MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

13992

Written by
ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / M / 46 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches and occasional giddiness since 2-3 days.
H/O right craniotomy on 00.00.00.

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 susceptibility artifacts in the region of the right maxillary antrum with post-operative changes. The medial wall of the right maxillary antrum and the right orbit (lower medial wall) is not well-identified, probably the result of surgery.

There are hypointense areas on the T1 Weighted images in the frontal lobes bilaterally. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. A cystic area is seen in the right frontal lobe on the T1 Weighted images which turns hyperintense on the proton and T2 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.

Note is made of gross inflammatory changes within the paranasal sinuses.


IMPRESSION :

1. Post-operative status.

2. Areas of encephalomalacia in the frontal lobes bilaterally with cystic changes in the right frontal lobe.

Sunday, 27 December 2015 16:48

13991

Written by
ke/sb/nl/rg.
/3 Date : 00.00.00

Name of the Patient : Abc XyzSlmn / F / 45 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O weakness of the left hand with giddiness since 1 day.
Known DM/HT. 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.

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

OBSERVATION :

BRAIN :

There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the left frontal and high parietal region. These are isointense to the normal white matter on the T1 Weighted images and would represent ischemic changes.

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.

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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 :

The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

Altered signal in the left frontal and high parietal region would represent ischemic changes.

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

Sunday, 27 December 2015 16:48

13990

Written by
ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Mirlmn / F / 61 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Old C/O cavernous sinus thrombosis with right eye proptosis and visual loss on the right side and diminished vision of the left eye since February 0000.
H/O Embolization of CCF in May 0000.
Now C/O left hemiplegia with altered sensorium and generalized rigidity of all 4 limbs since then.

EXAMINATION :

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

5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
3 thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted sagittal images.
FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

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

Lacunar infarcts are noted in the right lentiform nucleus and bilateral centrum semiovale.

The optic nerves on either side show normal signal intensity bilaterally.



There is moderate dilatation of the ventricular system. There is a hypointense signal more pronounced on the T2 Weighted images
within the superior portion of the fourth ventricle, aqueduct and the third ventricle which may suggest increased CSF flow. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. Prominence of the basal cisternal spaces is also noted. There is no shift of the midline structures. Slight ectasia of the vertebro-basilar system is seen.

Ill-defined, hyperintense signal on the STIR images are noted in the retro-orbital fat on the right, which may suggest inflammatory changes, in the given clinical setting.

Inflammatory changes are noted in the mastoid air cells bilaterally.

The cavernous sinuses are unremarkable on either side, on this study.

IMPRESSION :

1. Altered signal in the periventricular deep white matter bilaterally may suggest ischemic changes (less likely to represent transependymal CSF seepage).

2. Lacunar infarcts in the right lentiform nucleus and bilateral centrum semiovale.

3. Moderate dilatation of the ventricular system is disproportionate to the degree of the cerebral atrophy and this can be seen with normal pressure hydrocephalus.

4. Bilateral mastoiditis.

5. Altered signal in the retro-orbital fat on the right may suggest inflammatory changes.

The previous investigations were not available for review/comparison.
Sunday, 27 December 2015 16:48

13989

Written by
sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyznt Nlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain and pain in the left scapular region with paresthesias and wasting of the LUE.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

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

OBSERVATION :

There is continuous ossification of the posterior longitudinal ligament extending over the C2 to C6 vertebral levels.

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

Postero-central disc herniations with peridiscal osteophytes are noted at the C3-C4, C4-C5 and C5-C6 levels, indenting the cervical spinal cord anteriorly.

A left paracentral disc herniation with peridiscal osteophytes is noted at the C6-C7 level with left neural foraminal narrowing.

Degenerative changes of the joints of Luschka are noted at the C5-C6 and C6-C7 levels bilaterally. Facetal hypertrophy is noted at the C4-C5 and C5-C6 levels bilaterally.

The cervical vertebral bodies show spotty fatty marrow changes.
..2/.







The visualized pre and paravertebral soft tissues are unremarkable.

The cervical spinal cord reveals normal signal intensity.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

1. Continuous ossification of the posterior longitudinal ligament extending over the C2 to C6 vertebral levels.

2. Postero-central disc herniations with peridiscal osteophytes at the C3-C4, C4-C5 and C5-C6 levels.

3. A left paracentral disc herniation with peridiscal osteophytes at the C6-C7 level with left neural foraminal narrowing.

4. Degenerative changes of the joints of Luschka at the C5-C6 and C6-C7 levels bilaterally.

5. Facetal hypertrophy at the C4-C5 and C5-C6 levels bilaterally.
Sunday, 27 December 2015 16:48

13988

Written by
sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc XyzDhumlmn / M / 13 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O TBM detected 2 years back. Completed AKT.
C/O seizures since 1 year. On anti-epileptics.

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 an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the left periatrial white matter. This lesion appears hypointense to normal white matter on the T1 Weighted images. Resultant mild focal dilatation of the atrium of the left lateral ventricle is noted.

A lacunar infarct is noted in the left thalamus.

There is a small subcentimeter, hypointense lesion on the T2 Weighted images in the left occipital parafalcine cortex and in the left posterior parietal cortex (scans 102.11 & 102.14). These lesion are not well-identified on the T1 Weighted images. There is no perilesional edema. Another circumscribed hypointense area is seen in the right occipital cortex on the Fast Scan (T2 *) images (Image No. 5).

The right 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. The left temporal horn appears slightly larger than the right and may be a normal variant.
..2/.







IMPRESSION :

1. Altered signal in the left periatrial white matter may be ischemic in etiology (in the known C/O TBM).

2. A lacunar infarct in the left thalamus (may be the result of vasculitis).

3. Focal subcentimeter lesions in both occipital parafalcine cortex and in the left posterior parietal cortex most likely represent calcified granulomas.


Sunday, 27 December 2015 16:48

13987

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzn Nlmn / F / 67 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O vertigo, forgetfullness and dizziness since 1 year.

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.

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial images (with magnetization transfer), 3 mm thick T1 coronal images (with magnetization transfer) and 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are small bright foci on the proton, T2 Weighted and FLAIR images in the subcortical and deep white matter in the frontal regions bilaterally. These lesions appears isointense to normal white matter on the T1 Weighted images.

The seventh and eighth cranial nerve complex is unremarkable bilaterally.

There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is 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.
..2/.






After administration of contrast, there is no focal area of abnormal enhancement in the brain parenchyma, meninges or along the seventh and eighth cranial nerve complex on either side.

IMPRESSION :

1. Altered signal in the subcortical and deep white matter in the frontal regions bilaterally is most likely ischemic in etiology.

2. Mild cerebral cortical atrophy.
Sunday, 27 December 2015 16:48

13985

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

Name of the Patient : Abc XyzAhmed G. Mlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

H/O vehicular accident 10 days ago with injury to the RLE and back.
C/O weakness of BLE with bladder involvement since then.

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.

6 mm thick T1 Weighted coronal images.

OBSERVATION :

There is lateral subluxation of the L2 vertebra to the right, in relation to the L3 vertebral body. The L3 vertebral body shows an ill-defined, hyperintense signal on the T2 Weighted images (hypointense on the T1 Weighted images) which suggests bone bruise, in the given clinical setting. Break in the superior cortical endplate of L3 is noted. The L2-L3 intervertebral disc shows a hyperintense signal on the T2 Weighted images which suggests a traumatic rupture of the disc, in the given clinical setting. There is also fracture of the posterior elements of the L3 vertebra with entrapment of the exiting L2 nerve root on the left in the left neural foramen at the L2-L3 level and of the L3 nerve root on the right in the right neural foramen at the L3-L4 level.



There is seen a well-marginated, hyperintense lesion on the T1 Weighted images in the right paravertebral region (medial to the right psoas muscle) extending over L3 to L5 vertebral levels. This lesion remains hyperintense on the T2 Weighted images. Similar signal intensity lesion is noted in the posterior paraspinal muscles and in the left posterior paraspinal region at the L3 vertebral level. Extension of the lesion into the left postero-lateral epidural space at L3 and anterior and right lateral epidural space at L2 vertebral level is noted with thecal sac compression. The roots are not very well-identified at this level. There is also a suspicion of haemorrhage/paramagnetic substance deposition in the conus cauda region (scan 106.10).

There is disruption of the facet joints at the L2-L3 level bilaterally.

Soft tissue injury/edema is noted in the subcutaneous tissues of the back.

The rest of the lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity.

The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S2 level.

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

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

IMPRESSION :

1. Lateral subluxation of the L2 vertebra to the right, in relation to the L3 vertebral body.
..3/.






- 3 - Scan-00005


2. Altered signal in the L3 vertebral body represents bone bruise/edema. Fracture of the posterior elements of the L3 is noted with traumatic rupture of the L2-L3 intervertebral disc.

3. Entrapment of the exiting L2 nerve root on the left and of the L3 nerve root on the right in their respective neural foramina.

4. Altered signal intensity lesion in the right paravertebral region, posterior paraspinal muscles and in the epidural space at the L2 and L3 vertebral levels as described most likely represents a hematoma in the given clinical setting.

5. Traumatic disruption of the facet joints at the L2-L3 level bilaterally.


Sunday, 27 December 2015 16:48

13984

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

Name of the Patient : Abc XyzSullmn / M / 50 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 1 year.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is loss of water content of the lumbar intervertebral discs.

There is probable spondylolysis of the S1 vertebra, without obvious listhesis.

A small posterior disc bulge with peridiscal osteophytes is noted at the L5-S1 level, with bilateral neural foraminal narrowing. The facet joints at this level show hypertrophic degenerative changes. There is also ligamentum flavum hypertrophy with canal stenosis at the L5-S1 level.

A small posterior disc bulge with peridiscal osteophytes is noted at the L4-L5 level with bilateral neural foraminal narrowing.

A posterior disc bulge is noted at the L3-L4 level. A left far lateral (extraforaminal) disc herniation is also seen at this level, with probable indentation upon the left L3 nerve root.
>

There is a right paracentral disc herniation at the L2-L3 level indenting the traversing right L3 nerve root. Left and right postero-lateral disc herniations are also noted at this level with bilateral neural foraminal narrowing with canal stenosis. Slight superior migration of the disc is noted posterior to the L2 vertebral body.

Facetal hypertrophy is noted in the lumbar region, more so at the L2-L3 level.

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

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

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

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

Cortical renal cysts are seen in the right kidney.

IMPRESSION :

1. Probable spondylolysis of the S1 vertebra, without obvious listhesis.

2. A small posterior disc bulge with peridiscal osteophytes at the L5-S1 level, with bilateral neural foraminal narrowing.

3. A small posterior disc bulge with peridiscal osteophytes at the L4-L5 level with bilateral neural foraminal narrowing.
..3/.





- 3 - Scan-00009

4. A posterior disc bulge and a left far lateral disc herniation at the L3-L4 level.

5. A right paracentral disc herniation at the L2-L3 level with left and right postero-lateral disc herniations at this level with bilateral neural foraminal narrowing.

6. Facetal hypertrophy in the lumbar region, more so at the L5-S1 and L2-L3 levels with canal stenosis at these levels.

Sunday, 27 December 2015 16:48

13983

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

Name of the Patient : Abc Xyz Almn / F / 35 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

H/O fall with injury to cervical spine 10 years back. Operated (details not available).
C/O loss of control over bladder since then. Now C/O backache since 2 months.
H/O kochs 10 years back. Received AKT.

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 scoliosis of the lumbar spine with convexity to the left.

There is loss of water content of the L2-L3, L3-L4 and L4-L5 intervertebral discs.

Very small postero-central protruded discs are noted at the L2-L3 and L5-S1 levels.

Small posterior peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels.

Slight facetal hypertrophy is noted in the lumbar region.

Type II degenerative marrow changes are noted in the L4 vertebral body adjacent to the L3-L4 intervertebral disc.

..2/.







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

The conus medullaris terminates at the L2 level and the thecal sac terminates at the S2 level.

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

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

There is evidence of fatty replacement of the posterior paraspinal muscles in the lower lumbar and sacral regions and probably also of the left psoas muscle.

IMPRESSION :

1. Slight scoliosis of the lumbar spine with convexity to the left.

2. Very small postero-central protruded discs at the L2-L3 and L5-S1 levels.

3. Small posterior peridiscal osteophytes at the L3-L4 and L4-L5 levels.

4. Slight facetal hypertrophy in the lumbar region.

Sunday, 27 December 2015 16:48

13982

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza lmn / F / 39 yrs.
Referred by : Dr. Abc Xyzrman.
Examination : M.R.I. of the Left Shoulder.

CLINICAL PROFILE :

C/O pain in the left shoulder and in the LUE with swelling and difficulty in lifting the LUE since 7-8 months.

EXAMINATION :

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

4 mm thick T1 Weighted and GRASS axial images.

4 mm thick T1 Weighted sagittal images.

4 mm thick T1 Weighted, Proton and T2 Weighted coronal images.

OBSERVATION :

There is an intermediate signal on the T1 Weighted images in the tendinous segment of the supraspinatous muscle. This signal remains isointense on all the pulse sequences (scans 104.9, 103.9, 102.9). Minimal fluid is noted in the subaracromial bursa and in the left gleno-humeral joint. There is no retraction of the supraspinatous muscle.

The head of the left humerus shows normal contour and the head and upper shaft of the left humerus show normal signal intensity. The visualized scapula appears normal. The glenoid labrum is unremarkable. The biceps tendon in the biciptical groove shows normal signal intensity. Fluid is also seen to track along the bicipital tendinous groove.

The articular cartilage of the head of the left humerus appears normal.

There is no evidence of fluid in the subdeltoid bursa. There is no evidence of a tear of the supraspinatus muscle.
..2/.






There is no obvious bone erosion or destruction seen.

The acromio-clavicular joint is normal. The acromion process is of Type I.

The visualized axilla is unremarkable.

IMPRESSION :

Altered signal in the tendinous segment of the supraspinatous muscle suggests degeneration. Minimal fluid is noted in the subaracromial bursa and in the left gleno-humeral joint.