MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14252

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

Name of the Patient : Abc Xyzha Plmn / F / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical & Dorsal
Spines (Post-contrast Study).

CLINICAL PROFILE :

C/O weakness of BLE (left more than right) since 1 month.
C/O bladder involvement since 1 day.


A contrast enhanced study was obtained in the cervical and dorsal regions using 4 mm thick T1 Weighted sagittal images and 5 mm thick T1 Weighted axial images.


After administration of contrast there is patchy enhancement of the lesion at the C3-C4 and C4-C5 levels in the region of the left postero-lateral column (scans 103.10, 103.13).

No enhancement is seen along the meninges.

The possibility of demyelinating plaques should be considered.

Sunday, 27 December 2015 16:48

14251

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

Name of the Patient : Abc Xyzm Glmn / F / 3 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O MR with delayed milestones and seizures since 3-4 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 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.

There is slight prominence of the interhemispheric fissure.

The hippocampus 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.

Note is made of inflammatory changes in both maxillary and ethmoidal air cells and right mastoid air cells.

IMPRESSION :

The MRI features are suggestive of slight prominence of the interhemispheric fissure (? significance).
Sunday, 27 December 2015 16:48

14250

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

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

CLINICAL PROFILE :

C/O headaches (right sided) since 1 month.
H/O Right Ca breast surgery in 0000. Received Chemotherapy (6 cycles).

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.

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 :

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

Dilated perivascular spaces are seen in the cerebral peduncles bilaterally.

After administration of contrast, there is no abnormal enhancement within the brain parenchyma or along the meninges.







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

14249

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

Name of the Patient : Abc Xyzhav Klmn / M / 1 yr.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since birth.
? partial agenesis of corpus callosum.

EXAMINATION :

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

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

3 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

The myelination pattern appears normal for the patients age.

The hippocampal complex on either side is unremarkable.

The corpus callosum appears 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

14247

Written by
ke.bv.rg.
Date : 00.00.00

Name of the Patient : Abc XyzSalalmn / F / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias 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 scoliosis of the lumbar spine with convexity to the left. There is clockwise rotational anomaly of the upper lumbar vertebrae.


There is partial sacralization of the L5 vertebral body on the left side and slight forward translation of the L3 over the L4 vertebral body.

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 L4-L5 facet joints show degenerative changes.

A right postero-lateral disc herniation is noted at the L3-L4 level with right neural foraminal narrowing. The L3-L4 facet joints bilaterally, (right more than left) show degenerative changes.


A small right paracentral disc herniation with peridiscal osteophytes is seen at the L5-S1 level with anterior indentation of the thecal sac. Schmorls nodes are noted in the lumbar region. The lumbar intervertebral discs show loss of water content. There are Type II degenerative changes in the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc.

The L1-L2 and L2-L3 facet joints on the right side and the L5-S1 facet joints on the left side show degenerative changes.

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 S2 level.

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

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

IMPRESSION :

The MRI features are suggestive of :

1. Scoliosis of the lumbar spine with convexity to the left.

2. Partial sacralization of the L5 vertebral body on the left side with forward translation of the L3 over the L4 vertebra.
..3/.






- 3 - Scan-00007

3. A diffuse posterior disc herniation at the L4-L5 level with facetal arthropathy.

4. A right postero-lateral disc herniation at the L3-L4 level.

5. A small right paracentral disc herniation with peridiscal osteophytes at the L5-S1 level.

6. Facetal arthropathy in the lumbar region.
Sunday, 27 December 2015 16:48

14245

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

Name of the Patient : Abc XyzShlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 6 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 T1 Weighted and T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is beaking of the cerebellar tonsils and the tip is seen to lie at the level of the foramen magnum.

A lacunar infarct is seen in the right corona radiata (scans 103.13, 102.13, 104.13)

Hyperintense foci are seen in both periventricular regions adjacent to the frontal horns, both centrum semiovale and left corona radiata on the proton and T2 Weighted images and these may be ischemic in etiology.

The hippocampus complex on either side is unremarkable.

There is mild dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic, with indentation upon the ventral aspect of the pons.



Incidental note is made of bilateral maxillary polyps and mild inflammatory changes in the ethmoidal air cells.

IMPRESSION :

The MRI features are suggestive of :

1. Beaking of the cerebellar tonsils with the tip seen to lie at the level of the foramen magnum.

2. Ischemic changes in the periventricular regions, left corona radiata and centrum semiovale bilaterally.

3. Lacunar infarct in the right corona radiata.

Sunday, 27 December 2015 16:48

14244

Written by
hs/bv/nl/rg.
/48 Date : 00.00.00

Name of the Patient : Abc Xyz Mahlmn / F / 52 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 in BLE since 1 1/2 months.
Similar complaints 1 year back.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

After administration of contrast the following parameters were used :

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

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

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There appears to be sacralization of the L5 vertebra and the L1 vertebra is as marked on the film. Please correlate with plain radiographs.

There is evidence of an intradural lesion extending over the L2-L3 disc level to the L5-S1 disc level with posterior scalloping of the L4 and L5 vertebral bodies. This lesion is hyperintense to CSF but hypointense to normal marrow on the T1 Weighted images and hyperintense to both on the T2 Weighted images. After contrast administration, the lesion
..2/.




- 2 - Scan-00004/48


is seen to enhance peripherally whereas the centre remains hypointense. The CSF within the thecal sac below this lesion is hyperintense on all the pulse sequences and this may be due to the block superiorly. The nerve roots below the L2-L3 level are not well-visualized and cannot be differentiated from the lesion per se.

Mild posterior disc bulges are noted at the L3-L4 and L4-L5 levels. The L4-L5 facet joints show mild degenerative changes.

The L3-L4 intervertebral disc shows mild loss of water content.

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 S1-S2 level.

The cervico-dorsal spine was screened with 5 mm thick T1 Weighted sagittal images (with fat saturation) after contrast administration and there is no focal area of enhancement within the cervico-dorsal spinal cord or along the meninges.

IMPRESSION :

The MRI features are suggestive of a mass lesion within the thecal sac extending over the L2-L3 to the L5-S1 disc levels as described. The differential diagnosis would include a nerve sheath tumor or an ependymoma.

There also appears to be sacralization of the L5 vertebra. Please correlate with plain radiographs.



Sunday, 27 December 2015 16:48

14243

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

Name of the Patient : Abc Xyz lmn / F / 37 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with radicular pain to BLE and paresthesias since 1 year.
H/O fall from steps 4 months back.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film.

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

Type I degenerative changes are seen in the antero-superior surface of the L3 vertebra.

Schmorls nodes are seen in the inferior surface of the D12 and L1 vertebrae.

The rest of the lumbar vertebral bodies and the 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 D12-L1 level and the thecal sac terminates at the S1 level.

Fat is noted in the filum terminale over the L1 to L3 vertebral levels.
..2/.




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

20.0 mm at L1-L2
20.0 mm at L2-L3
19.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

No significant abnormality is detected on this study.










Sunday, 27 December 2015 16:48

14242

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

Name of the Patient : Abc Xyza Dlmn / F / 42 yrs.
Referred by : Dr. Abc Xyznkhara / Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache and neck pain radiating to BUE and the LLE with paresthesias 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 a small posterior disc bulge at the L5-S1 level with anterior indentation of the thecal sac.

The lumbar vertebral bodies and the 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 S2-S3 level.

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

16.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
15.0 mm at L4-L5
12.0 mm at L5-S1.
Scan-00002



The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images which does not reveal any diagnostic feature of note. The visualized dorsal spinal cord and the conus cauda show normal signal intensity.

IMPRESSION :

No significant abnormality is detected on this study.
Sunday, 27 December 2015 16:48

14241

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

Name of the Patient : Abc Xyza Dlmn / F / 44 yrs.
Referred by : Dr. Abc Xyznkhara / Dr. Abc Xyzhah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O backache and neck pain radiating to BUE and the LLE with paresthesias since 2 years.

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.

The C4-C5, C5-C6 and C6-C7 intervertebral discs show loss of water content.

A postero-central and left postero-lateral disc herniation with small peridiscal osteophytes is seen at the C5-C6 level with anterior indentation of the spinal cord and mild left neural foraminal narrowing.

Small posterior disc herniations with small peridiscal osteophytes are seen at the C4-C5 and C6-C7 levels.

A small posterior disc bulge is noted at the C3-C4 level.

Diffuse fatty changes are noted within the cervical vertebral bodies. The remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
R>
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 postero-central and left postero-lateral disc herniation with peridiscal osteophytes at the C5-C6 level.

2. Small posterior disc herniations with peridiscal osteophytes at the C4-C5 and C6-C7 levels.