MRI Reports (3472)
MRI Reports Database
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzhesh Jalmn / M / 5 mnths.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
? fixation nystagmus.
? nystagmus.
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 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 myelination pattern is 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.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyzhesh Jalmn / M / 5 mnths.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
? fixation nystagmus.
? nystagmus.
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 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 myelination pattern is 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.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyza Jumaali Rilmn / F / 35 yrs.
Referred by : Dr. Abc Xyzrma.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O amenorrhea.
To r/o pituitary adenoma.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted and T2 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick T1 Weighted sagittal images.
OBSERVATION :
The pituitary gland is normal in its size, contour and location and reveals normal signal intensity. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable.
The cavernous sinuses and the suprasellar cisterns are unremarkable.
Screening images of the brain show no focal area of abnormal signal within the brain parenchyma. The ventricular system is normal. There is no midline shift.
The sphenoid sinus shows a midline vertical septum. Mucosal thickening is noted along the floor of the sphenoid sinus on the left and along the roof of the sphenoid sinus on the right. Inflammatory mucosal thickening is also noted in the maxillary and ethmoid sinuses.
IMPRESSION :
1. Normal study of the Pituitary.
2. Pansinusitis.
The patient refused a contrast study.
Date : 00.00.00
Name of the Patient : Abc Xyza Jumaali Rilmn / F / 35 yrs.
Referred by : Dr. Abc Xyzrma.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
C/O amenorrhea.
To r/o pituitary adenoma.
EXAMINATION :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted and T2 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick T1 Weighted sagittal images.
OBSERVATION :
The pituitary gland is normal in its size, contour and location and reveals normal signal intensity. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable.
The cavernous sinuses and the suprasellar cisterns are unremarkable.
Screening images of the brain show no focal area of abnormal signal within the brain parenchyma. The ventricular system is normal. There is no midline shift.
The sphenoid sinus shows a midline vertical septum. Mucosal thickening is noted along the floor of the sphenoid sinus on the left and along the roof of the sphenoid sinus on the right. Inflammatory mucosal thickening is also noted in the maxillary and ethmoid sinuses.
IMPRESSION :
1. Normal study of the Pituitary.
2. Pansinusitis.
The patient refused a contrast study.
Published in
MRI Reports
sb/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzti lmn / M / 32 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain 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 :
There is loss of normal lumbar lordosis and loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is a postero-central disc herniation at the L5-S1 level.
There is a postero-central and right paracentral extruded disc at the L4-L5 level with right neural foraminal narrowing and indentation on the traversing right L5 nerve root. Slight inferior migration of the disc fragment is noted.
Type II degenerative marrow changes are noted in the S1 vertebral body adjacent to the L5-S1 disc.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
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
17.0 mm at L3-L4
10.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A postero-central disc herniation at the L5-S1 level.
2. A postero-central and right paracentral extruded disc at the L4-L5 level with indentation upon the traversing right L5 nerve root. Slight inferior migration of the disc fragment is noted.
3. Canal stenosis at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyzti lmn / M / 32 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain 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 :
There is loss of normal lumbar lordosis and loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is a postero-central disc herniation at the L5-S1 level.
There is a postero-central and right paracentral extruded disc at the L4-L5 level with right neural foraminal narrowing and indentation on the traversing right L5 nerve root. Slight inferior migration of the disc fragment is noted.
Type II degenerative marrow changes are noted in the S1 vertebral body adjacent to the L5-S1 disc.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
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
17.0 mm at L3-L4
10.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A postero-central disc herniation at the L5-S1 level.
2. A postero-central and right paracentral extruded disc at the L4-L5 level with indentation upon the traversing right L5 nerve root. Slight inferior migration of the disc fragment is noted.
3. Canal stenosis at the L4-L5 level.
Published in
MRI Reports
sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzal Milmn / M / 56 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O inability to talk for an hour on 00.00.00.
C/O decreased vision bilaterally since 4-5 years.
Known hypertensive/diabetic.
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 :
An old infarct which is hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images is noted in the right lentiform nucleus, extending into the right corona radiata.
Ill-defined hyperintense signal is noted on the T2 Weighted images in the pons, to the right of the midline. This most likely represents an ischemic lesion.
There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted in the left maxillary antrum.
INTRACRANIAL MRA :
There is hypoplasia of the A1 segment of the right anterior cerebral artery.
Mild concentric narrowing of the cavernous segment of the right internal carotid artery is noted.
The petrous, cavernous and supraclinoid segments of the left internal carotid artery show normal signal and calibre. The visualized left 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 :
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. An old infarct in the right lentiform nucleus, extending into the right corona radiata.
2. Altered signal in the pons, to the right of the midline, most likely represents an ischemic lesion.
3. Mild concentric narrowing of the cavernous segment of the right internal carotid artery may be atherosclerotic in etiology.
Date : 00.00.00
Name of the Patient : Abc Xyzal Milmn / M / 56 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O inability to talk for an hour on 00.00.00.
C/O decreased vision bilaterally since 4-5 years.
Known hypertensive/diabetic.
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 :
An old infarct which is hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images is noted in the right lentiform nucleus, extending into the right corona radiata.
Ill-defined hyperintense signal is noted on the T2 Weighted images in the pons, to the right of the midline. This most likely represents an ischemic lesion.
There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted in the left maxillary antrum.
INTRACRANIAL MRA :
There is hypoplasia of the A1 segment of the right anterior cerebral artery.
Mild concentric narrowing of the cavernous segment of the right internal carotid artery is noted.
The petrous, cavernous and supraclinoid segments of the left internal carotid artery show normal signal and calibre. The visualized left 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 :
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. An old infarct in the right lentiform nucleus, extending into the right corona radiata.
2. Altered signal in the pons, to the right of the midline, most likely represents an ischemic lesion.
3. Mild concentric narrowing of the cavernous segment of the right internal carotid artery may be atherosclerotic in etiology.
Published in
MRI Reports
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Khailmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 4 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 L4-L5 intervertebral disc.
There is a small right paracentral disc herniation at the L4-L5 level indenting the dural theca anteriorly.
A probable right sided conjoint nerve root is noted at the L5-S1 level and on the left side at the L5 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L2 level and the thecal sac terminates at the S2 level.
R> The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
Degenerated L4-L5 intervertebral disc with a small right paracentral disc herniation at that level.
Date : 00.00.00
Name of the Patient : Abc Xyz Khailmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 4 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 L4-L5 intervertebral disc.
There is a small right paracentral disc herniation at the L4-L5 level indenting the dural theca anteriorly.
A probable right sided conjoint nerve root is noted at the L5-S1 level and on the left side at the L5 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L2 level and the thecal sac terminates at the S2 level.
R> The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
Degenerated L4-L5 intervertebral disc with a small right paracentral disc herniation at that level.
Published in
MRI Reports
sb/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Hlmn / F / 47 yrs.
Referred by : Dr. Abc Xyzbharani.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 15 days.
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 lumbar intervertebral discs.
There is sacralization of the L5 vertebra.
A minimal posterior disc bulge is noted at the L4-L5 level.
The facet joints at the L4-L5 and L5 levels show hypertrophic degenerative changes with minimal right facet joint effusion.
A focal hypointense signal on T1 Weighted images is noted in the D11 vertebral body, which appears hyperintense on the T2 Weighted images. There is no bone erosion or destruction seen.
The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
- 2 - Scan-00002
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
19.0 mm at L2-L3
18.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. A minimal posterior disc bulge at the L4-L5 level with hypertrophic facetal arthropathy at the L4-L5 and L5 levels.
3. A focal altered signal in the D11 vertebral body is of ? etiology ? marrow inhomogenity, ?? haemangioma.
Date : 00.00.00
Name of the Patient : Abc Xyz Hlmn / F / 47 yrs.
Referred by : Dr. Abc Xyzbharani.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 15 days.
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 lumbar intervertebral discs.
There is sacralization of the L5 vertebra.
A minimal posterior disc bulge is noted at the L4-L5 level.
The facet joints at the L4-L5 and L5 levels show hypertrophic degenerative changes with minimal right facet joint effusion.
A focal hypointense signal on T1 Weighted images is noted in the D11 vertebral body, which appears hyperintense on the T2 Weighted images. There is no bone erosion or destruction seen.
The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
- 2 - Scan-00002
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
19.0 mm at L2-L3
18.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Sacralization of the L5 vertebra.
2. A minimal posterior disc bulge at the L4-L5 level with hypertrophic facetal arthropathy at the L4-L5 and L5 levels.
3. A focal altered signal in the D11 vertebral body is of ? etiology ? marrow inhomogenity, ?? haemangioma.
Published in
MRI Reports
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzrajilmn / M / 36 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Dorsal Spine.
(Post-contrast study).
CLINICAL PROFILE :
H/O laminectomy from D2-D4 with excision of an ependymoma on 00.00.00.
C/O numbness in BLE with difficulty in walking since then.
EXAMINATION :
M.R.I. of the dorsal spine was performed after administration of contrast using the following parameters :
5 mm thick T1 Weighted sagittal images.
6 mm thick T1 Weighted axial images.
5 mm thick T1 Weighted coronal images.
OBSERVATION :
After administration of contrast there is uniform enhancement of the intramedullary lesion, peripherally extending over the D2 and D3 vertebral levels. Central non-enhancing region may represent tumor related cyst/necrosis.
Enhancement is also noted in the posterior soft tissues in the dorsal region, at the site of previous surgery.
IMPRESSION :
Enhancing intramedullary lesion extending over the D2 and D3 vertebral levels may represent residual/recurrent ependymoma. The patient is status post-operative.
Date : 00.00.00
Name of the Patient : Abc Xyzrajilmn / M / 36 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Dorsal Spine.
(Post-contrast study).
CLINICAL PROFILE :
H/O laminectomy from D2-D4 with excision of an ependymoma on 00.00.00.
C/O numbness in BLE with difficulty in walking since then.
EXAMINATION :
M.R.I. of the dorsal spine was performed after administration of contrast using the following parameters :
5 mm thick T1 Weighted sagittal images.
6 mm thick T1 Weighted axial images.
5 mm thick T1 Weighted coronal images.
OBSERVATION :
After administration of contrast there is uniform enhancement of the intramedullary lesion, peripherally extending over the D2 and D3 vertebral levels. Central non-enhancing region may represent tumor related cyst/necrosis.
Enhancement is also noted in the posterior soft tissues in the dorsal region, at the site of previous surgery.
IMPRESSION :
Enhancing intramedullary lesion extending over the D2 and D3 vertebral levels may represent residual/recurrent ependymoma. The patient is status post-operative.
Published in
MRI Reports
sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Slmn / M / 45 yrs.
Referred by : Dr. Abc Xyznghal.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain with pain radiating to the RUE with paresthesias.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is loss of water content of the cervical intervertebral discs.
There is cerebellar tonsillar herniation through the foramen magnum with the tip of the tonsils lying at about the C1-C2 level. The tip of the tonsils appear pegged.
There is seen a CSF signal intensity lesion on all the pulse sequences in the cervico-dorsal spinal cord, centrally and extending over the C3-C4 to D1-D2 levels. This lesion represents a syrinx.
A small postero-central disc herniation with peridiscal osteophytes is seen at the C4-C5 level.
A small posterior disc bulge is noted at the C5-C6 level.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
There is no extrinsic cord compression.
The atlanto-axial region is unremarkable.
IMPRESSION :
The MRI features suggest cerebellar tonsillar herniation through the foramen magnum with a syrinx in the cervico-dorsal spinal cord, centrally, extending over the C3-C4 to D1-D2 levels. These features suggest a Chiari malformation.
Date : 00.00.00
Name of the Patient : Abc Xyz Slmn / M / 45 yrs.
Referred by : Dr. Abc Xyznghal.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain with pain radiating to the RUE with paresthesias.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is loss of water content of the cervical intervertebral discs.
There is cerebellar tonsillar herniation through the foramen magnum with the tip of the tonsils lying at about the C1-C2 level. The tip of the tonsils appear pegged.
There is seen a CSF signal intensity lesion on all the pulse sequences in the cervico-dorsal spinal cord, centrally and extending over the C3-C4 to D1-D2 levels. This lesion represents a syrinx.
A small postero-central disc herniation with peridiscal osteophytes is seen at the C4-C5 level.
A small posterior disc bulge is noted at the C5-C6 level.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
There is no extrinsic cord compression.
The atlanto-axial region is unremarkable.
IMPRESSION :
The MRI features suggest cerebellar tonsillar herniation through the foramen magnum with a syrinx in the cervico-dorsal spinal cord, centrally, extending over the C3-C4 to D1-D2 levels. These features suggest a Chiari malformation.
Published in
MRI Reports
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc XyzSequlmn / F / 76 yrs.
Referred by : Dr. Abc Xyzabhat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left ear tinnitus with twitching of the left eye and vertigo 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.
3 mm thick T1 Weighted coronal images.
An MR Cisernogram was obtained in the coronal plane.
Limited, 3D TOF MRA sequence was obtained through the region of interest.
OBSERVATION :
There are small bright foci on the proton and T2 Weighted images in the white matter in the right frontal region and in the pons. These lesions appear isointense to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes. Prominent perivascular spaces are noted within the brain parenchyma on either side.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally. There is no shift of the midline structures.
A vascular loop is seen at the root exit zone of the left seventh and eighth cranial nerve complex without indenting the same.
Inflammatory changes are noted in the maxillary sinuses bilaterally.
Incidentally noted is hyperostosis frontalis interna.
..2/.
IMPRESSION :
1. Altered signal in the white matter in the right frontal region and in the pons most likely represent ischemic changes.
2. A vascular loop at the root exit zone of the left seventh and eighth cranial nerve complex without indenting the same.
Date : 00.00.00
Name of the Patient : Abc XyzSequlmn / F / 76 yrs.
Referred by : Dr. Abc Xyzabhat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left ear tinnitus with twitching of the left eye and vertigo 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.
3 mm thick T1 Weighted coronal images.
An MR Cisernogram was obtained in the coronal plane.
Limited, 3D TOF MRA sequence was obtained through the region of interest.
OBSERVATION :
There are small bright foci on the proton and T2 Weighted images in the white matter in the right frontal region and in the pons. These lesions appear isointense to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes. Prominent perivascular spaces are noted within the brain parenchyma on either side.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally. There is no shift of the midline structures.
A vascular loop is seen at the root exit zone of the left seventh and eighth cranial nerve complex without indenting the same.
Inflammatory changes are noted in the maxillary sinuses bilaterally.
Incidentally noted is hyperostosis frontalis interna.
..2/.
IMPRESSION :
1. Altered signal in the white matter in the right frontal region and in the pons most likely represent ischemic changes.
2. A vascular loop at the root exit zone of the left seventh and eighth cranial nerve complex without indenting the same.
Published in
MRI Reports
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Chlmn / F / 23 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with vomiting and slight weakness of the RUE and RLE since 1 day.
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.
4 mm thick Fast Scan (T2 *) coronal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and 4 mm thick T1 Weighted coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
Few images show patient motion.
OBSERVATION :
There is seen a fairly large, approximately, 3.2 x 2.3 x 1.9 cms sized rim enhancing mass lesion in the left cerebellar hemisphere, inferiorly. This lesion is iso to slightly hypointense to normal white matter on the T1 Weighted images and appears hypointense on the proton and T2 Weighted images. There is mild perilesional edema with effacement of the sulcal spaces in the left cerebellar hemisphere, the left ambient cistern and mild indentation on the fourth ventricle.
A subcentimeter diameter hypointense lesion is seen in the region of the tectal plate on the T1 Weighted images and this is seen to enhance after contrast administration.
Both the lateral and third ventricles are normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
An approximately, 3.2 x 2.3 x 1.9 cms sized rim enhancing mass lesion in the left cerebellar hemisphere, inferiorly, follows the signal characteristics of a granulomatous lesion like a tuberculoma. The possibility of this being a neoplastic lesion like a PNET is less likely.
A subcentimeter diameter sized lesion is also noted in the region of the tectal plate.
Date : 00.00.00
Name of the Patient : Abc Xyz Chlmn / F / 23 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with vomiting and slight weakness of the RUE and RLE since 1 day.
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.
4 mm thick Fast Scan (T2 *) coronal images.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and 4 mm thick T1 Weighted coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
Few images show patient motion.
OBSERVATION :
There is seen a fairly large, approximately, 3.2 x 2.3 x 1.9 cms sized rim enhancing mass lesion in the left cerebellar hemisphere, inferiorly. This lesion is iso to slightly hypointense to normal white matter on the T1 Weighted images and appears hypointense on the proton and T2 Weighted images. There is mild perilesional edema with effacement of the sulcal spaces in the left cerebellar hemisphere, the left ambient cistern and mild indentation on the fourth ventricle.
A subcentimeter diameter hypointense lesion is seen in the region of the tectal plate on the T1 Weighted images and this is seen to enhance after contrast administration.
Both the lateral and third ventricles are normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
An approximately, 3.2 x 2.3 x 1.9 cms sized rim enhancing mass lesion in the left cerebellar hemisphere, inferiorly, follows the signal characteristics of a granulomatous lesion like a tuberculoma. The possibility of this being a neoplastic lesion like a PNET is less likely.
A subcentimeter diameter sized lesion is also noted in the region of the tectal plate.
Published in
MRI Reports
More...
SB/KE/NL/RG.
Date : 00.00.00
Name of the Patient : Abc Xyz Mlmn / M / 37 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache with weakness of the RLE and tingling in the RUE and RLE since February 0000.
Operated for an ependymoma in the dorsal region in February 0000. Radiotherapy received.
EXAMINATION :
M.R.I of the dorso-lumbar 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.
After administration of contrast, 5 mm thick T1 Weighted sagittal images and 5 mm thick T1 Weighted axial images (with fat saturation) were obtained.
OBSERVATION :
There is evidence of laminectomy over the D12 to L3 vertebral levels with post-operative changes in the soft tissues in the posterior dorso-lumbar region over these levels.
There is seen an intradural-extramedullary mass lesion in the lower dorsal spinal cord at the conus-cauda region, at the L1 and L2 vertebral levels. This lesion is of intermediate signal on the T1 Weighted images and appears heterogeneously hyperintense on the T2 Weighted images. The tip of the conus medullaris and the intrathecal nerve roots are not well identified separately in that region.
Scan-00007
There is scalloping of the posterior margin of the D12, L1 and L2 vertebrae.
A hypointense signal on the T1 Weighted images which turns hyperintense on the T2 Weighted images is noted in the mid and lower dorsal spinal cord, centrally, over about D5 to L1 vertebral levels, which represents a syrinx.
The D12 to L3 vertebral bodies show fatty marrow changes, the sequelae of previous radiotherapy.
The visualized dorso-lumbar intervertebral discs show normal signal.
The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
After administration of contrast, there is enhancement of the previously described intradural-extramedullary lesion at the L1 and L2 vertebral levels. There is no other focal area of abnormal enhancement in the visualized dorsal spinal cord or the meninges.
IMPRESSION :
1. Post-operative, post-radiotherapy status.
2. An enhancing intradural-extramedullary lesion in the spinal canal at the L1 and L2 vertebral levels as described represents a residual/recurrent ependymoma. A syrinx is noted in the dorsal spinal cord over the D5 to L1 vertebral levels.
As compared to the previous MRI dated 00.00.00, there is no significant change noted.
Date : 00.00.00
Name of the Patient : Abc Xyz Mlmn / M / 37 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache with weakness of the RLE and tingling in the RUE and RLE since February 0000.
Operated for an ependymoma in the dorsal region in February 0000. Radiotherapy received.
EXAMINATION :
M.R.I of the dorso-lumbar 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.
After administration of contrast, 5 mm thick T1 Weighted sagittal images and 5 mm thick T1 Weighted axial images (with fat saturation) were obtained.
OBSERVATION :
There is evidence of laminectomy over the D12 to L3 vertebral levels with post-operative changes in the soft tissues in the posterior dorso-lumbar region over these levels.
There is seen an intradural-extramedullary mass lesion in the lower dorsal spinal cord at the conus-cauda region, at the L1 and L2 vertebral levels. This lesion is of intermediate signal on the T1 Weighted images and appears heterogeneously hyperintense on the T2 Weighted images. The tip of the conus medullaris and the intrathecal nerve roots are not well identified separately in that region.
Scan-00007
There is scalloping of the posterior margin of the D12, L1 and L2 vertebrae.
A hypointense signal on the T1 Weighted images which turns hyperintense on the T2 Weighted images is noted in the mid and lower dorsal spinal cord, centrally, over about D5 to L1 vertebral levels, which represents a syrinx.
The D12 to L3 vertebral bodies show fatty marrow changes, the sequelae of previous radiotherapy.
The visualized dorso-lumbar intervertebral discs show normal signal.
The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
After administration of contrast, there is enhancement of the previously described intradural-extramedullary lesion at the L1 and L2 vertebral levels. There is no other focal area of abnormal enhancement in the visualized dorsal spinal cord or the meninges.
IMPRESSION :
1. Post-operative, post-radiotherapy status.
2. An enhancing intradural-extramedullary lesion in the spinal canal at the L1 and L2 vertebral levels as described represents a residual/recurrent ependymoma. A syrinx is noted in the dorsal spinal cord over the D5 to L1 vertebral levels.
As compared to the previous MRI dated 00.00.00, there is no significant change noted.
Published in
MRI Reports
ke/sb/rg.
s Date : 00.00.00
Name of the Patient : Abc Xyzlaxmi Palmn / F / 30 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyzrikh.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache with weakness of BLE and weight loss since 3 months.
H/O fall 4-5 months ago.
EXAMINATION :
M.R.I of the dorso-lumbar 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 near complete collapse of the D10 vertebral body with slight anterior wedging of the D9 vertebral body.
There is replacement of the normal marrow of the D9, D10 and the superior portion of the D11 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. There is pre and paravertebral soft tissue extension over the D9 to D11 vertebral levels. Anterior epidural extension is also noted over these levels with slight compression of the spinal cord. The spinal cord over these levels shows a hyperintense signal on the T2 Weighted images. This is isointense to the normal cord on the T1 Weighted images and would represent cord edema/ischemia.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
Subtle altered signal intensity is noted within the L3 and the D1 vertebral bodies.
The conus medullaris terminates at the L1 level.
IMPRESSION :
The MRI features are suggestive of :
1. Collapse of the D10 vertebral body.
2. Altered signal in the D9, D10, D11 and the L3 vertebral bodies with extensions as described is most probably due to granulomatous infective process like tuberculosis. The possibility of a neoplasm seems less likely.
3. Altered signal in the cord over the D9 to D11 vertebral levels suggests cord edema/ischemia.
s Date : 00.00.00
Name of the Patient : Abc Xyzlaxmi Palmn / F / 30 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyzrikh.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache with weakness of BLE and weight loss since 3 months.
H/O fall 4-5 months ago.
EXAMINATION :
M.R.I of the dorso-lumbar 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 near complete collapse of the D10 vertebral body with slight anterior wedging of the D9 vertebral body.
There is replacement of the normal marrow of the D9, D10 and the superior portion of the D11 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. There is pre and paravertebral soft tissue extension over the D9 to D11 vertebral levels. Anterior epidural extension is also noted over these levels with slight compression of the spinal cord. The spinal cord over these levels shows a hyperintense signal on the T2 Weighted images. This is isointense to the normal cord on the T1 Weighted images and would represent cord edema/ischemia.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
Subtle altered signal intensity is noted within the L3 and the D1 vertebral bodies.
The conus medullaris terminates at the L1 level.
IMPRESSION :
The MRI features are suggestive of :
1. Collapse of the D10 vertebral body.
2. Altered signal in the D9, D10, D11 and the L3 vertebral bodies with extensions as described is most probably due to granulomatous infective process like tuberculosis. The possibility of a neoplasm seems less likely.
3. Altered signal in the cord over the D9 to D11 vertebral levels suggests cord edema/ischemia.
Published in
MRI Reports
ke/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Plmn / F / 22 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
H/O fever with chills since 8 days.
C/O quadriparesis since 3 days.
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 :
The cervical spinal cord appears swollen and is hypointense to the normal cord on the T1 Weighted images. This is seen to turns hyperintense on the T2 Weighted and Fast Scan (T2 *) images. Superiorly this is seen to extend upto the cervico-medullary junction and inferiorly upto the D7 vertebral level. Slight effacement of the CSF space in the upper cervical region is noted. The gray and white matter differentiation is lost in the upper cervical region.
There are small posterior disc bulges at the C3-C4 and C4-C5 levels with anterior indentation of the thecal sac. The upper cervical 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 atlanto-axial region is unremarkable.
R>
IMPRESSION :
The MRI features are suggestive of a swollen cervical spinal cord with altered signal extending upto the cervico-medullary junction superiorly and inferiorly upto the D7 vertebral level is not specific for a single etiology. The possibilities to be considered are,
1. Myelitis (most likely).
2. Demyelination.
3. Ischemia/infarction (less likely).
If clinically indicated, a contrast enhanced scan may be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyz Plmn / F / 22 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
H/O fever with chills since 8 days.
C/O quadriparesis since 3 days.
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 :
The cervical spinal cord appears swollen and is hypointense to the normal cord on the T1 Weighted images. This is seen to turns hyperintense on the T2 Weighted and Fast Scan (T2 *) images. Superiorly this is seen to extend upto the cervico-medullary junction and inferiorly upto the D7 vertebral level. Slight effacement of the CSF space in the upper cervical region is noted. The gray and white matter differentiation is lost in the upper cervical region.
There are small posterior disc bulges at the C3-C4 and C4-C5 levels with anterior indentation of the thecal sac. The upper cervical 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 atlanto-axial region is unremarkable.
R>
IMPRESSION :
The MRI features are suggestive of a swollen cervical spinal cord with altered signal extending upto the cervico-medullary junction superiorly and inferiorly upto the D7 vertebral level is not specific for a single etiology. The possibilities to be considered are,
1. Myelitis (most likely).
2. Demyelination.
3. Ischemia/infarction (less likely).
If clinically indicated, a contrast enhanced scan may be worthwhile.
Published in
MRI Reports
ke/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzao Shlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzorude.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches (left sided) and pain in the left ear since 1 1/2 months.
Known diabetic. 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 is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. Note is made of cavum septum pellucidum and cavum septum vergae. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
There are hyperintense areas in the medial and lateral pterygoid muscles on the left side on the proton, T2 Weighted and FLAIR images. This is slightly hyperintense to the normal muscles on the T1 Weighted images. The facial planes are not well-visualized.
Incidental note is made of inflammatory changes in the sphenoid sinus, ethmoidal air cells and left mastoid air cells.
IMPRESSION :
1. Altered signal in the medial and lateral pterygoid muscles on the left side is not specific for a single etiology. This most probably is inflammatory in etiology and requires further evaluation.
2. Left mastoiditis and inflammation of the sphenoid and ethmoidal air cells.
Date : 00.00.00
Name of the Patient : Abc Xyzao Shlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzorude.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches (left sided) and pain in the left ear since 1 1/2 months.
Known diabetic. 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 is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. Note is made of cavum septum pellucidum and cavum septum vergae. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
There are hyperintense areas in the medial and lateral pterygoid muscles on the left side on the proton, T2 Weighted and FLAIR images. This is slightly hyperintense to the normal muscles on the T1 Weighted images. The facial planes are not well-visualized.
Incidental note is made of inflammatory changes in the sphenoid sinus, ethmoidal air cells and left mastoid air cells.
IMPRESSION :
1. Altered signal in the medial and lateral pterygoid muscles on the left side is not specific for a single etiology. This most probably is inflammatory in etiology and requires further evaluation.
2. Left mastoiditis and inflammation of the sphenoid and ethmoidal air cells.
Published in
MRI Reports