Plmn / M / 43 yrs.
Referred by : Dr. Abc Xyzshi. Examination : M.R.Cholangiogram.
CLINICAL PROFILE : C/O pain in the abdomen with nausea since 1 month.
H/O jaundice since 7 months.
EXAMINATION :
MR Cholangiogram was performed. 7 mm thick T1 Weighted and T2 Weighted axial images. OBSERVATION :
There is hepato-splenomegaly without an obvious focal lesion in the liver or the spleen.
There is moderate dilatation of the intrahepatic biliary radicles, with the left biliary ductal system more dilated than the right. The site of the obstruction is noted at the junction of the right and left hepatic ducts. The proximal common bile duct and the cystic duct are not well identified. The terminal common bile duct is identified and is not dilated. The gall bladder is well distended and shows evidence of layering of the bile.
The pancreas and both kidneys are unremarkable. The pancreatic duct is not dilated.
There is no ascites.
IMPRESSION :
1. Hepato-splenomegaly.
2. Moderate dilatation of the intrahepatic biliary radicles, more on the left side with the site of obstruction at the junction of the right and the left hepatic ducts (the common hepatic duct is not well identified). A cholangiocarcinoma (? enlarged portalymphnodes) should be ruled out.
Date : 00.00.00
Name of the Patient : Abc Xyzray Plmn / M / 43 yrs.
Referred by : Dr. Abc Xyzshi. Examination : M.R.Cholangiogram.
CLINICAL PROFILE : C/O pain in the abdomen with nausea since 1 month.
H/O jaundice since 7 months.
EXAMINATION :
MR Cholangiogram was performed. 7 mm thick T1 Weighted and T2 Weighted axial images. OBSERVATION :
There is hepato-splenomegaly without an obvious focal lesion in the liver or the spleen.
There is moderate dilatation of the intrahepatic biliary radicles, with the left biliary ductal system more dilated than the right. The site of the obstruction is noted at the junction of the right and left hepatic ducts. The proximal common bile duct and the cystic duct are not well identified. The terminal common bile duct is identified and is not dilated. The gall bladder is well distended and shows evidence of layering of the bile.
The pancreas and both kidneys are unremarkable. The pancreatic duct is not dilated.
There is no ascites.
IMPRESSION :
1. Hepato-splenomegaly.
2. Moderate dilatation of the intrahepatic biliary radicles, more on the left side with the site of obstruction at the junction of the right and the left hepatic ducts (the common hepatic duct is not well identified). A cholangiocarcinoma (? enlarged portalymphnodes) should be ruled out.
Published in
MRI Reports
hs/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzkumar lmn / M / 45 yrs.
Referred by : Dr. Abc Xyznna / Dr. Abc Xyzarikh /
Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O accident 4 months back with left sided hemiparesis and left UMN facial palsy. H/O bed sores with abscess formation.
Now C/O loss of consciousness since 00.00.00.
To r/o brain abscess.
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.
FEW IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.
OBSERVATION :
There are diffuse areas of hypointensity on the T1 Weighted images involving the cortex and subcortical white matter in the right frontal and right temporal lobes and left temporal lobe. In the given clinical setting of trauma, these most likely represent contusions. The lesion in the left temporal lobe is seen to bloom on the Fast Scan (T2 *) images shows deposition of paramagnetic substances. The right temporal horn appears dilated.
A sliver of hyperintensity on the proton and T2 Weighted images is seen to overlie the right cerebral hemisphere and may represent a very small collection of fluid/altered blood.
A lacunar infarct (iso to hyperintense to CSF) is seen within the right lentiform nucleus.
There is mild fullness of the ventricular system.
..2/.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
In the given clinical setting of trauma, the MRI features are suggestive of :
1. Contusions in the cortex and subcortical white matter in the right frontal and right temporal lobes and left temporal lobe.
2. A very small collection of fluid/altered blood overlying the right cerebral hemisphere.
3. A lacunar infarct within the right lentiform nucleus.
As compared to the previous MRI dated 00.00.00 (Study No.00007) there is no significant change.
Date : 00.00.00
Name of the Patient : Abc Xyzkumar lmn / M / 45 yrs.
Referred by : Dr. Abc Xyznna / Dr. Abc Xyzarikh /
Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O accident 4 months back with left sided hemiparesis and left UMN facial palsy. H/O bed sores with abscess formation.
Now C/O loss of consciousness since 00.00.00.
To r/o brain abscess.
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.
FEW IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.
OBSERVATION :
There are diffuse areas of hypointensity on the T1 Weighted images involving the cortex and subcortical white matter in the right frontal and right temporal lobes and left temporal lobe. In the given clinical setting of trauma, these most likely represent contusions. The lesion in the left temporal lobe is seen to bloom on the Fast Scan (T2 *) images shows deposition of paramagnetic substances. The right temporal horn appears dilated.
A sliver of hyperintensity on the proton and T2 Weighted images is seen to overlie the right cerebral hemisphere and may represent a very small collection of fluid/altered blood.
A lacunar infarct (iso to hyperintense to CSF) is seen within the right lentiform nucleus.
There is mild fullness of the ventricular system.
..2/.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
In the given clinical setting of trauma, the MRI features are suggestive of :
1. Contusions in the cortex and subcortical white matter in the right frontal and right temporal lobes and left temporal lobe.
2. A very small collection of fluid/altered blood overlying the right cerebral hemisphere.
3. A lacunar infarct within the right lentiform nucleus.
As compared to the previous MRI dated 00.00.00 (Study No.00007) there is no significant change.
Published in
MRI Reports
hs/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Chlmn / M / 37 yrs.
Referred by : Dr. Abc Xyzh Shah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever with chills and severe headaches since 15 days.
C/O altered sensorium since 1 day.
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.
FEW IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial, coronal and 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.
After contrast administration there is no area of abnormal enhancement in the brain parenchyma or along the meninges.
Inflammation is noted in the right maxillary sinus.
IMPRESSION :
No abnormality is detected within the brain per se on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz Chlmn / M / 37 yrs.
Referred by : Dr. Abc Xyzh Shah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever with chills and severe headaches since 15 days.
C/O altered sensorium since 1 day.
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.
FEW IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial, coronal and 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.
After contrast administration there is no area of abnormal enhancement in the brain parenchyma or along the meninges.
Inflammation is noted in the right maxillary sinus.
IMPRESSION :
No abnormality is detected within the brain per se on this study.
Published in
MRI Reports
sb/hs/rg.
/06 Date : 00.00.00
Name of the Patient : Abc Xyzchandra Shlmn / M / 34 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O occasional headaches (left sided) since many years.
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 well-marginated, hyperintense areas on the T2 Weighted images in the cerebellar hemispheres bilaterally. These lesions appear hypointense on the T1 Weighted images and represents areas of cystic encephalomalacia, probably the sequelae of a previous vascular insult.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is prominence of the cerebellar folia bilaterally. 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.
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.
..2/.
IMPRESSION :
1. Areas of cystic encephalomalcia in the cerebellar hemisphers bilaterally are most likely the sequelae of a previous vascular insult.
2. Mild cerebellar atrophy.
3. No significant abnormality is detected on the intracranial and neck MRA on this study.
/06 Date : 00.00.00
Name of the Patient : Abc Xyzchandra Shlmn / M / 34 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O occasional headaches (left sided) since many years.
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 well-marginated, hyperintense areas on the T2 Weighted images in the cerebellar hemispheres bilaterally. These lesions appear hypointense on the T1 Weighted images and represents areas of cystic encephalomalacia, probably the sequelae of a previous vascular insult.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is prominence of the cerebellar folia bilaterally. 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.
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.
..2/.
IMPRESSION :
1. Areas of cystic encephalomalcia in the cerebellar hemisphers bilaterally are most likely the sequelae of a previous vascular insult.
2. Mild cerebellar atrophy.
3. No significant abnormality is detected on the intracranial and neck MRA on this study.
Published in
MRI Reports
sb/bv/rg.
Date : 00.00.00
Name of the Patient : Abc XyzDelmn / F / 33 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
Left sided radical nephrectomy done for a left sided abdominal mass on 00.00.00. Histopathology s/o ? adrenal cortical carcinoma, ? pheochromocytoma.
Exploratory laprotomy with biopsy of paraaortic nodule was done on 00.00.00. Subsequently received Radiotherapy.
Now C/O backache since 2 months.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters:
5 mm thick T1 Weighted and T2 Weighted sagittal images.
4 mm thick T1 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
6 mm thick T1 Weighted coronal images.
OBSERVATION :
There is still seen an approximately 3.2 x 4.7 x 10.0 cms sized, lobulated intermediate signal intensity mass lesion on the T1 Weighted images in the left paraaortic region along the left antero-lateral margin of the vertebral bodies over about the D10-D11 disc level to about the L2-L3 disc level. This lesion appears heterogeneously hyperintense on the T2 Weighted images with a central hypointense signal in the lesion, superiorly. This lesion is retrocrural in location and is seen posterior to the left crus of the diaphragm. The crus of the diaphragm is displaced antero-laterally. The aorta is also displaced slightly anteriorly by the lesion. Minimal indentation on the medial margin of the spleen is noted.
A separate, focal lesion of similar signal is noted along the posterior abdominal wall at the L1 vertebral level on the left (scans 106.7). This lesion measures about 1.8 cms in maximum transverse dimension.
..2/.
There is a focal hypointense signal on the T1 Weighted images in the L1 vertebral body, antero-laterally on the left. This lesion remains hypointense on the T2 Weighted images and is probably extension of the retrocrural lesion. There is suspicious thinning of the left cortical margin of the L2 vertebra.
The D8 to L3 vertebral bodies show a diffuse hyperintense signal on the T1 Weighted images. This follows fat signal characteristics on all pulse sequences and represents fatty marrow changes, the sequelae of previous radiotherapy.
The L5-S1 intervertebral disc shows loss of water content. A small, right postero-lateral (foraminal) disc herniation is noted at the L5-S1 level with right neural foraminal narrowing.
The patient is status post-left nephrectomy.
The conus medullaris terminates at the L2 level. The visualized lower lumbar spinal cord shows normal signal. There is no cord compression.
IMPRESSION :
An approximately 3.2 x 4.7 x 10.0 cms sized, lobulated mass lesion in the left para-aortic region along the left antero-lateral margin of the vertebral bodies over about the D10-D11 disc level to the L2-L3 disc level with involvement of the L1 vertebra as described most likely represents a recurrence of the previous adrenal mass lesion (as suggested by the Histopathology diagnosis of April 0000). Another lesion is identified at the L1 vertebral level on the left side.
The patient is status post-left nephrectomy and post-radiotherapy.
The preoperative scans were not available for review.
As compared to the previous scan dated 00.00.00 (Study No. 00004) there is increase in the size of the lesion. A new lesion is seen at the L1 level.
Date : 00.00.00
Name of the Patient : Abc XyzDelmn / F / 33 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
Left sided radical nephrectomy done for a left sided abdominal mass on 00.00.00. Histopathology s/o ? adrenal cortical carcinoma, ? pheochromocytoma.
Exploratory laprotomy with biopsy of paraaortic nodule was done on 00.00.00. Subsequently received Radiotherapy.
Now C/O backache since 2 months.
EXAMINATION :
M.R.I of the dorso-lumbar spine was performed using the following parameters:
5 mm thick T1 Weighted and T2 Weighted sagittal images.
4 mm thick T1 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
6 mm thick T1 Weighted coronal images.
OBSERVATION :
There is still seen an approximately 3.2 x 4.7 x 10.0 cms sized, lobulated intermediate signal intensity mass lesion on the T1 Weighted images in the left paraaortic region along the left antero-lateral margin of the vertebral bodies over about the D10-D11 disc level to about the L2-L3 disc level. This lesion appears heterogeneously hyperintense on the T2 Weighted images with a central hypointense signal in the lesion, superiorly. This lesion is retrocrural in location and is seen posterior to the left crus of the diaphragm. The crus of the diaphragm is displaced antero-laterally. The aorta is also displaced slightly anteriorly by the lesion. Minimal indentation on the medial margin of the spleen is noted.
A separate, focal lesion of similar signal is noted along the posterior abdominal wall at the L1 vertebral level on the left (scans 106.7). This lesion measures about 1.8 cms in maximum transverse dimension.
..2/.
There is a focal hypointense signal on the T1 Weighted images in the L1 vertebral body, antero-laterally on the left. This lesion remains hypointense on the T2 Weighted images and is probably extension of the retrocrural lesion. There is suspicious thinning of the left cortical margin of the L2 vertebra.
The D8 to L3 vertebral bodies show a diffuse hyperintense signal on the T1 Weighted images. This follows fat signal characteristics on all pulse sequences and represents fatty marrow changes, the sequelae of previous radiotherapy.
The L5-S1 intervertebral disc shows loss of water content. A small, right postero-lateral (foraminal) disc herniation is noted at the L5-S1 level with right neural foraminal narrowing.
The patient is status post-left nephrectomy.
The conus medullaris terminates at the L2 level. The visualized lower lumbar spinal cord shows normal signal. There is no cord compression.
IMPRESSION :
An approximately 3.2 x 4.7 x 10.0 cms sized, lobulated mass lesion in the left para-aortic region along the left antero-lateral margin of the vertebral bodies over about the D10-D11 disc level to the L2-L3 disc level with involvement of the L1 vertebra as described most likely represents a recurrence of the previous adrenal mass lesion (as suggested by the Histopathology diagnosis of April 0000). Another lesion is identified at the L1 vertebral level on the left side.
The patient is status post-left nephrectomy and post-radiotherapy.
The preoperative scans were not available for review.
As compared to the previous scan dated 00.00.00 (Study No. 00004) there is increase in the size of the lesion. A new lesion is seen at the L1 level.
Published in
MRI Reports
hs/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzeet Klmn / F / 32 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain with radiation of pain to BUE with paresthesias.
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 evidence of a hyperintense signal on the T2 Weighted images within the posterior columns of the cervical spinal cord over the C2 to C5 vertebral levels. This is iso to hypointense to normal cord on the T1 Weighted images.
A postero-central disc herniation more to the left of the midline is seen to indent the cord at the C5-C6 level.
Posterior disc bulges are noted at the C3-C4 and C4-C5 levels.
The cervical vertebral bodies appear more hypointense than normal on the T1 Weighted images and this may suggest a preponderance of hematopoietic marrow.
The cervical intervertebral discs show loss of water content.
The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. Altered signal within the posterior columns of the cervical spinal cord over the C2 to C5 vertebral levels with altered signal of the cervical vertebral bodies as described may represent subacute combined degeneration of the cord.
2. A postero-central disc herniation more to the left of the midline at the C5-C6 level.
Date : 00.00.00
Name of the Patient : Abc Xyzeet Klmn / F / 32 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain with radiation of pain to BUE with paresthesias.
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 evidence of a hyperintense signal on the T2 Weighted images within the posterior columns of the cervical spinal cord over the C2 to C5 vertebral levels. This is iso to hypointense to normal cord on the T1 Weighted images.
A postero-central disc herniation more to the left of the midline is seen to indent the cord at the C5-C6 level.
Posterior disc bulges are noted at the C3-C4 and C4-C5 levels.
The cervical vertebral bodies appear more hypointense than normal on the T1 Weighted images and this may suggest a preponderance of hematopoietic marrow.
The cervical intervertebral discs show loss of water content.
The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. Altered signal within the posterior columns of the cervical spinal cord over the C2 to C5 vertebral levels with altered signal of the cervical vertebral bodies as described may represent subacute combined degeneration of the cord.
2. A postero-central disc herniation more to the left of the midline at the C5-C6 level.
Published in
MRI Reports
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzhai lmn / M / 37 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the LLE (upto the knee) with a limp since 5 months.
H/O fall from a scooter prior to this.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick Proton density sagittal images.
OBSERVATION :
The femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or erosion noted. The articular cartilages are unremarkable. There is a small left hip joint effusion.
The musculature surrounding both the hip joints and the visualized pelvis is normal.
IMPRESSION :
A small left hip joint effusion.
No other significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzhai lmn / M / 37 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the LLE (upto the knee) with a limp since 5 months.
H/O fall from a scooter prior to this.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick Proton density sagittal images.
OBSERVATION :
The femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or erosion noted. The articular cartilages are unremarkable. There is a small left hip joint effusion.
The musculature surrounding both the hip joints and the visualized pelvis is normal.
IMPRESSION :
A small left hip joint effusion.
No other significant abnormality is detected on this study.
Published in
MRI Reports
More...
hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzMilmn / M / 22 yrs.
Referred by : Dr. Abc Xyzchale
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O backache with paraplegia since 00.00.00.
H/O fever prior to this.
EXAMINATION :
M.R.I of the cervico-dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
7 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
9 mm thick T1 Weighted and T2 Weighted axial images.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is evidence of a space occupying lesion within the posterior epidural space over the C6-C7 to the D12-L1 level. This lesion is hyperintense to CSF but hypointense to fat on the T1 Weighted images and turns hyperintense to both on the T2 Weighted and Fast Scan (T2 *) images. There is resultant compression and anterior displacement of the cord over these levels. The cord over these levels shows a hyperintense signal on the T2 Weighted images and would represent cord edema/ischemia/involvement by the pathologic process per se.
The spinal cord over the C5 to the C6 vertebral levels is swollen and shows a hyperintense signal on the T2 Weighted images.
Subtle areas of hyperintensity on the Fast Scan (T2 *) and T2 Weighted images are seen within the paraspinal soft tissues over the D1 to the D6 vertebral level.
..2/.
The visualized cervico-dorso-lumbar vertebral bodies are more hypointense as compared to the normal marrow on the T1 Weighted images and these may represent a preponderance of hematopoietic marrow/?? myeloproliferative disorder.
The conus medullaris terminates at the L1 level.
IMPRESSION :
The MRI features are suggestive of a space occupying lesion within the posterior epidural space over the C6-C7 to the D12-L1 level with cord compression and altered cord signal as described. This may represent an infective process like tuberculosis or neoplastic process like a small cell tumor.
Altered signal of the cervico-dorso-lumbar vertebral bodies may represent a preponderance of hematopoietic marrow/?? myeloproliferative disorder.
Date : 00.00.00
Name of the Patient : Abc XyzMilmn / M / 22 yrs.
Referred by : Dr. Abc Xyzchale
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O backache with paraplegia since 00.00.00.
H/O fever prior to this.
EXAMINATION :
M.R.I of the cervico-dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
7 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
9 mm thick T1 Weighted and T2 Weighted axial images.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is evidence of a space occupying lesion within the posterior epidural space over the C6-C7 to the D12-L1 level. This lesion is hyperintense to CSF but hypointense to fat on the T1 Weighted images and turns hyperintense to both on the T2 Weighted and Fast Scan (T2 *) images. There is resultant compression and anterior displacement of the cord over these levels. The cord over these levels shows a hyperintense signal on the T2 Weighted images and would represent cord edema/ischemia/involvement by the pathologic process per se.
The spinal cord over the C5 to the C6 vertebral levels is swollen and shows a hyperintense signal on the T2 Weighted images.
Subtle areas of hyperintensity on the Fast Scan (T2 *) and T2 Weighted images are seen within the paraspinal soft tissues over the D1 to the D6 vertebral level.
..2/.
The visualized cervico-dorso-lumbar vertebral bodies are more hypointense as compared to the normal marrow on the T1 Weighted images and these may represent a preponderance of hematopoietic marrow/?? myeloproliferative disorder.
The conus medullaris terminates at the L1 level.
IMPRESSION :
The MRI features are suggestive of a space occupying lesion within the posterior epidural space over the C6-C7 to the D12-L1 level with cord compression and altered cord signal as described. This may represent an infective process like tuberculosis or neoplastic process like a small cell tumor.
Altered signal of the cervico-dorso-lumbar vertebral bodies may represent a preponderance of hematopoietic marrow/?? myeloproliferative disorder.
Published in
MRI Reports
Date : 00.00.00
Name of the Patient : Abc Xyzam D. Gailmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias 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 :
There is evidence of a large postero-central disc extrusion compressing the thecal sac at the L4-L5 level. A disc portion is seen to lie within the anterior epidural space at the L5 vertebral level.
A postero-central disc herniation is seen to indent the thecal sac at the L3-L4 level. Also seen a postero-central disc herniation with peridiscal osteophytes indenting the thecal sac at the L1-L2 level.
There are posterior disc bulges at the L2-L3 and L5-S1 levels.
The L2-L3, L3-L4, L4-L5 and L5-S1 facet joints show hypertrophic degenerative changes.
The lumbar intervertebral discs show loss of water content.
The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
R>
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 :
11.0 mm at L1-L2
12.0 mm at L2-L3
9.0 mm at L3-L4
9.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc extrusion at the L4-L5 level with severe canal stenosis. A disc portion is seen to lie within the anterior epidural space at the L5 vertebral level.
2. A postero-central disc herniation at the L3-L4 level with a tight canal.
3. A postero-central disc herniation with peridiscal osteophytes at the L1-L2 level.
4. Hypertrophic facetal arthropathy at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
Name of the Patient : Abc Xyzam D. Gailmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias 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 :
There is evidence of a large postero-central disc extrusion compressing the thecal sac at the L4-L5 level. A disc portion is seen to lie within the anterior epidural space at the L5 vertebral level.
A postero-central disc herniation is seen to indent the thecal sac at the L3-L4 level. Also seen a postero-central disc herniation with peridiscal osteophytes indenting the thecal sac at the L1-L2 level.
There are posterior disc bulges at the L2-L3 and L5-S1 levels.
The L2-L3, L3-L4, L4-L5 and L5-S1 facet joints show hypertrophic degenerative changes.
The lumbar intervertebral discs show loss of water content.
The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
R>
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 :
11.0 mm at L1-L2
12.0 mm at L2-L3
9.0 mm at L3-L4
9.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large postero-central disc extrusion at the L4-L5 level with severe canal stenosis. A disc portion is seen to lie within the anterior epidural space at the L5 vertebral level.
2. A postero-central disc herniation at the L3-L4 level with a tight canal.
3. A postero-central disc herniation with peridiscal osteophytes at the L1-L2 level.
4. Hypertrophic facetal arthropathy at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
Published in
MRI Reports
sb/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, giddiness and neck pain radiating to the LUE since 2-3 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.
3 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images. An MR cisternogram was obtained in the coronal plane.
OBSERVATION :
There is seen a fairly large, approximately 6.0 x 3.8 x 3.1 cms sized well-defined, cystic mass lesion in the right cerebellar hemisphere. This lesion is slightly hyperintense to CSF on all pulse sequences. There is an approximately 1.8 x 1.1 cms solid mural nodule along the infero-lateral wall of the lesion on the right. There is no significant perilesional edema. There is resultant compression of the fourth ventricle which is displaced slightly to the left of the midline. The right paramedullary and the right quadrigeminal cisterns are also effaced.
There is cerebellar tonsillar herniation through the foramen magnum. Mild dilatation of both the lateral and the third ventricles is noted.
There is a hyperintense signal on the proton, T2 Weighted and FLAIR images in the left cerebellar hemisphere which is hypointense on the T1 Weighted images which needs to be evaluated further.
..2/.
No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the left maxillary antrum.
IMPRESSION :
An approximately 6.0 x 3.8 x 3.1 cms sized well-defined, cystic mass lesion with a solid nodule in the right cerebellar hemisphere as described, most likely represents a hemangioblastoma. The possibility of a cystic astrocytoma seems less likely (in view of the solid nodule described above).
A contrast enhanced scan would be worthwhile.
von Hippel-Lindau syndrome should be ruled out.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, giddiness and neck pain radiating to the LUE since 2-3 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.
3 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images. An MR cisternogram was obtained in the coronal plane.
OBSERVATION :
There is seen a fairly large, approximately 6.0 x 3.8 x 3.1 cms sized well-defined, cystic mass lesion in the right cerebellar hemisphere. This lesion is slightly hyperintense to CSF on all pulse sequences. There is an approximately 1.8 x 1.1 cms solid mural nodule along the infero-lateral wall of the lesion on the right. There is no significant perilesional edema. There is resultant compression of the fourth ventricle which is displaced slightly to the left of the midline. The right paramedullary and the right quadrigeminal cisterns are also effaced.
There is cerebellar tonsillar herniation through the foramen magnum. Mild dilatation of both the lateral and the third ventricles is noted.
There is a hyperintense signal on the proton, T2 Weighted and FLAIR images in the left cerebellar hemisphere which is hypointense on the T1 Weighted images which needs to be evaluated further.
..2/.
No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the left maxillary antrum.
IMPRESSION :
An approximately 6.0 x 3.8 x 3.1 cms sized well-defined, cystic mass lesion with a solid nodule in the right cerebellar hemisphere as described, most likely represents a hemangioblastoma. The possibility of a cystic astrocytoma seems less likely (in view of the solid nodule described above).
A contrast enhanced scan would be worthwhile.
von Hippel-Lindau syndrome should be ruled out.
Published in
MRI Reports
sb/bv/nl/rg.
/298 Date : 24/00.00.00
Name of the Patient : Abc Xyzkash Arullmn / M / 46 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided weakness with speech disturbances since 5.00 pm of 00.00.00.
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.
OBSERVATION :
There is seen an approximately 2.8 x 3.8 x 4.0 cms sized well-marginated, iso to hypointense mass lesion on the T1 Weighted images in the right thalamus. This lesion appears heterogeneously hyperintense on the proton, T2 Weighted and FLAIR images with hypointense areas within. The lesion blooms partially, on the Fast Scan (T2 *) images. There is mild perilesional edema with indentation of the right lateral and third ventricles and mild bulge of the midline to the left. Extension into the right lateral ventricle is noted. There is also extension into the right corona radiata, superiorly and right cerebral peduncle, inferiorly.
A small bright focus on the proton, T2 Weighted and FLAIR images is noted in the subcortical white matter in the left fronto-temporal region.
There is mild fullness of the left lateral ventricle. The fourth ventricle is normal. The CSF in the fourth ventricle and the cisterna magna appears hyperintense when compared to the normal CSF signal on the T1 Weighted and FLAIR images. This may be due to leak of the right thalamic hematoma into the fourth ventricle/basal cisterns. No obvious vascular anomaly is identified on this study.
IMPRESSION :
An approximately 2.8 x 3.8 x 4.0 cms sized mass lesion in the right thalamus with extensions as described follows the signal characteristics of a hyperacute to acute intracerebral hematoma. There is intraventricular extension of this lesion.
Repeat, limited, T2 Weighted axial images of the brain were obtained on 00.00.00. There is a definite increase in the size of the right thalamic lesion which now measures 4.2 x 5.8 x 4.9 cms. There is also increase in the size of the lateral ventricles and increase in the overall mass effect. The intraventricular extension of the hematoma is more pronounced.
/298 Date : 24/00.00.00
Name of the Patient : Abc Xyzkash Arullmn / M / 46 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided weakness with speech disturbances since 5.00 pm of 00.00.00.
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.
OBSERVATION :
There is seen an approximately 2.8 x 3.8 x 4.0 cms sized well-marginated, iso to hypointense mass lesion on the T1 Weighted images in the right thalamus. This lesion appears heterogeneously hyperintense on the proton, T2 Weighted and FLAIR images with hypointense areas within. The lesion blooms partially, on the Fast Scan (T2 *) images. There is mild perilesional edema with indentation of the right lateral and third ventricles and mild bulge of the midline to the left. Extension into the right lateral ventricle is noted. There is also extension into the right corona radiata, superiorly and right cerebral peduncle, inferiorly.
A small bright focus on the proton, T2 Weighted and FLAIR images is noted in the subcortical white matter in the left fronto-temporal region.
There is mild fullness of the left lateral ventricle. The fourth ventricle is normal. The CSF in the fourth ventricle and the cisterna magna appears hyperintense when compared to the normal CSF signal on the T1 Weighted and FLAIR images. This may be due to leak of the right thalamic hematoma into the fourth ventricle/basal cisterns. No obvious vascular anomaly is identified on this study.
IMPRESSION :
An approximately 2.8 x 3.8 x 4.0 cms sized mass lesion in the right thalamus with extensions as described follows the signal characteristics of a hyperacute to acute intracerebral hematoma. There is intraventricular extension of this lesion.
Repeat, limited, T2 Weighted axial images of the brain were obtained on 00.00.00. There is a definite increase in the size of the right thalamic lesion which now measures 4.2 x 5.8 x 4.9 cms. There is also increase in the size of the lateral ventricles and increase in the overall mass effect. The intraventricular extension of the hematoma is more pronounced.
Published in
MRI Reports