MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14296

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

Name of the Patient : Abc Xyzidevi Bhanlmn / F / 35 yrs.
Referred by : Dr. Abc Xyz Mehta.
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 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 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

14295

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

Name of the Patient : Abc Xyzchandra lmn / M / 60 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O weakness of the RUE and RLE with slurred speech since 00.00.00.
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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons, in the periventricular white matter bilaterally, subcortical white matter in the frontal and parietal regions bilaterally and in the region of the genu of the corpus callosum. These lesions appear hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic lesions.

Lacunar infarcts are noted in the right lentiform nucleus.

Dilated perivascular spaces are seen in the centrum semiovale bilaterally.

There is mild fullness of both the lateral and third ventricles. 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.

Incidentally noted is an empty sella.


IMPRESSION :

1. Altered signal in the pons, in the periventricular white matter bilaterally, subcortical white matter in the frontal and parietal regions bilaterally and in the region of the genu of the corpus callosum most likely represent ischemic changes.

2. Lacunar infarcts in the right lentiform nucleus.


Sunday, 27 December 2015 16:48

14294

Written by
Date : 00.00.00

Name of the Patient : Abc Xyzta Prlmn / F / 83 yrs.
Referred by : Dr. Abc Xyz Shah
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O breathlessness with seizures.
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 and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally, pons, right lentiform nucleus, bilateral thalami and in the corona radiata and centrum semiovale bilaterally. These lesions appear hypointense to normal white matter on the T1 weighted images.

Lacunar infarcts are noted in the pons and left corona radiata.

There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. There is ectasia of the left vertebral artery with indentation upon the left lateral aspect of the medulla.




There is no evidence of haemorrhage on this study.

IMPRESSION :

1. Altered signal in the periventricular white matter bilaterally, pons, right lentiform nucleus, bilateral thalami and in the corona radiata and centrum semiovale bilaterally most likely represent ischemic changes.

2. Lacunar infarcts in the pons and in the left corona radiata.

3. Age related cerebral and cerebellar atrophy.

Sunday, 27 December 2015 16:48

14293

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

Name of the Patient : Abc XyzPlmn / F / 55 yrs.
Referred by : Dr. Abc Xyzsani / Dr. Abc Xyzhatt.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE (left more than right) with numbness.

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 normal cervical lordosis and loss of water content of the cervical intervertebral discs.

There is a fairly large, left paracentral disc herniation with peridiscal osteophytes at the C5-C6 level with resultant indentation on the cervical spinal cord anteriorly.

Postero-central protruded discs are noted at the C3-C4 and C4-C5 levels. Small posterior disc bulges are noted at the C2-C3 and C6-C7 levels.

The cervical vertebral bodies show spotty fatty marrow changes. 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 :

1. A fairly large, left paracentral disc herniation with peridiscal osteophytes at the C5-C6 level with resultant indentation on the cervical spinal cord anteriorly.

2. Postero-central protruded discs at the C3-C4 and C4-C5 levels.








Sunday, 27 December 2015 16:48

14292

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

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

CLINICAL PROFILE :

C/O radicular pain to the RLE since 2 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 :

The L5 vertebra appears to be as marked on the film. Please correlate with plain radiographs. There is mild forward listhesis of the L4 vertebra over the L5 vertebra.

A right postero-lateral disc herniation with peridiscal osteophytes is seen to narrow the right neural foramen at the L4-L5 level. A sequestered disc fragment is seen to lie within the right lateral recess of the L4 vertebra with indentation upon the thecal sac. A small postero-central disc herniation is seen at the L4-L5 level.

Postero-central and right postero-lateral disc herniations with peridiscal osteophytes are seen to indent the thecal sac and narrow the right neural foramen, respectively at the L5-S1 level.

Far lateral (extraforaminal) disc herniations are seen bilaterally at the L4-L5 and L5-S1 levels and on the right side at the L2-L3 level. A small right postero-lateral disc herniation is seen to narrow the right neural foramen at the L2-L3 level.


The L4-L5 facet joints show hypertrophic degenerative changes.

The L2-L3 to the L5-S1 intervertebral discs show loss of water content.

The lumbar vertebral bodies and the L1-L2 intervertebral disc reveal normal signal intensity. The remaining 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 S2 level.

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

14.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
11.0 mm at L4-L5
14.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A right postero-lateral disc herniation and a small postero-central disc herniation with peridiscal osteophytes at the L4-L5 level with a sequestered disc fragment lying within the right lateral recess of the L4 vertebra.

2. Hypertrophic facetal arthropathy at the L4-L5 level.
..3/.









- 3 - Scan-00002




3. Postero-central and right postero-lateral disc herniation with peridiscal osteophytes at the L5-S1 level.

4. A small right postero-lateral disc herniation at the L2-L3 level.

5. Far lateral (extraforaminal) disc herniations bilaterally at the L4-L5 and L5-S1 levels and on the right side at the L2-L3 level.

Sunday, 27 December 2015 16:48

14291

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

Name of the Patient : Abc XyzPlmn / F / 55 yrs.
Referred by : Dr. Abc Xyzsani / Dr. Abc Xyzhatt.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (left more than right) with numbness.

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 nearly all the lumbar intervertebral discs except the L1-L2 disc.

There is probable sacralization of the L5 vertebra and the L5 vertebra is as marked on the film.

Congenital anomaly of the D12 and L1 vertebral bodies is noted. The waist appears narrow and the D12-L1 disc appears reduced in height.

A small postero-central protruded disc is noted at the L4-L5 level. The facet joints at this level appear hypertrophied bilaterally. Mild ligamentum flavum hypertrophy is also identified at the L4-L5 and L5 vertebral levels.

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 S1 level.
..2/.







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

15.0 mm at L1-L2
18.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
15.0 mm at L5-S1.

IMPRESSION :

1. Probable sacralization of the L5 vertebra.

2. A small postero-central protruded disc at the L4-L5 level.

Sunday, 27 December 2015 16:48

14290

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

Name of the Patient : Abc Xyzed Almn / M / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 0000.
H/O Pulmonary Kochs in 0000. Received AKT.

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 a CSF intensity lesion on all the pulse sequences in the right medial temporal, subcortical white matter. Perilesional diffuse white matter hyperintense signal is also noted in that region. This lesion appears separate from the right temporal horn (scans 107.9-10, 106.9-10, 103.6-7, 102.6-7).

The hippocampal complexes on either side are unremarkable.

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 subcortical white matter in the right medial temporal region as described, represents an area of gliosis/encephalomalacia.





















Sunday, 27 December 2015 16:48

14289

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

Name of the Patient : Abc Xyz lmn / M / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O paresthesias in BLE (left more than right) since 6 months.
H/O lifting heavy 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.

5 mm thick T1 Weighted and T2 Weighted axial images.

The cervico-dorsal spine was screened with 4 mm thick T2 Weighted sagittal images.

The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

The spinal cord over the D3 to the D6 vertebral levels is swollen. The cord over these levels is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images.
There is effacement of the surrounding CSF space.

A small left paracentral disc herniation is seen to indent the cord at the D8-D9 level.

Posterior disc bulges are noted at the D6-D7 and D7-D8 levels.

The upper and mid-dorsal intervertebral discs show loss of water content.

R>
The visualized dorsal 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.

IMPRESSION :

The MRI features are suggestive of swelling of the dorsal spinal cord over the D3 to the D6 vertebral levels with altered signal as described. This is not specific for a single etiology. The differential diagnosis would include,

1. Cord tumors.

2. Myelitis/demyelination.

A contrast enhanced study would be worthwhile.


Sunday, 27 December 2015 16:48

14288

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

Name of the Patient : Abc Xyzlmn / M / 58 yrs.
Referred by : Dr. Abc Xyzdha.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the LUE with paresthesias, giddiness and gait imbalance.

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 normal cervical curvature and loss of water content of the cervical intervertebral discs.

There is evidence of a large postero-central disc extrusion with peridiscal osteophytes, more to the left of the midline at the C5-C6 level. It is seen to compress upon the spinal cord and narrow the left neural foramen at this level. The cord at the C5-C6 level shows a subtle hyperintense signal on the Fast Scan (T2 *) images and this represent cord edema/ischemia. The disc appears reduced in height.

A postero-central disc herniation with peridiscal osteophytes is seen to indent the cord at the C4-C5 level. The joints of Luschka at this level show mild degenerative changes with slight bilateral neural foraminal narrowing, right more than left.
Scan-00008


There is a small left postero-lateral disc herniation with peridiscal osteophytes narrowing the left neural foramen at the C6-C7 level. Postero-central disc protrusions are seen at the C2-C3 and C3-C4 levels.

The facet joints show degenerative changes bilaterally at the C5-C6 level and on the right side at the C6-C7 level.

Anterior disc herniations with peridiscal osteophytes are noted at the C4-C5, C5-C6 and C6-C7 levels.

The cervical vertebral bodies show areas of fatty replacement of normal marrow. The cervical intervertebral discs show loss of water content.

The rest of 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.

Small lymph nodes are seen adjacent to the carotid sheaths bilaterally.

IMPRESSION :

The MRI features are suggestive of :

1. A large postero-central disc extrusion with peridiscal osteophytes, more to the left of the midline at the C5-C6 level with canal stenosis and cord compression with cord signal alteration at this level representing cord edema/ischemia.

2. A postero-central disc herniation with peridiscal osteophytes at the C4-C5 level.

Sunday, 27 December 2015 16:48

14287

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

Name of the Patient : Abc Xyzar Mlmn / M / 57 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc XyzR> Examination : M.R.I. - Brain (Post-contrast Study).

CLINICAL PROFILE :

Known C/O intracranial tuberculomas, detected in May 0000. On AKT.

EXAMINATION :

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial and coronal images with magnetization transfer.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

After administration of contrast, there are multiple rim-enhancing lesions scattered in the cerebellar and cerebral hemispheres bilaterally, predominantly in the subcortical white matter. Most of these lesions are a conglomeration of multiple lesions. They vary in size from a few mms to about 1.5 cms in maximum transverse dimensions.

There is no abnormal meningeal enhancement noted on this study.