MRI Reports (3472)
MRI Reports Database
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzh N. Blmn / F / 75 yrs.
Referred by : Dr. Abc Xyzednekar.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O syncopal attack on 00.00.00.
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 no focal area of altered signal intensity within the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures.
INTRACRANIAL MRA :
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, 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 :
There is slight irregularity of the proximal left internal carotid artery at and just distal to the left common carotid bifurcation.
The left vertebral artery appears hypoplastic. Right common carotid bifurcation and right vertebral artery are unremarkable.
IMPRESSION :
1. No abnormality detected in the brain parenchyma per se.
2. Slight irregularity of the proximal left internal carotid artery as described may be atherosclerotic in etiology.
Date : 00.00.00
Name of the Patient : Abc Xyzh N. Blmn / F / 75 yrs.
Referred by : Dr. Abc Xyzednekar.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O syncopal attack on 00.00.00.
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 no focal area of altered signal intensity within the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures.
INTRACRANIAL MRA :
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, 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 :
There is slight irregularity of the proximal left internal carotid artery at and just distal to the left common carotid bifurcation.
The left vertebral artery appears hypoplastic. Right common carotid bifurcation and right vertebral artery are unremarkable.
IMPRESSION :
1. No abnormality detected in the brain parenchyma per se.
2. Slight irregularity of the proximal left internal carotid artery as described may be atherosclerotic in etiology.
Published in
MRI Reports
bv/sb/rg.
s Date : 00.00.00
Name of the Patient : Abc XyzAbdlmn / F / 27 yrs.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches since 2 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.
5 mm thick FLAIR coronal 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.
IMPRESSION :
Normal study of the Brain.
s Date : 00.00.00
Name of the Patient : Abc XyzAbdlmn / F / 27 yrs.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches since 2 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.
5 mm thick FLAIR coronal 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.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Sonlmn / M / 42 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE 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 loss of water content of the lumbar intervertebral discs.
There is a postero-central disc herniation at the L5-S1 level, indenting the dural theca anteriorly.
A fairly large, left paracentral disc herniation is noted at the L4-L5 level with left neural foraminal narrowing and indentation of the traversing left L5 nerve root.
Small postero-central protruded discs are noted at the L3-L4 and L1-L2 levels and a small left far lateral protruded disc is noted at the L2-L3 level.
Focal fatty marrow changes are noted in the L2 vertebral body adjacent to the L1-L2 disc.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
R>
Anterior disc herniations are seen at the L1-L2, L2-L3 and L3-L4 levels.
The conus medullaris terminates at the L1-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 :
14.0 mm at L1-L2
13.0 mm at L2-L3
13.0 mm at L3-L4
8.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A fairly large, left paracentral disc herniation at the L4-L5 level with left neural foraminal narrowing and indentation on the traversing left L5 nerve root.
2. A postero-central disc herniation at the L5-S1 level.
Date : 00.00.00
Name of the Patient : Abc Xyz Sonlmn / M / 42 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE 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 loss of water content of the lumbar intervertebral discs.
There is a postero-central disc herniation at the L5-S1 level, indenting the dural theca anteriorly.
A fairly large, left paracentral disc herniation is noted at the L4-L5 level with left neural foraminal narrowing and indentation of the traversing left L5 nerve root.
Small postero-central protruded discs are noted at the L3-L4 and L1-L2 levels and a small left far lateral protruded disc is noted at the L2-L3 level.
Focal fatty marrow changes are noted in the L2 vertebral body adjacent to the L1-L2 disc.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
R>
Anterior disc herniations are seen at the L1-L2, L2-L3 and L3-L4 levels.
The conus medullaris terminates at the L1-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 :
14.0 mm at L1-L2
13.0 mm at L2-L3
13.0 mm at L3-L4
8.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A fairly large, left paracentral disc herniation at the L4-L5 level with left neural foraminal narrowing and indentation on the traversing left L5 nerve root.
2. A postero-central disc herniation at the L5-S1 level.
Published in
MRI Reports
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzi lmn / F / 63 yrs.
Referred by : Dr. Abc Xyzshra.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O bifrontal craniotomy on 00.00.00.
HP s/o meningioma.
For follow up.
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 T1 Weighted and STIR coronal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial images with magnetization transfer.
4 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is evidence of a bifrontal craniotomy. Minimal extracerebral (most likely) subdural collection/hematoma is noted at the site of previous surgery with a maximum width of about 4.0 mms.
There is an ill-defined, hypointense lesion on the T1 Weighted images in the cortex and the subcortical white matter in the left inferior frontal and frontal regions bilaterally. This lesion appears hyperintense on the proton and T2 Weighted images. Focal hyperintense signal on the T1 Weighted images which appears hypointense on the T2 Weighted images is noted within this lesion to the right of the midline and may represent calcium /hemoglobin breakdown products. Mild dilatation of frontal horns of both lateral ventricles is noted.
R>
There is seen an intermediate signal intensity mass lesion on the T1 Weighted images in the region of the ethmoidal air cells bilaterally extending into the sphenoid sinus posteriorly, nasal cavity inferiorly and into the left orbit, medially. This lesion appears predominantly hypointense on the T2 Weighted images. There is resultant erosion of the medial wall of the left orbit and inferior displacement of the left medial rectus muscle and lateral displacement of the left superior rectus muscle nearer the orbital apex. Extension of the lesion into the left orbital apex per se is noted. Mild proptosis of the left globe is identified. The left optic nerve shows normal signal intensity.
Altered signal in the left maxillary antrum most likely is inflammatory in etiology. Altered signal in the left frontal sinus may represent tumor extension/post-operative changes.
There is mild fullness of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
After administration of contrast, there is patchy enhancement of the lesion in the ethmoidal aircells, sphenoid sinus and the nasal cavity. Meningeal enhancement in the frontal regions bilaterally may be the sequelae of previous surgery.
IMPRESSION :
1. Post-operative status.
2. Altered signal in the inferior frontal and frontal lobes bilaterally represents gliotic/encephalomalacic changes, the sequelae of previous surgery.
..3/.
- 3 - Scan-00004
3. Patchily enhancing mass lesion in the ethmoidal air cells bilaterally, sphenoid sinus, nasal cavity inferiorly and in the left orbit, medially represents residual tumor.
As compared to the previous MRI dated 00.00.00 (scan no.00006), there is no intracranial component of the previously described tumor identified. The lesion in the paranasal sinuses and left orbit remains unchanged.
Date : 00.00.00
Name of the Patient : Abc Xyzi lmn / F / 63 yrs.
Referred by : Dr. Abc Xyzshra.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O bifrontal craniotomy on 00.00.00.
HP s/o meningioma.
For follow up.
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 T1 Weighted and STIR coronal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial images with magnetization transfer.
4 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is evidence of a bifrontal craniotomy. Minimal extracerebral (most likely) subdural collection/hematoma is noted at the site of previous surgery with a maximum width of about 4.0 mms.
There is an ill-defined, hypointense lesion on the T1 Weighted images in the cortex and the subcortical white matter in the left inferior frontal and frontal regions bilaterally. This lesion appears hyperintense on the proton and T2 Weighted images. Focal hyperintense signal on the T1 Weighted images which appears hypointense on the T2 Weighted images is noted within this lesion to the right of the midline and may represent calcium /hemoglobin breakdown products. Mild dilatation of frontal horns of both lateral ventricles is noted.
R>
There is seen an intermediate signal intensity mass lesion on the T1 Weighted images in the region of the ethmoidal air cells bilaterally extending into the sphenoid sinus posteriorly, nasal cavity inferiorly and into the left orbit, medially. This lesion appears predominantly hypointense on the T2 Weighted images. There is resultant erosion of the medial wall of the left orbit and inferior displacement of the left medial rectus muscle and lateral displacement of the left superior rectus muscle nearer the orbital apex. Extension of the lesion into the left orbital apex per se is noted. Mild proptosis of the left globe is identified. The left optic nerve shows normal signal intensity.
Altered signal in the left maxillary antrum most likely is inflammatory in etiology. Altered signal in the left frontal sinus may represent tumor extension/post-operative changes.
There is mild fullness of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
After administration of contrast, there is patchy enhancement of the lesion in the ethmoidal aircells, sphenoid sinus and the nasal cavity. Meningeal enhancement in the frontal regions bilaterally may be the sequelae of previous surgery.
IMPRESSION :
1. Post-operative status.
2. Altered signal in the inferior frontal and frontal lobes bilaterally represents gliotic/encephalomalacic changes, the sequelae of previous surgery.
..3/.
- 3 - Scan-00004
3. Patchily enhancing mass lesion in the ethmoidal air cells bilaterally, sphenoid sinus, nasal cavity inferiorly and in the left orbit, medially represents residual tumor.
As compared to the previous MRI dated 00.00.00 (scan no.00006), there is no intracranial component of the previously described tumor identified. The lesion in the paranasal sinuses and left orbit remains unchanged.
Published in
MRI Reports
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzChlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzishnav.
Examination : M.R.I. of the Adrenal Glands with Renal
MRA.
CLINICAL PROFILE :
Known hypertensive.
To r/o pheochromocytoma.
EXAMINATION :
M.R.I. of the adrenal glands and renal MRA was performed using the following parameters :
7 mm thick T1 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted (with fat saturation) coronal images.
MRA of the renal vessels was performed using 3D PC and 2D TOF techniques.
OBSERVATION :
There is no focal mass lesion in the suprarenal region on either side. The suprarenal glands show normal signal and configuration on either side.
The visualized kidneys are normal in bulk and signal characteristics.
The MRA reveals a normal calibre aorta and renal arteries. No obvious stenosis of the ostia of the renal artery is noted. No vessel wall irregularity is noted.
No abnormally enlarged abdominal lymphnodes or para-aortic mass lesion is identified.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc XyzChlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzishnav.
Examination : M.R.I. of the Adrenal Glands with Renal
MRA.
CLINICAL PROFILE :
Known hypertensive.
To r/o pheochromocytoma.
EXAMINATION :
M.R.I. of the adrenal glands and renal MRA was performed using the following parameters :
7 mm thick T1 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted (with fat saturation) coronal images.
MRA of the renal vessels was performed using 3D PC and 2D TOF techniques.
OBSERVATION :
There is no focal mass lesion in the suprarenal region on either side. The suprarenal glands show normal signal and configuration on either side.
The visualized kidneys are normal in bulk and signal characteristics.
The MRA reveals a normal calibre aorta and renal arteries. No obvious stenosis of the ostia of the renal artery is noted. No vessel wall irregularity is noted.
No abnormally enlarged abdominal lymphnodes or para-aortic mass lesion is identified.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
hs/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzt Slmn / M / 38 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O severe headaches since 1 month.
C/O diminished vision in both eyes, (right more than left) since 10-12 days.
O/E papilloedema BE.
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 no focal area of altered signal intensity in the brain parenchyma.
There is a hyperintense signal on all the pulse sequences within the transverse and sigmoid sinuses on the right side and within the anterior and midsegments of the superior sagittal sinus and in the posterior cortical veins.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
The optic nerves were screened with 4 mm thick STIR coronal images and show normal signal intensity.
Inflammatory changes are seen within the right mastoid air cells, right maxillary sinus and ethmoidal air cells.
IMPRESSION :
The MRI features are suggestive of altered signal within the transverse and sigmoid sinuses on the right side and within the anterior and midsegments of the superior sagittal sinus and posterior cortical veins as described. This may represent venous sinus thrombosis/slow flow (thrombus more likely in the right transverse and sigmoid sinuses especially as seen on the limited MRV. The superior sagittal sinus may have partially recanalised).
Date : 00.00.00
Name of the Patient : Abc Xyzt Slmn / M / 38 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O severe headaches since 1 month.
C/O diminished vision in both eyes, (right more than left) since 10-12 days.
O/E papilloedema BE.
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 no focal area of altered signal intensity in the brain parenchyma.
There is a hyperintense signal on all the pulse sequences within the transverse and sigmoid sinuses on the right side and within the anterior and midsegments of the superior sagittal sinus and in the posterior cortical veins.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
The optic nerves were screened with 4 mm thick STIR coronal images and show normal signal intensity.
Inflammatory changes are seen within the right mastoid air cells, right maxillary sinus and ethmoidal air cells.
IMPRESSION :
The MRI features are suggestive of altered signal within the transverse and sigmoid sinuses on the right side and within the anterior and midsegments of the superior sagittal sinus and posterior cortical veins as described. This may represent venous sinus thrombosis/slow flow (thrombus more likely in the right transverse and sigmoid sinuses especially as seen on the limited MRV. The superior sagittal sinus may have partially recanalised).
Published in
MRI Reports
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyza Milmn / F / 29 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with momentary blackouts since 3 months.
C/O vomiting since 10-15 days.
C/O fever (on and off).
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 is a leash of multiple, serpingenous, signal-void lesions on all the pulse sequences in the left fronto-temporo-parietal cortex and subcortical white matter. These lesions represent a vascular malformation, and is seen to drain into the cortical veins which appear prominent. The left internal cerebral vein also appears slightly larger as also do some of the posterior Sylvian branches of the left middle cerebral artery. There is no perilesional edema or evidence of a recent intracranial haemorrhage.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidentally noted is an empty sella.
IMPRESSION :
The MRI features suggest a vascular malformation in the left fronto-temporo-parietal region. Its arterial supply appears to be from the posterior Sylvian branches of the left middle cerebral artery. The venous drainage seems to be into the superficial cortical veins and probably into the left internal cerebral vein.
A DSA would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyza Milmn / F / 29 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with momentary blackouts since 3 months.
C/O vomiting since 10-15 days.
C/O fever (on and off).
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 is a leash of multiple, serpingenous, signal-void lesions on all the pulse sequences in the left fronto-temporo-parietal cortex and subcortical white matter. These lesions represent a vascular malformation, and is seen to drain into the cortical veins which appear prominent. The left internal cerebral vein also appears slightly larger as also do some of the posterior Sylvian branches of the left middle cerebral artery. There is no perilesional edema or evidence of a recent intracranial haemorrhage.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidentally noted is an empty sella.
IMPRESSION :
The MRI features suggest a vascular malformation in the left fronto-temporo-parietal region. Its arterial supply appears to be from the posterior Sylvian branches of the left middle cerebral artery. The venous drainage seems to be into the superficial cortical veins and probably into the left internal cerebral vein.
A DSA would be worthwhile.
Published in
MRI Reports
hs/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzra.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain 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.
MR myelogram was also obtained.
OBSERVATION :
There is probable spondylolysis at the L5, bilaterally, with minimal forward translation of the L5 over the S1 vertebra (kindly correlate with plain radiographs).
A posterior disc extrusion with a peridiscal osteophyte is seen at the L5-S1 level. Superior migration of the disc is noted with a disc portion seen to lie within the left lateral recess of the L5 vertebra with impingement of the traversing left L5 nerve root.
The lumbar facet joints show mild degenerative changes.
The L5-S1 intervertebral disc shows loss of water content.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
..2/.
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
13.0 mm at L2-L3
12.0 mm at L3-L4
14.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
1. Probable spondylolysis at the L5, bilaterally with minimal forward translation of the L5 over the S1 vertebra.
2. A posterior disc extrusion with a peridiscal osteophyte at the L5-S1 level. A disc portion is seen to lie within the left lateral recess of the L5 vertebra with impingement of the traversing left L5 nerve root.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzra.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain 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.
MR myelogram was also obtained.
OBSERVATION :
There is probable spondylolysis at the L5, bilaterally, with minimal forward translation of the L5 over the S1 vertebra (kindly correlate with plain radiographs).
A posterior disc extrusion with a peridiscal osteophyte is seen at the L5-S1 level. Superior migration of the disc is noted with a disc portion seen to lie within the left lateral recess of the L5 vertebra with impingement of the traversing left L5 nerve root.
The lumbar facet joints show mild degenerative changes.
The L5-S1 intervertebral disc shows loss of water content.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
..2/.
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
13.0 mm at L2-L3
12.0 mm at L3-L4
14.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
1. Probable spondylolysis at the L5, bilaterally with minimal forward translation of the L5 over the S1 vertebra.
2. A posterior disc extrusion with a peridiscal osteophyte at the L5-S1 level. A disc portion is seen to lie within the left lateral recess of the L5 vertebra with impingement of the traversing left L5 nerve root.
Published in
MRI Reports
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz. Sallmn / F / 20 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O drowsiness since 1 day and high grade fever since 7 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 FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
The cervical spine was screened with 3 mm thick T2 Weighted sagittal images.
SOME IMAGES SHOW PATIENT MOTION.
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.
The screening images of the cervical spine do not show any significant feature of note.
IMPRESSION :
No abnormality is detected within the brain on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz. Sallmn / F / 20 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O drowsiness since 1 day and high grade fever since 7 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 FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
The cervical spine was screened with 3 mm thick T2 Weighted sagittal images.
SOME IMAGES SHOW PATIENT MOTION.
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.
The screening images of the cervical spine do not show any significant feature of note.
IMPRESSION :
No abnormality is detected within the brain on this study.
Published in
MRI Reports
ke/sb/nl/rg.
/195 Date : 17/00.00.00
Name of the Patient : Abc Xyzti Almn / F / 66 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided weakness with slurred speech since 4 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 FLAIR and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial images and 3 mm thick T1 Weighted coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are ill-defined, hypointense areas on the T1 Weighted images in the right lentiform nucleus extending into the right corona radiata. These lesions are seen to turn heterogeneously hyperintense on the proton, T2 Weighted and FLAIR images with a small lesion posteriorly turning homogeneously hyperintense. There is surrounding edema with mass effect and compression upon the body of the right lateral ventricle and third ventricle with slight shift of the midline structures to the left. On administration of contrast, there is fairly thick peripheral enhancement of the lesion with multiple smaller lesions of varying sizes around. The largest lesion measures approximately 1.8 x 1.5 x 1.7 cms.
..2/.
There is no area of abnormal enhancement along the meninges.
The left lateral and the fourth ventricles are normal.
The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of altered signal intensity, rim-enhancing lesions in the right lentiform nucleus extending into the right corona radiata. These are not specific for a single etiology.
The differentials to be considered are :
1. Metastasis.
2. Infective granuloma.
3. Lymphoma.
4. Less likely to represent an ischemic lesion.
/195 Date : 17/00.00.00
Name of the Patient : Abc Xyzti Almn / F / 66 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided weakness with slurred speech since 4 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 FLAIR and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial images and 3 mm thick T1 Weighted coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are ill-defined, hypointense areas on the T1 Weighted images in the right lentiform nucleus extending into the right corona radiata. These lesions are seen to turn heterogeneously hyperintense on the proton, T2 Weighted and FLAIR images with a small lesion posteriorly turning homogeneously hyperintense. There is surrounding edema with mass effect and compression upon the body of the right lateral ventricle and third ventricle with slight shift of the midline structures to the left. On administration of contrast, there is fairly thick peripheral enhancement of the lesion with multiple smaller lesions of varying sizes around. The largest lesion measures approximately 1.8 x 1.5 x 1.7 cms.
..2/.
There is no area of abnormal enhancement along the meninges.
The left lateral and the fourth ventricles are normal.
The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of altered signal intensity, rim-enhancing lesions in the right lentiform nucleus extending into the right corona radiata. These are not specific for a single etiology.
The differentials to be considered are :
1. Metastasis.
2. Infective granuloma.
3. Lymphoma.
4. Less likely to represent an ischemic lesion.
Published in
MRI Reports
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hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzkolmn / F / 41 yrs.
Referred by : Dr. Abc Xyzrtane.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness and right sided earache since 2 months.
To r/o acoustic neuroma.
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 coronal images.
MR cisternogram was obtained in the coronal plane.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The seventh and eighth cranial nerve complex on either side are unremarkable.
There is mild prominence of the cerebellar folia bilaterally.
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 :
The MRI features are suggestive of :
1. Mild cerebellar atrophy.
2. Normal nonenhanced study of the seventh and eighth cranial nerve complex on either side.
If clinically indicated a contrast enhanced study may be performed (patient refused contrast administration).
Date : 00.00.00
Name of the Patient : Abc Xyzkolmn / F / 41 yrs.
Referred by : Dr. Abc Xyzrtane.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness and right sided earache since 2 months.
To r/o acoustic neuroma.
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 coronal images.
MR cisternogram was obtained in the coronal plane.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The seventh and eighth cranial nerve complex on either side are unremarkable.
There is mild prominence of the cerebellar folia bilaterally.
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 :
The MRI features are suggestive of :
1. Mild cerebellar atrophy.
2. Normal nonenhanced study of the seventh and eighth cranial nerve complex on either side.
If clinically indicated a contrast enhanced study may be performed (patient refused contrast administration).
Published in
MRI Reports
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzta Yenclmn / F / 22 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with paresthesias in BLE with associated weakness.
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 through the region of interest.
The brain was screened with 5 mm thick T2 Weighted axial images and the optic nerves were screened with 3 mm thick STIR coronal images.
OBSERVATION :
There is evidence of a fairly well-defined area which is near isointense to CSF on all the pulse sequences within the cord at the D7 and D8 vertebral levels. This may represent an area of myelomalacia.
A few of the visualized dorsal intervertebral discs show loss of water content.
The visualized dorsal vertebral bodies and the pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 level.
On screening the brain there is evidence of a hyperintense focus on the T2 Weighted images within the pons, centrally. Also seen is mild fullness of the fourth and both the lateral ventricles. There is slight prominence of the cerebellar folia and cerebral cortical sulci bilaterally.
The visualized optic nerves show normal signal intensity bilaterally on the STIR images.
IMPRESSION :
The MRI features are suggestive of :
1. An area of altered signal intensity within the cord at the D7 and D8 vertebral levels most likely represents an area of myelomalacia.
2. An area of altered signal intensity within the pons is not specific for a single etiology (? demyelination, ?? ischemia).
3. Mild cerebral and cerebellar atrophy.
As compared to the previous MRI dated 00.00.00 (Study No.00001). the previously identified lesion in the cord has now become myelomalacic. On review of the previous films and correlating with the MRI brain findings, the diagnosis of a demyelinating/ischemic lesion should be considered.
Date : 00.00.00
Name of the Patient : Abc Xyzta Yenclmn / F / 22 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with paresthesias in BLE with associated weakness.
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 through the region of interest.
The brain was screened with 5 mm thick T2 Weighted axial images and the optic nerves were screened with 3 mm thick STIR coronal images.
OBSERVATION :
There is evidence of a fairly well-defined area which is near isointense to CSF on all the pulse sequences within the cord at the D7 and D8 vertebral levels. This may represent an area of myelomalacia.
A few of the visualized dorsal intervertebral discs show loss of water content.
The visualized dorsal vertebral bodies and the pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 level.
On screening the brain there is evidence of a hyperintense focus on the T2 Weighted images within the pons, centrally. Also seen is mild fullness of the fourth and both the lateral ventricles. There is slight prominence of the cerebellar folia and cerebral cortical sulci bilaterally.
The visualized optic nerves show normal signal intensity bilaterally on the STIR images.
IMPRESSION :
The MRI features are suggestive of :
1. An area of altered signal intensity within the cord at the D7 and D8 vertebral levels most likely represents an area of myelomalacia.
2. An area of altered signal intensity within the pons is not specific for a single etiology (? demyelination, ?? ischemia).
3. Mild cerebral and cerebellar atrophy.
As compared to the previous MRI dated 00.00.00 (Study No.00001). the previously identified lesion in the cord has now become myelomalacic. On review of the previous films and correlating with the MRI brain findings, the diagnosis of a demyelinating/ischemic lesion should be considered.
Published in
MRI Reports
sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Dlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O paresthesias in the RUE since 00.00.00 and slightly in the RLE.
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 T1 Weighted and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is seen a small, approximately 9.0 mms diameter sized, well-marginated hyperintense lesion on the T1 Weighted images in the left precentral cortex. This lesion turns slightly more hyperintense on the proton, T2 Weighted and FLAIR images. There is mild perilesional edema with slight effacement of the left central sulcus.
Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. 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 left precentral sulcus, most likely represents a late, subacute hematoma (extracellular methaemoglobin).
An occult cerebrovascular malformation may be considered as a likely possibility.
A follow-up MRI would be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyz Dlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O paresthesias in the RUE since 00.00.00 and slightly in the RLE.
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 T1 Weighted and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is seen a small, approximately 9.0 mms diameter sized, well-marginated hyperintense lesion on the T1 Weighted images in the left precentral cortex. This lesion turns slightly more hyperintense on the proton, T2 Weighted and FLAIR images. There is mild perilesional edema with slight effacement of the left central sulcus.
Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. 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 left precentral sulcus, most likely represents a late, subacute hematoma (extracellular methaemoglobin).
An occult cerebrovascular malformation may be considered as a likely possibility.
A follow-up MRI would be worthwhile.
Published in
MRI Reports
hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzChlmn / M / 27 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache.
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 appears to be sacralization of the L5 vertebra and it is as marked on the film. Please correlate with plain radiographs.
There are mild posterior disc bulges at the L3-L4 and L4-L5 levels. The L4-L5 facet joints show mild degenerative changes.
Mild right far lateral (extraforaminal) disc bulges are noted at the L2-L3 and L3-L4 levels.
The lumbar vertebral bodies and the intervertebral discs 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 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
18.0 mm at L3-L4
17.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra. Please correlate with plain radiographs.
2. Small posterior disc bulges at the L3-L4 and L4-L5 levels.
3. Mild facetal arthropathy at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc XyzChlmn / M / 27 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache.
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 appears to be sacralization of the L5 vertebra and it is as marked on the film. Please correlate with plain radiographs.
There are mild posterior disc bulges at the L3-L4 and L4-L5 levels. The L4-L5 facet joints show mild degenerative changes.
Mild right far lateral (extraforaminal) disc bulges are noted at the L2-L3 and L3-L4 levels.
The lumbar vertebral bodies and the intervertebral discs 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 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
18.0 mm at L3-L4
17.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra. Please correlate with plain radiographs.
2. Small posterior disc bulges at the L3-L4 and L4-L5 levels.
3. Mild facetal arthropathy at the L4-L5 level.
Published in
MRI Reports