MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14267

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

Name of the Patient : Abc Xyz Chlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 10 days.
H/O lumbar laminectomy (L4-L5 level) in 0000.

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 are post-operative changes in the posterior soft tissues at the L4 and L5 levels with laminectomy of the L4 vertebra. There is probable discectomy at the L4-L5 level.

A right postero-lateral disc herniation is seen at the L2-L3 level with indentation upon the foraminal and extraforaminal portion of the right L2 nerve root. There is slight superior migration of the disc.

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

Small posterior peridiscal osteophyte is noted at the L4-L5 level.

Anterior disc herniation is seen at the L3-L4 level.

The L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.


The L5-S1 facet joint on the left side and the L3-L4 and L4-L5 facet joints bilaterally show degenerative changes.

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

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

IMPRESSION :

The MRI features are suggestive of :

1. Post-operative status.

2. A right postero-lateral disc herniation at the L2-L3 level with indentation upon the foraminal and extraforaminal portion of the right L2 nerve root.

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

4. Small posterior peridiscal osteophyte at the L4-L5 level.

5. Facetal arthropathy at the L5-S1 level on the left side and at the L3-L4 and L4-L5 levels bilaterally.



Sunday, 27 December 2015 16:48

14265

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

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

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 3 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 sacralization of the L5 vertebral body and the L1 vertebral body is as marked on the film.

There is a right paracentral and right far lateral disc herniation at the L4-L5 level with antero-lateral indentation of the thecal sac and right neural foraminal narrowing. There is indentation upon the extraforaminal portion of the right L4 nerve root. The L4-L5 facet joints on the right side show degenerative changes.

A small postero-central disc herniation is seen at the L3-L4 level. Anterior disc herniation with peridiscal osteophytes is also noted at this level. The L3-L4 and L4-L5 intervertebral discs show loss of water content.

Type II degenerative changes are seen in the antero-inferior aspect of the L2 and L3 vertebral bodies.



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

The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S2 level.

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

18.0 mm at L1-L2
18.0 mm at L2-L3
16.0 mm at L3-L4
11.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Sacralization of the L5 vertebral body and the L1 vertebral body is as marked on the film.

2. A right paracentral and right far lateral disc herniation at the L4-L5 level with indentation upon the extraforaminal portion of the right L4 nerve root and facetal arthropathy on the right side at this level.

3. A small postero-central disc herniation at the L3-L4 level.

Sunday, 27 December 2015 16:48

14264

Written by
hs.ke.rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Plmn / M / 32 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Left Knee Joint.

CLINICAL PROFILE :

C/O pain in the left knee joint with difficulty in bending and limp since 3 years.

EXAMINATION :

M.R.I of the left knee joint was performed using the following parameters :

4 mm thick T1 Weighted, proton and GRASS (with fat saturation)
sagittal images.

4 mm thick T1 Weighted and STIR coronal images.

4 mm thick GRASS axial images.

OBSERVATION :

Menisci :

A linear hyperintense signal on all the pulse sequences is seen within the posterior horn of the medial meniscus. This does not extend upto the articular surface and would represents Grade II meniscal signal (degeneration).

The anterior and posterior horns of the lateral and anterior horn of the medial menisci reveal normal configuration and signal characteristics.

Cruciate Ligaments :

The anterior and posterior cruciate ligaments show normal contour and signal characteristics.


Collateral Ligaments and the Patellar Tendon :

The medial and lateral collateral ligaments and the patellar tendon are normal.

Hoffas Fat Pad :

There is slight irregularity of the postero-inferior aspect of the Hoffas fat pad and this may be due to synovial thickening.

Articular cartilage and bones :

The articular cartilage overlying the patella, tibia and femur appears normal.

IMPRESSION :

The MRI features are suggestive of :

1. Grade II meniscal signal (degeneration) within the posterior horn of the medial meniscus.

2. Probable synovial thickening in the postero-inferior aspect of the Hoffas fat pad (? etiology).
Sunday, 27 December 2015 16:48

14263

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

Name of the Patient : Abc XyzJalmn / M / 47 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with tingling in the RLE since 2 years.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is forward translation of the L5 vertebra over the S1
vertebra with probable spondylolysis at L5.

There is a postero-central disc herniation at the L5-S1 level with anterior indentation of the thecal sac.

Small postero-central disc herniations are noted at the L2-L3 and L4-L5 levels with anterior indentation of the thecal sac. The L2-L3, L4-L5 and L5-S1 intervertebral discs show loss of water content.

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-L2 level and the thecal sac terminates at the S1 level.
R>
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
17.0 mm at L3-L4
13.0 mm at L4-L5
14.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Forward translation of the L5 vertebra over the S1
vertebra with probable spondylolysis at L5.

2. A postero-central disc herniation at the L5-S1 level.

3. Small postero-central disc herniations at the L2-L3 and L4-L5 levels.

Sunday, 27 December 2015 16:48

14262

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

Name of the Patient : Abc XyzJalmn / M / 65 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O gait ataxia and diplopia.
Known hypertensive.

EXAMINATION :

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

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

OBSERVATION :

There are small areas of hyperintensity on the T2 Weighted images within the right thalamus (se/im: 102/11) and in the left centrum semiovale (se/im: 102/15) and these are most likely ischemic in etiology.

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

Note is made of an empty sella. Also seen is slight thinning of the corpus callosum.

Prominent perivascular spaces are noted within both lentiform nulcei.

The fourth ventricle is normal. There is no shift of the midline structures.

INTRACRANIAL MRA :

There is attenuation of the flow signal within the right anterior cerebral artery and right posterior cerebral artery. Also seen is slight attenuation in the left posterior cerebral artery and this may be due to atherosclerosis.
..2/.





The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, middle cerebral, basilar, vertebral 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.

IMPRESSION :

1. Areas of altered signal within the right thalamus and in the left centrum semiovale are most likely ischemic in etiology.

2. Attenuation of the flow signal within the right anterior cerebral artery and right posterior cerebral artery and slightly in the left posterior cerebral artery, this may be due to atherosclerosis.




Sunday, 27 December 2015 16:48

14261

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

Name of the Patient : Abc Xyzshan Klmn / M / 11 yrs.
Referred by : Dr. Abc XyzR> Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches since 2 years.

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 T2 Weighted coronal images.

5 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

The hippocampal complex on either side is 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 :

Normal study of the Brain.
Sunday, 27 December 2015 16:48

14260

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

Name of the Patient : Abc Xyzar S. Pusalmn / M / 60 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O numbness in the LLE with inability to lift the LLE since 7 days.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

Posterior disc herniations are seen to indent the thecal sac and narrow both neural foramina at the L3-L4 and L4-L5 levels.

A small postero-central disc herniation is seen to indent the thecal sac at the L5-S1 level.

There is a mild posterior disc bulge at the L2-L3 level. A left postero-lateral (foraminal) disc herniation is noted at the L2-L3 level.

Far lateral (extraforaminal) disc bulges are noted bilaterally over the L2-L3 to L5-S1 levels. The intervertebral discs over these levels show loss of water content.

The facet joints over the L2-L3 to L5-S1 levels show mild degenerative changes.


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

The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S2 level.

The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and the visualized dorsal spinal cord is unremarkable.

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

16.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Posterior disc herniations at the L3-L4 and L4-L5 levels with narrowing of the neural foramina bilaterally over these levels.

2. A small postero-central disc herniation at the L5-S1 level.

3. Mild facetal arthropathy over the L2-L3 to L5-S1 levels.

Sunday, 27 December 2015 16:48

14259

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

Name of the Patient : Abc Xyzo Klmn / M / 58 yrs.
Referred by : Dr. Abc Xyz Mehta.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis since 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.

5 mm thick T1 Weighted sagittal images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is evidence of a space-occupying lesion within the right thalamus and having a diameter of 2.1 cms. This lesion is iso to hypointense on the T1 Weighted images and turns more hypointense on the proton, T2 Weighted and Fast Scan (T2 *) images and would represent an acute bleed. Note is made of perilesional edema. There is extension of this lesion into the right lateral and third ventricles.

There are diffuse irregularly defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images in the fronto-parietal regions bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.

Lacunar infarcts (iso to hyperintense to CSF) are seen within the head of the caudate nucleus and left lentiform nucleus. These are surrounded by gliotic changes (hyperintense on the proton, T2 Weighted and FLAIR images).



The left lateral 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 :

The MRI features are suggestive of an acute bleed within the right thalamus having a diameter of 2.1 cms. with extension into the ventricular system.


Sunday, 27 December 2015 16:48

14258

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

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

CLINICAL PROFILE :

C/O neckpain radiating to the RUE with paresthesias since 1 1/2 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 :

The cervical intervertebral discs show loss of water content.

A right paracentral disc herniation with peridiscal osteophytes is seen to indent the right ventral aspect of the cord and probably the right C6 nerve root at the C5-C6 level.

A small right paracentral disc herniation with small peridiscal osteophytes is seen to indent the right ventral aspect of the cord at the C6-C7 level.

Posterior disc bulges with small peridiscal osteophytes are seen to indent the thecal sac at the C2-C3 and C4-C5 levels. A posterior disc bulge is seen at the C3-C4 level.

The C2, C3 and C4 vertebral bodies show areas of fatty replacement of normal marrow.

The left joint of Luschka at the C3-C4 level show mild degenerative changes.
..2/.






The rest of the cervical vertebral bodies show normal signal intensity. The remaining 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 :

The MRI features are suggestive of :

1. A right paracentral disc herniation with peridiscal osteophytes at the C5-C6 level.

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


Sunday, 27 December 2015 16:48

14257

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

Name of the Patient : Abc Xyzsh Shlmn / M / 3 1/2 months.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since the age of 10 days.

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 T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

A thin membrane is seen in the right frontal extracerebral region of ? significance.

IMPRESSION :

Normal study of the Brain.