MRI Reports (3472)
MRI Reports Database
ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Dimtilmn / F / 24 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain with paresthesias in BUE and BLE since 1 1/2 months.
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 at the C4-C5, C5-C6 and C6-C7 levels with mild anterior indentation of the thecal sac. These intervertebral discs show loss of water content.
The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of small posterior disc bulges at the C4-C5, C5-C6 and C6-C7 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz Dimtilmn / F / 24 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain with paresthesias in BUE and BLE since 1 1/2 months.
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 at the C4-C5, C5-C6 and C6-C7 levels with mild anterior indentation of the thecal sac. These intervertebral discs show loss of water content.
The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of small posterior disc bulges at the C4-C5, C5-C6 and C6-C7 levels.
Published in
MRI Reports
ke/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz J. Plmn / M / 30 yrs.
Referred by : Dr. Abc Xyzsai.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches (right sided) since 0000. No complaints for 3 years. Now similar complaints since 15 days.
H/O being operated for the right parietal ossifying fibroma in May 0000.
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.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
BRAIN :
A right high parietal craniotomy is noted.
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 no shift of the midline structures.
Incidental note is made of inflammatory changes in the sphenoid sinus on the left side.
..2/.
INTRACRANIAL MRA :
The right vertebral artery appears slightly smaller in calibre
as compared to the left.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The right vertebral artery in the neck also appears slightly smaller.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Post-operative status.
2. No significant abnormality is detected within the brain parenchyma or on the intracranial and neck MRA on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz J. Plmn / M / 30 yrs.
Referred by : Dr. Abc Xyzsai.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches (right sided) since 0000. No complaints for 3 years. Now similar complaints since 15 days.
H/O being operated for the right parietal ossifying fibroma in May 0000.
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.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
BRAIN :
A right high parietal craniotomy is noted.
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 no shift of the midline structures.
Incidental note is made of inflammatory changes in the sphenoid sinus on the left side.
..2/.
INTRACRANIAL MRA :
The right vertebral artery appears slightly smaller in calibre
as compared to the left.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The right vertebral artery in the neck also appears slightly smaller.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Post-operative status.
2. No significant abnormality is detected within the brain parenchyma or on the intracranial and neck MRA on this study.
Published in
MRI Reports
ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzSiddlmn / M / 66 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches (mild), vomiting with giddiness and gait imbalance since 4 days.
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 are hyperintense areas in the left cerebellar hemisphere, superiorly and in the left middle cerebellar peduncle on the T2 Weighted images. These are isointense to white matter on the T1 Weighted images and are suggestive of areas of recent ischemia/infarction.
A lacunar infarct is seen in the right cerebellar hemisphere, inferiorly and an old infarct is noted in the left cerebellar hemisphere, inferiorly.
There is moderate dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. There is prominence of the cerebral cortical sulci. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of right maxillary sinusitis.
INTRACRANIAL MRA :
The right vertebral artery is hypoplastic as compared to the left.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The right vertebral artery in the neck also appears hypoplastic.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Altered signal in the left cerebellar hemisphere superiorly and in the left middle cerebellar peduncle are suggestive of areas of recent ischemia/infarction.
2. A lacunar infarct in the right cerebellar hemisphere.
3. An old infarct in the left cerebellar hemisphere, inferiorly.
4. Moderate dilatation of both the lateral ventricles.
5. No significant abnormality is detected on the intracranial and neck MRA on this study.
Date : 00.00.00
Name of the Patient : Abc XyzSiddlmn / M / 66 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches (mild), vomiting with giddiness and gait imbalance since 4 days.
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 are hyperintense areas in the left cerebellar hemisphere, superiorly and in the left middle cerebellar peduncle on the T2 Weighted images. These are isointense to white matter on the T1 Weighted images and are suggestive of areas of recent ischemia/infarction.
A lacunar infarct is seen in the right cerebellar hemisphere, inferiorly and an old infarct is noted in the left cerebellar hemisphere, inferiorly.
There is moderate dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. There is prominence of the cerebral cortical sulci. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of right maxillary sinusitis.
INTRACRANIAL MRA :
The right vertebral artery is hypoplastic as compared to the left.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The right vertebral artery in the neck also appears hypoplastic.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Altered signal in the left cerebellar hemisphere superiorly and in the left middle cerebellar peduncle are suggestive of areas of recent ischemia/infarction.
2. A lacunar infarct in the right cerebellar hemisphere.
3. An old infarct in the left cerebellar hemisphere, inferiorly.
4. Moderate dilatation of both the lateral ventricles.
5. No significant abnormality is detected on the intracranial and neck MRA on this study.
Published in
MRI Reports
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzana Mlmn / F / 71 yrs.
Referred by : Dr. Abc Xyzrikh / Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the lumbar intervertebral discs and reduction in height of the D12-L1, L1-L2 and L5-S1 intervertebral discs.
There is slight forward translation of the L4 over the L5 vertebra and slight retroplacement of the L3 over the L4 vertebra and L1 over the L2 vertebral body. Probable spondylolysis of the L3 vertebra is noted on the right (scans 102.6, 105.2).
A posterior and bilateral far lateral peridiscal osteophytes are noted at the L5-S1 level indenting the extraforaminal segments of the L5 nerve roots bilaterally.
Small posterior disc bulges are noted at the L2-L3, L3-L4 and L4-L5 levels. A posterior peridiscal osteophyte is noted at the L3-L4 level. Schmorls node is seen at the D12-L1 level.
Hypertrophic facetal arthropathy is noted at the L4-L5 level bilaterally and facetal hypertrophy is seen at the L3-L4 level and at the L1-L2 level on the right side.
..2/.
Type II degenerative marrow changes are noted in the L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc.
The rest of the lumbar vertebral bodies reveal normal signal intensity. 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 :
14.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. Slight forward translation of the L4 over the L5 vertebra and slight retroplacement of the L3 over the L4 and L1 over the L2 vertebra with probable spondylolysis of the L3 vertebra on the right.
2. A posterior and bilateral far lateral peridiscal osteophytes at the L5-S1 level indenting the extraforaminal segments of the L5 nerve roots bilaterally.
3. Small posterior disc bulges at the L2-L3, L3-L4 and L4-L5 levels and a posterior peridiscal osteophyte at the L3-L4 level.
4. Hypertrophic facetal arthropathy at the L4-L5 level bilaterally and facetal hypertrophy at the L3-L4 level and at the L1-L2 level on the right side.
Date : 00.00.00
Name of the Patient : Abc Xyzana Mlmn / F / 71 yrs.
Referred by : Dr. Abc Xyzrikh / Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the lumbar intervertebral discs and reduction in height of the D12-L1, L1-L2 and L5-S1 intervertebral discs.
There is slight forward translation of the L4 over the L5 vertebra and slight retroplacement of the L3 over the L4 vertebra and L1 over the L2 vertebral body. Probable spondylolysis of the L3 vertebra is noted on the right (scans 102.6, 105.2).
A posterior and bilateral far lateral peridiscal osteophytes are noted at the L5-S1 level indenting the extraforaminal segments of the L5 nerve roots bilaterally.
Small posterior disc bulges are noted at the L2-L3, L3-L4 and L4-L5 levels. A posterior peridiscal osteophyte is noted at the L3-L4 level. Schmorls node is seen at the D12-L1 level.
Hypertrophic facetal arthropathy is noted at the L4-L5 level bilaterally and facetal hypertrophy is seen at the L3-L4 level and at the L1-L2 level on the right side.
..2/.
Type II degenerative marrow changes are noted in the L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc.
The rest of the lumbar vertebral bodies reveal normal signal intensity. 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 :
14.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. Slight forward translation of the L4 over the L5 vertebra and slight retroplacement of the L3 over the L4 and L1 over the L2 vertebra with probable spondylolysis of the L3 vertebra on the right.
2. A posterior and bilateral far lateral peridiscal osteophytes at the L5-S1 level indenting the extraforaminal segments of the L5 nerve roots bilaterally.
3. Small posterior disc bulges at the L2-L3, L3-L4 and L4-L5 levels and a posterior peridiscal osteophyte at the L3-L4 level.
4. Hypertrophic facetal arthropathy at the L4-L5 level bilaterally and facetal hypertrophy at the L3-L4 level and at the L1-L2 level on the right side.
Published in
MRI Reports
SB/KE/NL/RG.
Date : 00.00.00
Name of the Patient : Abc Xyzankar Rlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 15 days.
H/O similar complaints 5 years back.
Alleged H/O fall from a bicycle 8-10 years ago.
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 L1-L2, L4-L5 and L5-S1 intervertebral discs.
There is a small, left paracentral disc herniation, at the L5-S1 level, indenting the traversing left S1 nerve root.
There is a left paracentral disc herniation at the L4-l5 level with left neural foraminal narrowing and indentation on the left L5 nerve root.
The pedicles of the lumbar vertebrae appear congenitally short in their antero-posterior dimensions. The facet joints in the lumbar region appear slightly hypertrophied.
The D12 and L1 vertebral bodies appear slightly wedged, anteriorly without change in signal intensity.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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 :
15.0 mm at L1-L2
15.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. A small, left paracentral disc herniation, at the L5-S1 level, indenting the traversing left S1 nerve root.
2. A left paracentral disc herniation at the L4-L5 level with left neural foraminal narrowing and indentation on the left L5 nerve root.
3. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
4. Hypertrophied facet joints in the lumbar region.
5. Slight anterior wedging of the D12 and L1 vertebral bodies most likely is the sequelae of previous trauma.
Date : 00.00.00
Name of the Patient : Abc Xyzankar Rlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 15 days.
H/O similar complaints 5 years back.
Alleged H/O fall from a bicycle 8-10 years ago.
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 L1-L2, L4-L5 and L5-S1 intervertebral discs.
There is a small, left paracentral disc herniation, at the L5-S1 level, indenting the traversing left S1 nerve root.
There is a left paracentral disc herniation at the L4-l5 level with left neural foraminal narrowing and indentation on the left L5 nerve root.
The pedicles of the lumbar vertebrae appear congenitally short in their antero-posterior dimensions. The facet joints in the lumbar region appear slightly hypertrophied.
The D12 and L1 vertebral bodies appear slightly wedged, anteriorly without change in signal intensity.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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 :
15.0 mm at L1-L2
15.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. A small, left paracentral disc herniation, at the L5-S1 level, indenting the traversing left S1 nerve root.
2. A left paracentral disc herniation at the L4-L5 level with left neural foraminal narrowing and indentation on the left L5 nerve root.
3. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
4. Hypertrophied facet joints in the lumbar region.
5. Slight anterior wedging of the D12 and L1 vertebral bodies most likely is the sequelae of previous trauma.
Published in
MRI Reports
ke/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzm lmn / F / 18 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in left hip with swelling and limitation of movements since 1 month.
H/o fever since 1 month.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted axial images (with fat saturation).
5 mm thick Proton density sagittal images.
OBSERVATION :
There are hypointense areas on the T1 Weighted images within the head of the femur and acetabulum on the left side. These are seen to turn heterogeneously hyperintense on the proton, T2 Weighted and STIR images. A large effusion is seen within the left hip joint. The muscles around the left hip joint are atrophied as compared to the right.
The right hip joint is unremarkable.
The femoral head and the acetabulum on the right side reveal normal signal intensity. There is no obvious bony destruction or erosion noted on the right side.
The visualized pelvis is normal.
IMPRESSION :
The MRI features are suggestive of altered signal within the head of the femur and acetabulum on the left side with a large effusion as described and this most likely is infective in etiology.
Date : 00.00.00
Name of the Patient : Abc Xyzm lmn / F / 18 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in left hip with swelling and limitation of movements since 1 month.
H/o fever since 1 month.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted axial images (with fat saturation).
5 mm thick Proton density sagittal images.
OBSERVATION :
There are hypointense areas on the T1 Weighted images within the head of the femur and acetabulum on the left side. These are seen to turn heterogeneously hyperintense on the proton, T2 Weighted and STIR images. A large effusion is seen within the left hip joint. The muscles around the left hip joint are atrophied as compared to the right.
The right hip joint is unremarkable.
The femoral head and the acetabulum on the right side reveal normal signal intensity. There is no obvious bony destruction or erosion noted on the right side.
The visualized pelvis is normal.
IMPRESSION :
The MRI features are suggestive of altered signal within the head of the femur and acetabulum on the left side with a large effusion as described and this most likely is infective in etiology.
Published in
MRI Reports
sb/ke/nl/rg.
s Date : 00.00.00
Name of the Patient : Abc XyzG. Khalmn / M / 34 yrs.
Referred by : Dr. Abc Xyzawkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 2 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 loss of water content of the L3-L4, L4-L5 and L5-S1 intervertebral discs.
There is a postero-central disc herniation with peridiscal osteophyte at the L5-S1 level indenting the dural theca anteriorly.
A fairly large, posteriorly extruded disc with a peridiscal osteophyte is noted at the L4-L5 level with thecal sac compression and bilateral neural foraminal narrowing. There is inferior migration of the disc fragment with indentation on the traversing L5 nerve roots bilaterally. There is also slight facetal and ligamentum flavum hypertrophy with resultant canal stenosis at the L4-L5 level.
A small, left paracentral disc herniation with peridiscal osteophyte is noted at the L3-L4 level with slight left neural foraminal narrowing.
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-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 :
17.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. A postero-central disc herniation with peridiscal osteophyte at the L5-S1 level.
2. A fairly large, posteriorly extruded disc with a peridiscal osteophyte at the L4-L5 level with bilateral neural foraminal narrowing. There is inferior migration of the disc fragment with indentation on the traversing L5 nerve roots bilaterally. There is also slight facetal and ligamentum flavum hypertrophy with resultant canal stenosis at the L4-L5 level.
3. A small, left paracentral disc herniation with peridiscal osteophyte at the L3-L4 level.
s Date : 00.00.00
Name of the Patient : Abc XyzG. Khalmn / M / 34 yrs.
Referred by : Dr. Abc Xyzawkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 2 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 loss of water content of the L3-L4, L4-L5 and L5-S1 intervertebral discs.
There is a postero-central disc herniation with peridiscal osteophyte at the L5-S1 level indenting the dural theca anteriorly.
A fairly large, posteriorly extruded disc with a peridiscal osteophyte is noted at the L4-L5 level with thecal sac compression and bilateral neural foraminal narrowing. There is inferior migration of the disc fragment with indentation on the traversing L5 nerve roots bilaterally. There is also slight facetal and ligamentum flavum hypertrophy with resultant canal stenosis at the L4-L5 level.
A small, left paracentral disc herniation with peridiscal osteophyte is noted at the L3-L4 level with slight left neural foraminal narrowing.
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-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 :
17.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. A postero-central disc herniation with peridiscal osteophyte at the L5-S1 level.
2. A fairly large, posteriorly extruded disc with a peridiscal osteophyte at the L4-L5 level with bilateral neural foraminal narrowing. There is inferior migration of the disc fragment with indentation on the traversing L5 nerve roots bilaterally. There is also slight facetal and ligamentum flavum hypertrophy with resultant canal stenosis at the L4-L5 level.
3. A small, left paracentral disc herniation with peridiscal osteophyte at the L3-L4 level.
Published in
MRI Reports
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzi L. lmn / M / 60 yrs.
Referred by : Dr. Abc Xyzshar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches in the vertex and the right temporal region since 15 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.
OBSERVATION :
There are small bright foci on the proton, T2 Weighted and FLAIR images in the right posterior parietal paraventricular white matter. This lesion appears isointense to normal white matter on the T1 Weighted images.
There is focal dilatation of the temporal horn of the right lateral ventricle when compared to the left. Both the lateral, third and the fourth ventricles are otherwise unremarkable. There is slight prominence of 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.
IMPRESSION :
1. Altered signal in the right posterior parietal paraventricular white matter most likely represents an ischemic lesion.
2. Mild cerebellar atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyzi L. lmn / M / 60 yrs.
Referred by : Dr. Abc Xyzshar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches in the vertex and the right temporal region since 15 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.
OBSERVATION :
There are small bright foci on the proton, T2 Weighted and FLAIR images in the right posterior parietal paraventricular white matter. This lesion appears isointense to normal white matter on the T1 Weighted images.
There is focal dilatation of the temporal horn of the right lateral ventricle when compared to the left. Both the lateral, third and the fourth ventricles are otherwise unremarkable. There is slight prominence of 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.
IMPRESSION :
1. Altered signal in the right posterior parietal paraventricular white matter most likely represents an ischemic lesion.
2. Mild cerebellar atrophy.
Published in
MRI Reports
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyztulla Shlmn / M / 14 yrs.
Referred by : Dr. Abc Xyzzzare.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O fall from a bicycle 5 months back with injury to head.
C/O progressive weakness of BLE and RUE since then.
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.
The cervical spine was screened with 4 mm thick T2 Weighted sagittal images.
OBSERVATION :
There are ill-defined hypointense areas on the T1 Weighted images in the posterior parietal periventricular white matter bilaterally, bilateral centrum semiovale and in the posterior body and splenium of the corpus callosum. These lesions appear hyperintense on the proton, T2 Weighted and FLAIR images. Small areas are seen in the frontal periventricular white matter bilaterally.
There is mild fullness of the posterior body of the lateral ventricles bilaterally.
The 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.
The T2 Weighted sagittal images of the cervical spine do not reveal any significant feature of note.
IMPRESSION :
Altered signal in the posterior parietal and frontal periventricular white matter bilaterally, bilateral centrum semiovale and in the posterior body and splenium of the corpus callosum is not specific for a single etiology. These changes most likely represent demyelinating lesions (?dysmyelination eg. adrenoleukodystrophy and adrenomyeloneuropathy). Multiple sclerosis/progressive multifocal leukoencephalopathy should be ruled out.
Date : 00.00.00
Name of the Patient : Abc Xyztulla Shlmn / M / 14 yrs.
Referred by : Dr. Abc Xyzzzare.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O fall from a bicycle 5 months back with injury to head.
C/O progressive weakness of BLE and RUE since then.
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.
The cervical spine was screened with 4 mm thick T2 Weighted sagittal images.
OBSERVATION :
There are ill-defined hypointense areas on the T1 Weighted images in the posterior parietal periventricular white matter bilaterally, bilateral centrum semiovale and in the posterior body and splenium of the corpus callosum. These lesions appear hyperintense on the proton, T2 Weighted and FLAIR images. Small areas are seen in the frontal periventricular white matter bilaterally.
There is mild fullness of the posterior body of the lateral ventricles bilaterally.
The 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.
The T2 Weighted sagittal images of the cervical spine do not reveal any significant feature of note.
IMPRESSION :
Altered signal in the posterior parietal and frontal periventricular white matter bilaterally, bilateral centrum semiovale and in the posterior body and splenium of the corpus callosum is not specific for a single etiology. These changes most likely represent demyelinating lesions (?dysmyelination eg. adrenoleukodystrophy and adrenomyeloneuropathy). Multiple sclerosis/progressive multifocal leukoencephalopathy should be ruled out.
Published in
MRI Reports
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyza Tlmn / F / 34 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness since 3 months with gait ataxia and mild 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.
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 ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the cerebellar vermis in the right occipital pole, left frontal deep white matter extending into the left centrum semiovale, right frontal periventricular white matter and in the right frontal parafalcine region. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images. After administration of contrast, there is nodular enhancement within the above described lesions. The enhancing lesions vary in size from about 6.0 mms to 1.1 cms in diameter. Minimal indentation on the frontal horn of the right lateral ventricle is noted by the lesion in the right frontal periventricular white matter.
Both the lateral, third and the fourth ventricles are otherwise unremarkable. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
There is no abnormal meningeal enhancement identified on this study.
IMPRESSION :
Multiple, enhancing, nodular lesions in the cerebellar vermis and cerebral hemispheres bilaterally, with perilesional edema, as described, are not specific for a single etiology. These lesions may represent multiple granulomas (? tuberculomas, ?? toxoplasmosis). It is difficult to characterize the lesions on the basis of the signal intensity. Multiple metastases should also be ruled out.
Date : 00.00.00
Name of the Patient : Abc Xyza Tlmn / F / 34 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness since 3 months with gait ataxia and mild 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.
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 ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the cerebellar vermis in the right occipital pole, left frontal deep white matter extending into the left centrum semiovale, right frontal periventricular white matter and in the right frontal parafalcine region. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images. After administration of contrast, there is nodular enhancement within the above described lesions. The enhancing lesions vary in size from about 6.0 mms to 1.1 cms in diameter. Minimal indentation on the frontal horn of the right lateral ventricle is noted by the lesion in the right frontal periventricular white matter.
Both the lateral, third and the fourth ventricles are otherwise unremarkable. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
There is no abnormal meningeal enhancement identified on this study.
IMPRESSION :
Multiple, enhancing, nodular lesions in the cerebellar vermis and cerebral hemispheres bilaterally, with perilesional edema, as described, are not specific for a single etiology. These lesions may represent multiple granulomas (? tuberculomas, ?? toxoplasmosis). It is difficult to characterize the lesions on the basis of the signal intensity. Multiple metastases should also be ruled out.
Published in
MRI Reports
More...
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : Intracranial MR Venogram.
CLINICAL PROFILE :
C/O headaches since 3 months.
C/O vomiting since 4 days.
EXAMINATION :
The brain was screened with the help of 5 mm thick T1 Weighted sagittal images and T2 Weighted axial images.
MRV was performed using a 2D TOF technique.
OBSERVATION :
There is seen an ill-defined, hyperintense signal on the T2 Weighted images in the right temporal cortex and subcortical white matter. This lesion appears slightly hyperintense on the T1 Weighted images. Resultant mild indentation on the atrium of the right lateral ventricle is noted.
There is loss of normal flow void signal in the superior sagittal sinus and the right transverse and sigmoid sinuses on the spin-echo and Fast Spin-echo images. These sinuses show an intraluminal signal on the axial and sagittal images.
The left lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Mucosal thickening is noted in the left maxillary antrum.
INTRACRANIAL MRV :
There is loss of normal flow signal in the right transverse and sigmoid sinuses and in the posterior and anterior segment of the superior sagittal sinus. The left transverse sinus appears hypoplastic and shows normal flow signal. The straight sinus, vein of Galen and the internal cerebellar veins are unremarkable.
IMPRESSION :
1. Altered signal in the right temporal cortex and subcortical white matter most likely represents a haemorrhagic venous infarct(early subacute phase).
2. Loss of normal flow signal in the right transverse and sigmoid sinuses and in the posterior and anterior segments of the superior sagittal sinus suggests venous sinus thrombosis. The superior sagittal sinus is partially thrombosed/recanalized.
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : Intracranial MR Venogram.
CLINICAL PROFILE :
C/O headaches since 3 months.
C/O vomiting since 4 days.
EXAMINATION :
The brain was screened with the help of 5 mm thick T1 Weighted sagittal images and T2 Weighted axial images.
MRV was performed using a 2D TOF technique.
OBSERVATION :
There is seen an ill-defined, hyperintense signal on the T2 Weighted images in the right temporal cortex and subcortical white matter. This lesion appears slightly hyperintense on the T1 Weighted images. Resultant mild indentation on the atrium of the right lateral ventricle is noted.
There is loss of normal flow void signal in the superior sagittal sinus and the right transverse and sigmoid sinuses on the spin-echo and Fast Spin-echo images. These sinuses show an intraluminal signal on the axial and sagittal images.
The left lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Mucosal thickening is noted in the left maxillary antrum.
INTRACRANIAL MRV :
There is loss of normal flow signal in the right transverse and sigmoid sinuses and in the posterior and anterior segment of the superior sagittal sinus. The left transverse sinus appears hypoplastic and shows normal flow signal. The straight sinus, vein of Galen and the internal cerebellar veins are unremarkable.
IMPRESSION :
1. Altered signal in the right temporal cortex and subcortical white matter most likely represents a haemorrhagic venous infarct(early subacute phase).
2. Loss of normal flow signal in the right transverse and sigmoid sinuses and in the posterior and anterior segments of the superior sagittal sinus suggests venous sinus thrombosis. The superior sagittal sinus is partially thrombosed/recanalized.
Published in
MRI Reports
hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc lmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fall from a height.
C/O giddiness, vomiting, heaviness of head, tinnitus in the right ear and comatose state.
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 evidence of a small area of hypointensity on all the pulse sequences which is seen to bloom on the Fast Scan (T2 *) images within the left cerebellar hemisphere. This may represent hemosiderin/calcium/paramagnetic substances.
Areas of hypointensity on the Fast Scan (T2 *) images are seen within the right temporal lobe. These may represent hemosiderin (? the sequelae of previous hemorrhagic contusions - previous CT).
There is a sliver of hyperintensity on the proton and T2 Weighted images (se/im 102/10, 102/11, 103/10, 103/11) overlying the left temporal lobe. This may represent a small subdural collection of fluid/blood.
There is mild prominence of the cerebellar folia bilaterally.
Scan-00007
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/blood is seen within the mastoid air cells on the right side and sphenoid sinus.
IMPRESSION :
The MRI features are suggestive of :
1. A small area of altered signal intensity within the left cerebellar hemisphere may represent hemosiderin/calcium/ paramagnetic substances.
2. Areas of altered signal intensity within the right temporal lobe may represent hemosiderin and this may be the sequelae of previous hemorrhagic contusion.
3. A very small subdural collection of fluid/blood overlying the left temporal lobe.
Date : 00.00.00
Name of the Patient : Abc lmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fall from a height.
C/O giddiness, vomiting, heaviness of head, tinnitus in the right ear and comatose state.
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 evidence of a small area of hypointensity on all the pulse sequences which is seen to bloom on the Fast Scan (T2 *) images within the left cerebellar hemisphere. This may represent hemosiderin/calcium/paramagnetic substances.
Areas of hypointensity on the Fast Scan (T2 *) images are seen within the right temporal lobe. These may represent hemosiderin (? the sequelae of previous hemorrhagic contusions - previous CT).
There is a sliver of hyperintensity on the proton and T2 Weighted images (se/im 102/10, 102/11, 103/10, 103/11) overlying the left temporal lobe. This may represent a small subdural collection of fluid/blood.
There is mild prominence of the cerebellar folia bilaterally.
Scan-00007
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/blood is seen within the mastoid air cells on the right side and sphenoid sinus.
IMPRESSION :
The MRI features are suggestive of :
1. A small area of altered signal intensity within the left cerebellar hemisphere may represent hemosiderin/calcium/ paramagnetic substances.
2. Areas of altered signal intensity within the right temporal lobe may represent hemosiderin and this may be the sequelae of previous hemorrhagic contusion.
3. A very small subdural collection of fluid/blood overlying the left temporal lobe.
Published in
MRI Reports
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzddin Shlmn / M / 51 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O dysarthria since 2-3 days.
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 ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally, in the bilateral centrum semiovale and in the left frontal deep white matter. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
There is a hyperintense signal on the T1 Weighted images in the globus pallidus bilaterally extending into the cerebral peduncles bilaterally. This signal appears isointense to normal brain parenchyma on the proton, T2 Weighted and FLAIR images.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight 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.
Scan-00006
Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells bilaterally.
IMPRESSION :
1. Altered signal in the posterior parietal periventricular white matter bilaterally, in the bilateral centrum semiovale and in the left frontal deep white matter most likely represent ischemic lesions.
2. Altered signal in the globus pallidus bilaterally extending into the cerebral peduncles bilaterally suggest paramagnetic substance deposition. Such changes are seen in hepato-cerebral syndromes.
Date : 00.00.00
Name of the Patient : Abc Xyzddin Shlmn / M / 51 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O dysarthria since 2-3 days.
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 ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally, in the bilateral centrum semiovale and in the left frontal deep white matter. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
There is a hyperintense signal on the T1 Weighted images in the globus pallidus bilaterally extending into the cerebral peduncles bilaterally. This signal appears isointense to normal brain parenchyma on the proton, T2 Weighted and FLAIR images.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight 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.
Scan-00006
Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells bilaterally.
IMPRESSION :
1. Altered signal in the posterior parietal periventricular white matter bilaterally, in the bilateral centrum semiovale and in the left frontal deep white matter most likely represent ischemic lesions.
2. Altered signal in the globus pallidus bilaterally extending into the cerebral peduncles bilaterally suggest paramagnetic substance deposition. Such changes are seen in hepato-cerebral syndromes.
Published in
MRI Reports
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzLokhlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : Intracranial M.R.A.
CLINICAL PROFILE :
C/O giddiness since 3 days with vomiting, ptosis on the left side and altered sensorium.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial MRA was performed with a 3D TOF sequence.
OBSERVATION :
There are ill-defined, hyperintense areas on the T2 Weighted images in the left lentiform nucleus, left thalamus and left temporo-parieto-occipital parafalcine cortex. These most likely represent ischemic lesions.
There are bilateral, small, subdural collections over the cerebral convexities on either side with a maximum width of about 7.0 mms. These lesions are hyperintense to CSF on all the pulse sequences. Focal hyperintensity within these lesions on the T1 Weighted images which appears hypointense on the T2 Weighted images are noted in the high parietal regions bilaterally and would represent hemoglobin breakdown products.
There is mild fullness of the third both the lateral ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted in the paranasal sinuses and in the mastoid air cells bilaterally.
INTRACRANIAL MRA :
The intracranial segment of the right vertebral artery appears hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
IMPRESSION :
1. Altered signal in the left lentiform nucleus, left thalamus and left temporo-parieto-occipital parafalcine cortex most likely represents ischemic lesions.
2. Bilateral, small, subdural collections/hematomas overlying the cerebral convexities on either side with a maximum width of about 7.0 mms.
3. No significant abnormality is detected on the intracranial MRA on this study.
Date : 00.00.00
Name of the Patient : Abc XyzLokhlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : Intracranial M.R.A.
CLINICAL PROFILE :
C/O giddiness since 3 days with vomiting, ptosis on the left side and altered sensorium.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial MRA was performed with a 3D TOF sequence.
OBSERVATION :
There are ill-defined, hyperintense areas on the T2 Weighted images in the left lentiform nucleus, left thalamus and left temporo-parieto-occipital parafalcine cortex. These most likely represent ischemic lesions.
There are bilateral, small, subdural collections over the cerebral convexities on either side with a maximum width of about 7.0 mms. These lesions are hyperintense to CSF on all the pulse sequences. Focal hyperintensity within these lesions on the T1 Weighted images which appears hypointense on the T2 Weighted images are noted in the high parietal regions bilaterally and would represent hemoglobin breakdown products.
There is mild fullness of the third both the lateral ventricles. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted in the paranasal sinuses and in the mastoid air cells bilaterally.
INTRACRANIAL MRA :
The intracranial segment of the right vertebral artery appears hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
IMPRESSION :
1. Altered signal in the left lentiform nucleus, left thalamus and left temporo-parieto-occipital parafalcine cortex most likely represents ischemic lesions.
2. Bilateral, small, subdural collections/hematomas overlying the cerebral convexities on either side with a maximum width of about 7.0 mms.
3. No significant abnormality is detected on the intracranial MRA on this study.
Published in
MRI Reports