Regular User
Sunday, 27 December 2015 16:48
14989
sb/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza P. Glmn / F / 13 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the right hip region with limp on the right side since 2 months.
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 (with fat saturation) axial images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is an ill-defined, hypointense focus on the T1 Weighted images in the epiphysis of the right femoral head (scan 102.8). This lesion appears hyperintense on the T2 Weighted and STIR images. The right femoral head shows normal contour.
The left femoral head and the acetabulum reveal normal signal intensity. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within both the hip joints.
The musculature surrounding the right hip joint appears atrophied as compared to the left. The visualized pelvis is normal.
IMPRESSION :
Focal altered signal in the epiphysis of the right femoral head is not specific for a single etiology.
Early osteonecrosis of the right femoral epiphysis is a likely possibility. The possibility of an infective etiology is less likely.
Date : 00.00.00
Name of the Patient : Abc Xyza P. Glmn / F / 13 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the right hip region with limp on the right side since 2 months.
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 (with fat saturation) axial images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is an ill-defined, hypointense focus on the T1 Weighted images in the epiphysis of the right femoral head (scan 102.8). This lesion appears hyperintense on the T2 Weighted and STIR images. The right femoral head shows normal contour.
The left femoral head and the acetabulum reveal normal signal intensity. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within both the hip joints.
The musculature surrounding the right hip joint appears atrophied as compared to the left. The visualized pelvis is normal.
IMPRESSION :
Focal altered signal in the epiphysis of the right femoral head is not specific for a single etiology.
Early osteonecrosis of the right femoral epiphysis is a likely possibility. The possibility of an infective etiology is less likely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14988
ke/sb/rg.
/00000 Date : 00.00.00
Name of the Patient : Abc XyzKlmn / M / 49 yrs.
Referred by : Dr. Abc Xyzndel.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O numbness in the RUE and right side of the face.
Also C/O speech disturbances since 1 month.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images, 3 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 is an ill-defined hypointense area on the T1 Weighted images in the left frontal region. This is seen to follow CSF signal characteristics on all the pulse sequences. Hyperintense areas are noted at the periphery of this lesion on the T2 Weighted and FLAIR images and may repersent area of gliosis. Subtle hyperintense signal is seen on the T1 Weighted images at the periphery of this lesion which may represent altered blood/paramagnetic substances.
There is slight prominence of the cerebral cortical sulci.
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 sphenoid sinus.
INTRACRANIAL MRA :
There is slight irregularity and narrowing of the cavernous portion of the left internal carotid artery.
..2/.
R>
Slight narrowing of the P1 segment of the left posterior cerebral artery is noted.
The petrous and supraclinoid segments of the internal carotid arteries bilaterally and the cavernous segment of the right internal carotid artery show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and right posterior cerebral artery also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
There is a small filling defect in the posterior aspect in the
internal carotid arteries bilaterally just distal to the common carotid bifurcation, which may be flow related artifacts.
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 area of cystic encephalomalacia in the left frontal region, most likely the sequelae of previous vascular insult.
2. Slight irregularity and narrowing of the cavernous portion of the left internal carotid artery.
3. Slight narrowing of the P1 segment of the left posterior cerebral artery.
4. A small filling defect in the posterior aspect in the
internal carotid arteries bilaterally just distal to the common carotid bifurcation, which may be flow related artifacts.
/00000 Date : 00.00.00
Name of the Patient : Abc XyzKlmn / M / 49 yrs.
Referred by : Dr. Abc Xyzndel.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O numbness in the RUE and right side of the face.
Also C/O speech disturbances since 1 month.
EXAMINATION :
The brain was screened with 5 mm thick T2 Weighted axial images, 3 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 is an ill-defined hypointense area on the T1 Weighted images in the left frontal region. This is seen to follow CSF signal characteristics on all the pulse sequences. Hyperintense areas are noted at the periphery of this lesion on the T2 Weighted and FLAIR images and may repersent area of gliosis. Subtle hyperintense signal is seen on the T1 Weighted images at the periphery of this lesion which may represent altered blood/paramagnetic substances.
There is slight prominence of the cerebral cortical sulci.
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 sphenoid sinus.
INTRACRANIAL MRA :
There is slight irregularity and narrowing of the cavernous portion of the left internal carotid artery.
..2/.
R>
Slight narrowing of the P1 segment of the left posterior cerebral artery is noted.
The petrous and supraclinoid segments of the internal carotid arteries bilaterally and the cavernous segment of the right internal carotid artery show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and right posterior cerebral artery also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
There is a small filling defect in the posterior aspect in the
internal carotid arteries bilaterally just distal to the common carotid bifurcation, which may be flow related artifacts.
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 area of cystic encephalomalacia in the left frontal region, most likely the sequelae of previous vascular insult.
2. Slight irregularity and narrowing of the cavernous portion of the left internal carotid artery.
3. Slight narrowing of the P1 segment of the left posterior cerebral artery.
4. A small filling defect in the posterior aspect in the
internal carotid arteries bilaterally just distal to the common carotid bifurcation, which may be flow related artifacts.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14987
ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzJalmn / M / 46 yrs.
Referred by : Dr. Abc Xyz Sane.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 1-2 years.
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 L3 vertebral body is as marked on the film.
The L3-L4 and L4-L5 intervertebral discs show loss of water content.
Posterior disc herniations with small posterior peridiscal osteophytes are seen at the L3-L4 and the L4-L5 levels with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.
A left far lateral disc bulge is seen at the L3-L4 level with indentation upon the extraforaminal portion of the left L3 nerve root.
An anterior disc herniation is seen at the L4-L5 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
R>
The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
15.0 mm at L2-L3
11.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra.
2. Posterior disc herniations at the L3-L4 and the L4-L5 levels.
Date : 00.00.00
Name of the Patient : Abc XyzJalmn / M / 46 yrs.
Referred by : Dr. Abc Xyz Sane.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 1-2 years.
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 L3 vertebral body is as marked on the film.
The L3-L4 and L4-L5 intervertebral discs show loss of water content.
Posterior disc herniations with small posterior peridiscal osteophytes are seen at the L3-L4 and the L4-L5 levels with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.
A left far lateral disc bulge is seen at the L3-L4 level with indentation upon the extraforaminal portion of the left L3 nerve root.
An anterior disc herniation is seen at the L4-L5 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.
R>
The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
15.0 mm at L2-L3
11.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra.
2. Posterior disc herniations at the L3-L4 and the L4-L5 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14986
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz R.lmn / M / 70 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O increased blood pressure with gait ataxia and giddiness since 3-4 days.
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.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally and in the corona radiata and centrum semiovale bilaterally. These lesions appear isointense to normal white matter on the T1 Weighted images and most likely represents ischemic changes.
Lacunar infarcts are noted in the right periatrial region, bilateral thalami and lentiform nuclei/external capsular region.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci bilaterally. There is a mega cisterna magna and prominence of the rest of the basal cisternal spaces bilaterally.
- 2 - Scan-00006
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the left maxillary sinus.
IMPRESSION :
1. Altered signal in the periventricular white matter bilaterally and in the corona radiata and centrum semiovale bilaterally most likely represents ischemic changes. Binswangers disease should be ruled out.
2. Lacunar infarcts in the right periatrial region, bilateral thalami and lentiform nuclei/external capsular region.
Date : 00.00.00
Name of the Patient : Abc Xyz R.lmn / M / 70 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O increased blood pressure with gait ataxia and giddiness since 3-4 days.
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.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular white matter bilaterally and in the corona radiata and centrum semiovale bilaterally. These lesions appear isointense to normal white matter on the T1 Weighted images and most likely represents ischemic changes.
Lacunar infarcts are noted in the right periatrial region, bilateral thalami and lentiform nuclei/external capsular region.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci bilaterally. There is a mega cisterna magna and prominence of the rest of the basal cisternal spaces bilaterally.
- 2 - Scan-00006
There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are noted in the left maxillary sinus.
IMPRESSION :
1. Altered signal in the periventricular white matter bilaterally and in the corona radiata and centrum semiovale bilaterally most likely represents ischemic changes. Binswangers disease should be ruled out.
2. Lacunar infarcts in the right periatrial region, bilateral thalami and lentiform nuclei/external capsular region.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14985
hs/sb/rg.
/00002 Date : 00.00.00/00.00.00
Name of the Patient : Abc Xyzm Patlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O vehicular accident with injury to the left side of face on 00.00.00 and loss of vision on the left side.
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.
3 mm thick T1 Weighted and STIR coronal images through the orbits.
3 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial and oblique sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
There appears to be a fracture of the lateral wall of the left orbit. The orbits per se are unremarkable. The visualized optic nerves bilaterally show normal signal intensity.
Inflammatory changes (? blood) is seen in the paranasal sinuses.
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.
..2/.
IMPRESSION :
The MRI features are suggestive of :
1. Mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
2. Probable fracture of the lateral wall of the left orbit. The optic nerves bilaterally are unremarkable.
3. Soft tissue in the paranasal sinuses, - ? blood with fluid level in the right maxillary antrum.
/00002 Date : 00.00.00/00.00.00
Name of the Patient : Abc Xyzm Patlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O vehicular accident with injury to the left side of face on 00.00.00 and loss of vision on the left side.
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.
3 mm thick T1 Weighted and STIR coronal images through the orbits.
3 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial and oblique sagittal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
There appears to be a fracture of the lateral wall of the left orbit. The orbits per se are unremarkable. The visualized optic nerves bilaterally show normal signal intensity.
Inflammatory changes (? blood) is seen in the paranasal sinuses.
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.
..2/.
IMPRESSION :
The MRI features are suggestive of :
1. Mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
2. Probable fracture of the lateral wall of the left orbit. The optic nerves bilaterally are unremarkable.
3. Soft tissue in the paranasal sinuses, - ? blood with fluid level in the right maxillary antrum.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14984
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzi Nlmn / F / 5 1/2 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O one episode of convulsion, vomiting and fever since 2 days.
Patient is blind since birth. (Right eye - membrane in midvitreous with shallow retinal detachment and left eye - organised vitreous left eye).
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 T2 Weighted coronal images.
3 mm thick STIR coronal images through the optic nerves.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex is unremarkable on either side.
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.
Mucosal thickening is noted in the maxillary sinuses bilaterally, in the ethmoidal air cells and enlarged adenoids.
Both the globes appear smaller in size and show changes suggestive of pthysis bulbi. The optic nerves on either side appear smaller in calibre. It is difficult to appreciate any signal intensity change in the optic nerves.
IMPRESSION :
1. No significant abnormality detected within the brain parenchyma per se.
2. Changes in the globes on either side suggest pthysis bulbi.
3. Optic nerve atrophy bilaterally.
Date : 00.00.00
Name of the Patient : Abc Xyzi Nlmn / F / 5 1/2 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O one episode of convulsion, vomiting and fever since 2 days.
Patient is blind since birth. (Right eye - membrane in midvitreous with shallow retinal detachment and left eye - organised vitreous left eye).
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 T2 Weighted coronal images.
3 mm thick STIR coronal images through the optic nerves.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex is unremarkable on either side.
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.
Mucosal thickening is noted in the maxillary sinuses bilaterally, in the ethmoidal air cells and enlarged adenoids.
Both the globes appear smaller in size and show changes suggestive of pthysis bulbi. The optic nerves on either side appear smaller in calibre. It is difficult to appreciate any signal intensity change in the optic nerves.
IMPRESSION :
1. No significant abnormality detected within the brain parenchyma per se.
2. Changes in the globes on either side suggest pthysis bulbi.
3. Optic nerve atrophy bilaterally.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14983
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Kilmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
H/O surgery at D4 for neurofibroma in 0000.
C/O right pleural effusion. On AKT.
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 evidence of laminectomy over the D2 to D4 vertebral levels with post-operative changes in the soft tissues in the dorsal region over these levels. Probable excision of the right pedicle and transverse process of D3 vertebra is also noted. A CSF signal intensity lesion on all the pulse sequences in the right lateral epidural space at the D3 vertebral level would represent a pseudomeningocele, in the given clinical setting.
There is seen an intermediate signal intensity lesion on the T1 Weighted images in the right lateral epidural space at the D2-D3 level (scans 106.4, 105.6). This lesion appears slightly hyperintense on the T2 Weighted images.
The visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
Scan-00003
The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.
A fairly large loculated, right sided pleural effusion is noted.
IMPRESSION :
1. Post-operative status.
2. A CSF signal intensity lesion on all the pulse sequences in the right lateral epidural space at the D3 vertebral level would represent a pseudomeningocele, in the given clinical setting.
3. A small, altered signal intensity lesion in the right lateral epidural space at the D2-D3 level would represent a residual/recurrent nerve sheath tumor in the given clinical setting.
No previous investigations were available for comparison.
Date : 00.00.00
Name of the Patient : Abc Xyz Kilmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
H/O surgery at D4 for neurofibroma in 0000.
C/O right pleural effusion. On AKT.
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 evidence of laminectomy over the D2 to D4 vertebral levels with post-operative changes in the soft tissues in the dorsal region over these levels. Probable excision of the right pedicle and transverse process of D3 vertebra is also noted. A CSF signal intensity lesion on all the pulse sequences in the right lateral epidural space at the D3 vertebral level would represent a pseudomeningocele, in the given clinical setting.
There is seen an intermediate signal intensity lesion on the T1 Weighted images in the right lateral epidural space at the D2-D3 level (scans 106.4, 105.6). This lesion appears slightly hyperintense on the T2 Weighted images.
The visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
Scan-00003
The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.
A fairly large loculated, right sided pleural effusion is noted.
IMPRESSION :
1. Post-operative status.
2. A CSF signal intensity lesion on all the pulse sequences in the right lateral epidural space at the D3 vertebral level would represent a pseudomeningocele, in the given clinical setting.
3. A small, altered signal intensity lesion in the right lateral epidural space at the D2-D3 level would represent a residual/recurrent nerve sheath tumor in the given clinical setting.
No previous investigations were available for comparison.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14982
sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Khilalmn / F / 73 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the left hip since 20 days.
H/O fall 20 days back.
H/O left hip surgery for fracture 25 years back.
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 (with fat saturation) axial images.
7 mm thick Proton density sagittal images.
OBSERVATION :
There is evidence of post-operative changes in the subcutaneous fat along the lateral aspect of the proximal left thigh. Susceptibility artifacts are noted in the region of the proximal shaft of the left femur, the result of previous surgery.
There is an ill-defined, hypointense signal on the T1 Weighted images in the neck and proximal shaft of the left femur. Probable break in continuity (? fracture) of the neck of the left femur is noted (scans 104.7 & 104.8). The head of the left femur shows an irregular margin. The articular cartilage around the left femoral head is not well-identified. Probable synovial hypertrophy is noted around the left hip joint. The left acetabulum is unremarkable. There is a small left hip joint effusion. Loosers zone is noted in the left pubic bone.
..2/.
Atrophy of the muscles is noted around the left hip joint.
The visualized right hip joint is unremarkable.
IMPRESSION :
1. Post-operative status.
2. Altered signal in the neck and proximal shaft of the left femur is not specific for a single etiology. These changes may either be due to a fresh fracture with bone edema (most likely) or may be due to previous surgery.
3. Slight irregularity of the contour of the left femoral head with ill-defined articular cartilage suggestive of degenerative changes.
Date : 00.00.00
Name of the Patient : Abc Xyz Khilalmn / F / 73 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of Both Hips.
CLINICAL PROFILE :
C/O pain in the left hip since 20 days.
H/O fall 20 days back.
H/O left hip surgery for fracture 25 years back.
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 (with fat saturation) axial images.
7 mm thick Proton density sagittal images.
OBSERVATION :
There is evidence of post-operative changes in the subcutaneous fat along the lateral aspect of the proximal left thigh. Susceptibility artifacts are noted in the region of the proximal shaft of the left femur, the result of previous surgery.
There is an ill-defined, hypointense signal on the T1 Weighted images in the neck and proximal shaft of the left femur. Probable break in continuity (? fracture) of the neck of the left femur is noted (scans 104.7 & 104.8). The head of the left femur shows an irregular margin. The articular cartilage around the left femoral head is not well-identified. Probable synovial hypertrophy is noted around the left hip joint. The left acetabulum is unremarkable. There is a small left hip joint effusion. Loosers zone is noted in the left pubic bone.
..2/.
Atrophy of the muscles is noted around the left hip joint.
The visualized right hip joint is unremarkable.
IMPRESSION :
1. Post-operative status.
2. Altered signal in the neck and proximal shaft of the left femur is not specific for a single etiology. These changes may either be due to a fresh fracture with bone edema (most likely) or may be due to previous surgery.
3. Slight irregularity of the contour of the left femoral head with ill-defined articular cartilage suggestive of degenerative changes.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14981
ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzra Kotlmn / M / 33 yrs.
Referred by : Dr. Abc Xyzzzare.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O sudden onset of weakness of BUE with inability to lift up the LUE since 00.00.00.
H/O fall prior to this.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is retroplacement of the C5 over the C6 vertebral body with anterior wedging of C5 and anterior indentation upon the cord. The spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which is iso to hypointense to the normal cord on the T1 Weighted images and would represent cord edema/ischemia/contusion.
There is replacement of the normal marrow of the C5 vertebral body by hypointense signal on the T1 Weighted images which is seen to turn heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images. There is fracture of the lamina of the C4 vertebra bilaterally and the spinous process.
A left paracentral disc herniation is seen at the C5-C6 level with antero-lateral indentation of the cord and left neural foraminal narrowing. Mild indentation upon the left C6 nerve root is noted.
The cervical intervertebral discs show loss of water content.
..2/.
The rest of the cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized paravertebral soft tissues are unremarkable. Probable small prevertebral soft tissue lesion is noted (? hematoma/contusion)
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. Retroplacement of the C5 over the C6 vertebral body with altered signal of the C5 vertebral body represents bone edema/bruise, probably due to previous trauma, in the given clinical setting.
2. Altered signal of the spinal cord at the C5 and C6 vertebral levels would represent cord edema/ischemia/contusion.
3. Fracture of the lamina of the C4 vertebra bilaterally and the spinous process.
4. A left paracentral disc herniation at the C5-C6 level with mild indentation upon the left C6 nerve root.
Date : 00.00.00
Name of the Patient : Abc Xyzra Kotlmn / M / 33 yrs.
Referred by : Dr. Abc Xyzzzare.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O sudden onset of weakness of BUE with inability to lift up the LUE since 00.00.00.
H/O fall prior to this.
EXAMINATION :
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
OBSERVATION :
There is retroplacement of the C5 over the C6 vertebral body with anterior wedging of C5 and anterior indentation upon the cord. The spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which is iso to hypointense to the normal cord on the T1 Weighted images and would represent cord edema/ischemia/contusion.
There is replacement of the normal marrow of the C5 vertebral body by hypointense signal on the T1 Weighted images which is seen to turn heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images. There is fracture of the lamina of the C4 vertebra bilaterally and the spinous process.
A left paracentral disc herniation is seen at the C5-C6 level with antero-lateral indentation of the cord and left neural foraminal narrowing. Mild indentation upon the left C6 nerve root is noted.
The cervical intervertebral discs show loss of water content.
..2/.
The rest of the cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized paravertebral soft tissues are unremarkable. Probable small prevertebral soft tissue lesion is noted (? hematoma/contusion)
The atlanto-axial region and the cervico-medullary junction are unremarkable.
IMPRESSION :
The MRI features are suggestive of :
1. Retroplacement of the C5 over the C6 vertebral body with altered signal of the C5 vertebral body represents bone edema/bruise, probably due to previous trauma, in the given clinical setting.
2. Altered signal of the spinal cord at the C5 and C6 vertebral levels would represent cord edema/ischemia/contusion.
3. Fracture of the lamina of the C4 vertebra bilaterally and the spinous process.
4. A left paracentral disc herniation at the C5-C6 level with mild indentation upon the left C6 nerve root.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14980
kesb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzn Kumar lmn / M / 27 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Left Wrist.
CLINICAL PROFILE :
C/O pain and swelling (progressive) over the left wrist since 3 months.
EXAMINATION :
M.R.I of the left wrist was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
3 mm thick T1 Weighted, STIR and Gradient (with fat saturation)
coronal images.
3 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a large, lobulated expansile well-marginated mass lesion in the distal end of the ulna on the left side. This lesion measures approximately 2.5 x 2.5 cms and 3.5 cms in its cranio-caudate dimension. There is a well-defined area between the lesion and the normal marrow. This lesion is slightly hyperintense to muscle with few hypointense areas on the T1 Weighted images. This is seen to turn heterogeneously hyperintense on the T2 Weighted, Gradient and the STIR images. Hypointense areas are seen to turn hyperintense on the T2 Weighted images and may represent cystic/necrotic change. There is a break in the cortex anteriorly with slight extension into the anterior soft tissues and anterior displacement of the flexor tendon. The distal radio-ulnar joint is involved. Suspicious involvement of the left wrist joint is also noted. Hyperintense signal is also noted in the subcutaneous region along the medial aspect of the left wrist.
The visualized radius appears normal.
The carpal bones of the left wrist show normal alignment and signal intensity. There is no obvious bone erosion or destruction seen. The intercarpal and radiocarpal joints are unremarkable. No joint effusion is noted.
IMPRESSION :
The MRI features are suggestive of a large, expansile lobulated mass lesion in the distal end of the ulna on the left side measuring approximately 2.5 x 2.5 cms and 3.5 cms in its cranio-caudate dimension with extensions as described. This most probably represents a giant cell tumor.
Date : 00.00.00
Name of the Patient : Abc Xyzn Kumar lmn / M / 27 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Left Wrist.
CLINICAL PROFILE :
C/O pain and swelling (progressive) over the left wrist since 3 months.
EXAMINATION :
M.R.I of the left wrist was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
3 mm thick T1 Weighted, STIR and Gradient (with fat saturation)
coronal images.
3 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a large, lobulated expansile well-marginated mass lesion in the distal end of the ulna on the left side. This lesion measures approximately 2.5 x 2.5 cms and 3.5 cms in its cranio-caudate dimension. There is a well-defined area between the lesion and the normal marrow. This lesion is slightly hyperintense to muscle with few hypointense areas on the T1 Weighted images. This is seen to turn heterogeneously hyperintense on the T2 Weighted, Gradient and the STIR images. Hypointense areas are seen to turn hyperintense on the T2 Weighted images and may represent cystic/necrotic change. There is a break in the cortex anteriorly with slight extension into the anterior soft tissues and anterior displacement of the flexor tendon. The distal radio-ulnar joint is involved. Suspicious involvement of the left wrist joint is also noted. Hyperintense signal is also noted in the subcutaneous region along the medial aspect of the left wrist.
The visualized radius appears normal.
The carpal bones of the left wrist show normal alignment and signal intensity. There is no obvious bone erosion or destruction seen. The intercarpal and radiocarpal joints are unremarkable. No joint effusion is noted.
IMPRESSION :
The MRI features are suggestive of a large, expansile lobulated mass lesion in the distal end of the ulna on the left side measuring approximately 2.5 x 2.5 cms and 3.5 cms in its cranio-caudate dimension with extensions as described. This most probably represents a giant cell tumor.
Published in
MRI Reports