MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14080

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

Name of the Patient : Abc Xyzar Klmn / M / 52 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O tremors in BUE since 8-9 months.

EXAMINATION :

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

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

5 mm thick FLAIR and Fast Scan (T2 *) coronal images.

OBSERVATION :

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

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidentally noted is pansinusitis with a deviated nasal septum to the right and a hypertrophied left inferior nasal turbinate.

IMPRESSION :

Pansinusitis with a deviated nasal septum to the right and a hypertrophied left inferior nasal turbinate.

Mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.


Sunday, 27 December 2015 16:48

14079

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

Name of the Patient : Abc Xyzra lmn / M / 51 yrs.
Referred by : Dr. Abc Xyzikhalikar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O CRF.
C/O tremors of the LUE with generalized weakness since 1 day.
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.

3 mm thick T2 Weighted coronal images.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally. These areas appear iso to hypointense to normal white matter on the T1 Weighted images.

The hippocampal complex is unremarkable on either side.

There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is 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.







Inflammatory changes are noted in the sphenoid sinus on the left.

IMPRESSION :

1. Altered signal in the periventricular white matter bilaterally most likely represents ischemic changes.

2. Mild cerebral cortical and cerebellar atrophy.

Sunday, 27 December 2015 16:48

14078

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

Name of the Patient : Abc Xyzi Chaudlmn / F / 21 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O vomiting, giddiness and gait ataxia since 4-5 days.
C/O diminished vision (left more than right) since 1 month.
H/O acute renal failure.

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 T1 Weighted coronal images.

OBSERVATION :

There are small bright foci on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the left inferior frontal region and in the frontal and parietal regions bilaterally. These lesions appear nearly isointense to normal white matter on the T1 Weighted images.

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 :

Small bright foci on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the left inferior frontal region and in the frontal and parietal regions bilaterally are not specific for a single etiology. These lesions are more likely to represent ischemic lesions rather than demyelinating lesions. The possibility of granulomas seem less likely.






Sunday, 27 December 2015 16:48

14077

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

Name of the Patient : Abc Xyzp Kaslmn / M / 38 yrs.
Referred by : Dr. Abc XyzBhojraj.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE (right more than left) with tingling.

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. Please correlate with plain radiographs.

There is loss of water content of the L5-S1 intervertebral disc and slight loss of water content of the rest of the lumbar intervertebral disc except the L4-L5 disc.

There is a postero-central protruded disc with peridiscal osteophytes at the L5-S1 level.

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

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






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

19.0 mm at L1-L2
17.0 mm at L2-L3
18.0 mm at L3-L4
18.0 mm at L4-L5
16.0 mm at L5-S1.

IMPRESSION :

Degenerated L5-S1 disc with a postero-central protruded disc with peridiscal osteophytes at this level.




Sunday, 27 December 2015 16:48

14076

Written by
hs/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyznnum lmn / M / 6 months.
Referred by : Dr. Abc Xyzarmar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O fever, seizures, vomiting and altered sensorium since 2-3 days.
O/E patient had hepatomegaly with SGPT on higher side.
Clinical impression is Reyes syndrome.

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 T2 Weighted coronal images.

OBSERVATION :

There are diffuse, irregularly defined areas of hyperintensity on the proton and T2 Weighted images within the temporo-parietal lobes bilaterally with involvement of the cortical grey as well as white matter. These are near isointense to grey matter on the T1 Weighted images (scans 103.9-11) Suspicious changes are seen in the dentate nuclei bilaterally.

The myelination pattern appears normal for the patients age.

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.

Subgaleal edema is noted in the left temporo-parietal region.

IMPRESSION :

The MRI features are suggestive of areas of altered signal within the temporo-parietal lobes bilaterally as described. These are not specific for a single etiology. Such changes may be seen with encephalitis/ADEM or Reyes Syndrome.
Sunday, 27 December 2015 16:48

14075

Written by
hs/bv/nl.
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 20 yrs.
Referred by : Dr. Abc Xyzdkarni.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE 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 :

The L5 vertebra is as marked on the film.

There is a probable break of the pars interarticularis of the L5 vertebra bilaterally, with slight forward subluxation of the L5 over the S1 vertebra.

A small, postero-central disc herniation with peridiscal osteophytes, more to the right of the midline is seen to indent the traversing right L5 nerve root at the L4-L5 level. This intervertebral disc shows slight decrease in its height and is dessicated.

The facet joints at the L5-S1 level bilaterally and on the left side at the L4-L5 level show degenerative changes.

A mild posterior disc bulge with small peridiscal osteophytes is seen at the L5-S1 level.





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 D12-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 :

18.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
15.0 mm at L4-L5
17.0 mm at L5-S1.

IMPRESSION :

1. Probable spondylolysis of the L5 vertebra bilaterally with forward subluxation of the L5 over the S1 vertebra.

2. A small, postero-central disc herniation with peridiscal osteophytes, more to the right of the midline indenting the traversing right L5 nerve root at the L4-L5 level.

3. Facetal arthropathy at the L5-S1 level bilaterally and on the left side at the L4-L5 level.


Sunday, 27 December 2015 16:48

14074

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

Name of the Patient : Abc Xyzha Klmn / F / 9 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever with chills in April 0000 with single episode of seizures.

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.

Note is made of enlarged adenoids.

IMPRESSION :

Normal study of the Brain.


Sunday, 27 December 2015 16:48

14073

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

Name of the Patient : Abc Xyzer Jhilmn / M / 55 yrs.
Referred by : Dr. Abc Xyzidhwa.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

Alleged H/O fall 2 months back with backache since then.
Radiological features s/o ankylosing spondylitis.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

The cervical and lumbar spines were screened with 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is slight scoliosis of the dorsal spine with convexity to the left. The cervical and lumbar spines show loss of normal lordosis. All the vertebral bodies in the spinal axis except the D8 vertebral body show fatty marrow changes. Ankylosis of the costo-vertebral and costo-transverse joints and the facet joints in some places in the dorsal region is noted. The cervical discs show a hyperintense signal on the T1 Weighted images which may suggest calcification/ossification. There is slight loss of water content of some of the dorsal intervertebral discs.

The D8 vertebral body and appendages show a hypointense signal on the T1 Weighted images which appears heterogeneously hyperintense on the T2 Weighted images. The D7-D8 and D8-D9 intervertebral discs appear intact. There is minimal soft tissue lesion noted in the prevertebral and paravertebral spaces at the D8 vertebral level (this may be an extension of the vertebral body itself). There is no cord compression.


Anterior peridiscal osteophytes are noted in the dorsal region. Slight facetal hypertrophy is noted at the D8-D9 level.

The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the D12-L1 level.

IMPRESSION :

In a known C/O ankylosing spondylitis :

1. There is evidence of fatty marrow changes of all the vertebrae except for the D8 vertebra. Ankylosis of the costo-vertebral and costo-transverse joints and the facet joints in some places is noted. Calcification/ossification of the cervical discs is noted. Loss of normal lordosis of the cervical and lumbar vertebrae is noted.

2. Altered signal of the D8 vertebra is not specific for a single etiology. This may be post-traumatic in etiology, (previous h/o trauma superimposed on an ankylosed spine, with features of osteoporosis).

Osteitis and a neoplastic etiology should however be excluded.


Sunday, 27 December 2015 16:48

14072

Written by
sb/sb/nl/nl

Date : 00.00.00

Name of the Patient : Abc Xyzkumar Milmn / M / 16 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
(Post-contrast Study).

CLINICAL PROFILE :

Known C/O oligodendroglioma for which left temporal craniotomy with excision of tumor was done on 00.00.00.
C/O weakness of BLE with kyphosis since then.

EXAMINATION :

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

5 mm thick T1 Weighted sagittal images (with fat saturation)

7 mm thick T1 Weighted axial images.

The dorsal and cervical spines were screened with 5 mm thick T1 Weighted sagittal images with fat saturation.

OBSERVATION :

After administration of contrast, there is no focal area of abnormal enhancement in the visualized spinal cord, intrathecal nerve roots in the conus cauda region or the meninges.


Sunday, 27 December 2015 16:48

14071

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

Name of the Patient : Abc Xyzon Bharlmn / M / 67 yrs.
Referred by : Dr. Abc Xyznshah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE with numbness.

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 sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film.

There is loss of water content of the lumbar intervertebral discs. There is evidence of calcium/vacuum phenomena in the L1-L2, L4-L5 and L2-L3 intervertebral discs.

There is a posterior disc bulge with a central protrusion at the L4-L5 level, indenting the dural theca anteriorly.

A left far lateral (extraforaminal) disc herniation is noted at the L2-L3 level, with resultant indentation of the L2 nerve root.

A right paracentral and a left postero-lateral (foraminal) protruded disc is also noted at the L1-L2 level.

The lumbar vertebral bodies show spotty fatty changes of the normal marrow. The facet joints in the lumbar region show hypertrophic degenerative changes, maximum at the L4-L5 level with resultant canal stenosis at that level. The visualized pre and paravertebral soft tissues are unremarkable.
..2/.






The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1 level.

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

18.2 mm at L1-L2
17.6 mm at L2-L3
18.4 mm at L3-L4
12.9 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Sacralization of the L5 vertebra.

2. A posterior disc bulge with a central protrusion at the L4-L5 level.

3. A left far lateral (extraforaminal) disc herniation at the L2-L3 level, with resultant indentation on the left L2 nerve root.

4. A right paracentral and a left postero-lateral (foraminal) protruded disc at the L1-L2 level.

5. Hypertrophic degenerative changes of the lumbar facet joints, maximum at the L4-L5 level with resultant canal stenosis at the L4-L5 level.

As compared to the previous MRI (study no:00001) dated 00.00.00, there is no significant change noted.