MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14094

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

Name of the Patient : Abc Xyzi Sonalmn / F / 40 yrs.
Referred by : Dr. Abc Xyzlke.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O altered behaviour with irrelevant talk since 00.00.00.
Known hypertensive. On 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.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are ill-defined hyperintense areas on the proton, T2 Weighted and FLAIR images within the pons, right cerebellar hemisphere, bilateral thalami, putamen, corona radiata, centrum semiovale and the periventricular deep white matter. These are isointense to hypointense to the normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

A small, ill-defined area is seen in the left frontal and fronto-temporal cortex which is hypointense on the T1 Weighted images and turns hyperintense on the proton, T2 Weighted and FLAIR images and would represent gliotic changes. There is slight involvement of the anterior portion of the insular cortex.

There is slight fullness of both the lateral ventricles. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.



IMPRESSION :

1. Altered signal within the pons, right cerebellar hemisphere, bilateral thalami, putamen, corona radiata, centrum semiovale and the periventricular deep white matter are suggestive of areas of ischemia/infarction.

2. A small area of altered signal intensity in the left frontal region with slight involvement of the anterior portion of the insular cortex would represent gliotic changes, most likely the sequelae of a previous vascular insult.




Sunday, 27 December 2015 16:48

14093

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

Name of the Patient : Abc Xyza lmn / F / 33 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzah.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the left hip since 1 1/2 months.

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 (with fat saturation) axial images.

5 mm thick Proton density sagittal images.

OBSERVATION :

There are diffuse areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted and STIR images within the head and neck of the left femur. Minimal effusion is noted within the left hip joint.

The right femoral head and the acetabulum reveal normal signal intensity. The articular cartilages are unremarkable. There is no effusion within the right hip joint.

The musculature surrounding both the hip joints and the visualized pelvis is normal.









IMPRESSION :

The MRI features are suggestive of diffuse altered signal within the head and neck of the left femur which is not specific for a single diagnosis.

The differential diagnosis would include :

1. Transient osteoporosis.

2. Early avascular necrosis.

As compared to the previous MRI dated 00.00.00, there is slight decrease in the signal intensity of the lesion on the present study.



Sunday, 27 December 2015 16:48

14092

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

Name of the Patient : Abc Xyzhai Jalmn / M / 72 yrs.
Referred by : Dr. Abc Xyzh Shah / Dr. Abc Xyztrak.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O left sided hemiparesis since 8.00 am of 00.00.00 with dysarthria.
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.

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

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

BRAIN :

There is an ill-defined, hyperintense signal, best appreciated on the FLAIR images along the right cerebral cortex and in the right lentiform nucleus, head of the right caudate nucleus and right thalamus. This signal appears hypointense to normal grey matter on the T1 Weighted images. Resultant mild effacement of the cerebral cortical sulci in the right cerebral hemisphere is noted. The intracranial segment of the right internal carotid artery shows an intraluminal signal on all the pulse sequences.
Scan-00002


Lacunar infarcts (iso to hyperintense to CSF) are noted in the right thalamus, head of the left caudate nucleus and in the deep white matter in the left parietal region.

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

INTRACRANIAL MRA :

There is non-visualization of the intracranial segment of the right internal carotid artery and its branches (though there is very faint visualization of the proximal right middle cerebral artery).

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

NECK MRA :

The right internal carotid artery in the neck is also not visualized from the right common carotid bifurcation. The right external carotid, the left internal carotid artery and its bifurcation and the vertebral arteries are unremarkable.

IMPRESSION :

1. Altered signal along the cortex of the right cerebral hemisphere and in the right lentiform nucleus, head of the right caudate nucleus and right thalamus represents a recent ischemic lesion.
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- 3 - Scan-00002



2. Lacunar infarcts in the right thalamus, head of the left caudate nucleus and in the deep white matter in the left high parietal region.

3. Non-visualization of the right internal carotid artery and its branches from the right common carotid bifurcation (though there is very faint visualization of the proximal
right middle cerebral artery) may suggest thrombosis of the vessel.

Sunday, 27 December 2015 16:48

14091

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

Name of the Patient : Abc Xyz Mlmn / M / 40 yrs.
Referred by : Dr. Abc Xyznadkat.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (right more than left) since 7 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 :

The L5 vertebral body is as marked on the film.

There is a right paracentral disc herniation at the L5-S1 level with antero-lateral indentation of the thecal sac and right neural foraminal narrowing. There is a large posterior peridiscal osteophyte at this level.

There is a small postero-central disc herniation with peridiscal osteophyte at the L4-L5 level with mild anterior indentation of the thecal sac. The L4-L5 and L5-S1 intervertebral discs show loss of water content.

Posterior peridiscal osteophytes are noted at the L1-L2 level to the left of the midline.

Type II degenerative changes are noted in the S1 vertebral body adjacent to the L5-S1 intervertebral disc.






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

The conus medullaris terminates at the L1 level and the thecal sac terminates at the S3 level.

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

20.0 mm at L1-L2
19.0 mm at L2-L3
19.0 mm at L3-L4
17.0 mm at L4-L5
15.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A right paracentral disc herniation with peridiscal osteophytes at the L5-S1 level with right neural foraminal narrowing.

2. A small postero-central disc herniation with peridiscal osteophytes at the L4-L5 level.

3. A left paracentral peridiscal osteophyte at the L1-L2 level.



Sunday, 27 December 2015 16:48

14090

Written by
ke/hs/nl/rg.
/00000 Date : 11/00.00.00

Name of the Patient : Abc Xyzal M. Gokalgalmn / M / 68 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O right sided hemiplegia since 15 days.
Known hypertensive. On Rx.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted and Fast Scan (T2 *) axial images.

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

FEW IMAGES ESPECIALLY THE NECK MRA SHOW PATIENT MOTION.

OBSERVATION :

There is a well-defined area in the left thalamus extending superiorly into the left corona radiata. This lesion has a hyperintense periphery and a hypointense centre on the T1 Weighted images. This is seen to turn heterogeneously hypointense on the T2 Weighted and Fast Scan (T2 *) images. There is surrounding edema with mass effect and indentation upon the body of the left lateral and third ventricles with slight shift to the contralateral side.

There is slight fullness of the right lateral ventricle.

The fourth ventricle is normal. There is prominence of the cerebral cortical sulci. The basal cisternal spaces are unremarkable.



- 2 - Scan-00000/00000

INTRACRANIAL MRA :

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

NECK MRA :

Image quality degraded due to patient motion, however no significant abnormality is detected on the Neck MRA.

The right vertebral artery in the neck is smaller as compared to the left.

IMPRESSION :

A subacute hematoma in the left thalamus extending superiorly into the left corona radiata with surrounding edema and mass effect as described.

No significant abnormality is detected on the intracranial and neck MRA on this study.

Sunday, 27 December 2015 16:48

14089

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

Name of the Patient : Abc Xyzph lmn / M / 22 yrs.
Referred by : Dr. Abc Xyzhijwala.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

C/O pain in the right knee joint with swelling and inability to bend the RLE since 1 month.

EXAMINATION :

M.R.I of the right knee joint was performed using the following parameters :

4 mm thick T1 Weighted, proton and GRASS (with fat saturation) sagittal images.

4 mm thick T1 Weighted and STIR coronal images.

4 mm thick Fast Scan (T2 *) axial images.

OBSERVATION :

Menisci :

There is a curvilinear hyperintense signal on all the pulse sequences within the posterior horn of the medial meniscus reaching upto the inferior articular surface and would represent Grade III meniscal signal (horizontal meniscal tear).

The anterior and posterior horns of the lateral menisci and anterior horn of the medial meniscus reveal normal configuration and signal characteristics.

Cruciate Ligaments :

The anterior and posterior cruciate ligaments show normal contour and signal characteristics.


Collateral Ligaments and the Patellar Tendon :

The medial and lateral collateral ligaments and the patellar tendon are normal.

Hoffas Fat Pad :

The Hoffas fat pad is normal.

Articular cartilage and bones :

The articular cartilage overlying the patella, tibia and femur appears normal.

IMPRESSION :

The MRI features are suggestive of a horizontal meniscal tear of the posterior horn of the medial meniscus of the right knee joint.



Sunday, 27 December 2015 16:48

14088

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

Name of the Patient : Abc Xyzce Mendlmn / M / 41 yrs.
Referred by : Dr. Abc Xyzhijwala.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE.

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 forward translation of the L5 over the S1 vertebral body with probable lysis of the L5 vertebra on the left side. Correlation with plain radiographs would be worthwhile.

A pseudo-posterior disc bulge is seen at the L5-S1 level.

Small postero-central disc herniation is seen at the L3-L4 level and a posterior disc bulge is noted at the L4-L5 level. The L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.

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 S2 level.
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The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

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

IMPRESSION :

The MRI features are suggestive of :

1. Slight forward translation of the L5 over the S1 vertebral body with probable lysis of the L5 vertebra on the left side. Correlation with plain radiographs would be worthwhile.

2. A pseudo-posterior disc bulge at the L5-S1 level.

3. Small postero-central disc herniation at the L3-L4 level and a posterior disc bulge at the L4-L5 level.

Sunday, 27 December 2015 16:48

14087

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzr lmn / M / 7 1/2 years.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures (left sided) since 2 years.

EXAMINATION :

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

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

3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There is no focal area of altered signal intensity in the brain parenchyma.

The hippocampal complex on either side is unremarkable.

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 enlarged adenoids.

IMPRESSION :

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

14086

Written by
sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Solmn / F / 19 yrs.
Referred by : Dr. Abc Xyzdi.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias 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 :

A minimal posterior disc bulge is noted at the L4-L5 level.

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

The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1-S2 level.

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

20.0 mm at L1-L2
21.0 mm at L2-L3
20.0 mm at L3-L4
19.0 mm at L4-L5
17.0 mm at L5-S1.
R>
The uterus appears slightly enlarged, which may be physiological and may be investigated further if clinically indicated.

IMPRESSION :

No significant abnormality is detected on this study.

Sunday, 27 December 2015 16:48

14085

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzSadlmn / M / 76 yrs.
Referred by : Dr. Abc Xyz. Gandhi.
Examination : M.R.I. of the Abdomen.

CLINICAL PROFILE :

C/O pain in abdomen with weight loss since 6 months.
H/O ascites and cirrhosis 4-5 days back.

EXAMINATION :

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

6 mm thick T1 Weighted, T2 Weighted and STIR axial images.

7 mm thick T1 Weighted coronal images.

SOME IMAGES SHOW PATIENT MOTION AS THE PATIENT WAS NOT VERY CO-OPERATIVE.

OBSERVATION :

The liver appears smaller in size, with a nodular margin. There is seen an approximately 3.0 cms diameter sized nodular lesion between the anatomic right and left lobe of the liver which is slightly hyperintense on the T1 Weighted images and is relatively hypointense on the T2 Weighted images. This may represent a regenerating nodule (scans 105.9 & 107.9). Another similar lesion is noted in the left lobe of the liver superiorly (scans 105.6).

There is interpositioning of the large bowel between the liver and the right dome of the diaphragm.

There is no intrahepatic biliary radicle dilation. The intrahepatic venous architexture is normal.

The gall bladder is distended and shows evidence of a gall stone. There is no thickening of the gall bladder wall.


The pancreas is normal in bulk and signal intensity. There is mild splenomegaly without focal lesion.

Both the adrenal glands are normal.

Both the kidneys are normal in size and shape.

No lymphadenopathy is detected. There is evidence of a small amount of free fluid in the abdomen.

Few MR Venogram images were also obtained and there is visualization of the portal vein and faint visualization of the splenic vein.

IMPRESSION :

1. Changes in the liver suggests Cirrhosis of liver with evidence of regenerating nodules as described.

2. Gall bladder calculus.

3. Mild splenomegaly.

4. Mild ascites.