MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14282

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

Name of the Patient : Abc XyzAnlmn / M / 42 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided trigeminal neuralgia.

EXAMINATION :

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

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

MR Cisternogram was obtained in the coronal plane.

A limited MRA (source images) was obtained through the region of interest.

OBSERVATION :

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

Small vascular loops are seen adjacent to the cisternal component of both the trigeminal nerves. However they are not seen to deform the same.

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

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








Inflammatory changes are seen within the frontal sinus and right ethmoidal air cells. The nasal septum is deviated to the left side.

The left intraocular lens is not seen, probably a result of previous surgery.

IMPRESSION :

The MRI features are suggestive of small vascular loops adjacent to the cisternal component of both trigeminal nerves.

Sunday, 27 December 2015 16:48

14281

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

Name of the Patient : Abc Xyzti Kanlmn / F / 47 yrs.
Referred by : Dr. Abc Xyzkia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE since 3-4 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.

OBSERVATION :

There is loss of water content of all the lumbar intervertebral discs except the L4-L5 disc.

There is Grade I spondylolisthesis of the L4 over the L5 vertebra and the L5 over the S1 vertebra without obvious spondylolysis.

There is a postero-central and right postero-lateral disc herniation at the L5-S1 level with right neural foraminal narrowing and indentation on the traversing right S1 nerve root. Hypertrophic facetal arthropathy and canal stenosis is also noted at this level.

A small postero-central protruded disc is noted at the L4-L5 level. Hypertrophic facetal arthropathy and ligamentum flavum hypertrophy is also noted at this level, with a tight lumbar canal at that level.

Type II degenerative marrow changes are seen in the L3, L4 and L5 vertebrae adjacent to the intervertebral discs.



The rest of the lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.

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

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

17.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
9.0 mm at L4-L5
5.0 mm at L5-S1.

IMPRESSION :

1. Grade I spondylolisthesis of the L4 over the L5 vertebra and the L5 over the S1 vertebra without obvious spondylolysis.

2. A postero-central and right postero-lateral disc herniation at the L5-S1 level with right neural foraminal narrowing and indentation on the traversing right S1 nerve root. Hypertrophic facetal arthropathy and canal stenosis is also noted at this level.

3. A small postero-central protruded disc at the L4-L5 level with hypertrophic facetal arthropathy and ligamentum flavum hypertrophy and a tight lumbar canal at that level.


Sunday, 27 December 2015 16:48

14280

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

Name of the Patient : Abc Xyzali lmn / M / 40 yrs.
Referred by : Dr. Abc Xyz Hashim.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

H/O fall with heavy weight on 00.00.00 with weakness of BLE since then.

EXAMINATION :

M.R.I of the lumbo-sacral spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is loss of normal lumbar lordosis and loss of water content of the lumbar intervertebral discs.

There is a posteriorly extruded disc at the L2-L3 level with thecal sac compression. Superior and inferior migration of the disc fragment along the posterior margin of the L2 and L3 vertebral bodies is noted.

A right postero-lateral (foraminal) and far lateral disc herniation is noted at the L3-L4 level with indentation on the right L3 nerve root.

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

Slight facetal hypertrophy is noted at the L5-S1 level.





Type II degenerative marrow changes are noted adjacent to the lumbar intervertebral discs.

The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L2 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 :

11.0 mm at L1-L2
10.0 mm at L2-L3
11.0 mm at L3-L4
11.0 mm at L4-L5
9.0 mm at L5-S1.

Incidentally noted are multiple small, cortical renal cysts on either side.

IMPRESSION :

1. A posteriorly extruded disc at the L2-L3 level with superior and inferior migration of the disc fragment along the posterior margin of the L2 and L3 vertebral bodies compressing the thecal sac.

2. A right postero-lateral (foraminal) and far lateral disc herniation at the L3-L4 level with indentation on the right L3 nerve root.

3. Slight facetal hypertrophy at the L5-S1 level.





Sunday, 27 December 2015 16:48

14279

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

Name of the Patient : Abc Xyz. Pastlmn / M / 34 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 4 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 loss of normal lumbar lordosis and loss of water content of the L4-L5 and L5-S1 intervertebral discs.

There is a fairly large, left paracentral extruded disc at the L5-S1 level with slight inferior migration of the disc fragment indenting the traversing left S1 nerve root.

A small, postero-central disc herniation is noted at the L4-L5 level.

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

The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
Scan-00009


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

16.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
11.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. A fairly large, left paracentral extruded disc at the L5-S1 level with slight inferior migration of the disc fragment indenting the traversing left S1 nerve root.

2. A small, postero-central disc herniation at the L4-L5 level.
Sunday, 27 December 2015 16:48

14278

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

Name of the Patient : Abc Xyzlal lmn / M / 78 yrs.
Referred by : Dr. Abc Xyzmpat / Dr. Abc Xyzhatt.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE 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 straightening of the lumbar spine with slight forward translation of the L2 over the L3 vertebral body.

A posterior and bilateral postero-lateral disc herniation is seen at the L3-L4 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. A left far lateral disc herniation is also seen at this level with indentation upon the extraforaminal portion of the left L3 nerve root.

A diffuse posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.

The fat within the neural foramen on the right side at the L4 level is obliterated and there is a suggestion of the right L4 nerve root being inflamed.

Small posterior disc bulge is seen at the L5-S1 level with mild indentation upon the right S1 nerve root.


There is diffuse posterior disc herniation at the L2-L3 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.

Ligamentum flavum hypertrophy is noted at the L4-L5 and L5 levels.

The L1-L2, L2-L3, L3-L4 and L4-L5 facet joints show hypertrophic degenerative changes bilaterally. The L5-S1 facet joint on the right side shows mild degenerative change.

The lumbar intervertebral discs show loss of water content.

Type II degenerative changes are noted in the lumbar vertebrae.

The visualized pre and paravertebral soft tissues are unremarkable.

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

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

14.0 mm at L1-L2
10.0 mm at L2-L3
12.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.

Incidental note is made of cortical renal cyst on the right side.
..3/.











- 3 - Scan-00008


IMPRESSION :

1. Forward translation of the L2 over the L3 vertebral body.

2. A posterior and bilateral postero-lateral disc herniation at the L3-L4 level with bilateral neural foraminal narrowing.

3. A left far lateral disc herniation at the L3-L4 level with indentation upon the extraforaminal portion of the left L3 nerve root.

4. A diffuse posterior disc herniation at the L4-L5 level with bilateral neural foraminal narrowing.

5. Diffuse posterior disc herniation at the L2-L3 level.

6. Small posterior disc bulge at the L5-S1 level with mild indentation upon the right S1 nerve root.

7. Inflammation of the right L4 nerve root.

8. Hypertrophic facetal arthropathy at the L1-L2, L2-L3, L3-L4 and L4-L5 levels bilaterally and mild facetal arthropathy on the right side at the L5-S1 level.

9. Canal stenosis at the L2-L3, L3-L4 and L4-L5 levels.



Sunday, 27 December 2015 16:48

14277

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

Name of the Patient : Abc Xyzmmed Nlmn / M / 5 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : Intracranial MR Venogram.

CLINICAL PROFILE :

C/O seizures since 2 years.
H/O right sided hemiparesis 2 years back.
H/O fever prior to this.

EXAMINATION :

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

MRV was performed using a 2D TOF technique.

OBSERVATION :

There is volume loss of the left cerebral hemisphere. There is an ill-defined, hyperintense signal on the T2 Weighted images along the cortex and subcortical white matter of the left cerebral hemisphere (sparing the basal ganglia). This lesion appears hypointense on the T1 Weighted images. Resultant mild to moderate dilatation of the left lateral ventricle is noted. The left cerebral peduncle is also atrophied and a focal hyperintense signal is noted in the left thalamus and in the pons on the left, anteriorly (? due to Wallerian degeneration). Mild pull of the midline to the left is noted. The posterior body and splenium of the corpus callosum appears thin.

Mild dilatation of the right lateral, third and fourth ventricles is also noted.

The basal cisternal spaces are unremarkable.






INTRACRANIAL MRV :

There is slight attenuation of the superficial cortical veins overlying the left cerebral hemisphere. The superior sagittal sinus, transverse and sigmoid sinuses, internal cerebral veins, vein of Galen and the straight sinus show normal flow signal.

No obvious venous sinus thrombosis is evident on this scan.

IMPRESSION :

1. Altered signal in the left cerebral hemisphere as described, most likely represents an old ischemic lesion.

2. Except for slight attenuation of the superfical cortical veins overlying the left cerebral convexity, no significant abnormality is detected on the Intracranial MR Venogram, on this study.

Sunday, 27 December 2015 16:48

14276

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

Name of the Patient : Abc Xyza Jalmn / F / 23 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

H/O high grade fever for 2-3 days with weakness of BLE 3 months back. Weakness still persists.

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 are ill-defined hyperintense areas on the T2 Weighted and Fast Scan (T2 *) images within the cervical spinal cord involving the anterior and lateral columns, bilaterally. These are iso to hypointense to normal cord on the T1 Weighted images. Similar areas are also seen to involve the cervico-medullary junction.

A small posterior disc bulge is noted at the C4-C5 level with mild anterior indentation of the thecal sac. 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 atlanto-axial region is unremarkable.





The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and shows altered signal in the lower dorsal spinal cord and conus medullaris.

The brain was screened with 5 mm thick T2 Weighted axial images and 3 mm thick STIR coronal images. Hyperintense areas are noted on the T2 Weighted images within the medulla and pons and left cerebral peduncle. The optic nerves show a subtle hyperintense signal on the STIR images.

IMPRESSION :

Altered signal within the cervical spinal cord, cervico-medullary junction, medulla, pons and the left cerebral peduncle and the lower dorsal cord most likely represents demyelinating lesions. The optic nerves also show subtle altered signal.

The possibility of these lesions being due to ischemia/infarction seems less likely.

Sunday, 27 December 2015 16:48

14275

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

Name of the Patient : Abc Xyzhand Malmn / M / 40 yrs.
Referred by : Dr. Abc Xyzzare.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O weakness and stiffness of BLE since 20 days.

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 large posterior disc herniation at the C6-C7 level with anterior compression of the spinal cord. The spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. This is isointense to normal cord on the T1 Weighted images suggestive of cord edema/ischemia.

A small postero-central disc herniation is seen at the C7-D1 level with anterior indentation of the thecal sac. The cervical intervertebral discs show loss of water content.

Small, postero-central protruded discs with peridiscal osteophytes are noted at the C2-C3, C3-C4 and C4-C5 levels.

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 and the cervico-medullary junction are unremarkable. The clivus appears more horizontally oriented as compared to normal.
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Incidental note is made of prominence of the cerebellar folia.

The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and does not reveal any diagnostic feature of note.

IMPRESSION :

The MRI features are suggestive of :

1. A large posterior disc herniation at the C6-C7 level with cord compression and altered signal of the cord at this level suggestive of cord edema/ischemia.

2. A small postero-central disc herniation at the C7-D1 level.

Sunday, 27 December 2015 16:48

14274

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

Name of the Patient : Abc Xyzlal lmn / M / 57 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O weakness of the LLE since 1 month.
Known diabetic.

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 is a subtle hyperintense signal on the T2 Weighted images in the medulla. This is isointense to normal white matter on the T1 Weighted images and would most likely represent ischemic change.

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

Incidental note is made of mild inflammatory changes in the ethmoidal air cells.

INTRACRANIAL MRA :

There is slight attenuation of the distal segment of the P2 segment of the left posterior cerebral artery for approximately 1.0 cm and may be due to atherosclerotic changes. The distal right posterior cerebral artery is not well identified.

The right vertebral artery is hypoplastic.





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

NECK MRA :

The right vertebral artery in the neck is also hypoplastic.

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 in the medulla would represent ischemic change.

2. Slight attenuation of the distal portion of the P2 segment of the left posterior cerebral artery may be due to atherosclerotic changes. The distal right posterior cerebral artery is not well-defined.





Sunday, 27 December 2015 16:48

14273

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

Name of the Patient : Abc Xyzhai Chaudlmn / M / 59 yrs.
Referred by : Dr. Abc Xyz Apte.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O right sided hemiplegia 3 months back.
C/O left sided hemiplegia 1 1/2 months back with speech disturbances.
Known diabetic.

EXAMINATION :

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

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

OBSERVATION :

There is an ill-defined, hyperintense signal on the T2 Weighted images in the left lentiform nucleus, left insular cortex, left corona radiata and in the left high frontal cortex. This lesion appears hypointense on the T1 Weighted images. Volume loss is noted in that region.

Similar signal intensity changes are noted in the right fronto-temporal cortex.

Hyperintense signal on the T2 Weighted images is also noted in the subcortical white matter in the frontal regions bilaterally.

There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally. There is no shift of the midline structures.
Scan-00003


INTRACRANIAL MRA :

The A1 segment of the left anterior cerebral artery appears hypoplastic.

The left middle cerebral artery an its branches appear slightly attenuated.

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

MOTION ARTIFACTS ARE NOTED IN SOME IMAGES.

The left vertebral artery is hypoplastic.

There is concentric narrowing of the proximal 2.0 cms segment of the internal carotid arteries bilaterally, with significant stenosis. The visualized external carotid arteries and the common carotid arteries appear unremarkable.

IMPRESSION :

1. Altered signal in the left lentiform nucleus, left insular cortex, left corona radiata and in the left high frontal cortex and in the right fronto-temporal cortex represents old infarcts.
..3/.












- 3 - Scan-00003



2. Altered signal in the subcortical white matter in the frontal regions bilaterally represents ischemic changes.

3. Hypoplastic A1 segment of the left anterior cerebral artery and the left vertebral artery.

4. Attenuation of the left middle cerebral artery and its branches.

5. Concentric narrowing of the proximal 2.0 cms segment of the internal carotid arteries bilaterally, with significant stenosis.