Regular User
Sunday, 27 December 2015 16:48
13961
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz V. lmn / F / 22 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with swelling on the right side since 1 month.
H/O loss of weight and fever.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
4 mm thick T2 Weighted coronal images.
OBSERVATION :
There is probable erosion of the right pedicle and transverse process of D11 and the head and neck of the right eleventh rib. There is seen a small, intermediate signal intensity mass lesion on the T1 Weighted images in the right posterior paraspinal soft tissues and right paravertebral region, extending over the D10 to D12 vertebral levels. This lesion appears hyperintense on the T2 Weighted images.
The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and left paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the D12-L1 level.
A well-defined lesion which is hyperintense on the T1 Weighted images is seen in the posterior lung parenchyma on the right side at the D5-D6 level. This is heterogeneously hyperintense on the T2 Weighted images.
Suspicious, enlarged, subcarinal lymph nodes are noted.
IMPRESSION :
1. Soft tissue lesion in the right posterior paraspinal region and right paravertebral region, extending over the D10 to D12 vertebral levels may represent granulation tissue/abscess. Probable erosion of the right pedicle, right transverse process and head and neck of the right eleventh rib is noted.
2. A lesion in the posterior lung parenchyma on the right side at the D5-D6 level as described could be a granuloma.
3. Probable enlarged subcarinal lymph nodes.
The above described findings may suggest a tuberculous etiology. The possibility of a neoplasm seems less likely.
Date : 00.00.00
Name of the Patient : Abc Xyz V. lmn / F / 22 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with swelling on the right side since 1 month.
H/O loss of weight and fever.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
4 mm thick T2 Weighted coronal images.
OBSERVATION :
There is probable erosion of the right pedicle and transverse process of D11 and the head and neck of the right eleventh rib. There is seen a small, intermediate signal intensity mass lesion on the T1 Weighted images in the right posterior paraspinal soft tissues and right paravertebral region, extending over the D10 to D12 vertebral levels. This lesion appears hyperintense on the T2 Weighted images.
The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and left paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the D12-L1 level.
A well-defined lesion which is hyperintense on the T1 Weighted images is seen in the posterior lung parenchyma on the right side at the D5-D6 level. This is heterogeneously hyperintense on the T2 Weighted images.
Suspicious, enlarged, subcarinal lymph nodes are noted.
IMPRESSION :
1. Soft tissue lesion in the right posterior paraspinal region and right paravertebral region, extending over the D10 to D12 vertebral levels may represent granulation tissue/abscess. Probable erosion of the right pedicle, right transverse process and head and neck of the right eleventh rib is noted.
2. A lesion in the posterior lung parenchyma on the right side at the D5-D6 level as described could be a granuloma.
3. Probable enlarged subcarinal lymph nodes.
The above described findings may suggest a tuberculous etiology. The possibility of a neoplasm seems less likely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13960
sb/ke/nl/nl
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.
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 using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
7 mm thick T1 Weighted and T2 Weighted axial images.
4 mm thick T2 Weighted sagittal images through the cervical region.
OBSERVATION :
There is evidence of laminectomy at the D3, D4 and D5 vertebral levels with post-operative changes in the posterior soft tissues at these levels.
There is loss of water content of the dorsal intervertebral discs.
There is an ill-marginated, intramedullary lesion within the upper dorsal spinal cord extending over the D2 to D5 vertebral levels. This lesion is of intermediate signal on the T1 Weighted images but appears heterogeneously hyperintense on the T2 Weighted images. Slight irregularity of the dorsal spinal cord at these levels is noted. Cystic/necrotic changes are also noted in the dorsal spinal cord, over these segment.
There is a hypointense lesion on the T1 Weighted images within the cervical spinal cord extending over the C2 to D1 and D6 to D8 vertebral levels. These lesions appear hyperintense on the T2 Weighted images and represent a syrinx/tumor related cyst. The cervico-dorsal spinal cord over the C2 to D1 vertebral levels appears increased in its transverse dimensions.
Small posterior disc bulges with posterior peridiscal osteophytes are noted in the cervical region.
The visualized dorsal vertebral bodies show normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
IMPRESSION :
1. Post-operative status.
2. Ill-marginated intramedullary mass lesion within the upper dorsal spinal cord over the D2 to D5 vertebral levels, as described, may either represent residual/recurrent tumor or post-operative changes. Cystic/necrotic areas are noted within this lesion. A tumor related cyst is noted in the cervical and dorsal spinal cords proximal and distal to this lesion.
A contrast enhanced scan would be worthwhile.
As compared to the previous MRI (study no:00007) dated 00.00.00, the tumor segment now appears ill-marginated. There is reduction in the size of the syrinx in the dorsal spinal cord, distal to the tumor segment. The proximal syrinx appears nearly unchanged.
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.
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 using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
7 mm thick T1 Weighted and T2 Weighted axial images.
4 mm thick T2 Weighted sagittal images through the cervical region.
OBSERVATION :
There is evidence of laminectomy at the D3, D4 and D5 vertebral levels with post-operative changes in the posterior soft tissues at these levels.
There is loss of water content of the dorsal intervertebral discs.
There is an ill-marginated, intramedullary lesion within the upper dorsal spinal cord extending over the D2 to D5 vertebral levels. This lesion is of intermediate signal on the T1 Weighted images but appears heterogeneously hyperintense on the T2 Weighted images. Slight irregularity of the dorsal spinal cord at these levels is noted. Cystic/necrotic changes are also noted in the dorsal spinal cord, over these segment.
There is a hypointense lesion on the T1 Weighted images within the cervical spinal cord extending over the C2 to D1 and D6 to D8 vertebral levels. These lesions appear hyperintense on the T2 Weighted images and represent a syrinx/tumor related cyst. The cervico-dorsal spinal cord over the C2 to D1 vertebral levels appears increased in its transverse dimensions.
Small posterior disc bulges with posterior peridiscal osteophytes are noted in the cervical region.
The visualized dorsal vertebral bodies show normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
IMPRESSION :
1. Post-operative status.
2. Ill-marginated intramedullary mass lesion within the upper dorsal spinal cord over the D2 to D5 vertebral levels, as described, may either represent residual/recurrent tumor or post-operative changes. Cystic/necrotic areas are noted within this lesion. A tumor related cyst is noted in the cervical and dorsal spinal cords proximal and distal to this lesion.
A contrast enhanced scan would be worthwhile.
As compared to the previous MRI (study no:00007) dated 00.00.00, the tumor segment now appears ill-marginated. There is reduction in the size of the syrinx in the dorsal spinal cord, distal to the tumor segment. The proximal syrinx appears nearly unchanged.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13959
hs/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyziben Sollmn / F / 84 yrs.
Referred by : Dr. Abc Xyzh Shah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Patient is in semiconscious state since 1 day.
Known hypertensive/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 and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
Irregularly defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the pons, corona radiata, centrum semiovale and periventricular white matter bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology. Small areas with similar signal characteristics are noted within the thalamus and lentiform nuclei bilaterally.
Lacunar infarcts (iso to hyperintense to CSF) are noted within the pons, both lentiform nuclei and left thalamus.
There is fullness of the third and both the lateral ventricles. There is mild prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces.
Note is made of an empty sella.
Scan-00009
There is ectasia of the vertebro-basilar system. There is no shift of the midline structures.
A polyp is seen in the sphenoid sinus. Inflammatory changes are noted within the ethmoidal air cells.
The normal lens are not visualized, consistent with previous cataract surgery.
IMPRESSION :
The MRI features are suggestive of :
1. Areas of altered signal intensity within the pons, corona radiata, centrum semiovale, periventricular white matter bilaterally, in the thalamus and lentiform nuclei bilaterally.
2. Lacunar infarcts within the pons, both lentiform nuclei and left thalamus.
3. Age related cerebral atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyziben Sollmn / F / 84 yrs.
Referred by : Dr. Abc Xyzh Shah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Patient is in semiconscious state since 1 day.
Known hypertensive/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 and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
Irregularly defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the pons, corona radiata, centrum semiovale and periventricular white matter bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology. Small areas with similar signal characteristics are noted within the thalamus and lentiform nuclei bilaterally.
Lacunar infarcts (iso to hyperintense to CSF) are noted within the pons, both lentiform nuclei and left thalamus.
There is fullness of the third and both the lateral ventricles. There is mild prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces.
Note is made of an empty sella.
Scan-00009
There is ectasia of the vertebro-basilar system. There is no shift of the midline structures.
A polyp is seen in the sphenoid sinus. Inflammatory changes are noted within the ethmoidal air cells.
The normal lens are not visualized, consistent with previous cataract surgery.
IMPRESSION :
The MRI features are suggestive of :
1. Areas of altered signal intensity within the pons, corona radiata, centrum semiovale, periventricular white matter bilaterally, in the thalamus and lentiform nuclei bilaterally.
2. Lacunar infarcts within the pons, both lentiform nuclei and left thalamus.
3. Age related cerebral atrophy.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13958
hs/ke/rg/nl.
Date : 00.00.00
Name of the Patient : Abc Xyzheb Nlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to BLE 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 :
A small posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina (right more than left) with impingement of the foraminal portion of the exiting right L4 nerve root at the L4-L5 level. A small right far lateral (extraforaminal) disc herniation is seen to indent the extraforaminal portion of the exiting right L4 nerve root at this level.
Mild posterior disc bulges are noted at the L3-L4 and L5-S1 levels. Posterior peridiscal osteophytes are seen at the D11-D12 level.
There is anterior wedging of the D12 vertebral body. A Schmorls node is noted at its superior aspect with adjacent Type II degenerative changes.
The lumbar facet joints show mild degenerative changes. The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
The D10-D11, D11-D12 and L4-L5 intervertebral discs show loss of water content.
..2/.
R>
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 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 :
14.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A small posterior disc herniation with impingement of the foraminal portion of the exiting right L4 nerve root at the L4-L5 level.
2. A small right far lateral (extraforaminal) disc herniation indenting the extraforaminal portion of the exiting right L4 nerve root at the L4-L5 level.
3. Mild facetal arthropathy in the lumbar region.
4. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.
Date : 00.00.00
Name of the Patient : Abc Xyzheb Nlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to BLE 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 :
A small posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina (right more than left) with impingement of the foraminal portion of the exiting right L4 nerve root at the L4-L5 level. A small right far lateral (extraforaminal) disc herniation is seen to indent the extraforaminal portion of the exiting right L4 nerve root at this level.
Mild posterior disc bulges are noted at the L3-L4 and L5-S1 levels. Posterior peridiscal osteophytes are seen at the D11-D12 level.
There is anterior wedging of the D12 vertebral body. A Schmorls node is noted at its superior aspect with adjacent Type II degenerative changes.
The lumbar facet joints show mild degenerative changes. The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
The D10-D11, D11-D12 and L4-L5 intervertebral discs show loss of water content.
..2/.
R>
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 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 :
14.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A small posterior disc herniation with impingement of the foraminal portion of the exiting right L4 nerve root at the L4-L5 level.
2. A small right far lateral (extraforaminal) disc herniation indenting the extraforaminal portion of the exiting right L4 nerve root at the L4-L5 level.
3. Mild facetal arthropathy in the lumbar region.
4. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13957
sb.ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzhankar Mlmn / M / 22 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O neurogenic bladder with paraparesis since 4 years.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There are small bright foci on the proton, T2 Weighted and FLAIR images in the insular cortex bilaterally, left lentiform nucleus posteriorly and left thalamus. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is 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 :
Altered signal in the insular cortex bilaterally, left lentiform nucleus posteriorly and left thalamus are not specific for a single etiology. Possibilities to be considered are :
1. Demyelination.
2. Ischemia.
Mild dilatation of both the lateral and third ventricles.
As compared to the previous MRI (study no:00000) dated 00.00.00, there is slight increase in the degree of the ventricular dilatation on the present study. The left thalamic lesion is a new lesion.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13956
hs/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyznisa Huslmn / F / 70 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures and vomiting.
Alleged H/O head injury.
H/O HT.
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 evidence of a fairly well-defined extra-axial mass lesion in the right frontal region, measuring approximately 1.3 x 1.1 x 1.3 cms. This lesion is near isointense to gray matter on the T1 Weighted images and turns hypointense on the T2 Weighted images. It is seen to indent the right frontal lobe. The underlying brain parenchyma shows a hyperintense signal on the proton, T2 Weighted and FLAIR images, which may represent perilesional edema.
Diffuse, irregularly defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the periventricular white matter, corona radiata and centrum semiovale bilaterally. These are isointense to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology. Smaller areas with similar signal characteristics are evident within the lentiform nuclei bilaterally and right thalamus.
There is a lacunar infarct (isointense to hyperintense to CSF) within the head of the right caudate nucleus.
There is slight fullness of the third and both the lateral ventricles. Note is made of an empty sella. There is prominence of the cerebral cortical sulci bilaterally. Also seen is mild prominence of the basal cisternal spaces and cerebellar folia bilaterally.
An air-fluid level is noted within the right maxillary sinus (? inflammatory changes, ? blood).
The fourth ventricle is normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The cervical spine was screened with 4 mm thick T2 Weighted sagittal images and shows degenerative changes.
IMPRESSION :
The MRI features are suggestive of :
1. An extra-axial mass lesion measuring approximately 1.3 x 1.1 x 1.3 cms in the right frontal region. This most likely represents a meningioma.
2. Areas of altered signal intensity within the periventricular white matter, corona radiata, centrum semiovale, and in the lentiform nuclei bilaterally and right thalamus are most likely ischemic in etiology
3. A lacunar infarct in the head of the right caudate nucleus.
Date : 00.00.00
Name of the Patient : Abc Xyznisa Huslmn / F / 70 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures and vomiting.
Alleged H/O head injury.
H/O HT.
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 evidence of a fairly well-defined extra-axial mass lesion in the right frontal region, measuring approximately 1.3 x 1.1 x 1.3 cms. This lesion is near isointense to gray matter on the T1 Weighted images and turns hypointense on the T2 Weighted images. It is seen to indent the right frontal lobe. The underlying brain parenchyma shows a hyperintense signal on the proton, T2 Weighted and FLAIR images, which may represent perilesional edema.
Diffuse, irregularly defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the periventricular white matter, corona radiata and centrum semiovale bilaterally. These are isointense to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology. Smaller areas with similar signal characteristics are evident within the lentiform nuclei bilaterally and right thalamus.
There is a lacunar infarct (isointense to hyperintense to CSF) within the head of the right caudate nucleus.
There is slight fullness of the third and both the lateral ventricles. Note is made of an empty sella. There is prominence of the cerebral cortical sulci bilaterally. Also seen is mild prominence of the basal cisternal spaces and cerebellar folia bilaterally.
An air-fluid level is noted within the right maxillary sinus (? inflammatory changes, ? blood).
The fourth ventricle is normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The cervical spine was screened with 4 mm thick T2 Weighted sagittal images and shows degenerative changes.
IMPRESSION :
The MRI features are suggestive of :
1. An extra-axial mass lesion measuring approximately 1.3 x 1.1 x 1.3 cms in the right frontal region. This most likely represents a meningioma.
2. Areas of altered signal intensity within the periventricular white matter, corona radiata, centrum semiovale, and in the lentiform nuclei bilaterally and right thalamus are most likely ischemic in etiology
3. A lacunar infarct in the head of the right caudate nucleus.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13955
sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzar Tanalmn / M / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever with giddiness and gait ataxia since 4 months.
H/O involuntary closure of both eyes with inability to swallow 6 days back. Recovered within 3 days.
C/O occasional diplopia.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick FLAIR coronal images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There are small bright foci on the proton, T2 Weighted and FLAIR images in the midbrain, posteriorly, left thalamus, left insular cortex and in the left frontal deep white matter. These lesions appear isointense to normal white matter on the T1 Weighted images.
There is a very thin, subdural collection over the left cerebral convexity with a maximum width of about 4.0 mms. This lesion is hyperintense on all the pulse sequences. Similar signal intensity lesion is noted in the subdural space in the right fronto-temporo-occipital region.
Both the lateral, third and the fourth ventricles are 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.
IMPRESSION :
1. A very small, subdural collection/hematomas over the left cerebral convexity and in the right fronto-temporo-occipital region.
2. Altered signal in the midbrain, posteriorly, left thalamus, left insular cortex and in the left frontal deep white matter is not specific for a single etiology.
These changes may represent :
a. Ischemic lesions.
b. Shearing injuries (in view of the bilateral very small subdural hematomas.
c. The possibility of demyelinating lesions is less likely.
d. Meningitis unlikely.
Date : 00.00.00
Name of the Patient : Abc Xyzar Tanalmn / M / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever with giddiness and gait ataxia since 4 months.
H/O involuntary closure of both eyes with inability to swallow 6 days back. Recovered within 3 days.
C/O occasional diplopia.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick FLAIR coronal images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There are small bright foci on the proton, T2 Weighted and FLAIR images in the midbrain, posteriorly, left thalamus, left insular cortex and in the left frontal deep white matter. These lesions appear isointense to normal white matter on the T1 Weighted images.
There is a very thin, subdural collection over the left cerebral convexity with a maximum width of about 4.0 mms. This lesion is hyperintense on all the pulse sequences. Similar signal intensity lesion is noted in the subdural space in the right fronto-temporo-occipital region.
Both the lateral, third and the fourth ventricles are 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.
IMPRESSION :
1. A very small, subdural collection/hematomas over the left cerebral convexity and in the right fronto-temporo-occipital region.
2. Altered signal in the midbrain, posteriorly, left thalamus, left insular cortex and in the left frontal deep white matter is not specific for a single etiology.
These changes may represent :
a. Ischemic lesions.
b. Shearing injuries (in view of the bilateral very small subdural hematomas.
c. The possibility of demyelinating lesions is less likely.
d. Meningitis unlikely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13954
hs/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzra lmn / M / 46 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O unexplained fall with head injury.
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 :
There is no focal area of altered signal intensity within the
brain parenchyma.
There is hypoplasia of the inferior cerebellar vermis. Also seen is fullness of the fourth ventricle.
Both the lateral and the third ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted within the right maxillary sinus, ethmoidal air cells and sphenoid sinus.
INTRACRANIAL MRA :
The calibre of the supraclinoid segment of the left internal carotid artery is slightly less as compared to the opposite side.
The petrous and cavernous segments of the left internal carotid artery and the petrous, cavernous and supraclinoid segments of the right internal carotid artery 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 left vertebral artery appears to be arising from the aortic arch.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
The MRA features are suggestive of :
1. Slightly smaller calibre of the supraclinoid segment of the left internal carotid artery (? normal variant).
2. The left vertebral artery is seen to arise from the aortic arch.
Date : 00.00.00
Name of the Patient : Abc Xyzra lmn / M / 46 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O unexplained fall with head injury.
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 :
There is no focal area of altered signal intensity within the
brain parenchyma.
There is hypoplasia of the inferior cerebellar vermis. Also seen is fullness of the fourth ventricle.
Both the lateral and the third ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted within the right maxillary sinus, ethmoidal air cells and sphenoid sinus.
INTRACRANIAL MRA :
The calibre of the supraclinoid segment of the left internal carotid artery is slightly less as compared to the opposite side.
The petrous and cavernous segments of the left internal carotid artery and the petrous, cavernous and supraclinoid segments of the right internal carotid artery 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 left vertebral artery appears to be arising from the aortic arch.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
The MRA features are suggestive of :
1. Slightly smaller calibre of the supraclinoid segment of the left internal carotid artery (? normal variant).
2. The left vertebral artery is seen to arise from the aortic arch.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13953
hs/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzar B. Jamsandlmn / M / 49 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in both hips.
H/O alcoholism.
H/O steroids intake for asthama.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
Diffuse, irregularly defined areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted and STIR images are seen within the head and neck of the femur, bilaterally and the right acetabulum.
The left femoral head has an irregular contour with irregularity of the overlying articular cartilage. The left acetabular margin is also irregular. Effusion is seen within both hip joints (left more than right).
The right iliacus muscle is bulky and is hyperintense on the STIR images. There is probable involvement of the visualized right psoas muscle.
There is slight enlargement of the prostate gland.
IMPRESSION :
The MRI features are suggestive of :
1. Altered signal of the head and neck of the femur bilaterally and the right acetabulum with joint effusions (? avascular necrosis ? an infective process).
2. Bulky right iliacus muscle with altered signal may represent an infective pathology. A dedicated study of the pelvis and lumbar region may be worthwhile.
Date : 00.00.00
Name of the Patient : Abc Xyzar B. Jamsandlmn / M / 49 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in both hips.
H/O alcoholism.
H/O steroids intake for asthama.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
Diffuse, irregularly defined areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted and STIR images are seen within the head and neck of the femur, bilaterally and the right acetabulum.
The left femoral head has an irregular contour with irregularity of the overlying articular cartilage. The left acetabular margin is also irregular. Effusion is seen within both hip joints (left more than right).
The right iliacus muscle is bulky and is hyperintense on the STIR images. There is probable involvement of the visualized right psoas muscle.
There is slight enlargement of the prostate gland.
IMPRESSION :
The MRI features are suggestive of :
1. Altered signal of the head and neck of the femur bilaterally and the right acetabulum with joint effusions (? avascular necrosis ? an infective process).
2. Bulky right iliacus muscle with altered signal may represent an infective pathology. A dedicated study of the pelvis and lumbar region may be worthwhile.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
13952
hs/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzag S. lmn / M / 13 yrs.
Referred by : Dr. Abc Xyzlke.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Patient has been operated for craniosynostosis at the age of 15 days. Development was normal.
H/O TBM at the age of 10 years with left hemiplegia. Subsequently the patient has shown mental backwardness.
H/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 are fairly well-defined areas which are near isointense to CSF on all the pulse sequences within the head of the right caudate nucleus and the right lentiform nucleus. Few areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton and T2 Weighted images are noted adjacent to these lesions and would represent gliotic changes. These lesions would represent lacunar infarcts.
The right cerebral hemisphere appears a little smaller as compared to the left side.
There is fullness of both the lateral ventricles, right more than left. Also seen is mild fullness of the third and fourth ventricles.
The head appears to be brachycephalic/turricephalic.
..2/.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of lacunar infarcts within the
the head of the right caudate nucleus and the right lentiform nucleus.
Patient is a known C/O craniosynostosis with a brachycephalic/ turricephalic skull.
Date : 00.00.00
Name of the Patient : Abc Xyzag S. lmn / M / 13 yrs.
Referred by : Dr. Abc Xyzlke.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Patient has been operated for craniosynostosis at the age of 15 days. Development was normal.
H/O TBM at the age of 10 years with left hemiplegia. Subsequently the patient has shown mental backwardness.
H/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 are fairly well-defined areas which are near isointense to CSF on all the pulse sequences within the head of the right caudate nucleus and the right lentiform nucleus. Few areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton and T2 Weighted images are noted adjacent to these lesions and would represent gliotic changes. These lesions would represent lacunar infarcts.
The right cerebral hemisphere appears a little smaller as compared to the left side.
There is fullness of both the lateral ventricles, right more than left. Also seen is mild fullness of the third and fourth ventricles.
The head appears to be brachycephalic/turricephalic.
..2/.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of lacunar infarcts within the
the head of the right caudate nucleus and the right lentiform nucleus.
Patient is a known C/O craniosynostosis with a brachycephalic/ turricephalic skull.
Published in
MRI Reports