MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14220

Written by
ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzn Glmn / M / 11 yrs.
Referred by : Dr. Abc Xyzvani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

known C/O ALL detected in April 0000. Received Chemotherapy (4 cycles) and Radiotherapy (10 sittings).

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.

OBSERVATION :

There is a hyperintense area on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the right posterior
parietal region and right frontal region. These lesions are isointense to the normal white matter on the T1 Weighted images.

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.

Incidental note is made of mild inflammatory changes in the ethmoidal air cells. An empty sella is also noted.

IMPRESSION :

The MRI features are suggestive of altered signal in the subcortical white matter in the right posterior parietal region and in the right frontal region. These changes are not specific for a single etiology. This may represent ? ischemia, ?? demyelination.
Sunday, 27 December 2015 16:48

14219

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

Name of the Patient : Abc Xyz Mlmn / F / 79 yrs.
Referred by : Dr. Abc Xyzdia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O forgetfulness since 1 year.
C/O occasional giddiness.

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 deep white matter in the left posterior parietal region subcortical white matter in the frontal and parietal regions bilaterally, right lentiform nucleus and in the centrum semiovale bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.

There is mild dilatation of both the lateral and 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. No obvious vascular anomaly is identified on this study.








IMPRESSION :

1. Altered signal in the deep white matter in the left posterior parietal region subcortical white matter in the frontal and parietal regions bilaterally, right lentiform nucleus and in the centrum semiovale bilaterally represent ischemic changes.

2. Mild cerebral and cerebellar atrophy.




Sunday, 27 December 2015 16:48

14218

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

Name of the Patient : Abc Xyzkumar lmn / M / 45 yrs.
Referred by : Dr. Abc Xyzmpat / Dr. Abc Xyznna.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache with paresthesias.
H/O vehicular accident 4 months back.

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.

FEW IMAGES SHOW PATIENT MOTION, INSPITE OF SEDATION.

OBSERVATION :

The mid-dorsal and the D8-D9 intervertebral discs show loss of water content.

A small, right paracentral protruded disc is noted at the D8-D9 level.

An extrapleural lesion is seen on the left side at the D9 level. This is iso to hypointense to the normal muscles on the T1 Weighted images and appears heterogeneously hyperintense on the T2 Weighted images. This lesion is the sequelae of previous intercostal drainage.

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 visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.

The conus medullaris terminates at the L1 level.

IMPRESSION :

No significant abnormality is detected on this study.

An extrapleural lesion on the left side at the D9 level is due to previous intercostal drainage.

Sunday, 27 December 2015 16:48

14217

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzibegum Anlmn / F / 29 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches since 5-6 months.
H/O pulmonary kochs in January 0000. Completed AKT.
Patient is HIV +ve.

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.

OBSERVATION :

There is a small, ill-defined, hyperintense signal on the T2 Weighted and FLAIR images in the right inferior temporal cortex and in the left posterior parietal parafalcine cortex (scans 105.6 & 105.9). These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.

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 right inferior temporal cortex and in the left posterior parietal parafalcine cortex as described is not specific for a single etiology. This may represent perilesional edema around a granuloma or may represent gliotic/ischemic changes.

The previous CT Scan was not available for review/comparison.

Patient refused a contrast enhanced study.
Sunday, 27 December 2015 16:48

14216

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza Plmn / F / 34 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias.

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 reduction in height and loss of water content of the L2-L3, L3-L4 and L4-L5 intervertebral discs. The L5-S1 intervertebral disc appears hyperintense on the T2 Weighted images. Type II degenerative marrow changes are noted adjacent to the L5-S1 disc.

Posterior peridiscal osteophytes are noted at the L5-S1 level.

A fairly large postero-central disc herniation with peridiscal osteophytes is noted at the L4-L5 level with thecal sac compression and indentation on the L5 nerve roots bilaterally.

A right postero-lateral (foraminal) disc bulge is noted at the L3-L4 level.

Posterior peridiscal osteophyte are seen at the L2-L3 level.

Hypertrophic facetal arthropathy is noted at the L5-S1 level and slight facetal hypertrophy is noted at the L4-L5 level.
..2/.





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The rest of the lumbar vertebral bodies 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 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
16.0 mm at L2-L3
14.0 mm at L3-L4
11.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. A fairly large postero-central disc herniation with peridiscal osteophytes at the L4-L5 level.

2. A right postero-lateral (foraminal) disc bulge at the L3-L4 level.

3. Hypertrophic facetal arthropathy at the L5-S1 level and slight facetal hypertrophy at the L4-L5 level.
Sunday, 27 December 2015 16:48

14215

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Naylmn / M / 31 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (left more than right) with paresthesias since 10-12 years which is increased since 1 month.
H/O fall from a height 10-12 years 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 loss of water content of the L2-L3 and L3-L4 intervertebral discs.

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

Type II degenerative marrow changes are seen adjacent to the L2-L3 intervertebral disc.

Schmorls nodes are noted in the dorso-lumbar region.

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 L1 level and the thecal sac terminates at the S2 level.
..2/.






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

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

IMPRESSION :

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

14214

Written by
sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc XyzSollmn / F / 38 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the LUE with paresthesias since 1 month.

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 postero-lateral extruded disc at the C4-C5 level with left neural foraminal narrowing and indentation on the left C5 nerve root. Slight superior and inferior migration of the disc fragment is noted.

A smaller, postero-central disc herniation is noted at the C5-C6 level.

The cervical vertebral bodies show normal signal intensity. 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.
..2/.







IMPRESSION :

1. A fairly large, left postero-lateral extruded disc at the C4-C5 level with left neural foraminal narrowing and indentation on the left C5 nerve root.

2. A smaller, postero-central disc herniation at the C5-C6 level.

Sunday, 27 December 2015 16:48

14213

Written by
Date : 00.00.00

Name of the Patient : Abc Xyzi Pinlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzzare.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O sudden onset of paraplegia since 4 days with bladder incontinence since 1 day.

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.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is slight wedging of the D7 and D8 vertebral bodies. The D7 and D8 vertebral bodies appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. The D7-D8 intervertebral disc also seems to be involved.

There is a prevertebral, paravertebral and anterior epidural soft tissue lesion over D7 to D8 vertebral levels. This lesion is of intermediate signal intensity on the T1 Weighted images and appears hyperintense on the T2 Weighted images. There is resultant cord compression and cord signal alteration (hyperintense on the T2 Weighted images) suggesting cord edema/ischemia.

The rest of the visualized dorso-lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.

The conus medullaris terminates at the L1 level.


IMPRESSION :

Altered signal D7 and D8 vertebral bodies and the D7-D8 intervertebral disc most likely represents osteitis with discitis probably tuberculous in etiology. There is resultant cord compression and cord signal alteration at these levels suggesting cord edema/ischemia.

The possibility of a neoplasm is less likely.

Sunday, 27 December 2015 16:48

14212

Written by
ke/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzli lmn / M / 45 yrs.
Referred by : Dr. Abc Xyzchile / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

Known C/O multiple myeloma detected 2 years back. Received 5 cycles of Chemotherapy.
C/O backache with pain radiating to BLE.

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.

5 & 6 mm thick T1 Weighted coronal images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is wedging of the D4, D5 and the D12 vertebral bodies. These vertebral bodies show hypointense signal on the T1 Weighted images and which is slightly hyperintense to normal marrow on the T2 Weighted images. Slight wedging of the D7 and D8 vertebral bodies is also seen.

A Schmorls node is noted at the inferior aspect of the D8 vertebral body and at the superior aspect of the D12 vertebral body.

The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity.

The visualized dorsal spinal cord reveals normal signal intensity.
..2/.





>

The conus medullaris terminates at the L1 level.

There is a lobulated lesion in the right extrapleural space at the D8 and D9 levels. This lesion is hyperintense to normal muscle on the T1 Weighted images and is heterogeneously hyperintense on the T2 Weighted images (? arising from the right D8 rib).

A suspicious soft tissue lesion is seen in the hilar region of the spleen (se/im 103/7) ? lymphnode. Further evaluation with ultrasonography would be worthwhile.

The cervico-dorsal spine and the lumbar spine were screened with 4 mm thick T1 Weighted sagittal images and which shows slight wedging of the L2 vertebral body with a subtle hypointense signal. No diagnostic abnormality is noted in the cervical spine.

IMPRESSION :

In a known C/O myeloma, the MRI features are suggestive of wedging and altered signal of the D4, D5, D12 and L2 vertebral bodies as described (? due to multiple myeloma ? compression fracture).

Also seen is wedging of the D7 and D8 vertebral bodies.
Sunday, 27 December 2015 16:48

14211

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzari Kanthlmn / F / 43 yrs.
Referred by : Dr. Abc Xyzantharia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fall and numbness in BLE on 00.00.00.
Now C/O numbness on the right side of the face since then. Also C/O headaches (migraine) since 5 years.
Known hypertensive. On Rx.

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

No extracerebral collection is identified on this study.

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.

Inflammatory changes are noted in the sphenoid sinus.

IMPRESSION :

Normal study of the Brain.