MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14172

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

Name of the Patient : Abc Xyz R. Malmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O radicular pain in the RUE.

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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is scoliosis of the cervical spine with convexity to the left with clockwise rotation of the midcervical vertebrae.

There is fusion of the C4 and C5 vertebral bodies with partial obliteration of the C4-C5 intervertebral disc. Also seen is partial fusion of the C5 and C6 vertebral bodies with partial obliteration of the C5-C6 intervertebral disc. The antero-posterior dimension of these vertebral bodies is reduced and there appears to be fusion of their posterior elements suggesting a congenital origin.

Posterior disc herniations with peridiscal osteophytes are seen to indent the cord and narrow the neural foramina bilaterally at the C3-C4 and C6-C7 levels.

Mild posterior disc bulges with small peridiscal osteophytes are noted at the C7-D1 and D1-D2 levels.


Anterior disc herniations with peridiscal osteophytes are noted at the C3-C4 and C6-C7 levels.

The rest of the cervical intervertebral discs show loss of water content.

The cervical vertebral bodies show areas of fatty replacement of the normal marrow.

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. Congenital fusion of the C4, C5 and C6 vertebrae.

2. Scoliosis of the cervical spine.

3. Posterior disc herniations with peridiscal osteophytes at the C3-C4 and C6-C7 levels.



Sunday, 27 December 2015 16:48

14171

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

Name of the Patient : Abc Xyzkar Manlmn / M / 57 yrs.
Referred by : Dr. Abc Xyzosle / Dr. Abc Xyzkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with radiation of pain to BLE.

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.

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

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

The L2-L3, L3-L4 and L4-L5 facet joints show hypertrophic degenerative changes.

Far lateral (extraforaminal) disc bulges are seen bilaterally at the L3-L4 and L4-L5 levels and on the right side at the L1-L2 and L2-L3 levels.

The pedicles of the lumbar vertebrae appear to be congenitally short in their antero-posterior dimensions.


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 S1 level.

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

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

IMPRESSION :

The MRI features are suggestive of :

1. Sacralization of the L5 vertebra. Please correlate with plain radiographs.

2. Posterior disc herniations with canal stenosis at the L3-L4 and L4-L5 levels.

3. Hypertrophic facetal arthropathy at the L2-L3, L3-L4 and L4-L5 levels.

4. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.

5. Far lateral (extraforaminal) disc bulges at the L3-L4 and L4-L5 levels bilaterally and on the right side at the L1-L2 and L2-L3 levels.

Sunday, 27 December 2015 16:48

14170

Written by
hs/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzJalmn / M / 42 yrs.
Referred by : Dr. Abc XyzBhojraj.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache (occasional) with pain radiating to BLE since 2 1/2 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 Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra. There is a break of the pars interarticularis of the L5 vertebra bilaterally.

There is mild retroplacement of the L4 vertebra over the L5 vertebra.

A postero-central disc protrusion is seen to indent the thecal sac at the L4-L5 level.

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

There is anterior wedging of the D11 vertebral body without change in its signal intensity.

Anterior disc herniations with peridiscal osteophytes are noted at the D11-D12, D12-L1, L4-L5 and L5-S1 levels. The D10-D11, D11-D12, D12-L1, L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.
..2/.







Type II degenerative changes are seen within the inferior aspect of the D12 and L5 vertebral bodies.

A well-circumscribed area of hyperintensity on all the pulse sequences is seen within the L1 vertebral body and this may represent a hemangioma with high fat content.

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

The conus medullaris terminates at the L1 level and the thecal sac terminates at the 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
17.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
16.0 mm at L5-S1.

IMPRESSION :

1. Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with spondylolysis of the L5 vertebra bilaterally.

2. A postero-central disc protrusion at the L4-L5 level.

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




Sunday, 27 December 2015 16:48

14169

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

Name of the Patient : Abc Xyzli Slmn / M / 63 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with radiation of pain 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.

The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and 5 mm thick T2 Weighted axial images through the region of interest.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There appears to be partial sacralization of the L5 vertebra on the right side and the L1 vertebra is as marked on the film.

There is Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra. The L4-L5 facet joints show severe hypertrophic degenerative changes.

A large postero-central disc extrusion with peridiscal osteophytes is seen to indent the cord at the D10-D11 level. The cord at the D10-D11 and D11 levels show a hyperintense signal on the T2 Weighted images suggestive of cord edema/contusion/ischemia. The D10-D11 facet joints show degenerative changes with a resultant tight canal at this level.
..2/.







A posterior disc herniation is seen to indent the thecal sac at the L4-L5 level with resultant bilateral neural foraminal narrowing.

A small posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L3-L4 level.

There are small right postero-lateral (foraminal) disc herniations narrowing the right neural foramina at the L1-L2 and L2-L3 levels.

Far lateral disc herniations are seen bilaterally at the L3-L4 and L4-L5 levels and on the right side at the L1-L2 and L2-L3 levels.

The L1-L2, L2-L3 and L3-L4 facet joints show degenerative changes.

The lumbar intervertebral discs show loss of water content. The lumbar vertebral bodies show spotty fatty marrow changes.

The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D11-D12 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 :

15.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.
..3/.







- 3 - Scan-00009


IMPRESSION :

The MRI features are suggestive of :

1. Partial sacralization of the L5 vertebra on the right side.

2. Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra with hypertrophic facetal arthropathy and a tight canal at the L4-L5 level.

3. A posterior disc herniation at the L4-L5 level.

4. A small posterior herniation at the L3-L4 level.

5. A large postero-central disc extrusion with peridiscal osteophytes and a tight canal at the D10-D11 level.

6. Altered cord signal at the D10-D11 and D11 levels may represent cord edema/contusion/ischemia.

Sunday, 27 December 2015 16:48

14168

Written by
sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz J. Trilmn / F / 40 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches (since 8-9 years) with giddiness since 1 month.

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.

Inflammatory changes are noted in the ethmoidal aircells bilaterally. The nasal septum is deviated to the left with hypertrophied middle and inferior nasal turbinates on the right.

IMPRESSION :

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

14167

Written by
sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc XyzKhalifa Slmn / M / 60 yrs.
Referred by : Dr. Abc Xyzlpani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O left sided hemiparesis with slurred speech and LOC for 8 days, 3 months ago.
Alleged H/O fall with injury to forehead 1 month back.
Known diabetic.

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 CSF intensity lesions on all the pulse sequences in the right fronto-temporo-parietal region (along the watershed zone of the right middle cerebral artery with the right anterior cerebral and right posterior cerebral arteries). Perilesional white matter hyperintense signal on the proton, T2 Weighted and FLAIR images would represent gliotic changes. These lesions represent areas of cystic encephalomalacia, most likely the sequelae of a previous vascular insult. Involvement of the right sided caudate and lentiform nuclei is also noted.

There are ill-defined, hyperintense areas on the T2 Weighted and FLAIR images in the left cerebellar hemisphere, pons, periventricular white matter on the left and in the left centrum semiovale. 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 (right more than left) and the fourth ventricles. There is mild fullness of the third ventricle.


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.

Inflammatory changes are noted in the paranasal sinuses.

IMPRESSION :

The MRI features are suggestive of :

1. Areas of cystic encephalomalacia in the right fronto-temporo-parietal region (along the watershed zone of the right middle cerebral artery with the right anterior cerebral and posterior cerebral arteries) are most likely the sequelae of a previous vascular insult.

2. Altered signal in the left cerebellar hemisphere, pons, periventricular white matter on the left and in the left centrum semiovale most likely represent ischemic changes.
3. Mild cerebral cortical and cerebellar atrophy.


Sunday, 27 December 2015 16:48

14166

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

Name of the Patient : Abc Xyz Ralmn / F / 77 yrs.
Referred by : Dr. Abc Xyzhauhan.
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 a diffuse posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. Gross ligamentum flavum hypertrophy is noted at this level with resultant severe canal stenosis.

A small posterior disc herniation with left far lateral disc herniation is seen at the L3-L4 level with anterior indentation of the thecal sac and left neural foraminal narrowing. Ligamentum flavum hypertrophy is also seen at this level.

Small posterior disc bulges are noted at the L1-L2, L2-L3 and L5-S1 levels.

Ligamentum flavum hypertrophy is seen at the L5 and L5-S1 levels.

Posterior peridiscal osteophytes are noted in the lumbar region.


Anterior disc herniations are seen in the lumbar region with anterior peridiscal osteophytes. The lumbar intervertebral discs show loss of water content. Hypointense areas are seen within the L3-L4, L4-L5 and L5-S1 intervertebral discs on all the pulse sequences suggestive of calcification/vacuum phenomenon.

Focal fatty changes are noted in the lumbar region.

The facet joints in the lower lumbar region appear hypertrophied. 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 :

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

IMPRESSION :

The MRI features are suggestive of :

1. A diffuse posterior disc herniation at the L4-L5 level with gross ligamentum flavum hypertrophy.

2. A small posterior disc herniation with left far lateral disc herniation at the L3-L4 level
..3/.










- 3 - Scan-00006


3. Small posterior disc bulges at the L1-L2, L2-L3 and L5-S1 levels.

4. Ligamentum flavum hypertrophy at the L3-L4, L5 and L5-S1 levels and facetal hypertrophy in the lumbar region.

5. Posterior peridiscal osteophytes in the lumbar region.

6. Canal stenosis at the L3-L4, L4-L5 and L5-S1 levels (maximum at the L4-L5 level).




Sunday, 27 December 2015 16:48

14165

Written by
sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc XyzDlmn / M / 31 yrs.
Referred by : Dr. Abc Xyznna / Dr. Abc Xyzsrani.
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 :

The L2 vertebral body appears to be as marked on the film. Please correlate with plain radiographs.

There is loss of water content of the L1-L2 and L4-L5 intervertebral discs.

A postero-central protruded disc with peridiscal osteophytes is noted at the L4-L5 level indenting the dural theca anteriorly.

Small posterior peridiscal osteophytes are noted at the L1-L2 and L3-L4 levels.

Slight facetal hypertrophy is noted at the L4-L5 and L5-S1 levels. Also seen is mild ligamentum flavum hypertrophy at these levels.

There is slight anterior wedging of the L1 vertebral body without change in its signal intensity.

Schmorls nodes are noted in the dorso-lumbar region.

..2/.






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.

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

18.0 mm at L1-L2
17.0 mm at L2-L3
18.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. A postero-central protruded disc with peridiscal osteophytes at the L4-L5 level.

2. Slight facetal and ligamentum flavum hypertrophy at the L4-L5 and L5-S1 levels.

3. Slight anterior wedging of the L1 vertebral body without change in its signal intensity may be the sequelae of previous trauma.
Sunday, 27 December 2015 16:48

14163

Written by
ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzam Gailmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

H/O sudden onset of catch in back with radicular pain in BLE, paresthesias and bladder/bowel involvement 20 days 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.
8 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

Few upper dorsal and cervical intervertebral discs show loss of water content.

The facet joints at the D9-D10 and D10-D11 levels show hypertrophic changes.

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

The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the D12-L1 level.

The cervico-dorsal spine was screened with the help of 4 mm thick T2 Weighted sagittal images which shows mild degenerative changes.

IMPRESSION :

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

14162

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

Name of the Patient : Abc Xyzen V. Plmn / F / 39 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches and 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 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.

Incidental note is made of retrocerebellar arachnoid pouch on the right side.

IMPRESSION :

Normal study of the Brain.