Regular User
Sunday, 27 December 2015 16:48
14710
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 52 yrs.
Referred by : Dr. Abc Xyzchale / Dr. Abc Xyzmpat.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O multiple myeloma detected in March 0000. Received 9 cycles of chemotherapy.
C/O backache since April 0000 with limping.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
6 mm thick T1 Proton and T2 Weighted axial (with fat saturation)
images.
5 mm thick T1 Weighted and STIR coronal images.
8 mm thick T2 Weighted axial (with fat saturation) images through the proximal thighs.
The lumbo-sacral spine was screened with 5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is seen a fairly large, approximately 6.0 x 7.0 x 7.0 cms sized intermediate signal intensity mass lesion on the T1 Weighted images in the left iliac bone medially adjacent to the left sacro-iliac joint. This lesion appears hyperintense on the T2 Weighted images. Resultant destruction of the left iliac bone adjacent to the left sacro-iliac joint is noted. Probable extension of the lesion into the left sacro-iliac joint per se is noted. The sacrum is however not involved. Inferiorly the lesion is seen to extend upto the roof of the left acetabulum. There is however no extension into the left hip joint per se. Soft tissue component of the lesion is seen to extend deep to the left ilio-psoas muscle along the left iliac wing. Slight extension into the posterior soft tissues deep to the left gluteal muscles is also noted.
..2/.
A focal hypointense signal on T1 Weighted images is noted in the right ischial bone and in the L5 vertebral body on the left which appears hyperintense on the STIR images (scans 105.9 & 104.9, 106.2 & 107.2)).
The visualized right hip joint per se is otherwise unremarkable.
The left femoral head and proximal shafts are also unremarkable.
The rest of the visualized bones of the pelvis show spotty fatty marrow changes. Slight atrophy of the left gluteal muscle is noted as compared to the right.
The proximal right thigh appears slightly increased in diameter as compared to the left. There is an ill-defined hyperintense signal on the T2 Weighted and STIR images in the subcutaneous fat and along the fatplanes in the anterior compartment of the proximal right thigh. This signal is hypointense to normal fat on the T1 Weighted images. Probable intraluminal signal is noted in the proximal right femoral vein.
Screening images of the lumbar spine do not reveal any significant feature of note, except for altered signal in the L5 vertebral body.
IMPRESSION :
A fairly large, approximately 6.0 x 7.0 x 7.0 cms sized mass lesion in the left iliac bone, medially with erosion of the left iliac bone and soft tissue extensions as described represents a myelomatous deposit. Focal lesion in the right ischium and in the L5 vertebral body on the left are also myelomatous deposits. As compared to the previous MRI dated 00.00.00, there is increase in the size of the left iliac bone lesion. The lesions in the right ischium and L5 vertebral body appear to be new lesions.
Altered signal along the fat planes in the anterior compartment of the proximal right thigh may represents cellulitis. Intraluminal signal in the proximal right femoral vein is suspicious for a thrombus (this however needs to be confirmed).
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 52 yrs.
Referred by : Dr. Abc Xyzchale / Dr. Abc Xyzmpat.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O multiple myeloma detected in March 0000. Received 9 cycles of chemotherapy.
C/O backache since April 0000 with limping.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
6 mm thick T1 Proton and T2 Weighted axial (with fat saturation)
images.
5 mm thick T1 Weighted and STIR coronal images.
8 mm thick T2 Weighted axial (with fat saturation) images through the proximal thighs.
The lumbo-sacral spine was screened with 5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is seen a fairly large, approximately 6.0 x 7.0 x 7.0 cms sized intermediate signal intensity mass lesion on the T1 Weighted images in the left iliac bone medially adjacent to the left sacro-iliac joint. This lesion appears hyperintense on the T2 Weighted images. Resultant destruction of the left iliac bone adjacent to the left sacro-iliac joint is noted. Probable extension of the lesion into the left sacro-iliac joint per se is noted. The sacrum is however not involved. Inferiorly the lesion is seen to extend upto the roof of the left acetabulum. There is however no extension into the left hip joint per se. Soft tissue component of the lesion is seen to extend deep to the left ilio-psoas muscle along the left iliac wing. Slight extension into the posterior soft tissues deep to the left gluteal muscles is also noted.
..2/.
A focal hypointense signal on T1 Weighted images is noted in the right ischial bone and in the L5 vertebral body on the left which appears hyperintense on the STIR images (scans 105.9 & 104.9, 106.2 & 107.2)).
The visualized right hip joint per se is otherwise unremarkable.
The left femoral head and proximal shafts are also unremarkable.
The rest of the visualized bones of the pelvis show spotty fatty marrow changes. Slight atrophy of the left gluteal muscle is noted as compared to the right.
The proximal right thigh appears slightly increased in diameter as compared to the left. There is an ill-defined hyperintense signal on the T2 Weighted and STIR images in the subcutaneous fat and along the fatplanes in the anterior compartment of the proximal right thigh. This signal is hypointense to normal fat on the T1 Weighted images. Probable intraluminal signal is noted in the proximal right femoral vein.
Screening images of the lumbar spine do not reveal any significant feature of note, except for altered signal in the L5 vertebral body.
IMPRESSION :
A fairly large, approximately 6.0 x 7.0 x 7.0 cms sized mass lesion in the left iliac bone, medially with erosion of the left iliac bone and soft tissue extensions as described represents a myelomatous deposit. Focal lesion in the right ischium and in the L5 vertebral body on the left are also myelomatous deposits. As compared to the previous MRI dated 00.00.00, there is increase in the size of the left iliac bone lesion. The lesions in the right ischium and L5 vertebral body appear to be new lesions.
Altered signal along the fat planes in the anterior compartment of the proximal right thigh may represents cellulitis. Intraluminal signal in the proximal right femoral vein is suspicious for a thrombus (this however needs to be confirmed).
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14709
sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzi B. Shlmn / F / 17 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Both hips.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 15 days.
H/O tuberculous cervical lymphadenopathy detected in May 0000. On AKT.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
7 mm thick T1 Weighted and T2 Weighted axial (with fat saturation) images.
OBSERVATION :
There is an ill-defined hypointense signal on the T1 Weighted images in the neck and proximal shaft of the right femur. This lesion appears hyperintense on the T2 Weighted and STIR images. Similar signal change is noted in the iliac bones on either side, ala of the sacrum bilaterally, right ischial bone, roof of the right acetabulum and at the junction of the neck and proximal shaft of the left femur with minimal involvement of the lateral aspect of the right femoral head. The femoral heads on either side show normal contour. There is obliteration of the right sided first sacral foramen. Hyperintense signal is seen on the T2 Weighted and STIR images in the adductor group of muscles on the right side and the ilio-psoas muscle anterior to the upper shaft of the femur (se/im:102.18-20).
..2/.
>
A small right hip joint effusion is noted.
There is no definite involvement of the sacro-iliac joints per se on this study.
No obvious enlarged lymphnodes are noted in the visualized pelvis.
Slight decrease in the bulk of the muscles around the right hip joint is noted.
Hyperintense signal on the T2 Weighted and STIR images in the gluteal muscles bilaterally may be due to intramuscular injection.
T1 Weighted sagittal images of the lumbar spine reveal focal hypointense areas in the L3, L4 and L5 vertebral bodies.
IMPRESSION :
Altered signal in the head, neck and proximal shaft of the right femur, iliac bones on either side, ala of the sacrum bilaterally, right ischial bone, roof of the right acetabulum and at the junction of the neck and proximal shaft of the left femur and soft tissues as described is not specific for a single etiology. In view of recent history of tuberculous cervical lymphadenitis, the possibility of these lesions representing multifocal tuberculosis should be considered.
Date : 00.00.00
Name of the Patient : Abc Xyzi B. Shlmn / F / 17 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Both hips.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 15 days.
H/O tuberculous cervical lymphadenopathy detected in May 0000. On AKT.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
7 mm thick T1 Weighted and T2 Weighted axial (with fat saturation) images.
OBSERVATION :
There is an ill-defined hypointense signal on the T1 Weighted images in the neck and proximal shaft of the right femur. This lesion appears hyperintense on the T2 Weighted and STIR images. Similar signal change is noted in the iliac bones on either side, ala of the sacrum bilaterally, right ischial bone, roof of the right acetabulum and at the junction of the neck and proximal shaft of the left femur with minimal involvement of the lateral aspect of the right femoral head. The femoral heads on either side show normal contour. There is obliteration of the right sided first sacral foramen. Hyperintense signal is seen on the T2 Weighted and STIR images in the adductor group of muscles on the right side and the ilio-psoas muscle anterior to the upper shaft of the femur (se/im:102.18-20).
..2/.
>
A small right hip joint effusion is noted.
There is no definite involvement of the sacro-iliac joints per se on this study.
No obvious enlarged lymphnodes are noted in the visualized pelvis.
Slight decrease in the bulk of the muscles around the right hip joint is noted.
Hyperintense signal on the T2 Weighted and STIR images in the gluteal muscles bilaterally may be due to intramuscular injection.
T1 Weighted sagittal images of the lumbar spine reveal focal hypointense areas in the L3, L4 and L5 vertebral bodies.
IMPRESSION :
Altered signal in the head, neck and proximal shaft of the right femur, iliac bones on either side, ala of the sacrum bilaterally, right ischial bone, roof of the right acetabulum and at the junction of the neck and proximal shaft of the left femur and soft tissues as described is not specific for a single etiology. In view of recent history of tuberculous cervical lymphadenitis, the possibility of these lesions representing multifocal tuberculosis should be considered.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14708
ke/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Chaurlmn / F / 46 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain with paresthesias in BLE and gait imbalance since 5 months.
H/O fever (on & off).
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is slight collapse of the C6 vertebral body which
appears hypointense on all the pulse sequences. There is slight bulging of the posterior margin of this vertebra with indentation of the thecal sac. The C5-C6 intervertebral disc shows normal height and loss of water content.
Small posterior peridiscal osteophytes are noted at the C3-C4 and the C5-C6 levels.
The cervical intervertebral discs show loss of water content.
The rest of the cervical vertebral bodies show spotty fatty marrow changes. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
..2/.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Incidental note is made of small deep cervical lymphnodes bilaterally and a mega cisterna magna.
IMPRESSION :
The MRI features are suggestive of collapse of the C6 vertebral body with altered signal which is not specific for a single etiology. The differential diagnosis would include,
1. Healed infective process.
2. Post-traumatic, superimposed on an osteoporotic spine.
3. Sclerotic Metastasis/myeloma.
Date : 00.00.00
Name of the Patient : Abc Xyz Chaurlmn / F / 46 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain with paresthesias in BLE and gait imbalance since 5 months.
H/O fever (on & off).
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is slight collapse of the C6 vertebral body which
appears hypointense on all the pulse sequences. There is slight bulging of the posterior margin of this vertebra with indentation of the thecal sac. The C5-C6 intervertebral disc shows normal height and loss of water content.
Small posterior peridiscal osteophytes are noted at the C3-C4 and the C5-C6 levels.
The cervical intervertebral discs show loss of water content.
The rest of the cervical vertebral bodies show spotty fatty marrow changes. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
..2/.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Incidental note is made of small deep cervical lymphnodes bilaterally and a mega cisterna magna.
IMPRESSION :
The MRI features are suggestive of collapse of the C6 vertebral body with altered signal which is not specific for a single etiology. The differential diagnosis would include,
1. Healed infective process.
2. Post-traumatic, superimposed on an osteoporotic spine.
3. Sclerotic Metastasis/myeloma.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14707
ke/sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyztiben lmn / F / 51 yrs.
Referred by : Dr. Abc Xyz Gala.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O pain on the right side of forehead radiating to the right side of the upper jaw (lip) since 3 years with difficulty in chewing and talking.
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 hyperintense areas on the proton, T2 Weighted and FLAIR images in the left frontal subcortical white matter,
right fronto-temporal white matter, posterior parietal periventricular white matter and left periatrial deep white matter. These are iso to hypointense to normal white matter on the T1 Weighted images and are probably ischemic in etiology.
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 altered signal in the left frontal subcortical white matter, right fronto-temporal white matter, posterior parietal periventricular white matter and left
periatrial deep white matter which are probably ischemic in etiology.
Date : 00.00.00
Name of the Patient : Abc Xyztiben lmn / F / 51 yrs.
Referred by : Dr. Abc Xyz Gala.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O pain on the right side of forehead radiating to the right side of the upper jaw (lip) since 3 years with difficulty in chewing and talking.
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 hyperintense areas on the proton, T2 Weighted and FLAIR images in the left frontal subcortical white matter,
right fronto-temporal white matter, posterior parietal periventricular white matter and left periatrial deep white matter. These are iso to hypointense to normal white matter on the T1 Weighted images and are probably ischemic in etiology.
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 altered signal in the left frontal subcortical white matter, right fronto-temporal white matter, posterior parietal periventricular white matter and left
periatrial deep white matter which are probably ischemic in etiology.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14706
hs/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzli Plmn / F / 10 yrs.
Referred by : Dr. Abc Xyzal.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 1 year.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
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 Xyzli Plmn / F / 10 yrs.
Referred by : Dr. Abc Xyzal.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 1 year.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
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
14705
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzn lmn / M / 55 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden onset of right sided hemiparesis on 00.00.00 with slurred speech.
H/O similar complaints 2 years back and 5 months back.
Known hypertensive.
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 hyperintense areas in the left corona radiata on the proton, T2 Weighted and FLAIR images. These are hypointense on the T1 Weighted images and may represent a fresh area of ischemia/infarction.
There is an ill-defined hypointense area in the right parafalcine occipital lobe which is seen to follow CSF signal intensity characteristics on all the pulse sequences. Hyperintense signal on the proton, T2 Weighted and FLAIR images at the periphery of this lesion would represent areas of gliosis and the lesion would represent an area of cystic encephalomalacia.
Lacunar infarcts (iso to hyperintense to CSF on all the pulse sequences) are seen in the left lentiform nucleus, ventro-medial aspect of the right thalamus, splenium of the corpus callosum on the right side and bilateral corona radiata.
An area of hypointensity on the T1 Weighted images which turns hyperintense on the T2 Weighted images is seen in the left external capsule and may represent gliotic changes.
A hypointense signal on the T2 Weighted images adjacent to this would represent hemosiderin/paramagnetic substances (? previous bleed).
There is fullness of both the lateral and third ventricles. The fourth ventricle is normal.
There is mild 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.
IMPRESSION :
1. Altered signal in the left corona radiata would represent a fresh area of ischemia/infarction.
2. An area of cystic encephalomalacia in the right parafalcine occipital lobe.
3. Lacunar infarcts in the left lentiform nucleus, ventro-medial aspect of the right thalamus, splenium of the corpus callosum on the right side and bilateral corona radiata.
4. Area of altered signal within the left external capsule would represent gliotic changes with hemosiderin/ paramagnetic substances.
5. Age related cerebral and cerebellar atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyzn lmn / M / 55 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O sudden onset of right sided hemiparesis on 00.00.00 with slurred speech.
H/O similar complaints 2 years back and 5 months back.
Known hypertensive.
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 hyperintense areas in the left corona radiata on the proton, T2 Weighted and FLAIR images. These are hypointense on the T1 Weighted images and may represent a fresh area of ischemia/infarction.
There is an ill-defined hypointense area in the right parafalcine occipital lobe which is seen to follow CSF signal intensity characteristics on all the pulse sequences. Hyperintense signal on the proton, T2 Weighted and FLAIR images at the periphery of this lesion would represent areas of gliosis and the lesion would represent an area of cystic encephalomalacia.
Lacunar infarcts (iso to hyperintense to CSF on all the pulse sequences) are seen in the left lentiform nucleus, ventro-medial aspect of the right thalamus, splenium of the corpus callosum on the right side and bilateral corona radiata.
An area of hypointensity on the T1 Weighted images which turns hyperintense on the T2 Weighted images is seen in the left external capsule and may represent gliotic changes.
A hypointense signal on the T2 Weighted images adjacent to this would represent hemosiderin/paramagnetic substances (? previous bleed).
There is fullness of both the lateral and third ventricles. The fourth ventricle is normal.
There is mild 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.
IMPRESSION :
1. Altered signal in the left corona radiata would represent a fresh area of ischemia/infarction.
2. An area of cystic encephalomalacia in the right parafalcine occipital lobe.
3. Lacunar infarcts in the left lentiform nucleus, ventro-medial aspect of the right thalamus, splenium of the corpus callosum on the right side and bilateral corona radiata.
4. Area of altered signal within the left external capsule would represent gliotic changes with hemosiderin/ paramagnetic substances.
5. Age related cerebral and cerebellar atrophy.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14704
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 20 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O RTA with head injury on 00.00.00.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
OBSERVATION :
There are hyperintense areas on the T1 Weighted images in the left frontal lobe which are seen to remain so on the proton, T2 Weighted and FLAIR images and represent haemorrhagic contusions in the given clinical setting.
An extracerebral lesion with a maximum width of 1.0 cm is seen in the left frontal region. This is hyperintense on all the pulse sequences and represents an extracerebral collection of blood. A similar smaller collection is seen anterior to the left temporal lobe.
Fracture is noted of the left frontal bone. Altered signal in the ethmoidal air cells, sphenoid sinus as well as the frontal sinus may represent altered blood.
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 :
1. Altered signal in the left frontal lobe would represent haemorrhagic contusions in the given clinical setting.
2. An extracerebral collection of blood with a maximum width of 1.0 cm in the left frontal region and a smaller one anterior to the left temporal lobe.
3. Fracture of the left frontal bone and altered signal in the ethmoidal air cells, sphenoid sinus as well as the frontal sinus may represent altered blood.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 20 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O RTA with head injury on 00.00.00.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
OBSERVATION :
There are hyperintense areas on the T1 Weighted images in the left frontal lobe which are seen to remain so on the proton, T2 Weighted and FLAIR images and represent haemorrhagic contusions in the given clinical setting.
An extracerebral lesion with a maximum width of 1.0 cm is seen in the left frontal region. This is hyperintense on all the pulse sequences and represents an extracerebral collection of blood. A similar smaller collection is seen anterior to the left temporal lobe.
Fracture is noted of the left frontal bone. Altered signal in the ethmoidal air cells, sphenoid sinus as well as the frontal sinus may represent altered blood.
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 :
1. Altered signal in the left frontal lobe would represent haemorrhagic contusions in the given clinical setting.
2. An extracerebral collection of blood with a maximum width of 1.0 cm in the left frontal region and a smaller one anterior to the left temporal lobe.
3. Fracture of the left frontal bone and altered signal in the ethmoidal air cells, sphenoid sinus as well as the frontal sinus may represent altered blood.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14703
hs/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 28 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain and backache since 3 years.
H/O Pulmonary kochs 5 years back. Received AKT.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is a reversal of the normal cervical lordotic curve. The cervical intervertebral discs show loss of water content and the upper cervical vertebrae show areas of fatty replacement of normal marrow.
A postero-central disc herniation more to the right of the midline, with a large peridiscal osteophytes is seen to indent the cord at the C5-C6 level.
A small posterior peridiscal osteophytes is noted at the C6-C7 level. Mild posterior disc bulges are seen at the C3-C4 and C4-C5 levels.
The rest of the cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
(Hyperintense signal in the cord over the C3 to C6 level on the gradient images is artifactual).
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of a postero-central disc herniation, more to the right of the midline with a large peridiscal osteophyte at the C5-C6 level.
Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 28 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain and backache since 3 years.
H/O Pulmonary kochs 5 years back. Received AKT.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is a reversal of the normal cervical lordotic curve. The cervical intervertebral discs show loss of water content and the upper cervical vertebrae show areas of fatty replacement of normal marrow.
A postero-central disc herniation more to the right of the midline, with a large peridiscal osteophytes is seen to indent the cord at the C5-C6 level.
A small posterior peridiscal osteophytes is noted at the C6-C7 level. Mild posterior disc bulges are seen at the C3-C4 and C4-C5 levels.
The rest of the cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
(Hyperintense signal in the cord over the C3 to C6 level on the gradient images is artifactual).
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of a postero-central disc herniation, more to the right of the midline with a large peridiscal osteophyte at the C5-C6 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14701
sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Khailmn / M / 48 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain and tingling in the RUE and RLE since 5-6 months.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is loss of water content of the cervical intervertebral discs.
There is a left postero-lateral disc herniation with peridiscal osteophytes at the C4-C5 level with left neural foraminal narrowing.
Small postero-central protruded discs are noted at the C2-C3 and C3-C4 levels. Posterior disc bulges with small peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.
Degenerative changes of the joints of Luschka are noted at the C6-C7 level, bilaterally.
The upper cervical vertebral bodies show spotty fatty marrow changes.
Scan-00001
The rest of the cervical vertebral bodies show normal signal intensity. The remaining joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. A left postero-lateral disc herniation with peridiscal osteophytes at the C4-C5 level.
2. Small postero-central protruded discs at the C2-C3 and C3-C4 levels.
3. Degenerative changes of the joints of Luschka at the C6-C7 level, bilaterally.
Date : 00.00.00
Name of the Patient : Abc Xyz Khailmn / M / 48 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain and tingling in the RUE and RLE since 5-6 months.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is loss of water content of the cervical intervertebral discs.
There is a left postero-lateral disc herniation with peridiscal osteophytes at the C4-C5 level with left neural foraminal narrowing.
Small postero-central protruded discs are noted at the C2-C3 and C3-C4 levels. Posterior disc bulges with small peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.
Degenerative changes of the joints of Luschka are noted at the C6-C7 level, bilaterally.
The upper cervical vertebral bodies show spotty fatty marrow changes.
Scan-00001
The rest of the cervical vertebral bodies show normal signal intensity. The remaining joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
1. A left postero-lateral disc herniation with peridiscal osteophytes at the C4-C5 level.
2. Small postero-central protruded discs at the C2-C3 and C3-C4 levels.
3. Degenerative changes of the joints of Luschka at the C6-C7 level, bilaterally.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14700
ke/hs/nl/nl
/702 Date : 00.00.00
Name of the Patient : Abc Xyzam Jalmn / M / 60 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O tingling of the right half of the body since the morning of 00.00.00.
Known hypertensive.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images, 5 mm thick FLAIR coronal images and 5 mm thick T1 Weighted sagittal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
There are hyperintense areas on the T2 Weighted and FLAIR images
in the periatrial white matter, left more than right and are probably ischemic in etiology.
There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of left maxillary sinusitis and inflammatory changes in the region of the left middle ear.
INTRACRANIAL MRA :
The A1 segment of the left anterior cerebral artery and the left vertebral artery is hypoplastic.
Scan-00000/702
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized right anterior cerebral, middle cerebral, basilar, right 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 in the neck is also hypoplastic. It is seen to arise directly 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 :
1. Altered signal in the periatrial white matter, left more than right is probably ischemic in etiology.
2. The left vertebral artery is seen to arise from the aortic arch.
3. No other significant abnormality is detected on the intracranial and neck MRA on this study.
/702 Date : 00.00.00
Name of the Patient : Abc Xyzam Jalmn / M / 60 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O tingling of the right half of the body since the morning of 00.00.00.
Known hypertensive.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images, 5 mm thick FLAIR coronal images and 5 mm thick T1 Weighted sagittal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
There are hyperintense areas on the T2 Weighted and FLAIR images
in the periatrial white matter, left more than right and are probably ischemic in etiology.
There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of left maxillary sinusitis and inflammatory changes in the region of the left middle ear.
INTRACRANIAL MRA :
The A1 segment of the left anterior cerebral artery and the left vertebral artery is hypoplastic.
Scan-00000/702
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized right anterior cerebral, middle cerebral, basilar, right 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 in the neck is also hypoplastic. It is seen to arise directly 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 :
1. Altered signal in the periatrial white matter, left more than right is probably ischemic in etiology.
2. The left vertebral artery is seen to arise from the aortic arch.
3. No other significant abnormality is detected on the intracranial and neck MRA on this study.
Published in
MRI Reports