Regular User
Sunday, 27 December 2015 16:48
14133
ke/bv/rg/nl.
Date : 00.00.00
Name of the Patient : Abc Xyzrna Malmn / F / 61 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
H/O fall in 0000.
C/O progressive weakness of BLE (left more than right) and LUE since then.
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 are small posterior disc bulges with peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels with anterior indentation of the thecal sac. The joints of Luschka on the right side show slight degenerative change with mild right neural foraminal narrowing.
The cervical intervertebral discs show loss of water content.
Fatty changes are seen in the cervical vertebral bodies.
The rest of the joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
>
The dorsal spine was screened with the help of 4 mm thick T2 Weighted sagittal images and the lumbo-sacral spine was screened with the help of 5 mm thick T1 Weighted sagittal images which do not reveal any diagnostic feature of note.
IMPRESSION :
The MRI features are suggestive of :
1. Small posterior disc bulges with peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels.
2. Slight degenerative change of the joints of Luschka on the right side with mild right neural foraminal narrowing at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels.
Date : 00.00.00
Name of the Patient : Abc Xyzrna Malmn / F / 61 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
H/O fall in 0000.
C/O progressive weakness of BLE (left more than right) and LUE since then.
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 are small posterior disc bulges with peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels with anterior indentation of the thecal sac. The joints of Luschka on the right side show slight degenerative change with mild right neural foraminal narrowing.
The cervical intervertebral discs show loss of water content.
Fatty changes are seen in the cervical vertebral bodies.
The rest of the joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
>
The dorsal spine was screened with the help of 4 mm thick T2 Weighted sagittal images and the lumbo-sacral spine was screened with the help of 5 mm thick T1 Weighted sagittal images which do not reveal any diagnostic feature of note.
IMPRESSION :
The MRI features are suggestive of :
1. Small posterior disc bulges with peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels.
2. Slight degenerative change of the joints of Luschka on the right side with mild right neural foraminal narrowing at the C3-C4, C4-C5, C5-C6 and the C6-C7 levels.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14132
ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzKollmn / M / 74 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided hemiplegia with speech disturbance and loss of bladder/bowel control since 1 1/2 months.
C/O dementia since 4 months.
Known 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 and Gradient sagittal images.
After administration of contrast, the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a mass lesion in the left high parietal region which measures approximately 3.6 x 2.6 x 2.8 cms. This lesion is hypointense to the white matter on the T1 Weighted images and turns heterogeneously hyperintense on the proton and T2 Weighted images. A central necrotic area is identified within this lesion. There is gross surrounding edema with mass effect and indentation upon the body of the left lateral ventricle with slight inferior displacement. There is slight effacement of the left Sylvian fissure. Extension of the edema is also noted into the corpus callosum.
..2/.
Hypointense areas are seen on the T1 Weighted images in the periventricular deep white matter in the frontal and parietal regions bilaterally, which turn hyperintense on the proton, T2 Weighted and FLAIR images.
A hyperintense signal on the proton, T2 Weighted and FLAIR images is noted in the left putamen which is seen to be hypointense on the gradient images and would represent calcification. Similar signal change is noted on the Gradient echo images in the right putamen.
After administration of contrast, there is heterogeneous enhancement of the lesion. This lesion appears thick walled. Enhancement is also noted along the meninges in the left fronto-parietal region and the right high parietal and posterior parietal regions. Streaks of enhancement is seen in the left posterior parietal deep white matter. Smaller disc enhancing lesions are also noted in the fronto-parietal regions bilaterally.
There is slight fullness of both the lateral ventricles.
The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of a neoplastic process in both fronto-parietal regions and along the meninges in the left fronto-parietal and right parietal parafalcine region as described. The differential diagnosis may include secondaries or a glial cell tumors like glioblastoma multiforme.
The possibility of these changes being due to granulomatous infective process like tuberculosis seems less likely.
Date : 00.00.00
Name of the Patient : Abc XyzKollmn / M / 74 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided hemiplegia with speech disturbance and loss of bladder/bowel control since 1 1/2 months.
C/O dementia since 4 months.
Known 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 and Gradient sagittal images.
After administration of contrast, the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a mass lesion in the left high parietal region which measures approximately 3.6 x 2.6 x 2.8 cms. This lesion is hypointense to the white matter on the T1 Weighted images and turns heterogeneously hyperintense on the proton and T2 Weighted images. A central necrotic area is identified within this lesion. There is gross surrounding edema with mass effect and indentation upon the body of the left lateral ventricle with slight inferior displacement. There is slight effacement of the left Sylvian fissure. Extension of the edema is also noted into the corpus callosum.
..2/.
Hypointense areas are seen on the T1 Weighted images in the periventricular deep white matter in the frontal and parietal regions bilaterally, which turn hyperintense on the proton, T2 Weighted and FLAIR images.
A hyperintense signal on the proton, T2 Weighted and FLAIR images is noted in the left putamen which is seen to be hypointense on the gradient images and would represent calcification. Similar signal change is noted on the Gradient echo images in the right putamen.
After administration of contrast, there is heterogeneous enhancement of the lesion. This lesion appears thick walled. Enhancement is also noted along the meninges in the left fronto-parietal region and the right high parietal and posterior parietal regions. Streaks of enhancement is seen in the left posterior parietal deep white matter. Smaller disc enhancing lesions are also noted in the fronto-parietal regions bilaterally.
There is slight fullness of both the lateral ventricles.
The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of a neoplastic process in both fronto-parietal regions and along the meninges in the left fronto-parietal and right parietal parafalcine region as described. The differential diagnosis may include secondaries or a glial cell tumors like glioblastoma multiforme.
The possibility of these changes being due to granulomatous infective process like tuberculosis seems less likely.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14131
ke/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Neck.
CLINICAL PROFILE :
C/O pain and (progressive) swelling in the right sternocleidomastoid muscle since 6 months.
EXAMINATION :
M.R.I of the neck was performed using the following parameters :
5 mm thick T1 Weighted, T2 Weighted (with fat saturation) and STIR axial images.
5 mm thick T1 Weighted and STIR coronal images.
IMAGES SHOW PATIENT MOTION.
Vitamin E capsules were placed at the site of the pain.
OBSERVATION :
The right sternocleidomastoid muscle is slightly smaller in size as compared to the left side.
The carotid sheaths bilaterally appear to be normal. No obviously enlarged lymphnodes are evident on this scan.
The visualized thyroid and the larynx show normal configuration and signal characteristics. The visualized bones show normal signal intensity and no obvious bone destruction is evident.
The visualized salivary glands are unremarkable.
IMPRESSION :
The MRI features are suggestive of a slightly smaller sized right
sternocleidomastoid muscle.
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Neck.
CLINICAL PROFILE :
C/O pain and (progressive) swelling in the right sternocleidomastoid muscle since 6 months.
EXAMINATION :
M.R.I of the neck was performed using the following parameters :
5 mm thick T1 Weighted, T2 Weighted (with fat saturation) and STIR axial images.
5 mm thick T1 Weighted and STIR coronal images.
IMAGES SHOW PATIENT MOTION.
Vitamin E capsules were placed at the site of the pain.
OBSERVATION :
The right sternocleidomastoid muscle is slightly smaller in size as compared to the left side.
The carotid sheaths bilaterally appear to be normal. No obviously enlarged lymphnodes are evident on this scan.
The visualized thyroid and the larynx show normal configuration and signal characteristics. The visualized bones show normal signal intensity and no obvious bone destruction is evident.
The visualized salivary glands are unremarkable.
IMPRESSION :
The MRI features are suggestive of a slightly smaller sized right
sternocleidomastoid muscle.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14130
PROVISIONAL REPORT
Date : 00.00.00
Name of the Patient : Abc XyzChelmn / F / 68 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O submandibular adenitis. Operated 3 months back. On AKT since then.
C/O seizures since 2 days.
Uncontrolled HT.
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 T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular deep white matter, bilateral corona radiata, centrum semiovale, thalami and the lentiform nuclei. These are hypointense to the white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.
There is mild to moderate dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. Slight prominence of the cerebral cortical sulci is noted in the frontal region. 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 an empty sella.
IMPRESSION :
The MRI features are suggestive of areas of ischemia/infarction in the periventricular deep white matter, bilateral corona radiata, centrum semiovale, thalami and the lentiform nuclei.
Thanks for the reference.
Please send the films back for a final report.
Date : 00.00.00
Name of the Patient : Abc XyzChelmn / F / 68 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O submandibular adenitis. Operated 3 months back. On AKT since then.
C/O seizures since 2 days.
Uncontrolled HT.
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 T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular deep white matter, bilateral corona radiata, centrum semiovale, thalami and the lentiform nuclei. These are hypointense to the white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.
There is mild to moderate dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. Slight prominence of the cerebral cortical sulci is noted in the frontal region. 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 an empty sella.
IMPRESSION :
The MRI features are suggestive of areas of ischemia/infarction in the periventricular deep white matter, bilateral corona radiata, centrum semiovale, thalami and the lentiform nuclei.
Thanks for the reference.
Please send the films back for a final report.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14129
ke/bv/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzhar S. Delmn / M / 45 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fall 10 days back.
C/O left hemiplegia with dysarthria since then.
H/O similar complaints 3 months back. Recovered with RX.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is swelling of the gyri in the right fronto-temporal region. Hypointense areas are seen on the T1 Weighted images in the right fronto-temporal region involving the grey and the white matter, in the genu of the corpus callosum, head of the caudate nucleus and the lentiform nucleus on the right side. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. There is mass effect with effacement of the sulci, compression upon the body of the right lateral and the third ventricles with shift of the midline structures to the left side. Slight indentation upon the frontal horn of the left lateral ventricle is also noted.
Intermediate signal intensity is seen in the cavernous portion of the internal corotid artery on the right side which turns hyperintense on the proton and T2 Weighted images and may represent slow flow/thrombus. There is non-visualization of the internal carotid artery on the right side on the 2D PC sequence.
>
The fourth ventricle is normal.
Incidental note is made of right maxillary sinusitis and inflammatory changes are also seen in the sphenoid sinus.
IMPRESSION :
The MRI features are suggestive of :
1. Recent infarct in the right fronto-temporal region, in the genu of the corpus callosum, head of the caudate nucleus and the lentiform nucleus on the right side in the distribution of the right MCA and right ACA artery territories.
2. Altered signal in the cavernous portion of the internal corotid artery on the right side may represent a slow flow/thrombus.
Date : 00.00.00
Name of the Patient : Abc Xyzhar S. Delmn / M / 45 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fall 10 days back.
C/O left hemiplegia with dysarthria since then.
H/O similar complaints 3 months back. Recovered with RX.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is swelling of the gyri in the right fronto-temporal region. Hypointense areas are seen on the T1 Weighted images in the right fronto-temporal region involving the grey and the white matter, in the genu of the corpus callosum, head of the caudate nucleus and the lentiform nucleus on the right side. These are seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. There is mass effect with effacement of the sulci, compression upon the body of the right lateral and the third ventricles with shift of the midline structures to the left side. Slight indentation upon the frontal horn of the left lateral ventricle is also noted.
Intermediate signal intensity is seen in the cavernous portion of the internal corotid artery on the right side which turns hyperintense on the proton and T2 Weighted images and may represent slow flow/thrombus. There is non-visualization of the internal carotid artery on the right side on the 2D PC sequence.
>
The fourth ventricle is normal.
Incidental note is made of right maxillary sinusitis and inflammatory changes are also seen in the sphenoid sinus.
IMPRESSION :
The MRI features are suggestive of :
1. Recent infarct in the right fronto-temporal region, in the genu of the corpus callosum, head of the caudate nucleus and the lentiform nucleus on the right side in the distribution of the right MCA and right ACA artery territories.
2. Altered signal in the cavernous portion of the internal corotid artery on the right side may represent a slow flow/thrombus.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14128
ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzTrilmn / M / 45 yrs.
Referred by : Dr. Abc Xyzrikh.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O left radical mastoidectomy on 00.00.00 with loss of hearing and discharge from the left ear.
Now C/O discharge from the right ear with decreased hearing on the right side and headaches.
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 coronal images.
MR Cisternogram was obtained.
5 mm thick T1 Weighted sagittal images.
PATIENT REFUSED CONTRAST ADMINISTRATION.
OBSERVATION :
Intermediate signal intensity lesion is seen in the mastoid air cells bilaterally on the T1 Weighted images which is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. There is suspicious erosion of the petrous temporal bone, which is better appreciated on the CT scan.
The seventh and eighth cranial nerve complex on either side is unremarkable. There is no intracranial extension of the disease process on this non-contrast study.
There is no focal area of altered signal intensity in the brain parenchyma.
Scan-00008
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Inflammatory changes in both mastoid air cells.
Normal study of the brain.
Date : 00.00.00
Name of the Patient : Abc XyzTrilmn / M / 45 yrs.
Referred by : Dr. Abc Xyzrikh.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O left radical mastoidectomy on 00.00.00 with loss of hearing and discharge from the left ear.
Now C/O discharge from the right ear with decreased hearing on the right side and headaches.
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 coronal images.
MR Cisternogram was obtained.
5 mm thick T1 Weighted sagittal images.
PATIENT REFUSED CONTRAST ADMINISTRATION.
OBSERVATION :
Intermediate signal intensity lesion is seen in the mastoid air cells bilaterally on the T1 Weighted images which is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. There is suspicious erosion of the petrous temporal bone, which is better appreciated on the CT scan.
The seventh and eighth cranial nerve complex on either side is unremarkable. There is no intracranial extension of the disease process on this non-contrast study.
There is no focal area of altered signal intensity in the brain parenchyma.
Scan-00008
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
Inflammatory changes in both mastoid air cells.
Normal study of the brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14126
ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzadlmn / M / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to BLE since 10 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 a small postero-central disc protrusion at the L5-S1 level. Mild hypertrophy of the left facet joint is seen at this level.
A small posterior disc bulge is noted at the L4-L5 level.
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.
A small area of focal fat deposition/hemangioma with fat content is seen in the L3 vertebra on the left side.
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 :
15.0 mm at L1-L2
16.0 mm at L2-L3
17.0 mm at L3-L4
18.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
No significant abnormality detected on this study.
Date : 00.00.00
Name of the Patient : Abc Xyzadlmn / M / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to BLE since 10 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 a small postero-central disc protrusion at the L5-S1 level. Mild hypertrophy of the left facet joint is seen at this level.
A small posterior disc bulge is noted at the L4-L5 level.
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.
A small area of focal fat deposition/hemangioma with fat content is seen in the L3 vertebra on the left side.
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 :
15.0 mm at L1-L2
16.0 mm at L2-L3
17.0 mm at L3-L4
18.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
No significant abnormality detected on this study.
Published in
MRI Reports
Tagged under
Sunday, 27 December 2015 16:48
14125
ke/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Chhlmn / F / 23 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O TBM since April 0000. On AKT since then.
No complaints at present. 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.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are multiple areas of hypointensity on the T1 Weighted images within both temporal lobes, right frontal lobe, left high frontal lobe and in the midbrain. These are isointense to hypointense to grey matter on the proton, T2 Weighted and FLAIR images. Surrounding white matter edema is seen, more so in the right fronto-temporal region with effacement of the right Sylvian cistern. Also seen is compression upon the frontal horn of the right lateral ventricle and third ventricle with shift of the midline to the left side.
Irregularly defined areas of altered signal intensity are seen in the interpeduncular cistern and suprasellar cistern.
After administration of contrast there are multiple conglomerate ring enhancing lesions in both temporal lobes, right frontal lobe, midbrain and in the interpeduncular cistern and suprasellar cistern. Disc enhancing lesions are seen in the left high frontal lobe.
The left lateral and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
IMPRESSION :
In a known C/O intracranial tuberculosis, the MRI features are suggestive of multiple ring and disc enhancing lesions in both temporal lobes, right frontal lobe, left high frontal lobe, midbrain and in the interpeduncular cistern and suprasellar cistern as described.
As compared to the previous MRI dated 00.00.00, there is an increase in the size and distribution of the lesion with presence of white matter edema.
Date : 00.00.00
Name of the Patient : Abc Xyz Chhlmn / F / 23 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O TBM since April 0000. On AKT since then.
No complaints at present. 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.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There are multiple areas of hypointensity on the T1 Weighted images within both temporal lobes, right frontal lobe, left high frontal lobe and in the midbrain. These are isointense to hypointense to grey matter on the proton, T2 Weighted and FLAIR images. Surrounding white matter edema is seen, more so in the right fronto-temporal region with effacement of the right Sylvian cistern. Also seen is compression upon the frontal horn of the right lateral ventricle and third ventricle with shift of the midline to the left side.
Irregularly defined areas of altered signal intensity are seen in the interpeduncular cistern and suprasellar cistern.
After administration of contrast there are multiple conglomerate ring enhancing lesions in both temporal lobes, right frontal lobe, midbrain and in the interpeduncular cistern and suprasellar cistern. Disc enhancing lesions are seen in the left high frontal lobe.
The left lateral and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
IMPRESSION :
In a known C/O intracranial tuberculosis, the MRI features are suggestive of multiple ring and disc enhancing lesions in both temporal lobes, right frontal lobe, left high frontal lobe, midbrain and in the interpeduncular cistern and suprasellar cistern as described.
As compared to the previous MRI dated 00.00.00, there is an increase in the size and distribution of the lesion with presence of white matter edema.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14124
ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyza J. lmn / F / 11 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O ? myoclonic jerks since 1 month.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of enlarged adenoids and inflammatory changes are seen in the left maxillary sinus.
IMPRESSION :
Normal study of the Brain.
Date : 00.00.00
Name of the Patient : Abc Xyza J. lmn / F / 11 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O ? myoclonic jerks since 1 month.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
The hippocampal complex on either side is unremarkable.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of enlarged adenoids and inflammatory changes are seen in the left maxillary sinus.
IMPRESSION :
Normal study of the Brain.
Published in
MRI Reports
Sunday, 27 December 2015 16:48
14123
ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzen Chlmn / F / 38 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O giddiness with fall 8 days back.
C/O gait ataxia and drooping of the left eyelid since then.
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 Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a popcorn shaped lesion within the midbrain on the left side which measures approximately 1.5 x 2.2 x 2.3 cms. This lesion is seen to extend inferiorly into the pons. There is slight mass effect with mild indentation upon the aqueduct and effacement of the interpeduncular cistern. This lesion shows a isointense centre on the T1 Weighted images which is seen to turn hyperintense on the T2 Weighted images. A hyperintense signal is seen at the periphery of this lesion on the T1 Weighted images which turns hypointense on the proton, T2 Weighted and FLAIR images. There is blooming of the periphery on the Fast Scan (T2 *) images and the lesion in toto would represent altered blood. There is minimal surrounding edema.
Similar but smaller lesions are seen in the left posterior parietal region (se/im 102.11, 103.11, 102.15, 106.2) and adjacent to the left Sylvian fissure (se/im 106.13, 103.11, 102.11, 105.13) with no surrounding edema and no mass effect.
R>
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of a cavernous angioma in the midbrain on the left side (which has bled recently) and two other similar lesions in the left posterior parietal region and left Sylvian fissue.
Date : 00.00.00
Name of the Patient : Abc Xyzen Chlmn / F / 38 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O giddiness with fall 8 days back.
C/O gait ataxia and drooping of the left eyelid since then.
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 Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a popcorn shaped lesion within the midbrain on the left side which measures approximately 1.5 x 2.2 x 2.3 cms. This lesion is seen to extend inferiorly into the pons. There is slight mass effect with mild indentation upon the aqueduct and effacement of the interpeduncular cistern. This lesion shows a isointense centre on the T1 Weighted images which is seen to turn hyperintense on the T2 Weighted images. A hyperintense signal is seen at the periphery of this lesion on the T1 Weighted images which turns hypointense on the proton, T2 Weighted and FLAIR images. There is blooming of the periphery on the Fast Scan (T2 *) images and the lesion in toto would represent altered blood. There is minimal surrounding edema.
Similar but smaller lesions are seen in the left posterior parietal region (se/im 102.11, 103.11, 102.15, 106.2) and adjacent to the left Sylvian fissure (se/im 106.13, 103.11, 102.11, 105.13) with no surrounding edema and no mass effect.
R>
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of a cavernous angioma in the midbrain on the left side (which has bled recently) and two other similar lesions in the left posterior parietal region and left Sylvian fissue.
Published in
MRI Reports