Regular User
Sunday, 27 December 2015 16:48
12680
hs/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Nalmn / F / 12 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache since 2 months and weakness of BLE with bladder/bowel involvement since 2 days.
H/O paraspinal abscess since 6 months. On AKT.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is near complete collapse of the D7 vertebral body with resultant retropulsion and compression upon the spinal cord at this level. The cord at this level shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/isclmn / Myelitis. Also seen is a resultant kyphus at this level.
Areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images are seen to involve the D6, D7 and D8 vertebral bodies (with slight involvement of the D9 and D10 vertebral bodies). Also seen is involvement of the D6 to D9 pedicles bilaterally and the right pedicle of the D10 vertebra. The D6-D7 and D7-D8 intervertebral discs are also involved.
There is extension of the pathologic process into the anterior epidural space over the D6 to D8 vertebral levels and into the pre and left paravertebral soft tissues over the D5 to D8 vertebral levels. Also seen is extension into the right paravertebral soft tissues over the D5 to D10 vertebral levels.
..2/.
- 2 -
The D6 to D10 ribs on the right side are involved with presence of a right sided pleural effusion (? loculated).
The rest of the visualized dorsal vertebral bodies and remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The conus medullaris terminates at the L1 level.
IMPRESSION :
The MRI features are suggestive of an infective process involving the D6 to the D10 vertebrae and the D6-D7 and D7-D8 intervertebral discs with near complete collapse of the D7 vertebral body with cord compression and cord edema/isclmn / Myelitis as described. This most likely represents tuberculosis.
The possibility of this being a neoplastic process like a round cell tumor is less likely.
Date : 00.00.00
Name of the Patient : Abc Xyz Nalmn / F / 12 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache since 2 months and weakness of BLE with bladder/bowel involvement since 2 days.
H/O paraspinal abscess since 6 months. On AKT.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is near complete collapse of the D7 vertebral body with resultant retropulsion and compression upon the spinal cord at this level. The cord at this level shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/isclmn / Myelitis. Also seen is a resultant kyphus at this level.
Areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images are seen to involve the D6, D7 and D8 vertebral bodies (with slight involvement of the D9 and D10 vertebral bodies). Also seen is involvement of the D6 to D9 pedicles bilaterally and the right pedicle of the D10 vertebra. The D6-D7 and D7-D8 intervertebral discs are also involved.
There is extension of the pathologic process into the anterior epidural space over the D6 to D8 vertebral levels and into the pre and left paravertebral soft tissues over the D5 to D8 vertebral levels. Also seen is extension into the right paravertebral soft tissues over the D5 to D10 vertebral levels.
..2/.
- 2 -
The D6 to D10 ribs on the right side are involved with presence of a right sided pleural effusion (? loculated).
The rest of the visualized dorsal vertebral bodies and remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The conus medullaris terminates at the L1 level.
IMPRESSION :
The MRI features are suggestive of an infective process involving the D6 to the D10 vertebrae and the D6-D7 and D7-D8 intervertebral discs with near complete collapse of the D7 vertebral body with cord compression and cord edema/isclmn / Myelitis as described. This most likely represents tuberculosis.
The possibility of this being a neoplastic process like a round cell tumor is less likely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12679
hs/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzVarlmn / M / 19 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with tingling since 9 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 :
The L5-S1 intervertebral disc shows mild loss of water content.
A postero-central disc protusion with peridiscal osteophtyes is seen at the L5-S1 level with mild indentation upon the traversing S1 nerve roots bilaterally.
Small left postero-lateral and left far lateral disc herniations are seen at the L5-S1 level. There is mild left neural foraminal narrowing at this level.
A posterior disc bulge is seen to indent the thecal sac at the L4-L5 level.
The L5-S1 facet joints show mild degenerative changes.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S2 level.
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 L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A postero-central disc protusion with peridiscal osteophytes at the L5-S1 level with mild indentation upon the traversing S1 nerve roots bilaterally.
2. Small left postero-lateral and left far lateral disc herniations at the L5-S1 level.
3. A posterior disc bulge at the L4-L5 level.
4. Mild facetal arthropathy at the L5-S1 level.
Date : 00.00.00
Name of the Patient : Abc XyzVarlmn / M / 19 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with tingling since 9 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 :
The L5-S1 intervertebral disc shows mild loss of water content.
A postero-central disc protusion with peridiscal osteophtyes is seen at the L5-S1 level with mild indentation upon the traversing S1 nerve roots bilaterally.
Small left postero-lateral and left far lateral disc herniations are seen at the L5-S1 level. There is mild left neural foraminal narrowing at this level.
A posterior disc bulge is seen to indent the thecal sac at the L4-L5 level.
The L5-S1 facet joints show mild degenerative changes.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S2 level.
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 L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A postero-central disc protusion with peridiscal osteophytes at the L5-S1 level with mild indentation upon the traversing S1 nerve roots bilaterally.
2. Small left postero-lateral and left far lateral disc herniations at the L5-S1 level.
3. A posterior disc bulge at the L4-L5 level.
4. Mild facetal arthropathy at the L5-S1 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12678
hs/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzG. Sonalmn / M / 28 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain & Intracranial
MR Venogram.
CLINICAL PROFILE :
C/O headaches since 1 year with diplopia and inability to move right eyeball to the right 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 coronal images.
5 mm thick T1 Weighted sagittal images.
3 mm thick STIR coronal images.
MR Venogram was performed.
OBSERVATION :
Brain :
There is no focal area of altered signal intensity within the brain parenchyma.
The visualized optic nerves and cavernous sinuses reveal normal signal and calibre 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.
Incidental note is made of inflammatory changes in both maxillary sinuses.
MR Venogram :
The left transverse and sigmoid sinuses appear to be hypoplastic.
The visualized dural and deep venous sinuses show normal flow characteristics. No obvious venous thrombosis is evident on this scan.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc XyzG. Sonalmn / M / 28 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain & Intracranial
MR Venogram.
CLINICAL PROFILE :
C/O headaches since 1 year with diplopia and inability to move right eyeball to the right 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 coronal images.
5 mm thick T1 Weighted sagittal images.
3 mm thick STIR coronal images.
MR Venogram was performed.
OBSERVATION :
Brain :
There is no focal area of altered signal intensity within the brain parenchyma.
The visualized optic nerves and cavernous sinuses reveal normal signal and calibre 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.
Incidental note is made of inflammatory changes in both maxillary sinuses.
MR Venogram :
The left transverse and sigmoid sinuses appear to be hypoplastic.
The visualized dural and deep venous sinuses show normal flow characteristics. No obvious venous thrombosis is evident on this scan.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12677
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzn Shlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness since 8 years with irrelevant talk, no control over bladder/bowel, loss of appetite and forgetfullness since 1 month.
Known hypertensive. 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.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.
There is a linear, hyperintense signal on the proton and T2 Weighted images in the right external capsular region. This lesion follows CSF signal on all pulse sequences. It has a hypointense rim on the proton and T2 Weighted images.
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 and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Scan-00007
IMPRESSION :
1. Altered signal in the periventricular white matter bilaterally most likely represent ischemic changes.
2. A linear, altered signal in the right external capsular region as described would represent an area of encephalomalacia and may be the sequelae of a previous intraparenchymal hematoma.
3. Mild cerebral and cerebellar atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyzn Shlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O giddiness since 8 years with irrelevant talk, no control over bladder/bowel, loss of appetite and forgetfullness since 1 month.
Known hypertensive. 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.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.
There is a linear, hyperintense signal on the proton and T2 Weighted images in the right external capsular region. This lesion follows CSF signal on all pulse sequences. It has a hypointense rim on the proton and T2 Weighted images.
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 and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Scan-00007
IMPRESSION :
1. Altered signal in the periventricular white matter bilaterally most likely represent ischemic changes.
2. A linear, altered signal in the right external capsular region as described would represent an area of encephalomalacia and may be the sequelae of a previous intraparenchymal hematoma.
3. Mild cerebral and cerebellar atrophy.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12676
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz L. Narvlmn / F / 13 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures.
H/O mental retardation.
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 within the brain parenchyma.
The hippocampus is unremarkable on either side.
There is mild prominence of the cerebellar folia bilaterally.
The right lateral ventricle is slightly larger than the left lateral ventricle, (? normal variant).
The 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 enlarged adenoids.
IMPRESSION :
The MRI features are suggestive of mild prominence of the cerebellar folia bilaterally.
Date : 00.00.00
Name of the Patient : Abc Xyz L. Narvlmn / F / 13 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures.
H/O mental retardation.
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 within the brain parenchyma.
The hippocampus is unremarkable on either side.
There is mild prominence of the cerebellar folia bilaterally.
The right lateral ventricle is slightly larger than the left lateral ventricle, (? normal variant).
The 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 enlarged adenoids.
IMPRESSION :
The MRI features are suggestive of mild prominence of the cerebellar folia bilaterally.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12675
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Saeed Khlmn / M / 28 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain with pain in the region of the pubic symphysis since 6 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 bulges are seen at the L4-L5 and L5-S1 levels.
The lumbar facet joints appear slightly hypertrophied.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
14.0 mm at L2-L3
14.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
The region of the pubic symphysis was studied with 5 mm thick T1 Weighted and STIR axial images and does not reveal any significant feature of note.
IMPRESSION :
1. Small posterior disc bulges at the L4-L5 and L5-S1 levels.
2. Slight hypertrophy of the lumbar facet joints.
Date : 00.00.00
Name of the Patient : Abc Xyz Saeed Khlmn / M / 28 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain with pain in the region of the pubic symphysis since 6 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 bulges are seen at the L4-L5 and L5-S1 levels.
The lumbar facet joints appear slightly hypertrophied.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
14.0 mm at L2-L3
14.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
The region of the pubic symphysis was studied with 5 mm thick T1 Weighted and STIR axial images and does not reveal any significant feature of note.
IMPRESSION :
1. Small posterior disc bulges at the L4-L5 and L5-S1 levels.
2. Slight hypertrophy of the lumbar facet joints.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12674
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzal lmn / M / 52 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O acute onset of dysphagia with left sided paresthesias since 00.00.00.
Known hypertensive.
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 a hyperintense area in the medulla on the right side posteriorly on the T2 Weighted images which would represent an area of infarction.
Similar areas are seen in the periventricular deep white matter and bilateral corona radiata and centrum semiovale. Lacunar infarcts are noted in the left cerebellar hemisphere, bilateral lentiform nuclei and left thalamus.
Slight prominence of the cerebellar folia is seen.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of a right maxillary polyp.
INTRACRANIAL MRA :
There is slight irregularity and narrowing of the internal carotid artery in its cavernous and supraclinoid segments on the right side which could be due to atherosclerosis. Slight irregularity of the M1 segment of the right middle cerebral artery is also noted.
There is hypoplasia of the anterior communicating artery on the right side and of the right vertebral artery.
The petrous, cavernous and supraclinoid segments of the left internal carotid artery and the petrous segment of the right internal carotid artery show normal signal and calibre. The visualized left anterior cerebral, left middle cerebral, basilar, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The right common carotid artery in its entirety appears smaller in calibre as compared to left. There is concentric narrowing of the right internal and external carotid arteries from the level of the right common carotid bifurcation for approximately 1.0 cm cranially.
The right vertebral artery in the neck is also hypoplastic.
The left common carotid artery and its extracranial branches appears normal. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Medullary infarct on the right side posteriorly.
..3/.
- 3 - Scan-00004
2. Areas of ischemia/infarction in the periventricular deep white matter and bilateral corona radiata and centrum semiovale.
3. Lacunar infarcts in the left cerebellar hemisphere, bilateral lentiform nuclei and left thalamus.
4. Slight irregularity and narrowing of the internal carotid artery in its supraclinoid and cavernous segments on the right side which could be due to atherosclerosis.
5. Hypoplasia of the anterior communicating artery and vertebral artery on the right side.
6. Concentric narrowing of the right internal and external carotid arteries from the level of the right common carotid bifurcation for approximately 1.0 cm cranially.
Date : 00.00.00
Name of the Patient : Abc Xyzal lmn / M / 52 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O acute onset of dysphagia with left sided paresthesias since 00.00.00.
Known hypertensive.
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 a hyperintense area in the medulla on the right side posteriorly on the T2 Weighted images which would represent an area of infarction.
Similar areas are seen in the periventricular deep white matter and bilateral corona radiata and centrum semiovale. Lacunar infarcts are noted in the left cerebellar hemisphere, bilateral lentiform nuclei and left thalamus.
Slight prominence of the cerebellar folia is seen.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of a right maxillary polyp.
INTRACRANIAL MRA :
There is slight irregularity and narrowing of the internal carotid artery in its cavernous and supraclinoid segments on the right side which could be due to atherosclerosis. Slight irregularity of the M1 segment of the right middle cerebral artery is also noted.
There is hypoplasia of the anterior communicating artery on the right side and of the right vertebral artery.
The petrous, cavernous and supraclinoid segments of the left internal carotid artery and the petrous segment of the right internal carotid artery show normal signal and calibre. The visualized left anterior cerebral, left middle cerebral, basilar, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The right common carotid artery in its entirety appears smaller in calibre as compared to left. There is concentric narrowing of the right internal and external carotid arteries from the level of the right common carotid bifurcation for approximately 1.0 cm cranially.
The right vertebral artery in the neck is also hypoplastic.
The left common carotid artery and its extracranial branches appears normal. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Medullary infarct on the right side posteriorly.
..3/.
- 3 - Scan-00004
2. Areas of ischemia/infarction in the periventricular deep white matter and bilateral corona radiata and centrum semiovale.
3. Lacunar infarcts in the left cerebellar hemisphere, bilateral lentiform nuclei and left thalamus.
4. Slight irregularity and narrowing of the internal carotid artery in its supraclinoid and cavernous segments on the right side which could be due to atherosclerosis.
5. Hypoplasia of the anterior communicating artery and vertebral artery on the right side.
6. Concentric narrowing of the right internal and external carotid arteries from the level of the right common carotid bifurcation for approximately 1.0 cm cranially.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12673
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyznd Kasalmn / M / 38 yrs.
Referred by : Dr. Abc Xyzle.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O vertigo, with tinnitus and hearing loss on the left side since 20 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.
MR cisternogram was obtained in the coronal plane.
3 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
The seventh and eighth cranial nerve complex on either side appears normal.
There is slight prominence of the right lateral ventricle as compared to the left, which may be normal variant.
The 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 :
No abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyznd Kasalmn / M / 38 yrs.
Referred by : Dr. Abc Xyzle.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O vertigo, with tinnitus and hearing loss on the left side since 20 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.
MR cisternogram was obtained in the coronal plane.
3 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity within the brain parenchyma.
The seventh and eighth cranial nerve complex on either side appears normal.
There is slight prominence of the right lateral ventricle as compared to the left, which may be normal variant.
The 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 :
No abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
12671
ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyza Klmn / F / 23 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O ceaserian delivery 15 days back.
C/O altered behaviour since 10 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 coronal images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is no focal area of altered signal intensity within 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 Klmn / F / 23 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O ceaserian delivery 15 days back.
C/O altered behaviour since 10 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 coronal images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is no focal area of altered signal intensity within 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
Sunday, 27 December 2015 16:48
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/72 Date : 00.00.00
Name of the Patient : Abc Xyzimohalmn / M / 55 yrs.
Referred by : Dr. Abc Xyznghal.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O right sided hemiplegia since 1 year.
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 a well marginated, hypointense lesion on the T1 Weighted images in the left fronto-temporo-parietal cortex and subcortical white matter. This lesion follows CSF signal on all the pulse sequences and represents an area of cystic encephalomalacia, most likely the sequelae of a previous vascular insult. Perilesional, ill-defined, hyperintense signal on the T2 Weighted images may suggest gliotic changes. There is resultant dilatation of the left lateral ventricle as compared to the right. Atrophy of the left cerebral peduncle is also noted with a subtle hyperintense signal within it and in the anterior pons to the left (Wallerian degeneration).
Ill-defined, hyperintense signal on the T2 Weighted images in the subcortical white matter in the right posterior parietal region may also represent ischemic lesions.
There is mild fullness of the right lateral ventricle. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Scan-00000
There is seen a hyperintense signal on the T2 Weighted images within the lumen of the cavernous and supraclinoid segment of the left internal carotid artery in place of the normal flow-void signal.
INTRACRANIAL MRA :
The left vertebral artery is most likely hypoplastic and is not well identified intracranially.
There is non-visualization of the intracranial segment of the left internal carotid artery. Faint visualization of the left anterior, middle and posterior cerebral arteries is noted.
The petrous, cavernous and supraclinoid segments of the right internal carotid artery show normal signal and calibre. The visualized right anterior cerebral, right middle cerebral, basilar, right vertebral and right 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 is hypoplastic.
The left common carotid artery appears unremarkable. There is flattening of the left carotid bulb with slight concentric narrowing of the origin of the left external carotid artery at the carotid bifurcation. Similar changes are noted at the origin of the left internal carotid artery which is not visualized after about 1.5 cms distal to the common carotid bifurcation.
The right common carotid artery and its bifurcation and the right vertebral artery are unremarkable.
..3/.
- 3 - Scan-00000
IMPRESSION :
1. Altered signal in the left fronto-temporo-parietal region represents an area of cystic encephalomalacia, most likely the sequelae of a previous vascular insult.
2. Altered signal in the subcortical white matter in the right posterior parietal region most likely represents ischemic changes.
3. Complete obstruction of the left internal carotid artery about 1.5 cms distal to the common carotid bifurcation.
4. Concentric narrowing of the left internal and external carotid arteries.
5. Hypoplastic left vertebral artery.
Name of the Patient : Abc Xyzimohalmn / M / 55 yrs.
Referred by : Dr. Abc Xyznghal.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O right sided hemiplegia since 1 year.
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 a well marginated, hypointense lesion on the T1 Weighted images in the left fronto-temporo-parietal cortex and subcortical white matter. This lesion follows CSF signal on all the pulse sequences and represents an area of cystic encephalomalacia, most likely the sequelae of a previous vascular insult. Perilesional, ill-defined, hyperintense signal on the T2 Weighted images may suggest gliotic changes. There is resultant dilatation of the left lateral ventricle as compared to the right. Atrophy of the left cerebral peduncle is also noted with a subtle hyperintense signal within it and in the anterior pons to the left (Wallerian degeneration).
Ill-defined, hyperintense signal on the T2 Weighted images in the subcortical white matter in the right posterior parietal region may also represent ischemic lesions.
There is mild fullness of the right lateral ventricle. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Scan-00000
There is seen a hyperintense signal on the T2 Weighted images within the lumen of the cavernous and supraclinoid segment of the left internal carotid artery in place of the normal flow-void signal.
INTRACRANIAL MRA :
The left vertebral artery is most likely hypoplastic and is not well identified intracranially.
There is non-visualization of the intracranial segment of the left internal carotid artery. Faint visualization of the left anterior, middle and posterior cerebral arteries is noted.
The petrous, cavernous and supraclinoid segments of the right internal carotid artery show normal signal and calibre. The visualized right anterior cerebral, right middle cerebral, basilar, right vertebral and right 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 is hypoplastic.
The left common carotid artery appears unremarkable. There is flattening of the left carotid bulb with slight concentric narrowing of the origin of the left external carotid artery at the carotid bifurcation. Similar changes are noted at the origin of the left internal carotid artery which is not visualized after about 1.5 cms distal to the common carotid bifurcation.
The right common carotid artery and its bifurcation and the right vertebral artery are unremarkable.
..3/.
- 3 - Scan-00000
IMPRESSION :
1. Altered signal in the left fronto-temporo-parietal region represents an area of cystic encephalomalacia, most likely the sequelae of a previous vascular insult.
2. Altered signal in the subcortical white matter in the right posterior parietal region most likely represents ischemic changes.
3. Complete obstruction of the left internal carotid artery about 1.5 cms distal to the common carotid bifurcation.
4. Concentric narrowing of the left internal and external carotid arteries.
5. Hypoplastic left vertebral artery.
Published in
MRI Reports