Regular User
Sunday, 27 December 2015 16:48
14592
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Mazgaolmn / F / 38 yrs.
Referred by : Dr. Abc Xyzhatt.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever, loose motions and vomiting since 1 month.
C/O sudden onset of disorientation since 1 day.
Patient is HIV +ve.
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 in the right frontal region, left lentiform nucleus, right paraventricular region, left temporal region, thalamus and both parietal regions. These are seen to remain hypointense on the proton, T2 Weighted and FLAIR images. There is surrounding edema with mass effect and effacement of the adjacent sulci. Edema is also seen to encroach into the anterior limb and the genu of the internal capsule bilaterally. There is compression upon the frontal horn and body of the left lateral ventricle with shift of the midline structures to the left.
There is slight prominence of the cerebellar folia bilaterally.
The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
Incidental note is made of inflammatory changes in the sphenoid sinus.
IMPRESSION :
The MRI features are suggestive of altered signal in the right frontal region, left lentiform nucleus, right paraventricular region, left temporal region, in the posterior high parietal region bilaterally and the left thalamus with mass effect and edema and these may represent a granulomatous infective process like tuberculosis/toxoplasmosis.
Date : 00.00.00
Name of the Patient : Abc Xyz Mazgaolmn / F / 38 yrs.
Referred by : Dr. Abc Xyzhatt.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever, loose motions and vomiting since 1 month.
C/O sudden onset of disorientation since 1 day.
Patient is HIV +ve.
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 in the right frontal region, left lentiform nucleus, right paraventricular region, left temporal region, thalamus and both parietal regions. These are seen to remain hypointense on the proton, T2 Weighted and FLAIR images. There is surrounding edema with mass effect and effacement of the adjacent sulci. Edema is also seen to encroach into the anterior limb and the genu of the internal capsule bilaterally. There is compression upon the frontal horn and body of the left lateral ventricle with shift of the midline structures to the left.
There is slight prominence of the cerebellar folia bilaterally.
The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
Incidental note is made of inflammatory changes in the sphenoid sinus.
IMPRESSION :
The MRI features are suggestive of altered signal in the right frontal region, left lentiform nucleus, right paraventricular region, left temporal region, in the posterior high parietal region bilaterally and the left thalamus with mass effect and edema and these may represent a granulomatous infective process like tuberculosis/toxoplasmosis.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14591
ke/hs/nl/nl
/593 Date : 00.00.00
Name of the Patient : Abc XyzBhlmn / M / 72 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O gait ataxia, giddiness and heaviness of head since 1 year.
H/O similar complaints 8-9 years ago.
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 :
A wedge shaped area which is isointense to CSF is seen in the right cerebellar hemisphere and would represent a lacunar infarct.
There are lacunar infarcts (isointense to CSF on all the pulse sequences) in the left cerebellar hemisphere, pons and bilateral cerberal peduncles and corona radiata.
There is slight fullness of both the lateral, third and fourth ventricles. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are slightly prominent. There is no shift of the midline structures.
Incidental note is made of bilateral maxillary polyps and inflammatory changes in the posterior ethmoidal air cells on the right side.
Scan-00001/593
INTRACRANIAL MRA :
There is narrowing of the proximal portion of the M1 segment of the left middle cerebral artery. Also seen is slight narrowing of the proximal portion of the A2 segment of the right anterior cerebral artery.
A short segment over which the normal flow is not seen is noted within the basilar artery just prior to its bifurcation. There is flow attenuation of the distal posterior cerebral arteries bilaterally.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, right middle cerebral and vertebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
The MRA features are suggestive of :
1. An old infarct within the right cerebellar hemisphere.
2. Lacunar infarcts in the left cerebellar hemisphere, pons and bilateral cerberal peduncles and corona radiata.
..3/.
- 3 - Scan-00001/593
3. Cerebral and cerebellar atrophy.
4. Narrowing of the proximal portion of the M1 segment of the left middle cerebral artery and slight narrowing of the proximal portion of the A2 segment of the right anterior cerebral artery.
5. Marked flow signal attenuation within the basilar artery just prior to its bifurcation.
6. Flow signal attenuation of the distal posterior cerebral arteries bilaterally.
/593 Date : 00.00.00
Name of the Patient : Abc XyzBhlmn / M / 72 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O gait ataxia, giddiness and heaviness of head since 1 year.
H/O similar complaints 8-9 years ago.
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 :
A wedge shaped area which is isointense to CSF is seen in the right cerebellar hemisphere and would represent a lacunar infarct.
There are lacunar infarcts (isointense to CSF on all the pulse sequences) in the left cerebellar hemisphere, pons and bilateral cerberal peduncles and corona radiata.
There is slight fullness of both the lateral, third and fourth ventricles. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are slightly prominent. There is no shift of the midline structures.
Incidental note is made of bilateral maxillary polyps and inflammatory changes in the posterior ethmoidal air cells on the right side.
Scan-00001/593
INTRACRANIAL MRA :
There is narrowing of the proximal portion of the M1 segment of the left middle cerebral artery. Also seen is slight narrowing of the proximal portion of the A2 segment of the right anterior cerebral artery.
A short segment over which the normal flow is not seen is noted within the basilar artery just prior to its bifurcation. There is flow attenuation of the distal posterior cerebral arteries bilaterally.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, right middle cerebral and vertebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
The MRA features are suggestive of :
1. An old infarct within the right cerebellar hemisphere.
2. Lacunar infarcts in the left cerebellar hemisphere, pons and bilateral cerberal peduncles and corona radiata.
..3/.
- 3 - Scan-00001/593
3. Cerebral and cerebellar atrophy.
4. Narrowing of the proximal portion of the M1 segment of the left middle cerebral artery and slight narrowing of the proximal portion of the A2 segment of the right anterior cerebral artery.
5. Marked flow signal attenuation within the basilar artery just prior to its bifurcation.
6. Flow signal attenuation of the distal posterior cerebral arteries bilaterally.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14590
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz. lmn / M / 43 yrs.
Referred by : Dr. Abc Xyzmtora.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with numbness since 4 months.
H/O laminectomy and discectomy at the L4-L5 and L3-L4 levels in 0000 and 0000. (Details not available).
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 sacralization of the L5 vertebral body and the L2 vertebra is as marked on the film.
The L3-L4 and L4-L5 intervertebral discs show loss of water content.
Post-operative changes are noted in the posterior soft tissues over the L3 to S1 levels with laminectomy of the L4 and L5 vertebral bodies and partial laminectomy of the L3 vertebra.
Small posterior disc herniations with peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.
An intermediate signal intensity is seen in the lateral recesses of the L5 vertebra on the T1 Weighted images and is heterogeneously hyperintense on the T2 Weighted images and may represent scar tissue. There is resultant indentation upon the traversing S1 nerve roots (scans 104.8, 106.5, 6).
The facet joints at the L4-L5 and L3-L4 levels show hypertrophic changes.
The intrathecal nerve roots at the L4-L5 and L5 levels appear slightly thick and would represent Group I arachnoiditis.
The nerve roots at the L2 and L2-L3 levels appear clumped centrally and is suggestive of Group III arachnoiditis.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the L5 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
12.0 mm at L2-L3
9.0 mm at L3-L4
11.0 mm at L4-L5
IMPRESSION :
1. Post-operative changes.
..3/.
- 3 - Scan-00000
2. Sacralization of the L5 vertebral body.
3. Small posterior disc herniations with peridiscal osteophytes at the L3-L4 and L4-L5 levels.
4. Scar tissue in the lateral recesses of the L5 vertebra bilaterally with resultant indentation upon the traversing S1 nerve roots.
5. Group I arachnoiditis at the L4-L5 and L5 levels and Group III arachnoiditis at the L2 and L2-L3 levels.
6. Hypertrophy of the facet joints atthe L3-L4 and L4-L5 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz. lmn / M / 43 yrs.
Referred by : Dr. Abc Xyzmtora.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with numbness since 4 months.
H/O laminectomy and discectomy at the L4-L5 and L3-L4 levels in 0000 and 0000. (Details not available).
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 sacralization of the L5 vertebral body and the L2 vertebra is as marked on the film.
The L3-L4 and L4-L5 intervertebral discs show loss of water content.
Post-operative changes are noted in the posterior soft tissues over the L3 to S1 levels with laminectomy of the L4 and L5 vertebral bodies and partial laminectomy of the L3 vertebra.
Small posterior disc herniations with peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.
An intermediate signal intensity is seen in the lateral recesses of the L5 vertebra on the T1 Weighted images and is heterogeneously hyperintense on the T2 Weighted images and may represent scar tissue. There is resultant indentation upon the traversing S1 nerve roots (scans 104.8, 106.5, 6).
The facet joints at the L4-L5 and L3-L4 levels show hypertrophic changes.
The intrathecal nerve roots at the L4-L5 and L5 levels appear slightly thick and would represent Group I arachnoiditis.
The nerve roots at the L2 and L2-L3 levels appear clumped centrally and is suggestive of Group III arachnoiditis.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the L5 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
12.0 mm at L2-L3
9.0 mm at L3-L4
11.0 mm at L4-L5
IMPRESSION :
1. Post-operative changes.
..3/.
- 3 - Scan-00000
2. Sacralization of the L5 vertebral body.
3. Small posterior disc herniations with peridiscal osteophytes at the L3-L4 and L4-L5 levels.
4. Scar tissue in the lateral recesses of the L5 vertebra bilaterally with resultant indentation upon the traversing S1 nerve roots.
5. Group I arachnoiditis at the L4-L5 and L5 levels and Group III arachnoiditis at the L2 and L2-L3 levels.
6. Hypertrophy of the facet joints atthe L3-L4 and L4-L5 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14589
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Ahmed lmn / M / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O single episode of seizures 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.
3 mm thick T1 Weighted and T2 Weighted coronal images through the region of interest.
After administration of contrast the following parameters were used :
3 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted axial images with magnetization transfer.
4 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are small well circumscribed hypointense lesions (probably two) in the left frontal region on the T1 Weighted images. These are seen to turn hyperintense on the proton and T2 Weighted images. There is surrounding edema. After administration of contrast, there are two ring enhancing lesions in the left frontal region (se/im:108/17). There appears to be an eccentrically placed enhancing nodule in one of the lesions and this may represent a scolex (se/im:107/8 to 109/8).
There is no other area of abnormal enhancement within the brain parenchyma or along the meninges. There is suspicious well circumscribed rim enhancing lesion within the right temporalis muscle (se/im:107/14).
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells.
IMPRESSION :
The MRI features are suggestive of a granulomatous lesions in the left frontal region following the signal characteristics of cysticerci in the colloid vesicular stage. (These are less likely to represent tuberculomas).
Date : 00.00.00
Name of the Patient : Abc Xyz Ahmed lmn / M / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O single episode of seizures 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.
3 mm thick T1 Weighted and T2 Weighted coronal images through the region of interest.
After administration of contrast the following parameters were used :
3 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted axial images with magnetization transfer.
4 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are small well circumscribed hypointense lesions (probably two) in the left frontal region on the T1 Weighted images. These are seen to turn hyperintense on the proton and T2 Weighted images. There is surrounding edema. After administration of contrast, there are two ring enhancing lesions in the left frontal region (se/im:108/17). There appears to be an eccentrically placed enhancing nodule in one of the lesions and this may represent a scolex (se/im:107/8 to 109/8).
There is no other area of abnormal enhancement within the brain parenchyma or along the meninges. There is suspicious well circumscribed rim enhancing lesion within the right temporalis muscle (se/im:107/14).
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells.
IMPRESSION :
The MRI features are suggestive of a granulomatous lesions in the left frontal region following the signal characteristics of cysticerci in the colloid vesicular stage. (These are less likely to represent tuberculomas).
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14588
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzkar Salgaolmn / M / 68 yrs.
Referred by : Dr. Abc Xyzgankar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait ataxia since 1 day with forgetfulness.
Known hypertensive/diabetic.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons, periventricular and fronto-parietal deep white matter. These are isointense to the white matter on the T1 Weighted images and are ischemic in etiology.
There is mild dilatation of the ventricular system.
Minimal turbulence is seen in the superior portion of the fourth ventricle, aqueduct and third ventricle.
There is slight prominence of the cerebellar folia bilaterally.
The seventh and eighth cranial nerve complex is unremarkable bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic.
Incidental note is made of bilateral maxillary polyps and inflammatory changes are seen in the ethmoidal air cells.
IMPRESSION :
1. Altered signal in the pons, periventricular and fronto-parietal deep white matter are ischemic in etiology.
2. Cerebellar atrophy.
Date : 00.00.00
Name of the Patient : Abc Xyzkar Salgaolmn / M / 68 yrs.
Referred by : Dr. Abc Xyzgankar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait ataxia since 1 day with forgetfulness.
Known hypertensive/diabetic.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons, periventricular and fronto-parietal deep white matter. These are isointense to the white matter on the T1 Weighted images and are ischemic in etiology.
There is mild dilatation of the ventricular system.
Minimal turbulence is seen in the superior portion of the fourth ventricle, aqueduct and third ventricle.
There is slight prominence of the cerebellar folia bilaterally.
The seventh and eighth cranial nerve complex is unremarkable bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic.
Incidental note is made of bilateral maxillary polyps and inflammatory changes are seen in the ethmoidal air cells.
IMPRESSION :
1. Altered signal in the pons, periventricular and fronto-parietal deep white matter are ischemic in etiology.
2. Cerebellar atrophy.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14587
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 24 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to LUE/LLE more than RUE/RLE with paresthesias in the LUE and LLE.
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 replacement of the normal marrow of the left occipital condyle, both the lateral masses of the atlas, the C2 vertebra including the odontoid process by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images. There is pre and paravertebral (retropharyngeal) soft tissue extension from the level of the foramen magnum predominantly on the left side till the C4-C5 level. There is indentation upon the left postero-lateral aspect of the nasopharynx. This pathology is also seen to extend in between the odontoid process and the lateral mass of atlas bilaterally. Anterior epidural extension is seen from the level of the clivus upto the C2-C3 level. There is mild indentation upon the anterior aspect of the spinal cord upto the C1 and C2 levels. The
left vertebral artery appears to be partially encased by the pathology. However it shows normal flow void signal on all the pulse sequences. Slight indentation upon the right C1 and C2 nerve roots is noted. This lesion is slightly hyperintense to muscle on the T1 Weighted images and turns hyperintense on the Fast Scan (T2 *) images and would represent abscess formation.
The C2-C3 disc shows loss of water content.
The rest of the cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka are unremarkable.
Centimetre and subcentimetre lymph nodes are identified deep to the sternomastoid muscles bilaterally.
The cervical spinal cord reveals normal signal intensity.
IMPRESSION :
The MRI features are suggestive of altered signal in the left occipital condyle, both the lateral masses of the atlas, the C2 vertebra including the odontoid process with soft tissue involvement as described is mot probably due to a granulomatous infective process like tuberculosis.
The possibility of a neoplastic process like a round cell tumor seems less likely.
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 24 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain radiating to LUE/LLE more than RUE/RLE with paresthesias in the LUE and LLE.
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 replacement of the normal marrow of the left occipital condyle, both the lateral masses of the atlas, the C2 vertebra including the odontoid process by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images. There is pre and paravertebral (retropharyngeal) soft tissue extension from the level of the foramen magnum predominantly on the left side till the C4-C5 level. There is indentation upon the left postero-lateral aspect of the nasopharynx. This pathology is also seen to extend in between the odontoid process and the lateral mass of atlas bilaterally. Anterior epidural extension is seen from the level of the clivus upto the C2-C3 level. There is mild indentation upon the anterior aspect of the spinal cord upto the C1 and C2 levels. The
left vertebral artery appears to be partially encased by the pathology. However it shows normal flow void signal on all the pulse sequences. Slight indentation upon the right C1 and C2 nerve roots is noted. This lesion is slightly hyperintense to muscle on the T1 Weighted images and turns hyperintense on the Fast Scan (T2 *) images and would represent abscess formation.
The C2-C3 disc shows loss of water content.
The rest of the cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka are unremarkable.
Centimetre and subcentimetre lymph nodes are identified deep to the sternomastoid muscles bilaterally.
The cervical spinal cord reveals normal signal intensity.
IMPRESSION :
The MRI features are suggestive of altered signal in the left occipital condyle, both the lateral masses of the atlas, the C2 vertebra including the odontoid process with soft tissue involvement as described is mot probably due to a granulomatous infective process like tuberculosis.
The possibility of a neoplastic process like a round cell tumor seems less likely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14586
ke/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 14 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O 2 episodes of left sided seizures on 00.00.00.
Alleged H/O being hit by a bench on the back of the head prior to this.
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.
There is asymmetric prominence of the right lateral ventricle in relation to the left, which may be a normal variant. Note is made of a mega cisterna magna.
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 bilaterally maxillary sinusitis and inflammatory changes in the sphenoid sinus and enlarged adenoids.
IMPRESSION :
No significant abnormality is detected within the brain on this study.
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 14 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O 2 episodes of left sided seizures on 00.00.00.
Alleged H/O being hit by a bench on the back of the head prior to this.
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.
There is asymmetric prominence of the right lateral ventricle in relation to the left, which may be a normal variant. Note is made of a mega cisterna magna.
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 bilaterally maxillary sinusitis and inflammatory changes in the sphenoid sinus and enlarged adenoids.
IMPRESSION :
No significant abnormality is detected within the brain on this study.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14585
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzanoo Shalmn / F / 40 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 5 years.
C/O radicular pain to the LLE with paresthesias 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 :
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
There is a small postero-central disc herniation at the L5-S1 level with anterior indentation of the thecal sac. A left far lateral disc bulge is also noted at this level.
A small posterior and a left far lateral disc bulge is seen at the L4-L5 level with anterior indentation of the thecal sac.
The L2-L3, L3-L4, L4-L5 and L5-S1 facet joints show mild degenerative changes.
Type II degenerative changes are noted in the antero-superior aspect of the L3, L4 and L5 vertebral bodies. Anterior peridiscal osteophytes are seen in the lower lumbar region.
The rest of 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 L1-L2 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
20.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. A small postero-central disc herniation at the L5-S1 level.
2. A small posterior and a left far lateral disc bulge at the L4-L5 level.
3. Mild facetal arthropathy at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzanoo Shalmn / F / 40 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 5 years.
C/O radicular pain to the LLE with paresthesias 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 :
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
There is a small postero-central disc herniation at the L5-S1 level with anterior indentation of the thecal sac. A left far lateral disc bulge is also noted at this level.
A small posterior and a left far lateral disc bulge is seen at the L4-L5 level with anterior indentation of the thecal sac.
The L2-L3, L3-L4, L4-L5 and L5-S1 facet joints show mild degenerative changes.
Type II degenerative changes are noted in the antero-superior aspect of the L3, L4 and L5 vertebral bodies. Anterior peridiscal osteophytes are seen in the lower lumbar region.
The rest of 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 L1-L2 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
20.0 mm at L4-L5
11.0 mm at L5-S1.
IMPRESSION :
1. A small postero-central disc herniation at the L5-S1 level.
2. A small posterior and a left far lateral disc bulge at the L4-L5 level.
3. Mild facetal arthropathy at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14584
ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Dslmn / M / 41 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache and pain in the right gluteal region radiating to the RLE 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 :
There are congenital bony defects in the left pedicles of the L4 and L5 vertebrae. There appears to be congenital defect in the left lamina of the L3 vertebral body also, which appears thin and laterally placed and the left pedicle appears smaller in size.
There are small posterior disc bulges at the L4-L5 and L5-S1 levels with minimal indentation on the S1 nerve roots bilaterally at the L5-S1 level.
A conjoint nerve root is identified on the right side at the L5 level.
Small anterior disc herniations are noted at the L1-L2 and L2-L3 levels.
A meningeal cyst is seen following the course of the left L2 nerve root.
The lumbar intervertebral discs except for the L5-S1 disc shows loss of water content.
There is slight anterior wedging of the L1 and D12 vertebrae without any change in signal intensity.
Type II degenerative changes are noted in the L2, L3 and L4 vertebral bodies anteriorly.
Fat is noted in the filum terminale at the L2 and L3 vertebral levels.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 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
16.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. Congenital bony defects in the left pedicles of the L4 and L5 vertebrae and in the left lamina and pedicle of the L3 vertebra.
2. Small posterior disc bulges at the L4-L5 and L5-S1 levels.
Date : 00.00.00
Name of the Patient : Abc Xyz Dslmn / M / 41 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache and pain in the right gluteal region radiating to the RLE 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 :
There are congenital bony defects in the left pedicles of the L4 and L5 vertebrae. There appears to be congenital defect in the left lamina of the L3 vertebral body also, which appears thin and laterally placed and the left pedicle appears smaller in size.
There are small posterior disc bulges at the L4-L5 and L5-S1 levels with minimal indentation on the S1 nerve roots bilaterally at the L5-S1 level.
A conjoint nerve root is identified on the right side at the L5 level.
Small anterior disc herniations are noted at the L1-L2 and L2-L3 levels.
A meningeal cyst is seen following the course of the left L2 nerve root.
The lumbar intervertebral discs except for the L5-S1 disc shows loss of water content.
There is slight anterior wedging of the L1 and D12 vertebrae without any change in signal intensity.
Type II degenerative changes are noted in the L2, L3 and L4 vertebral bodies anteriorly.
Fat is noted in the filum terminale at the L2 and L3 vertebral levels.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 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
16.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. Congenital bony defects in the left pedicles of the L4 and L5 vertebrae and in the left lamina and pedicle of the L3 vertebra.
2. Small posterior disc bulges at the L4-L5 and L5-S1 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14583
bv/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzunder lmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures.
H/O TBM with right sided hemiparesis at 4 months of age.
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 areas which are iso to hyperintense to CSF on all the pulse sequences within the left fronto-temporo-parietal lobes.
There are hyperintense areas on the proton, T2 Weighted and FLAIR images located adjacent to these areas and which appear hypointense to isointense on the T1 Weighted images and represent gliotic changes. There is crowding of the sulci in the left cerebral hemisphere. The head of the left caudate nucleus and left lentiform nucleus are not properly visualized. There is ex-vacuo dilatation of the left lateral ventricle. All these features are suggestive of loss of volume in the left cerebral hemisphere with cystic encephalomalacic changes. The left internal carotid artery and the left middle cerebral artery and its branches appear smaller as compared to the left side.
The right cerebellar hemisphere is slightly smaller as compared to the left and this may represent crossed cerebellar diaschisis.
The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable.
Incidental note is made inflammatory changes in the mastoid air cells on the right side.
IMPRESSION :
The MRI features are suggestive of volume loss in the left cerebral hemisphere with areas of cystic encephalomalacia within the left fronto-temporal-parietal lobes, probably the sequelae of a previous vascular insult in a C/O TBM.
As compared to the previous CT Scan of 0000, no significant change is noted.
Date : 00.00.00
Name of the Patient : Abc Xyzunder lmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures.
H/O TBM with right sided hemiparesis at 4 months of age.
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 areas which are iso to hyperintense to CSF on all the pulse sequences within the left fronto-temporo-parietal lobes.
There are hyperintense areas on the proton, T2 Weighted and FLAIR images located adjacent to these areas and which appear hypointense to isointense on the T1 Weighted images and represent gliotic changes. There is crowding of the sulci in the left cerebral hemisphere. The head of the left caudate nucleus and left lentiform nucleus are not properly visualized. There is ex-vacuo dilatation of the left lateral ventricle. All these features are suggestive of loss of volume in the left cerebral hemisphere with cystic encephalomalacic changes. The left internal carotid artery and the left middle cerebral artery and its branches appear smaller as compared to the left side.
The right cerebellar hemisphere is slightly smaller as compared to the left and this may represent crossed cerebellar diaschisis.
The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable.
Incidental note is made inflammatory changes in the mastoid air cells on the right side.
IMPRESSION :
The MRI features are suggestive of volume loss in the left cerebral hemisphere with areas of cystic encephalomalacia within the left fronto-temporal-parietal lobes, probably the sequelae of a previous vascular insult in a C/O TBM.
As compared to the previous CT Scan of 0000, no significant change is noted.
Published in
MRI Reports