MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14065

Written by
sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza Shlmn / F / 31 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O 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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

The hippocampal complex is unremarkable on either side.

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

IMPRESSION :

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

14064

Written by
sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyze Karkhanalmn / F / 43 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

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 L3-L4 and L4-L5 intervertebral discs.

Minimal posterior disc bulges with peridiscal osteophytes are noted at the L3-L4, L4-L5 and L5-S1 levels.

Facetal hypertrophy is noted at the L4-L5 and L5-S1 levels bilaterally (more pronounced at the L4-L5 level on the right).

A hemangioma with fat content is noted in the L3 vertebral body.

The rest of 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 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 :

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

Note is made of osteitis condensans ili bilaterally.

IMPRESSION :

1. Minimal posterior disc bulges with peridiscal osteophytes at the L3-L4, L4-L5 and L5-S1 levels.

2. Facetal hypertrophy at the L4-L5 and L5-S1 levels bilaterally (more pronounced at the L4-L5 level on the right).


Sunday, 27 December 2015 16:48

14063

Written by
sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzur Ralmn / M / 11 mnths.
Referred by : Dr. Abc Xyzankhla.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O swelling in the lumbar region since birth.

EXAMINATION :

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

3 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is seen a discontinuity in the subcutaneous fat at the lumbo-sacral junction.

There is seen an open lumbo-sacral canal extending from the L5 vertebral level distally. There is seen a CSF signal intensity lesion on all the pulse sequences in the posterior soft tissues in the lumbo-sacral junction extending from the L5 to the S4 vertebral levels. This lesion is in continuity with the thecal sac and represents a meningocele sac. The tip of the spinal cord is seen to extend into this meningocele sac and is probably tethered to it. There is no evidence of an intradural lipoma on this study. The tip of the spinal cord is seen at the S1-S2 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.

IMPRESSION :

The MRI features suggest a meningomyelocele in the lumbo-sacral region with the tip of the spinal cord probably tethered to the meningocele sac at the S1-S2 level.

Sunday, 27 December 2015 16:48

14062

Written by
sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Klmn / M / 45 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

C/O gradually progressive weakness of BLE with retention of urine since 7 days.
H/O headaches and vomiting with fever since 10 days.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

10 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

There is slight loss of water content of the cervical intervertebral discs.

The cervico-dorsal spinal cord appears slightly larger in diameter. There is a hyperintense signal on the T2 Weighted images in the cervico-dorsal spinal cord, centrally, extending over the C2 vertebral level upto the conus medullaris. This signal appears relatively hypointense to the normal cord on the T1 Weighted images. Resultant slight effacement of the CSF space is noted.

The visualized cervico-dorsal vertebral bodies show normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

There is no cord compression.



IMPRESSION :

Altered signal in the cervico-dorsal spinal cord, centrally, extending from the C2 vertebral level upto the conus medullaris as described, most likely represents myelitis, in the given clinical setting.

The possibility of a demyelinating lesion seems less likely.
Sunday, 27 December 2015 16:48

14061

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

Name of the Patient : Abc XyzIqrarullmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O weakness of the fingers of the right hand since 1 year and of the fingers of the left hand since 6 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 coronal images.

OBSERVATION :

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

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

IMPRESSION :

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

14060

Written by
sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Salmn / M / 46 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 4 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 loss of water content of the L3-L4 and L4-L5 intervertebral discs.

There is inequality in the size of the laminae of the S1 vertebra. The left lamina being smaller than the right and is congenital in origin.

There is Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra.

Minimal posterior disc bulges are noted at the L4-L5 and L5-S1 levels.

Slight facetal arthropathy is noted at the L5-S1 level, on the left.

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 S2 level.
..2/.





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

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

IMPRESSION :

1. Congenital anomaly of the left lamina of the S1.

2. Slight facetal arthropathy at the L5-S1 level, on the left.

3. Grade I spondylolisthesis of the L5 over the S1 vertebra without spondylolysis.

4. Small posterior disc bulges at the L4-L5 and L5-S1 levels.
Sunday, 27 December 2015 16:48

14059

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

Name of the Patient : Abc XyzShlmn / M / 14 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O 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, T2 Weighted and STIR coronal images.

OBSERVATION :

There is a small, CSF signal intensity lesion on all the pulse sequences along the lateral aspect of the roof of the left orbit (scans 102.7 and 104.7). This most likely is partial volume averaging with the CSF space in that region (best appreciated on the STIR coronal images).

There is seen a very small, extra-axial, CSF intensity lesion on all the pulse sequences in the right anterior temporal region. This may represent a prominent sulcal space/arachnoid cyst.

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

The hippocampal complex is unremarkable on either side.

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.
Scan-00009



Note is made of an empty sella.

IMPRESSION :

Small, extra-axial, CSF intensity lesion in the right anterior temporal region may represent a prominent sulcal space/arachnoid cyst.

No other significant abnormality is detected on this study.

Sunday, 27 December 2015 16:48

14058

Written by
sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzi R. Dhlmn / F / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches since 6-7 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 coronal images.

5 mm thick T1 Weighted sagittal images.

MR cisternogram was obtained in the sagittal plane.

OBSERVATION :

There is seen a fairly large, approximately 5.8 x 4.2 x 3.8 cms sized well-defined mass lesion in the right cerebellar hemisphere. This lesion follows CSF signal on all the pulse sequences. This lesion is not in communication with the fourth ventricle or the cerebellar cisterns. There is resultant compression of the fourth ventricle, aqueduct and brainstem which is displaced slightly to the left. There is also cerebellar tonsillar herniation through the foramen magnum. There is mild to moderate dilatation of both the lateral and third ventricles with slight periventricular white matter hyperintense signal on the T2 Weighted images suggesting periventricular CSF ooze. Effacement of the cortical sulcal spaces in the cerebral hemispheres, bilaterally, is noted.






The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the ethmoidal air cells bilaterally.

IMPRESSION :

A fairly large, approximately 5.8 x 4.2 x 3.8 cms sized mass lesion in the right cerebellar hemisphere as described, is not specific for a single etiology. A cystic astrocytoma or a hemangioblastoma should be considered in the differential diagnosis. There is mild to moderate obstructive hydrocephalus.

A contrast enhanced scan may be worthwhile.
Sunday, 27 December 2015 16:48

14057

Written by
sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc XyzShafi Merclmn / M / 43 yrs.
Referred by : Dr. Abc Xyzoshipura.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE (right more than left) with numbness since 2 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 sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film.

There is scoliosis of the spine with convexity to the left side.

There is loss of water content of the L4-L5 intervertebral disc.

There is Grade I spondylolisthesis of the L4 over the L5 vertebra with spondylolysis at L4, bilaterally. A pseudo-posterior disc herniation is noted at the L4-L5 level with bilateral neural foraminal narrowing and probable indentation upon the foraminal L4 nerve roots. Slight superior migration of the disc fragment is noted, more to the right of the midline.

A minimal posterior disc bulge is noted at the L3-L4 level.

Facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels.
..2/.






Schmorls nodes are noted in the lumbar region.

A hemangioma with fat content is noted at the D10 and D12 vertebral levels.

Slight anterior wedging of the D12 vertebral body is noted.

Fat is noted in the filum terminale at the L3 and L4 vertebral levels.

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 L2 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
20.0 mm at L2-L3
20.0 mm at L3-L4
18.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebra.

2. Grade I spondylolisthesis of the L4 over the L5 vertebra with spondylolysis at L4, bilaterally.

3. A pseudo-posterior disc herniation at the L4-L5 level with slight superior migration of the disc fragment and bilateral neural foraminal narrowing.

4. Facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.
Sunday, 27 December 2015 16:48

14056

Written by
sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzvati Galmn / F / 65 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Lumbo-sacral Spine
with Myelogram.

CLINICAL PROFILE :

C/O backache with pain 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.

MR Myelogram was also obtained.

OBSERVATION :

There is probable sacralization of the L5 vertebra which is as marked on the film (Kindly correlate with plain radiographs).

There is loss of water content of all the lumbar intervertebral discs except the L5-S1 disc.

There are posteriorly herniated discs with peridiscal osteophytes at the L3-L4 and L4-L5 levels with thecal sac compression and bilateral neural foraminal narrowing. Facetal hypertrophy is also noted at these levels with canal stenosis.

Small posterior disc bulges with peridiscal osteophytes are noted at the L1-L2 and L3-L4 levels.

The pedicles of the lower lumbar vertebrae appears congenitally short in their antero-posterior dimensions.

..2/.





Bilateral far lateral (extraforaminal) disc herniations are seen at the L3-L4 and L4-L5 levels. Bilateral far lateral (extraforaminal) disc bulges are noted at the L1-L2 and L2-L3 levels.

Schmorls nodes are noted in the D11 and D12 vertebral bodies with Type II degenerative marrow changes in the vertebral bodies adjacent to the Schmorls nodes.

The lumbar vertebral bodies 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 S1 level.

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

12.0 mm at L1-L2
10.0 mm at L2-L3
7.0 mm at L3-L4
7.0 mm at L4-L5
19.0 mm at L5-S1.

IMPRESSION :

1. Probable sacralization of the L5 vertebra.

2. Posteriorly herniated discs with peridiscal osteophytes at the L3-L4 and L4-L5 levels with facetal hypertrophy and canal stenosis at these levels.

3. Small posterior disc bulges with peridiscal osteophytes at the L1-L2 and L3-L4 levels.

4. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.

5. Bilateral far lateral (extraforaminal) disc herniations at the L3-L4 and L4-L5 levels.