MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14156

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

Name of the Patient : Abc Xyzi Plmn / F / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O right sided weakness since 20-25 days.
Known hypertensive/diabetic.

EXAMINATION :

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

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

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There are ill-defined, hyperintense areas on the T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally, right lentiform nucleus, left thalamus 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 lesions.

There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Inflammatory changes are noted in the ethmoidal air cells and mastoid air cells bilaterally.

INTRACRANIAL MRA :

The intracranial segment of the left vertebral artery appears hypoplastic.



There is seen a very small, subcentimeter, focal hyperintense lesion along the frontal polar branch of the left anterior cerebral artery. This lesion is persistant on all the reconstructed angiographic images and is suspicious for an aneurysm (less likely to represent the bend of a vessel).

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized right anterior cerebral, middle cerebral, basilar, right vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No vascular malformation is identified.

NECK MRA :

The left vertebral artery in the neck also appears hypoplastic. The common carotid arteries and their bifurcations and the right vertebral artery are unremarkable.

There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

1. Altered signal in the posterior parietal periventricular white matter bilaterally, right lentiform nucleus, left thalamus and in the centrum semiovale bilaterally most likely represent ischemic lesions.

2. A very small, subcentimeter, focal hyperintense lesion along the frontal polar branch of the left anterior cerebral artery and is suspicious for an aneurysm (less likely to represent the bend of a vessel).


Sunday, 27 December 2015 16:48

14155

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

Name of the Patient : Abc Xyzd lmn / F / 18 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O fever with altered sensorium since 3 days with 1 episode of seizures on 00.00.00.

EXAMINATION :

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

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

5 mm thick FLAIR coronal images.

3 mm thick T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are hyperintense areas in the head of the right caudate nucleus on the proton, T2 Weighted and FLAIR images. These are isointense to normal white matter on the T1 Weighted images and may represent ischemic changes.

The hippocampal complex on either side is unremarkable.

There is mild to moderate dilatation of both the lateral ventricles. The 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.





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

IMPRESSION :

1. Altered signal in the head of the right caudate nucleus may represent an ischemic lesion in the given clinical setting.

2. Mild cerebral and cerebellar atrophy with dilatation of the lateral ventricles.

A contrast enhanced scan may be indicated to rule a granuloma in the head of the right caudate nucleus.


Sunday, 27 December 2015 16:48

14154

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

Name of the Patient : Abc Xyz Mlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with pain in the left half of the body with weakness since 10.00 am of 00.00.00.

EXAMINATION :

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

5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.

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 seen within both maxillary sinuses, ethmoidal air cells and sphenoid sinus.

IMPRESSION :

No abnormality is detected within the brain on this study.


Sunday, 27 December 2015 16:48

14153

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

Name of the Patient : Abc Xyzlmn / M / 41 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzen.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches and giddiness.
Alleged H/O vehicular accident on 00.00.00.

EXAMINATION :

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

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

5 mm thick FLAIR 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.
Sunday, 27 December 2015 16:48

14152

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

Name of the Patient : Abc Xyz Molmn / M / 50 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain with tingling in the LUE and gait imbalance.

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 :

A posterior disc herniation with peridiscal osteophytes, more to the right of the midline is seen to indent the cord at the C4-C5 level.

A posterior disc herniation with peridiscal osteophytes, more to the left of the midline is seen to indent the cord at the C5-C6 level.

A postero-central disc herniation with peridiscal osteophytes is seen to indent the cord at the C3-C4 level.

Posterior disc bulges are noted at the C2-C3 and C6-C7 levels.

Anterior disc herniations with peridiscal osteophytes are noted at the C3-C4, C4-C5 and C5-C6 levels.

The C5-C6 facet joints show hypertrophic degenerative changes. Degenerative changes of the joints of Luschka at the C4-C5 and C5-C6 levels, bilaterally is also noted.

The cervical intervertebral discs show loss of water content.

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

The rest of the cervical vertebral bodies show normal signal intensity. The remaining joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The cervical spinal cord reveals normal signal intensity.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

The brain was screened with 5 mm thick T2 Weighted axial images and shows small areas of hyperintensity within the white matter in the left frontal lobe and these may be ischemic in etiology.

IMPRESSION :

The MRI features are suggestive of :

1. A posterior disc herniation with peridiscal osteophytes, more to the right of the midline indenting the cord at the C4-C5 level.

2. A posterior disc herniation with peridiscal osteophytes, more to the left of the midline indenting the cord at the C5-C6 level.

3. A postero-central disc herniation with peridiscal osteophytes indenting the cord at the C3-C4 level.

4. Hypertrophic facetal arthropathy at the C5-C6 level with degenerative changes of the joints of Luschka at the C4-C5 and C5-C6 levels.

5. A tight canal over the C3-C4 to the C5-C6 level.


Sunday, 27 December 2015 16:48

14151

Written by
ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzPolmn / M / 38 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzsrani.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (left more than right) with paresthesias and wasting of the LLE since 4 months.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is a postero-central and right paracentral disc herniation at the L5-S1 level with indentation upon the right S1 nerve root. Small peridiscal osteophytes are also noted at this level. This disc shows loss of water content. The facet joints at this level appear slightly hypertrophied.

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.

A probable conjoint right L5-S1 nerve root is noted.

The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the L5 level.
Scan-00001

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

18.0 mm at L1-L2
18.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of a postero-central and right paracentral disc herniation with peridiscal osteophytes at the L5-S1 level with indentation upon the right S1 nerve root. Slight facetal hypertrophy is noted with canal stenosis.

As compared to the previous MRI dated 00.00.00, there is no significant change noted.

Sunday, 27 December 2015 16:48

14150

Written by
ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzq Almn / M / 49 yrs.
Referred by : Dr. Abc Xyztcheswalla.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O forgetfulness with episodes of irrelevant talk since 5-6 years.

EXAMINATION :

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

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

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 slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

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

14149

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Palmn / M / 56 yrs.
Referred by : Dr. Abc Xyzh Shah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O loss of consciousness since 1 day. H/O headaches, giddiness and slurred speech prior to this.
Past H/O right hemiplegia 1 year back.
Known hypertensive & 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 is an ill-defined hypointense signal on the T1 Weighted images in the left cerebellar hemisphere, superiorly. This lesion follows CSF signal on all the pulse sequences and represents an area of cystic encephaloamalacia, most likely the sequelae of a previous vascular insult.

Prominent perivascular spaces/old ischemic lesions are noted in the left lentiform nucleus.

There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are 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.

There is no evidence of haemorrhage on this study.

Inflammatory changes are noted in the sphenoid sinus.
..2/.





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IMPRESSION :

1. An area of cystic encephaloamalacia in the left cerebellar hemisphere, superiorly most likely the sequelae of a sprevious vascular insult.

2. Prominent perivascular spaces/old ischemic lesions in the left lentiform nucleus.

3. Cerebral cortical and cerebellar atrophy.
Sunday, 27 December 2015 16:48

14148

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Plmn / M / 35 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O sudden onset of fall in the bathroom with LOC on 00.00.00.
Similar H/O 2 years ago with intraventricular bleed.

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 seen a fairly large, approximately 4.0 x 7.0 x 5.0 cms sized well-marginated, mass lesion in the left deep temporo-parietal region (left basal ganglionic region). This lesion is predominantly iso to slightly hypointense to normal white matter on the T1 Weighted images and appears relatively hypointense on the proton and T2 Weighted images. There is a peripheral CSF signal on all pulse sequences around the above described lesion which may represent serum due to clot retraction. There is mild perilesional edema with effacement of the sulcal spaces in the left temporo-parietal region and compression of the fourth ventricle. Extension of this lesion into the ventricular system is also noted.

There is mild dilatation of the right lateral ventricle. There is minimal bulge of the midline structures to the right. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of an acute intracranial hematoma in the left deep temporo-parietal (basal glaglionic) region with intraventricular extension as described.
Sunday, 27 December 2015 16:48

14147

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Chlmn / F / 23 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with vomiting and slight weakness of the RUE and RLE since 00.00.00.
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 FLAIR coronal images.

OBSERVATION :

There is still seen a fairly large mass lesion in the left cerebellar hemisphere, inferiorly. This lesion is iso to slightly hypointense to normal white matter on the T1 Weighted images and appears hypointense on the proton, T2 Weighted and FLAIR images. There is mild perilesional edema with effacement of the sulcal spaces in the left cerebellar hemisphere.
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 follow up MRI (as compared to the previous MRI dated 00.00.00, Scan No.00008) reveals slight decrease in the perilesional edema around the mass lesion in the left cerebellar hermisphere. There is hence, no indentation on the fourth ventricle. The size of the mass lesion is largely unchanged. The mass lesion follows the signal characteristics of a tuberculoma.