Regular User
Sunday, 27 December 2015 16:48
15045
sb/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz. Palmn / F / 34 yrs.
Referred by : Dr. Abc Xyzsra.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches (on & off) with giddiness and speech disturbances (at that time) since 0000.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted , proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable.There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the left maxillary antrum.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyz. Palmn / F / 34 yrs.
Referred by : Dr. Abc Xyzsra.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches (on & off) with giddiness and speech disturbances (at that time) since 0000.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted , proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable.There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the left maxillary antrum.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15044
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzji Nlmn / M / 73 yrs.
Referred by : Dr. Abc Xyzshar.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O right hemiparsis on 00.00.00 which has recovered partially.
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 :
Old infarcts (lacunes) are noted in the left periatrial region, left posterior parietal region, left corona radiata and centrum semiovale. Resultant volume loss is noted in the left posterior parietal cortex.
Small bright foci on the T2 Weighted images in the pons and in the left centrum semiovale would represent ischemic changes.
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.
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 :
1. Old infarcts (lacunes) in the left periatrial region, left posterior parietal region, left corona radiata and centrum semiovale.
2. Altered signal in the pons and in the left centrum semiovale would represent ischemic changes.
3. Mild cerebral cortical atrophy.
4. No significant abnormality is detected on the intracranial and neck MRA on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzji Nlmn / M / 73 yrs.
Referred by : Dr. Abc Xyzshar.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O right hemiparsis on 00.00.00 which has recovered partially.
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 :
Old infarcts (lacunes) are noted in the left periatrial region, left posterior parietal region, left corona radiata and centrum semiovale. Resultant volume loss is noted in the left posterior parietal cortex.
Small bright foci on the T2 Weighted images in the pons and in the left centrum semiovale would represent ischemic changes.
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.
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 :
1. Old infarcts (lacunes) in the left periatrial region, left posterior parietal region, left corona radiata and centrum semiovale.
2. Altered signal in the pons and in the left centrum semiovale would represent ischemic changes.
3. Mild cerebral cortical atrophy.
4. No significant abnormality is detected on the intracranial and neck MRA on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15043
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Ylmn / F / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right hemiparesis with speech disturbances since 6 months.
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.
OBSERVATION :
There is seen a small hypointense signal, more pronounced on the T2 Weighted and Fast Scan (T2 *) images in the left thalamus. This lesion appears iso to slightly hyperintense to normal white matter on the T1 Weighted images.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally, bilateral corona radiata and centrum semiovale and in the pons. These appear iso to hypointense to normal white matter on the T1 Weighted images.
Lacunar infarcts (iso to hyperintense to CSF) are noted in the head of the left caudate nucleus and in the right lentiform nucleus.
There is mild dilatation of both the lateral, third and the fourth ventricles. 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.
Soft tissue swelling is noted in the left periorbital region.
..2/.
IMPRESSION :
1. Altered signal in the left thalamus represents residual haemosiderin, most likely the sequelae of a previous bleed.
2. Altered signal in the periventricular white matter bilaterally, bilateral corona radiata and centrum semiovale and in the pons most likely represents ischemic changes.
3. Lacunar infarcts in the head of the left caudate nucleus and in the right lentiform nucleus.
4. Mild cerebral cortical and cerebellar atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyz Ylmn / F / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right hemiparesis with speech disturbances since 6 months.
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.
OBSERVATION :
There is seen a small hypointense signal, more pronounced on the T2 Weighted and Fast Scan (T2 *) images in the left thalamus. This lesion appears iso to slightly hyperintense to normal white matter on the T1 Weighted images.
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally, bilateral corona radiata and centrum semiovale and in the pons. These appear iso to hypointense to normal white matter on the T1 Weighted images.
Lacunar infarcts (iso to hyperintense to CSF) are noted in the head of the left caudate nucleus and in the right lentiform nucleus.
There is mild dilatation of both the lateral, third and the fourth ventricles. 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.
Soft tissue swelling is noted in the left periorbital region.
..2/.
IMPRESSION :
1. Altered signal in the left thalamus represents residual haemosiderin, most likely the sequelae of a previous bleed.
2. Altered signal in the periventricular white matter bilaterally, bilateral corona radiata and centrum semiovale and in the pons most likely represents ischemic changes.
3. Lacunar infarcts in the head of the left caudate nucleus and in the right lentiform nucleus.
4. Mild cerebral cortical and cerebellar atrophy.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15042
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzH. lmn / M / 16 yrs.
Referred by : Dr. Abc Xyz. Sheth.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE 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 Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with spondylolysis at L5 bilaterally. A resultant pseudo-posterior disc bulge is noted at the L5-S1 level with slight neural foraminal narrowing, bilaterally.
Minimal posterior disc bulges are noted at the L3-L4, L4-L5 and L5-S1 levels. The L4-L5 facet joints show mild degenerative changes.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
R>
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with spondylolysis at L5 bilaterally and a resultant pseudo-posterior disc bulge at the L5-S1 level.
Date : 00.00.00
Name of the Patient : Abc XyzH. lmn / M / 16 yrs.
Referred by : Dr. Abc Xyz. Sheth.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE 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 Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with spondylolysis at L5 bilaterally. A resultant pseudo-posterior disc bulge is noted at the L5-S1 level with slight neural foraminal narrowing, bilaterally.
Minimal posterior disc bulges are noted at the L3-L4, L4-L5 and L5-S1 levels. The L4-L5 facet joints show mild degenerative changes.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
R>
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with spondylolysis at L5 bilaterally and a resultant pseudo-posterior disc bulge at the L5-S1 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15040
hs/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzA. Dulmn / F / 19 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O blurred vision in the left eye since 15 days.
H/O paresthesias in the RUE and palm of LUE.
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.
3 mm thick STIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The proximal aspect of the intra-orbital segment of the left optic nerve is hyperintense on the STIR images. The right optic nerve shows normal signal intensity.
There is asymmetric prominence of the body of the right lateral ventricle as compared to the left and this may be a normal variant.
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.
Incidental note is made of pansinusitis.
IMPRESSION :
The MRI features are suggestive of altered signal of the left optic nerve. This may represents neuritis/demyelination/ischemia.
Date : 00.00.00
Name of the Patient : Abc XyzA. Dulmn / F / 19 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O blurred vision in the left eye since 15 days.
H/O paresthesias in the RUE and palm of LUE.
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.
3 mm thick STIR coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The proximal aspect of the intra-orbital segment of the left optic nerve is hyperintense on the STIR images. The right optic nerve shows normal signal intensity.
There is asymmetric prominence of the body of the right lateral ventricle as compared to the left and this may be a normal variant.
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.
Incidental note is made of pansinusitis.
IMPRESSION :
The MRI features are suggestive of altered signal of the left optic nerve. This may represents neuritis/demyelination/ischemia.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15039
hs/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz M. Motilmn / F / 29 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to the RLE since 2 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 :
Small posterior disc herniations are seen at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
The lumbar facet joints show mild degenerative changes.
The L2-L3 to L5-S1 intervertebral discs show loss of water content.
The lumbar vertebral bodies and the L1-L2 intervertebral disc reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The dorsal spine was screened with 4 mm thick T1 Weighted sagittal images and does not reveal any significant feature of note.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
14.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Small posterior disc herniations at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
2. Mild facetal arthropathy in the lumbar region.
Date : 00.00.00
Name of the Patient : Abc Xyz M. Motilmn / F / 29 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to the RLE since 2 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 :
Small posterior disc herniations are seen at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
The lumbar facet joints show mild degenerative changes.
The L2-L3 to L5-S1 intervertebral discs show loss of water content.
The lumbar vertebral bodies and the L1-L2 intervertebral disc reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The dorsal spine was screened with 4 mm thick T1 Weighted sagittal images and does not reveal any significant feature of note.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
14.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Small posterior disc herniations at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
2. Mild facetal arthropathy in the lumbar region.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15038
hs/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzc Calmn / M / 38 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to the LLE since 10 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 :
The L5 vertebra appears to be sacralized and it is as marked on the film.
The lumbar intervertebral discs show loss of water content.
A large posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L3-L4 level. Large right postero-lateral and right far lateral disc herniations are seen to indent the exiting right L4 nerve root at this level. A left far lateral (extraforaminal) disc herniation is also noted at this level. A sequestered disc fragment is noted in the right lateral and posterior epidural space at L3 and L4 vertebral levels.
A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. Bilateral far lateral (extraforaminal) disc bulges are noted at this level.
Right postero-lateral and right far lateral disc herniations are seen at the L2-L3 level.
..2/.
The L2-L3, L3-L4 and L4-L5 facet joints show degenerative changes. Posterior peridiscal osteophytes are noted in the lumbar region.
A posteriorly bulging disc with peridiscal osteophytes is seen at the D12-L1 level.
The pedicles of the lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
The lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
15.0 mm at L2-L3
10.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large posterior disc herniation with canal stenosis at the L3-L4 level. A sequestered disc fragment is noted in the right lateral and posterior epidural space at L3 and L4 vertebral levels.
2. A posterior disc herniation at the L4-L5 level.
3. Large right postero-lateral and right far lateral disc herniations at the L3-L4 level.
..3/.
- 3 - Scan-00008
4. Facetal arthropathy at the L2-L3, L3-L4 and L4-L5 levels.
5. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
6. Sacralization of the L5 vertebra.
Date : 00.00.00
Name of the Patient : Abc Xyzc Calmn / M / 38 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to the LLE since 10 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 :
The L5 vertebra appears to be sacralized and it is as marked on the film.
The lumbar intervertebral discs show loss of water content.
A large posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L3-L4 level. Large right postero-lateral and right far lateral disc herniations are seen to indent the exiting right L4 nerve root at this level. A left far lateral (extraforaminal) disc herniation is also noted at this level. A sequestered disc fragment is noted in the right lateral and posterior epidural space at L3 and L4 vertebral levels.
A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. Bilateral far lateral (extraforaminal) disc bulges are noted at this level.
Right postero-lateral and right far lateral disc herniations are seen at the L2-L3 level.
..2/.
The L2-L3, L3-L4 and L4-L5 facet joints show degenerative changes. Posterior peridiscal osteophytes are noted in the lumbar region.
A posteriorly bulging disc with peridiscal osteophytes is seen at the D12-L1 level.
The pedicles of the lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
The lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
15.0 mm at L2-L3
10.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A large posterior disc herniation with canal stenosis at the L3-L4 level. A sequestered disc fragment is noted in the right lateral and posterior epidural space at L3 and L4 vertebral levels.
2. A posterior disc herniation at the L4-L5 level.
3. Large right postero-lateral and right far lateral disc herniations at the L3-L4 level.
..3/.
- 3 - Scan-00008
4. Facetal arthropathy at the L2-L3, L3-L4 and L4-L5 levels.
5. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
6. Sacralization of the L5 vertebra.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15037
ke/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzray K. Yerulmn / M / 43 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain and swelling over the right gluteal region since 1 year.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
8 mm thick T1 Weighted and STIR coronal images.
8 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
8 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is replacement of the normal marrow of the right ischial tuberosity and posterior column of the right acetabulum by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted and STIR images. There is a break in the cortex with involvement of the obturator internus muscle which shows a subtle hyperintense signal on the T2 Weighted and STIR images. There is a large lesion within the fat planes inbetween the gluteus medius and maximus muscles which is hypointense to normal muscle on the T1 Weighted images and turns hyperintense on the T2 Weighted and STIR images. This may represent an abscess. This lesion is seen to extend upto the subcutaneous region laterally. This lesion is seen to extend upto the right iliac crest and to just below the lesser trochanter. The greater trochanter of theright femur is also involved. The gluteus maximus muscle also shows subtle hyperintense signal on the T2 Weighted and STIR images suggestive of its involvement. The musculature around the right hip joint appears bulky.
The left hip joint is unremarkable. There are no abnormally enlarged lymph nodes or free fluid in the pelvis.
..2/.
Small (subcentimeter) soft tissue lesions are noted in the anterior abdominal wall on the left and in the right lateral abdominal wall. These are of ? etiology, ?? nerve sheath tumors (scan 103.5).
IMPRESSION :
The MRI features are suggestive of a large lesion which most likely represents an abscess in the right gluteal region with involvement of the right ischial tuberosity, posterior column of the right acetabulum and the greater trochanter of the right femur. This is most likely an infective process (? tuberculosis).
The possibility of this being a neoplastic process is less likely.
Date : 00.00.00
Name of the Patient : Abc Xyzray K. Yerulmn / M / 43 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain and swelling over the right gluteal region since 1 year.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
8 mm thick T1 Weighted and STIR coronal images.
8 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
8 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is replacement of the normal marrow of the right ischial tuberosity and posterior column of the right acetabulum by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted and STIR images. There is a break in the cortex with involvement of the obturator internus muscle which shows a subtle hyperintense signal on the T2 Weighted and STIR images. There is a large lesion within the fat planes inbetween the gluteus medius and maximus muscles which is hypointense to normal muscle on the T1 Weighted images and turns hyperintense on the T2 Weighted and STIR images. This may represent an abscess. This lesion is seen to extend upto the subcutaneous region laterally. This lesion is seen to extend upto the right iliac crest and to just below the lesser trochanter. The greater trochanter of theright femur is also involved. The gluteus maximus muscle also shows subtle hyperintense signal on the T2 Weighted and STIR images suggestive of its involvement. The musculature around the right hip joint appears bulky.
The left hip joint is unremarkable. There are no abnormally enlarged lymph nodes or free fluid in the pelvis.
..2/.
Small (subcentimeter) soft tissue lesions are noted in the anterior abdominal wall on the left and in the right lateral abdominal wall. These are of ? etiology, ?? nerve sheath tumors (scan 103.5).
IMPRESSION :
The MRI features are suggestive of a large lesion which most likely represents an abscess in the right gluteal region with involvement of the right ischial tuberosity, posterior column of the right acetabulum and the greater trochanter of the right femur. This is most likely an infective process (? tuberculosis).
The possibility of this being a neoplastic process is less likely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15036
hs/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzadhan.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O sudden onset of altered sensorium 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.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the temporo-occipito-parietal lobes on the left side. There is involvement of the cortical grey matter as well as the underlying white matter. This lesion most likely represents an infarct. Areas of hyperintensity on the T1 Weighted images are seen within this lesion along the gyri and may represent paramagnetic substances/subacute blood.
Areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the periatrial white matter bilaterally and are most likely ischemic in etiology.
A lacune (iso to hyperintense to CSF) is seen within the pons on the left side.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
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 :
The MRI features are suggestive of an area of altered signal within the left temporo-occipito-parietal lobes on the left side most likely represents an infarct. Areas of altered signal within the lesion along the gyri may represent paramagnetic substances/subacute blood.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzadhan.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O sudden onset of altered sensorium 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.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the temporo-occipito-parietal lobes on the left side. There is involvement of the cortical grey matter as well as the underlying white matter. This lesion most likely represents an infarct. Areas of hyperintensity on the T1 Weighted images are seen within this lesion along the gyri and may represent paramagnetic substances/subacute blood.
Areas of hyperintensity on the proton, T2 Weighted and FLAIR images are seen within the periatrial white matter bilaterally and are most likely ischemic in etiology.
A lacune (iso to hyperintense to CSF) is seen within the pons on the left side.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
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 :
The MRI features are suggestive of an area of altered signal within the left temporo-occipito-parietal lobes on the left side most likely represents an infarct. Areas of altered signal within the lesion along the gyri may represent paramagnetic substances/subacute blood.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
15035
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyza lmn / F / 6 yrs.
Referred by : Dr. Abc Xyzishnav.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O fall on 00.00.00.
C/O pain on the right side of the head 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.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyza lmn / F / 6 yrs.
Referred by : Dr. Abc Xyzishnav.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O fall on 00.00.00.
C/O pain on the right side of the head 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.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports