Regular User
Sunday, 27 December 2015 16:48
14604
sb/ke/nl/nl.
Date : 00.00.00
Name of the Patient : Abc Xyzben Yalmn / F / 70 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O weakness of BLE since 2 days.
H/O spinal surgery in 0000 and 0000 (details not available).
C/O backache radiating to BLE with paresthesias since 0000.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the dorsal intervertebral discs.
There is a small postero-central protruded disc with peridiscal osteophytes at the D11-D12 level. Slight facetal hypertrophy is also noted at this level, more on the right side.
Small posterior peridiscal osteophyte is noted at the D7-D8 level.
The visualized dorsal vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1 level.
- 2 - Scan-00004
Screening, T2 Weighted sagittal images of the cervical spine reveal small postero-central protruded disc with peridiscal osteophytes in the midcervical region.
Screening, T1 Weighted sagittal images of the lumbar spine reveal post-operative changes at the L4 and L5 levels with susceptibility artifacts, probably due to previous internal fixation.
IMPRESSION :
1. A small postero-central protruded disc with peridiscal osteophytes at the D11-D12 level with slight facetal hypertrophy bilaterally, more on the right side.
2. Small posterior peridiscal osteophyte at the D7-D8 level.
3. Small postero-central protruded disc with peridiscal osteophytes in the midcervical region.
4. Patient is status post-operative in the lumbar region (surgical details not available).
Date : 00.00.00
Name of the Patient : Abc Xyzben Yalmn / F / 70 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O weakness of BLE since 2 days.
H/O spinal surgery in 0000 and 0000 (details not available).
C/O backache radiating to BLE with paresthesias since 0000.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the dorsal intervertebral discs.
There is a small postero-central protruded disc with peridiscal osteophytes at the D11-D12 level. Slight facetal hypertrophy is also noted at this level, more on the right side.
Small posterior peridiscal osteophyte is noted at the D7-D8 level.
The visualized dorsal vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1 level.
- 2 - Scan-00004
Screening, T2 Weighted sagittal images of the cervical spine reveal small postero-central protruded disc with peridiscal osteophytes in the midcervical region.
Screening, T1 Weighted sagittal images of the lumbar spine reveal post-operative changes at the L4 and L5 levels with susceptibility artifacts, probably due to previous internal fixation.
IMPRESSION :
1. A small postero-central protruded disc with peridiscal osteophytes at the D11-D12 level with slight facetal hypertrophy bilaterally, more on the right side.
2. Small posterior peridiscal osteophyte at the D7-D8 level.
3. Small postero-central protruded disc with peridiscal osteophytes in the midcervical region.
4. Patient is status post-operative in the lumbar region (surgical details not available).
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14603
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzlal Dhollmn / M / 71 yrs.
Referred by : Dr. Abc Xyzolakia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE since 6-7 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 :
There is slight forward translation of the L5 over the S1 vertebral body with probable lysis of L5. Spina bifida of the L5 vertebra is noted.
Small pseudoposterior disc herniation is noted at the L5-S1 level with anterior indentation of the thecal sac. The L5-S1 facet joint on the right side shows degenerative changes.
A diffuse posterior disc bulge is seen at the L4-L5 level.
Small right far lateral disc bulge is noted at the L3-L4 level and a small posterior disc bulge is seen at the L2-L3 level. The lumbar intervertebral discs show loss of water content.
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 S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Slight forward translation of the L5 over the S1 vertebral body with probable lysis at L5. Spina bifida of the L5 vertebra is noted.
2. Small pseudoposterior disc herniation at the L5-S1 level with hypertrophic facetal arthropathy on the right side.
3. A diffuse posterior disc bulge at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyzlal Dhollmn / M / 71 yrs.
Referred by : Dr. Abc Xyzolakia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE since 6-7 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 :
There is slight forward translation of the L5 over the S1 vertebral body with probable lysis of L5. Spina bifida of the L5 vertebra is noted.
Small pseudoposterior disc herniation is noted at the L5-S1 level with anterior indentation of the thecal sac. The L5-S1 facet joint on the right side shows degenerative changes.
A diffuse posterior disc bulge is seen at the L4-L5 level.
Small right far lateral disc bulge is noted at the L3-L4 level and a small posterior disc bulge is seen at the L2-L3 level. The lumbar intervertebral discs show loss of water content.
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 S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Slight forward translation of the L5 over the S1 vertebral body with probable lysis at L5. Spina bifida of the L5 vertebra is noted.
2. Small pseudoposterior disc herniation at the L5-S1 level with hypertrophic facetal arthropathy on the right side.
3. A diffuse posterior disc bulge at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14601
ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Kaplmn / M / 28 yrs.
Referred by : Dr. Abc Xyzesai.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 3 weeks.
EXAMINATION :
M.R.I of the dorso-lumbar 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 visualized lower dorsal and lumbar vertebral bodies show hypointense marrow signal on the T1 Weighted images which is isointense to normal marrow on the T2 Weighted images suggesting preponderance of hematopoeitic marrow.
The visualized dorso-lumbar intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorso-lumbar spinal cord reveals normal signal intensity.
The conus medullaris terminates at the D12 level.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and axial images which shows small posterior disc bulges at the L3-L4 and L4-L5 levels. The lower lumbar facet joints appear slightly hypertrophied.
IMPRESSION :
No significant abnormality is detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz Kaplmn / M / 28 yrs.
Referred by : Dr. Abc Xyzesai.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 3 weeks.
EXAMINATION :
M.R.I of the dorso-lumbar 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 visualized lower dorsal and lumbar vertebral bodies show hypointense marrow signal on the T1 Weighted images which is isointense to normal marrow on the T2 Weighted images suggesting preponderance of hematopoeitic marrow.
The visualized dorso-lumbar intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorso-lumbar spinal cord reveals normal signal intensity.
The conus medullaris terminates at the D12 level.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and axial images which shows small posterior disc bulges at the L3-L4 and L4-L5 levels. The lower lumbar facet joints appear slightly hypertrophied.
IMPRESSION :
No significant abnormality is detected on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14600
sb/ke/nl/eg.
/602 Date : 00.00.00
Name of the Patient : Abc Xyzhurlmn / M / 52 yrs.
Referred by : Dr. Abc Xyzh.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A and
Intracranial MRV.
CLINICAL PROFILE :
C/O frontal headaches since 2 days.
H/O sagittal sinus thrombosis 2 years back.
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.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
MRV was performed using a 2D TOF technique.
OBSERVATION :
BRAIN :
There is seen a well-marginated, CSF signal intensity lesion on all the pulse sequences in the left inferior temporal region, which represents an area of cystic encephalomalacia. Resultant mild dilatation of the temporal horn of the left lateral ventricle is noted. Perilesional white matter hyperintense signal on the T2 Weighted and FLAIR images would represent gliotic changes.
A small bright focus, best appreciated on the FLAIR images is noted in the subcortical white matter in the right frontal region, which would represent an ischemic focus.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted in the ethmoidal air cells bilaterally.
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 :
There is a probable atherosclerotic plaque along the postero-lateral wall of the proximal left internal carotid artery, just at the common carotid bifurcation.
The right common carotid artery and its bifurcation and the vertebral arteries are unremarkable.
INTRACRANIAL MRV :
There is slight irregularity of the superior sagittal sinus which is not visualized in its entirety. Multiple collateral channels are noted. The left transverse sinus is probably hypoplastic (?? fibrosed). The internal cerebral veins, vein of Galen and the straight sinus are unremarkable. The right transverse sinus appears slightly attenuated.
..3/.
- 3 - Scan-00000/602
IMPRESSION :
1. An area of cystic encephalomalacia in the left inferior temporal region.
2. An ischemic focus in the right frontal subcortical white matter.
3. Changes in the superior sagittal sinus most likely is the sequelae of previous sagittal sinus thrombosis and subsequently recanalization.
4. A probable plaque along the postero-lateral wall of the proximal left internal carotid artery.
/602 Date : 00.00.00
Name of the Patient : Abc Xyzhurlmn / M / 52 yrs.
Referred by : Dr. Abc Xyzh.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A and
Intracranial MRV.
CLINICAL PROFILE :
C/O frontal headaches since 2 days.
H/O sagittal sinus thrombosis 2 years back.
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.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
MRV was performed using a 2D TOF technique.
OBSERVATION :
BRAIN :
There is seen a well-marginated, CSF signal intensity lesion on all the pulse sequences in the left inferior temporal region, which represents an area of cystic encephalomalacia. Resultant mild dilatation of the temporal horn of the left lateral ventricle is noted. Perilesional white matter hyperintense signal on the T2 Weighted and FLAIR images would represent gliotic changes.
A small bright focus, best appreciated on the FLAIR images is noted in the subcortical white matter in the right frontal region, which would represent an ischemic focus.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted in the ethmoidal air cells bilaterally.
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 :
There is a probable atherosclerotic plaque along the postero-lateral wall of the proximal left internal carotid artery, just at the common carotid bifurcation.
The right common carotid artery and its bifurcation and the vertebral arteries are unremarkable.
INTRACRANIAL MRV :
There is slight irregularity of the superior sagittal sinus which is not visualized in its entirety. Multiple collateral channels are noted. The left transverse sinus is probably hypoplastic (?? fibrosed). The internal cerebral veins, vein of Galen and the straight sinus are unremarkable. The right transverse sinus appears slightly attenuated.
..3/.
- 3 - Scan-00000/602
IMPRESSION :
1. An area of cystic encephalomalacia in the left inferior temporal region.
2. An ischemic focus in the right frontal subcortical white matter.
3. Changes in the superior sagittal sinus most likely is the sequelae of previous sagittal sinus thrombosis and subsequently recanalization.
4. A probable plaque along the postero-lateral wall of the proximal left internal carotid artery.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14599
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzla Slmn / F / 26 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LUE and LLE with paresthesias in the LLE since 35 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 L3-L4, L4-L5 and L5-S1 facet joints show degenerative changes with hypertrophic changes at the L4-L5 level.
Posterior disc bulges are noted at the L4-L5 and L5-S1 levels.
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 L2 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 :
18.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
Facetal arthropathy at the L3-L4, L4-L5 and L5-S1 and hypertrophic changes at the L4-L5 level.
Date : 00.00.00
Name of the Patient : Abc Xyzla Slmn / F / 26 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LUE and LLE with paresthesias in the LLE since 35 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 L3-L4, L4-L5 and L5-S1 facet joints show degenerative changes with hypertrophic changes at the L4-L5 level.
Posterior disc bulges are noted at the L4-L5 and L5-S1 levels.
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 L2 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 :
18.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
Facetal arthropathy at the L3-L4, L4-L5 and L5-S1 and hypertrophic changes at the L4-L5 level.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14598
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzav S. Ralmn / M / 4 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
Alleged H/O fall from a cycle on 00.00.00 with pain in the right hip and a limp since then.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick Proton density sagittal images.
OBSERVATION :
There is a subtle alteration (hypointensity) in the signal of the right epiphysis on the T1 Weighted images which appears isointense on the T2 Weighted and STIR images.
There are small hypointense areas within the epiphysis of the right femoral head superiorly and medially (se/im:104/6, 7) which are seen to remain hypointense on the T2 Weighted and STIR images. These are located peripherally within the epiphysis.
Minimal fluid is seen within the right hip joint.
The left femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within the left hip joint.
The musculature surrounding both the hip joints and the visualized pelvis is normal.
IMPRESSION :
Subtle alteration in the signal of the right epiphysis with foci of altered signal within the epiphysis is suggestive of early Legg - Calve - Perthes disease.
Date : 00.00.00
Name of the Patient : Abc Xyzav S. Ralmn / M / 4 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
Alleged H/O fall from a cycle on 00.00.00 with pain in the right hip and a limp since then.
EXAMINATION :
M.R.I of both hips was performed using the following parameters :
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick Proton density sagittal images.
OBSERVATION :
There is a subtle alteration (hypointensity) in the signal of the right epiphysis on the T1 Weighted images which appears isointense on the T2 Weighted and STIR images.
There are small hypointense areas within the epiphysis of the right femoral head superiorly and medially (se/im:104/6, 7) which are seen to remain hypointense on the T2 Weighted and STIR images. These are located peripherally within the epiphysis.
Minimal fluid is seen within the right hip joint.
The left femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within the left hip joint.
The musculature surrounding both the hip joints and the visualized pelvis is normal.
IMPRESSION :
Subtle alteration in the signal of the right epiphysis with foci of altered signal within the epiphysis is suggestive of early Legg - Calve - Perthes disease.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14597
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzKarguplmn / F / 70 yrs.
Referred by : Dr. Abc XyzSheth.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O left sided hemiparesis 4 years back from which patient has recovered.
Now C/O memory lapses especially for recent events.
Known 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 :
There is a hyperintense area on the T2 Weighted images in the right temporo-occipital region. This is hypointense to white matter on the T1 Weighted images. This represents an area of cystic encephalomalacia. There is ex-vacuo dilatation of the occipital horn of the right lateral ventricle.
Hyperintense areas on the T2 Weighted images in the fronto-parietal and periatrial white matter are prohably ischemic in etiology. Lacunes are seen in the thalamus and lentiform nucleus on the right side.
There is mild fullness of both the lateral and third ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The fourth ventricle is normal.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
The vertebro-basilar system is ectatic.
..2/.
There is narrowing of the supraclinoid segment of the left internal carotid artery.
There is flow signal attenuation within the right posterior cerebral artery.
The petrous and cavernous segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral and basilar, left vertebral and left posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
The right vertebral artery is smaller in calibre as compared to the opposite side and shows streaky flow.
NECK MRA :
The right vertebral artery is smaller in calibre as compared to the opposite side and shows streaky flow.
The common carotid arteries and their extracranial branches appear normal bilaterally.
IMPRESSION :
1. An area of cystic encephalomalacia in the right temporo-occipital region.
2. Altered signal in the fronto-parietal and parietal white matter is most probably ischemic in etiology.
3. Narrowing of the supraclinoid portion of the right internal carotid artery and flow signal attenuation within the right posterior cerebral artery.
4. The right vertebral artery is smaller in calibre as compared to the opposite side and shows streaky flow.
Date : 00.00.00
Name of the Patient : Abc XyzKarguplmn / F / 70 yrs.
Referred by : Dr. Abc XyzSheth.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O left sided hemiparesis 4 years back from which patient has recovered.
Now C/O memory lapses especially for recent events.
Known 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 :
There is a hyperintense area on the T2 Weighted images in the right temporo-occipital region. This is hypointense to white matter on the T1 Weighted images. This represents an area of cystic encephalomalacia. There is ex-vacuo dilatation of the occipital horn of the right lateral ventricle.
Hyperintense areas on the T2 Weighted images in the fronto-parietal and periatrial white matter are prohably ischemic in etiology. Lacunes are seen in the thalamus and lentiform nucleus on the right side.
There is mild fullness of both the lateral and third ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The fourth ventricle is normal.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
The vertebro-basilar system is ectatic.
..2/.
There is narrowing of the supraclinoid segment of the left internal carotid artery.
There is flow signal attenuation within the right posterior cerebral artery.
The petrous and cavernous segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral and basilar, left vertebral and left posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
The right vertebral artery is smaller in calibre as compared to the opposite side and shows streaky flow.
NECK MRA :
The right vertebral artery is smaller in calibre as compared to the opposite side and shows streaky flow.
The common carotid arteries and their extracranial branches appear normal bilaterally.
IMPRESSION :
1. An area of cystic encephalomalacia in the right temporo-occipital region.
2. Altered signal in the fronto-parietal and parietal white matter is most probably ischemic in etiology.
3. Narrowing of the supraclinoid portion of the right internal carotid artery and flow signal attenuation within the right posterior cerebral artery.
4. The right vertebral artery is smaller in calibre as compared to the opposite side and shows streaky flow.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14596
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzS. Slmn / F / 25 yrs.
Referred by : Dr. Abc Xyzzare.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided hemiparesis since 2 days with 1 episode of vomiting and dysarthria and drooping of the right eye since 1 day.
H/O similar complaints 4 years back from which patient recovered.
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 hypointense areas on the T1 Weighted images within the right cerebellar hemisphere involving the superior and inferior vermis, right middle cerebellar peduncle, the midbrain on the right side and the right thalamus. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images and represent recent infarcts.
An ill-defined hypointense area is seen on the T1 Weighted images in the right temporo-occipital region which is seen to follow CSF intensity characteristics. Hyperintense areas at the periphery of this lesion on the proton, T2 Weighted and FLAIR images which are isointense to the white matter on the T1 Weighted images and represent areas of gliosis. This lesion would represent an area of cystic encephalomalacia. Similar smaller lesion is noted in the left cerebellar hemisphere and left occipital lobe with volume loss and prominence of the cerebellar folia and sulcal spaces respectively.
A lacunar infarct is noted in the pons on the right side.
There is mild fullness of both the lateral and fourth ventricles. The third ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
1. Recent infarcts within the right cerebellar hemisphere involving the superior and inferior vermis, right middle cerebellar peduncle, the midbrain on the right side and the right thalamus in the distribution of the posterior circulation.
2. An area of cystic encephalomalacia in both temporo-occipital regions and in the left cerebellar hemisphere.
3. A lacunar infarct in the pons on the right side.
Date : 00.00.00
Name of the Patient : Abc XyzS. Slmn / F / 25 yrs.
Referred by : Dr. Abc Xyzzare.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided hemiparesis since 2 days with 1 episode of vomiting and dysarthria and drooping of the right eye since 1 day.
H/O similar complaints 4 years back from which patient recovered.
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 hypointense areas on the T1 Weighted images within the right cerebellar hemisphere involving the superior and inferior vermis, right middle cerebellar peduncle, the midbrain on the right side and the right thalamus. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images and represent recent infarcts.
An ill-defined hypointense area is seen on the T1 Weighted images in the right temporo-occipital region which is seen to follow CSF intensity characteristics. Hyperintense areas at the periphery of this lesion on the proton, T2 Weighted and FLAIR images which are isointense to the white matter on the T1 Weighted images and represent areas of gliosis. This lesion would represent an area of cystic encephalomalacia. Similar smaller lesion is noted in the left cerebellar hemisphere and left occipital lobe with volume loss and prominence of the cerebellar folia and sulcal spaces respectively.
A lacunar infarct is noted in the pons on the right side.
There is mild fullness of both the lateral and fourth ventricles. The third ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
1. Recent infarcts within the right cerebellar hemisphere involving the superior and inferior vermis, right middle cerebellar peduncle, the midbrain on the right side and the right thalamus in the distribution of the posterior circulation.
2. An area of cystic encephalomalacia in both temporo-occipital regions and in the left cerebellar hemisphere.
3. A lacunar infarct in the pons on the right side.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14595
ke/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzit Maheshlmn / M / 16 yrs.
Referred by : Dr. Abc Xyzi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O ALL. Diagnosed in July 0000. Received chemotherapy and radiotherapy. Completed treatment in 0000.
For follow-up.
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.
There is mild fullness of both the lateral (right more than left) and fourth ventricles.
The third ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of left maxillary sinusitis.
IMPRESSION :
Mild fullness of both the lateral (right more than left) and fourth ventricles.
Date : 00.00.00
Name of the Patient : Abc Xyzit Maheshlmn / M / 16 yrs.
Referred by : Dr. Abc Xyzi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O ALL. Diagnosed in July 0000. Received chemotherapy and radiotherapy. Completed treatment in 0000.
For follow-up.
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.
There is mild fullness of both the lateral (right more than left) and fourth ventricles.
The third ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of left maxillary sinusitis.
IMPRESSION :
Mild fullness of both the lateral (right more than left) and fourth ventricles.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14594
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 25 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE since 1-2 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 :
There appears to be sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film. Please correlate with plain radiographs.
There is replacement of the normal marrow of the L4 and L5 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The L5-S1 intervertebral disc is involved by the pathology. There is pre and paravertebral soft tissue extension over the L4 to the S1 vertebral levels. This is hypointense with a hyperintense periphery on the T1 Weighted images and turns hyperintense with a hypointense periphery on the T2 Weighted images and would represent an abscess. There is encroachment into the L4-L5 neural foramina bilaterally with encasement of the exiting L4 nerve roots. Minimal anterior epidural extension is noted at the L4 and L4-L5 levels with indentation upon the thecal sac.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
IMPRESSION :
The MRI features are suggestive of :
1. A pathologic process involving the L4 and L5 vertebral bodies with pre and paravertebral soft tissue extension over the L4 to the S1 vertebral levels as described. This most probably represents a granulomatous infective process like tuberculosis.
The possibility of this being a neoplastic process like a round cell tumor seems less likely.
2. Probable sacralization of the L5 vertebra. Please correlate with plain radiographs.
Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 25 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE since 1-2 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 :
There appears to be sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film. Please correlate with plain radiographs.
There is replacement of the normal marrow of the L4 and L5 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The L5-S1 intervertebral disc is involved by the pathology. There is pre and paravertebral soft tissue extension over the L4 to the S1 vertebral levels. This is hypointense with a hyperintense periphery on the T1 Weighted images and turns hyperintense with a hypointense periphery on the T2 Weighted images and would represent an abscess. There is encroachment into the L4-L5 neural foramina bilaterally with encasement of the exiting L4 nerve roots. Minimal anterior epidural extension is noted at the L4 and L4-L5 levels with indentation upon the thecal sac.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
IMPRESSION :
The MRI features are suggestive of :
1. A pathologic process involving the L4 and L5 vertebral bodies with pre and paravertebral soft tissue extension over the L4 to the S1 vertebral levels as described. This most probably represents a granulomatous infective process like tuberculosis.
The possibility of this being a neoplastic process like a round cell tumor seems less likely.
2. Probable sacralization of the L5 vertebra. Please correlate with plain radiographs.
Published in
MRI Reports