MRI Reports (3472)
MRI Reports Database
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc XyzJhalmn / M / 19 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of Both Hips & S.I.Joints.
CLINICAL PROFILE :
C/O pain in the left hip and in LLE since 1 month.
EXAMINATION :
M.R.I of both hips and sacro-iliac joints was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weightd (with fat saturation) axial images.
The cervico-dorsal and lumbar spines were screened with 5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is an ill-defined, hypointense signal on the T1 Weighted images in the left iliac bone adjacent to the left sacro-iliac joint. This lesion appears hyperintense on the T2 Weighted and STIR images. The left sacral ala is unremarkable. The cortical margin of the left iliac bone adjacent to the left sacro-iliac joint appears intact. The left sacro-iliac joint space is also unremarkable. No soft tissue abnormality is detected around the left sacro-iliac joint.
The right sacro-iliac joint and the visualized spine appear unremarkable.
Focal, subcentimeter, hypointense lesions on all pulse sequences in the left acetabulum and the femoral heads on either side, most likely represent bone islands.
The femoral heads reveal normal contour. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within both the hip joints.
The musculature surrounding both the hip joints is normal.
IMPRESSION :
1. Altered signal in the left iliac bone adjacent to the left sacro-iliac joint is probably inflammatory/infective in etiology.
The possibility of this being a neoplastic process cannot be entirely ruled out though less likely.
2. No significant abnormality is detected in the hip joints or in the visualized spine on this study.
Date : 00.00.00
Name of the Patient : Abc XyzJhalmn / M / 19 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of Both Hips & S.I.Joints.
CLINICAL PROFILE :
C/O pain in the left hip and in LLE since 1 month.
EXAMINATION :
M.R.I of both hips and sacro-iliac joints was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weightd (with fat saturation) axial images.
The cervico-dorsal and lumbar spines were screened with 5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is an ill-defined, hypointense signal on the T1 Weighted images in the left iliac bone adjacent to the left sacro-iliac joint. This lesion appears hyperintense on the T2 Weighted and STIR images. The left sacral ala is unremarkable. The cortical margin of the left iliac bone adjacent to the left sacro-iliac joint appears intact. The left sacro-iliac joint space is also unremarkable. No soft tissue abnormality is detected around the left sacro-iliac joint.
The right sacro-iliac joint and the visualized spine appear unremarkable.
Focal, subcentimeter, hypointense lesions on all pulse sequences in the left acetabulum and the femoral heads on either side, most likely represent bone islands.
The femoral heads reveal normal contour. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within both the hip joints.
The musculature surrounding both the hip joints is normal.
IMPRESSION :
1. Altered signal in the left iliac bone adjacent to the left sacro-iliac joint is probably inflammatory/infective in etiology.
The possibility of this being a neoplastic process cannot be entirely ruled out though less likely.
2. No significant abnormality is detected in the hip joints or in the visualized spine on this study.
Published in
MRI Reports
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc XyzR. Khlmn / F / 24 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 6 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 slight loss of water content of the L4-L5 intervertebral disc.
There is a postero-central disc herniation at the L4-L5 level with slight inferior migration of the disc fragment, indenting the dural theca anteriorly.
There is a small posterior disc bulge at the L5-S1 level.
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 D12-L1 level and the thecal sac terminates at the S1 level.
Scan-00009
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
15.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
Degenerated L4-L5 disc with a postero-central disc herniation at this level with slight inferior migration of the disc fragment.
Date : 00.00.00
Name of the Patient : Abc XyzR. Khlmn / F / 24 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 6 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 slight loss of water content of the L4-L5 intervertebral disc.
There is a postero-central disc herniation at the L4-L5 level with slight inferior migration of the disc fragment, indenting the dural theca anteriorly.
There is a small posterior disc bulge at the L5-S1 level.
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 D12-L1 level and the thecal sac terminates at the S1 level.
Scan-00009
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
15.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
Degenerated L4-L5 disc with a postero-central disc herniation at this level with slight inferior migration of the disc fragment.
Published in
MRI Reports
ke/sb/rg.
Date : 00.00.00
Name of the Patient : Abc XyzMalmn / F / 47 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with numbness since 1 month.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a small postero-central disc protrusion at the L5-S1 level with anterior indentation of the thecal sac. This disc is dessicated and shows loss of water content.
A left far lateral disc bulge with peridiscal osteophytes is seen at the L4-L5 level with mild indentation upon the extraforaminal portion of the traversing left L4 nerve root.
A Schmorls node is seen in the superior aspect of the D11 vertebral body with apparent central wedging of the vertebra. However there is no signal change noted in the D11 vertebral body.
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-L2 level and the thecal sac terminates at the S1-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
18.0 mm at L3-L4
17.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A small postero-central disc protrusion at the L5-S1 level.
2. A left far lateral disc bulge with peridiscal osteophytes at the L4-L5 level with mild indentation upon the extraforaminal portion of the traversing left L4 nerve root.
Date : 00.00.00
Name of the Patient : Abc XyzMalmn / F / 47 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with numbness since 1 month.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a small postero-central disc protrusion at the L5-S1 level with anterior indentation of the thecal sac. This disc is dessicated and shows loss of water content.
A left far lateral disc bulge with peridiscal osteophytes is seen at the L4-L5 level with mild indentation upon the extraforaminal portion of the traversing left L4 nerve root.
A Schmorls node is seen in the superior aspect of the D11 vertebral body with apparent central wedging of the vertebra. However there is no signal change noted in the D11 vertebral body.
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-L2 level and the thecal sac terminates at the S1-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
18.0 mm at L3-L4
17.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A small postero-central disc protrusion at the L5-S1 level.
2. A left far lateral disc bulge with peridiscal osteophytes at the L4-L5 level with mild indentation upon the extraforaminal portion of the traversing left L4 nerve root.
Published in
MRI Reports
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzh Haldlmn / M / 54 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O tingling on the left half of body for half an hour on 00.00.00.
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 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 with magnetization transfer.
5 mm thick T1 Weighted coronal and sagittal images.
MR venography was also performed.
OBSERVATION :
There is a large broad based extra-axial mass lesion in the left parafalcine high parietal region which measures approximately 2.0 x 4.2 x 3.1 cms. This lesion is isointense to grey matter on the T1 Weighted images and is heterogeneously hyperintense on the proton, T2 Weighted and FLAIR images. There is slight mass effect with compression upon the underlying brain parenchyma and surrounding edema. The superior sagittal sinus posteriorly is slightly displaced to the right and is not involved by the lesion, although it is in close proximity. There is mild perilesional edema.
..2/.
On administration of contrast, there is homogeneous enhancement of the lesion with a tail seen to extend anteriorly. The pial vessels are seen to surround this lesion.
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 bilateral maxillary polyp.
IMPRESSION :
The MRI features are suggestive of an extra-axial mass lesion in the left parafalcine high parietal region measuring approximately 2.0 x 4.2 x 3.1 cms. and follows the signal characteristics of a meningioma.
Date : 00.00.00
Name of the Patient : Abc Xyzh Haldlmn / M / 54 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O tingling on the left half of body for half an hour on 00.00.00.
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 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 with magnetization transfer.
5 mm thick T1 Weighted coronal and sagittal images.
MR venography was also performed.
OBSERVATION :
There is a large broad based extra-axial mass lesion in the left parafalcine high parietal region which measures approximately 2.0 x 4.2 x 3.1 cms. This lesion is isointense to grey matter on the T1 Weighted images and is heterogeneously hyperintense on the proton, T2 Weighted and FLAIR images. There is slight mass effect with compression upon the underlying brain parenchyma and surrounding edema. The superior sagittal sinus posteriorly is slightly displaced to the right and is not involved by the lesion, although it is in close proximity. There is mild perilesional edema.
..2/.
On administration of contrast, there is homogeneous enhancement of the lesion with a tail seen to extend anteriorly. The pial vessels are seen to surround this lesion.
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 bilateral maxillary polyp.
IMPRESSION :
The MRI features are suggestive of an extra-axial mass lesion in the left parafalcine high parietal region measuring approximately 2.0 x 4.2 x 3.1 cms. and follows the signal characteristics of a meningioma.
Published in
MRI Reports
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzRlmn / F / 19 yrs.
Referred by : Dr. Abc Xyz Kasbekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O hearing loss on the left side since 1 month with vertigo.
To R/O brainstem lesion.
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.
MR cisternogram was also performed.
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 a right maxillary polyp.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc XyzRlmn / F / 19 yrs.
Referred by : Dr. Abc Xyz Kasbekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O hearing loss on the left side since 1 month with vertigo.
To R/O brainstem lesion.
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.
MR cisternogram was also performed.
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 a right maxillary polyp.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / F / 55 yrs.
Referred by : Dr. Abc Xyztcheswala.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O psychosis since 4 years.
C/O deviation of mouth towards right with watering of the right eye since 8 days.
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 coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the frontal lobes bilaterally. These are slightly hypointense to white matter on the T1 Weighted images. There is dilatation of the frontal horn of both the lateral ventricles and prominence of the cerebral sulci in that region. The CSF spaces in this region are markedly prominent.
Similar areas are seen in the temporal lobes bilaterally, (left more than right) with dilatation of the temporal horns of the lateral ventricles. Both temporal lobes appear more atrophic as compared to the generalized brain atrophy. The hippocampus also appears smaller bilaterally.
The 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.
..2/.
Incidental note is made of bilateral maxillary sinusitis and inflammatory changes in the ethmoidal air cells.
IMPRESSION :
The MRI features are suggestive of altered signal with atrophy in the frontal and temporal lobes as described suggesting a neurodegenerative disorder.
Alzheimers disease is a likely possibility.
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / F / 55 yrs.
Referred by : Dr. Abc Xyztcheswala.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O psychosis since 4 years.
C/O deviation of mouth towards right with watering of the right eye since 8 days.
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 coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the frontal lobes bilaterally. These are slightly hypointense to white matter on the T1 Weighted images. There is dilatation of the frontal horn of both the lateral ventricles and prominence of the cerebral sulci in that region. The CSF spaces in this region are markedly prominent.
Similar areas are seen in the temporal lobes bilaterally, (left more than right) with dilatation of the temporal horns of the lateral ventricles. Both temporal lobes appear more atrophic as compared to the generalized brain atrophy. The hippocampus also appears smaller bilaterally.
The 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.
..2/.
Incidental note is made of bilateral maxillary sinusitis and inflammatory changes in the ethmoidal air cells.
IMPRESSION :
The MRI features are suggestive of altered signal with atrophy in the frontal and temporal lobes as described suggesting a neurodegenerative disorder.
Alzheimers disease is a likely possibility.
Published in
MRI Reports
ke/bv/rg/nl.
Date : 00.00.00
Name of the Patient : Abc Xyzrna Malmn / F / 61 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
H/O fall in 0000.
C/O progressive weakness of BLE (left more than right) and LUE since then.
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 are small posterior disc bulges with peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels with anterior indentation of the thecal sac. The joints of Luschka on the right side show slight degenerative change with mild right neural foraminal narrowing.
The cervical intervertebral discs show loss of water content.
Fatty changes are seen in the cervical vertebral bodies.
The rest of 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.
>
The dorsal spine was screened with the help of 4 mm thick T2 Weighted sagittal images and the lumbo-sacral spine was screened with the help of 5 mm thick T1 Weighted sagittal images which do not reveal any diagnostic feature of note.
IMPRESSION :
The MRI features are suggestive of :
1. Small posterior disc bulges with peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels.
2. Slight degenerative change of the joints of Luschka on the right side with mild right neural foraminal narrowing at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzrna Malmn / F / 61 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
H/O fall in 0000.
C/O progressive weakness of BLE (left more than right) and LUE since then.
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 are small posterior disc bulges with peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels with anterior indentation of the thecal sac. The joints of Luschka on the right side show slight degenerative change with mild right neural foraminal narrowing.
The cervical intervertebral discs show loss of water content.
Fatty changes are seen in the cervical vertebral bodies.
The rest of 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.
>
The dorsal spine was screened with the help of 4 mm thick T2 Weighted sagittal images and the lumbo-sacral spine was screened with the help of 5 mm thick T1 Weighted sagittal images which do not reveal any diagnostic feature of note.
IMPRESSION :
The MRI features are suggestive of :
1. Small posterior disc bulges with peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels.
2. Slight degenerative change of the joints of Luschka on the right side with mild right neural foraminal narrowing at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels.
Published in
MRI Reports
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzKollmn / M / 74 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided hemiplegia with speech disturbance and loss of bladder/bowel control since 1 1/2 months.
C/O dementia since 4 months.
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 coronal images.
5 mm thick T1 Weighted and Gradient sagittal images.
After administration of contrast, the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a mass lesion in the left high parietal region which measures approximately 3.6 x 2.6 x 2.8 cms. This lesion is hypointense to the white matter on the T1 Weighted images and turns heterogeneously hyperintense on the proton and T2 Weighted images. A central necrotic area is identified within this lesion. There is gross surrounding edema with mass effect and indentation upon the body of the left lateral ventricle with slight inferior displacement. There is slight effacement of the left Sylvian fissure. Extension of the edema is also noted into the corpus callosum.
..2/.
Hypointense areas are seen on the T1 Weighted images in the periventricular deep white matter in the frontal and parietal regions bilaterally, which turn hyperintense on the proton, T2 Weighted and FLAIR images.
A hyperintense signal on the proton, T2 Weighted and FLAIR images is noted in the left putamen which is seen to be hypointense on the gradient images and would represent calcification. Similar signal change is noted on the Gradient echo images in the right putamen.
After administration of contrast, there is heterogeneous enhancement of the lesion. This lesion appears thick walled. Enhancement is also noted along the meninges in the left fronto-parietal region and the right high parietal and posterior parietal regions. Streaks of enhancement is seen in the left posterior parietal deep white matter. Smaller disc enhancing lesions are also noted in the fronto-parietal regions bilaterally.
There is slight fullness of both the lateral ventricles.
The third 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 a neoplastic process in both fronto-parietal regions and along the meninges in the left fronto-parietal and right parietal parafalcine region as described. The differential diagnosis may include secondaries or a glial cell tumors like glioblastoma multiforme.
The possibility of these changes being due to granulomatous infective process like tuberculosis seems less likely.
Date : 00.00.00
Name of the Patient : Abc XyzKollmn / M / 74 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided hemiplegia with speech disturbance and loss of bladder/bowel control since 1 1/2 months.
C/O dementia since 4 months.
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 coronal images.
5 mm thick T1 Weighted and Gradient sagittal images.
After administration of contrast, the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a mass lesion in the left high parietal region which measures approximately 3.6 x 2.6 x 2.8 cms. This lesion is hypointense to the white matter on the T1 Weighted images and turns heterogeneously hyperintense on the proton and T2 Weighted images. A central necrotic area is identified within this lesion. There is gross surrounding edema with mass effect and indentation upon the body of the left lateral ventricle with slight inferior displacement. There is slight effacement of the left Sylvian fissure. Extension of the edema is also noted into the corpus callosum.
..2/.
Hypointense areas are seen on the T1 Weighted images in the periventricular deep white matter in the frontal and parietal regions bilaterally, which turn hyperintense on the proton, T2 Weighted and FLAIR images.
A hyperintense signal on the proton, T2 Weighted and FLAIR images is noted in the left putamen which is seen to be hypointense on the gradient images and would represent calcification. Similar signal change is noted on the Gradient echo images in the right putamen.
After administration of contrast, there is heterogeneous enhancement of the lesion. This lesion appears thick walled. Enhancement is also noted along the meninges in the left fronto-parietal region and the right high parietal and posterior parietal regions. Streaks of enhancement is seen in the left posterior parietal deep white matter. Smaller disc enhancing lesions are also noted in the fronto-parietal regions bilaterally.
There is slight fullness of both the lateral ventricles.
The third 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 a neoplastic process in both fronto-parietal regions and along the meninges in the left fronto-parietal and right parietal parafalcine region as described. The differential diagnosis may include secondaries or a glial cell tumors like glioblastoma multiforme.
The possibility of these changes being due to granulomatous infective process like tuberculosis seems less likely.
Published in
MRI Reports
ke/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Neck.
CLINICAL PROFILE :
C/O pain and (progressive) swelling in the right sternocleidomastoid muscle since 6 months.
EXAMINATION :
M.R.I of the neck was performed using the following parameters :
5 mm thick T1 Weighted, T2 Weighted (with fat saturation) and STIR axial images.
5 mm thick T1 Weighted and STIR coronal images.
IMAGES SHOW PATIENT MOTION.
Vitamin E capsules were placed at the site of the pain.
OBSERVATION :
The right sternocleidomastoid muscle is slightly smaller in size as compared to the left side.
The carotid sheaths bilaterally appear to be normal. No obviously enlarged lymphnodes are evident on this scan.
The visualized thyroid and the larynx show normal configuration and signal characteristics. The visualized bones show normal signal intensity and no obvious bone destruction is evident.
The visualized salivary glands are unremarkable.
IMPRESSION :
The MRI features are suggestive of a slightly smaller sized right
sternocleidomastoid muscle.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Neck.
CLINICAL PROFILE :
C/O pain and (progressive) swelling in the right sternocleidomastoid muscle since 6 months.
EXAMINATION :
M.R.I of the neck was performed using the following parameters :
5 mm thick T1 Weighted, T2 Weighted (with fat saturation) and STIR axial images.
5 mm thick T1 Weighted and STIR coronal images.
IMAGES SHOW PATIENT MOTION.
Vitamin E capsules were placed at the site of the pain.
OBSERVATION :
The right sternocleidomastoid muscle is slightly smaller in size as compared to the left side.
The carotid sheaths bilaterally appear to be normal. No obviously enlarged lymphnodes are evident on this scan.
The visualized thyroid and the larynx show normal configuration and signal characteristics. The visualized bones show normal signal intensity and no obvious bone destruction is evident.
The visualized salivary glands are unremarkable.
IMPRESSION :
The MRI features are suggestive of a slightly smaller sized right
sternocleidomastoid muscle.
Published in
MRI Reports
PROVISIONAL REPORT
Date : 00.00.00
Name of the Patient : Abc XyzChelmn / F / 68 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O submandibular adenitis. Operated 3 months back. On AKT since then.
C/O seizures since 2 days.
Uncontrolled HT.
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 on the proton, T2 Weighted and FLAIR images in the periventricular deep white matter, bilateral corona radiata, centrum semiovale, thalami and the lentiform nuclei. These are hypointense to the white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.
There is mild to moderate dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. Slight prominence of the cerebral cortical sulci is noted in the frontal region. 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 an empty sella.
IMPRESSION :
The MRI features are suggestive of areas of ischemia/infarction in the periventricular deep white matter, bilateral corona radiata, centrum semiovale, thalami and the lentiform nuclei.
Thanks for the reference.
Please send the films back for a final report.
Date : 00.00.00
Name of the Patient : Abc XyzChelmn / F / 68 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O submandibular adenitis. Operated 3 months back. On AKT since then.
C/O seizures since 2 days.
Uncontrolled HT.
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 on the proton, T2 Weighted and FLAIR images in the periventricular deep white matter, bilateral corona radiata, centrum semiovale, thalami and the lentiform nuclei. These are hypointense to the white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.
There is mild to moderate dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. Slight prominence of the cerebral cortical sulci is noted in the frontal region. 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 an empty sella.
IMPRESSION :
The MRI features are suggestive of areas of ischemia/infarction in the periventricular deep white matter, bilateral corona radiata, centrum semiovale, thalami and the lentiform nuclei.
Thanks for the reference.
Please send the films back for a final report.
Published in
MRI Reports
More...
ke/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzhar S. Delmn / M / 45 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fall 10 days back.
C/O left hemiplegia with dysarthria since then.
H/O similar complaints 3 months back. Recovered with 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 coronal images.
OBSERVATION :
There is swelling of the gyri in the right fronto-temporal region. Hypointense areas are seen on the T1 Weighted images in the right fronto-temporal region involving the grey and the white matter, in the genu of the corpus callosum, head of the caudate nucleus and the lentiform nucleus on the right side. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. There is mass effect with effacement of the sulci, compression upon the body of the right lateral and the third ventricles with shift of the midline structures to the left side. Slight indentation upon the frontal horn of the left lateral ventricle is also noted.
Intermediate signal intensity is seen in the cavernous portion of the internal corotid artery on the right side which turns hyperintense on the proton and T2 Weighted images and may represent slow flow/thrombus. There is non-visualization of the internal carotid artery on the right side on the 2D PC sequence.
>
The fourth ventricle is normal.
Incidental note is made of right maxillary sinusitis and inflammatory changes are also seen in the sphenoid sinus.
IMPRESSION :
The MRI features are suggestive of :
1. Recent infarct in the right fronto-temporal region, in the genu of the corpus callosum, head of the caudate nucleus and the lentiform nucleus on the right side in the distribution of the right MCA and right ACA artery territories.
2. Altered signal in the cavernous portion of the internal corotid artery on the right side may represent a slow flow/thrombus.
Date : 00.00.00
Name of the Patient : Abc Xyzhar S. Delmn / M / 45 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fall 10 days back.
C/O left hemiplegia with dysarthria since then.
H/O similar complaints 3 months back. Recovered with 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 coronal images.
OBSERVATION :
There is swelling of the gyri in the right fronto-temporal region. Hypointense areas are seen on the T1 Weighted images in the right fronto-temporal region involving the grey and the white matter, in the genu of the corpus callosum, head of the caudate nucleus and the lentiform nucleus on the right side. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. There is mass effect with effacement of the sulci, compression upon the body of the right lateral and the third ventricles with shift of the midline structures to the left side. Slight indentation upon the frontal horn of the left lateral ventricle is also noted.
Intermediate signal intensity is seen in the cavernous portion of the internal corotid artery on the right side which turns hyperintense on the proton and T2 Weighted images and may represent slow flow/thrombus. There is non-visualization of the internal carotid artery on the right side on the 2D PC sequence.
>
The fourth ventricle is normal.
Incidental note is made of right maxillary sinusitis and inflammatory changes are also seen in the sphenoid sinus.
IMPRESSION :
The MRI features are suggestive of :
1. Recent infarct in the right fronto-temporal region, in the genu of the corpus callosum, head of the caudate nucleus and the lentiform nucleus on the right side in the distribution of the right MCA and right ACA artery territories.
2. Altered signal in the cavernous portion of the internal corotid artery on the right side may represent a slow flow/thrombus.
Published in
MRI Reports
ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzTrilmn / M / 45 yrs.
Referred by : Dr. Abc Xyzrikh.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O left radical mastoidectomy on 00.00.00 with loss of hearing and discharge from the left ear.
Now C/O discharge from the right ear with decreased hearing on the right side and headaches.
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 T1 Weighted coronal images.
MR Cisternogram was obtained.
5 mm thick T1 Weighted sagittal images.
PATIENT REFUSED CONTRAST ADMINISTRATION.
OBSERVATION :
Intermediate signal intensity lesion is seen in the mastoid air cells bilaterally on the T1 Weighted images which is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. There is suspicious erosion of the petrous temporal bone, which is better appreciated on the CT scan.
The seventh and eighth cranial nerve complex on either side is unremarkable. There is no intracranial extension of the disease process on this non-contrast study.
There is no focal area of altered signal intensity in the brain parenchyma.
Scan-00008
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 :
Inflammatory changes in both mastoid air cells.
Normal study of the brain.
Date : 00.00.00
Name of the Patient : Abc XyzTrilmn / M / 45 yrs.
Referred by : Dr. Abc Xyzrikh.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O left radical mastoidectomy on 00.00.00 with loss of hearing and discharge from the left ear.
Now C/O discharge from the right ear with decreased hearing on the right side and headaches.
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 T1 Weighted coronal images.
MR Cisternogram was obtained.
5 mm thick T1 Weighted sagittal images.
PATIENT REFUSED CONTRAST ADMINISTRATION.
OBSERVATION :
Intermediate signal intensity lesion is seen in the mastoid air cells bilaterally on the T1 Weighted images which is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. There is suspicious erosion of the petrous temporal bone, which is better appreciated on the CT scan.
The seventh and eighth cranial nerve complex on either side is unremarkable. There is no intracranial extension of the disease process on this non-contrast study.
There is no focal area of altered signal intensity in the brain parenchyma.
Scan-00008
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 :
Inflammatory changes in both mastoid air cells.
Normal study of the brain.
Published in
MRI Reports
ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzadlmn / M / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to BLE since 10 years.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a small postero-central disc protrusion at the L5-S1 level. Mild hypertrophy of the left facet joint is seen at this level.
A small posterior disc bulge is noted at the L4-L5 level.
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.
A small area of focal fat deposition/hemangioma with fat content is seen in the L3 vertebra on the left side.
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 :
15.0 mm at L1-L2
16.0 mm at L2-L3
17.0 mm at L3-L4
18.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
No significant abnormality detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzadlmn / M / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to BLE since 10 years.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is a small postero-central disc protrusion at the L5-S1 level. Mild hypertrophy of the left facet joint is seen at this level.
A small posterior disc bulge is noted at the L4-L5 level.
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.
A small area of focal fat deposition/hemangioma with fat content is seen in the L3 vertebra on the left side.
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 :
15.0 mm at L1-L2
16.0 mm at L2-L3
17.0 mm at L3-L4
18.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
No significant abnormality detected on this study.
Published in
MRI Reports
Tagged under
ke/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Chhlmn / F / 23 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O TBM since April 0000. On AKT since then.
No complaints at present. 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.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are multiple areas of hypointensity on the T1 Weighted images within both temporal lobes, right frontal lobe, left high frontal lobe and in the midbrain. These are isointense to hypointense to grey matter on the proton, T2 Weighted and FLAIR images. Surrounding white matter edema is seen, more so in the right fronto-temporal region with effacement of the right Sylvian cistern. Also seen is compression upon the frontal horn of the right lateral ventricle and third ventricle with shift of the midline to the left side.
Irregularly defined areas of altered signal intensity are seen in the interpeduncular cistern and suprasellar cistern.
After administration of contrast there are multiple conglomerate ring enhancing lesions in both temporal lobes, right frontal lobe, midbrain and in the interpeduncular cistern and suprasellar cistern. Disc enhancing lesions are seen in the left high frontal lobe.
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 :
In a known C/O intracranial tuberculosis, the MRI features are suggestive of multiple ring and disc enhancing lesions in both temporal lobes, right frontal lobe, left high frontal lobe, midbrain and in the interpeduncular cistern and suprasellar cistern as described.
As compared to the previous MRI dated 00.00.00, there is an increase in the size and distribution of the lesion with presence of white matter edema.
Date : 00.00.00
Name of the Patient : Abc Xyz Chhlmn / F / 23 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O TBM since April 0000. On AKT since then.
No complaints at present. 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.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are multiple areas of hypointensity on the T1 Weighted images within both temporal lobes, right frontal lobe, left high frontal lobe and in the midbrain. These are isointense to hypointense to grey matter on the proton, T2 Weighted and FLAIR images. Surrounding white matter edema is seen, more so in the right fronto-temporal region with effacement of the right Sylvian cistern. Also seen is compression upon the frontal horn of the right lateral ventricle and third ventricle with shift of the midline to the left side.
Irregularly defined areas of altered signal intensity are seen in the interpeduncular cistern and suprasellar cistern.
After administration of contrast there are multiple conglomerate ring enhancing lesions in both temporal lobes, right frontal lobe, midbrain and in the interpeduncular cistern and suprasellar cistern. Disc enhancing lesions are seen in the left high frontal lobe.
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 :
In a known C/O intracranial tuberculosis, the MRI features are suggestive of multiple ring and disc enhancing lesions in both temporal lobes, right frontal lobe, left high frontal lobe, midbrain and in the interpeduncular cistern and suprasellar cistern as described.
As compared to the previous MRI dated 00.00.00, there is an increase in the size and distribution of the lesion with presence of white matter edema.
Published in
MRI Reports