MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14975

Written by
ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzAli Khalmn / M / 22 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

H/O accident 3 years back.
C/O weakness of BLE since then.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is anterior wedging with collapse of the D5 vertebral body and mild anterior wedging of the D6 vertebral body. Angular kyphus is noted at this level. There appears to be old fractures of the left pedicles of D5 and D6 vertebrae and left transverse process of D5 vertebral body.

There are hyperintense areas within the D5 and D6 vertebral bodies on the T1 Weighted images which follow fat signal intensity characteristics and represents fatty deposition. The D5-D6 intervertebral disc appears reduced in height.

The spinal cord at the D5 and D6 vertebral levels shows a hypointense signal in the centre on the T1 Weighted images and turns hyperintense on the T2 Weighted images and represents an area of myelomalacia.

A small posterior disc herniation is seen at the C5-C6 level.
Scan-00005


The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12-L1 level.

The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and which does not reveal any significant feature of note.

IMPRESSION :

The MRI features are suggestive of :

1. Anterior wedging with collapse of the D5 vertebral body with altered signal within the D5 and D6 vertebral bodies
represents fatty deposition, the sequelae of previous trauma.

2. An area of myelomalacia in the spinal cord at the D5 and D6 vertebral levels.



Sunday, 27 December 2015 16:48

14974

Written by
ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz R. Ghlmn / F / 37 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the RUE with paresthesias since 3 years and difficulty in writing.
H/O pulmonary Kochs 9 months back. Received AKT.

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 loss of normal cervical curvature and loss of water content of the cervical intervertebral discs.

A posterior disc herniation with posterior peridiscal osteophytes is seen at the C3-C4 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing, right more than left.

A posterior and right postero-lateral disc herniation is noted at the C4-C5 level with anterior indentation of the thecal sac and right neural foramen narrowing. Degeneration of the right joint of Luschka is noted with mild indentation upon the right C5 nerve root.

There is a small posterior disc herniation at the C5-C6 level and a right paracentral disc herniation at the C6-C7 level with anterior indentation of the thecal sac.

Posterior peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels.
..2/.





R>
The cervical vertebral bodies show normal signal intensity. 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.

IMPRESSION :

The MRI features are suggestive of :

1. A posterior disc herniation with posterior peridiscal osteophytes at the C3-C4 level.

2. A posterior and right postero-lateral disc herniation at the C4-C5 level with degeneration of the joints of Luschka on the right side and indentation upon the right C5 nerve root.

3. A small posterior disc herniation at the C5-C6 level.

4. A right paracentral disc herniation at the C6-C7 level.

5. Posterior peridiscal osteophytes at the C4-C5 and C5-C6 levels.

Sunday, 27 December 2015 16:48

14973

Written by
sb/ke/rg.
Date : 00.00.00
Name of the Patient : Abc XyzDaslmn / F / 69 yrs.
Referred by : Dr. Abc Xyzdakia. Examination : M.R.Cholangiogram.
CLINICAL PROFILE :
C/O abdominal pain and vomiting since 2 days.
H/O pneumonia and Bronchitis. EXAMINATION :
MR Cholangiogram was performed. 7 mm thick T1 Weighted and T2 Weighted axial images. 8 mm thick T2 Weighted coronal images.OBSERVATION :
There is seen mild dilatation of the common bile duct which measures approximately 1.3 cms in its maximum transverse dimensions. Mild dilatation of the common hepatic duct, right and left hepatic ducts is also noted. There is a abrupt cut off of the terminal common bile duct at the ampullary region. No obvious intrinsic lesion is noted in the terminal CBD.

The gall bladder is well distended and is folded upon itself. No intrinsic lesion is noted in the gall bladder. The pancreatic duct is not dilated.

The liver is normal in size, shape and position. There is no local or diffuse area of altered signal intensity. The intrahepatic venous architecture is normal.Both the visualized kidneys, pancreas, adrenals and spleen are normal in size and signal intensity.
Minimal free fluid is noted in the abdomen. There are no abnormally enlarged abdominal lymphnodes noted.
R> IMPRESSION :

The MRCP features suggest mild dilatation of the common bile duct, common hepatic duct and the right and the left hepatic ducts as described with a well-distended gall bladder. The obstruction seems to be at the level of the terminal CBD.

Sunday, 27 December 2015 16:48

14972

Written by
sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzam Jailmn / M / 40 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 3 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 loss of normal lumbar lordosis and slight loss of water content of the L3-L4 and L4-L5 intervertebral discs.

Small posterior disc bulges are noted at the L2-L3, L3-L4 and L4-L5 levels.

Slight facetal hypertrophy is noted at the L4-L5 and L5-S1 levels. Hyperintense signal on all the pulse sequences seen within the L2-L3, L3-L4 and L4-L5 facet joints may represent ossification.

Anterior disc herniations with anterior peridiscal osteophytes are seen at the L3-L4 and L4-L5 levels.

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 L1 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 :

15.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
13.0 mm at L4-L5
13.0 mm at L5-S1.

Screening T1 Weighted coronal images of the sacro-iliac joints do not show any significant feature of note.

IMPRESSION :

1. Small posterior disc bulges at the L2-L3, L3-L4 and L4-L5 levels.

2. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels.

3. Probable ossification of the L2-L3, L3-L4 and L4-L5 facet joints.

Sunday, 27 December 2015 16:48

14970

Written by
hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / M / 63 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gait ataxia since 1 day.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

5 mm thick FLAIR and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are ill-defined areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the periventricular and fronto-parietal white matter bilaterally, pons and the basal ganglia bilaterally. These are isointense to hypointense to white matter on the T1 Weighted images and these most likely are ischemic in etiology.

Lacunar infarcts (iso to hyperintense to CSF) are seen within the basal ganglia bilaterally, pons, right cerebellar hemisphere and corona radiata bilaterally.

There is mild dilatation of the third and both the lateral ventricles. Also seen is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Scan-00000



Note is made of a giant cisterna magna.

There is no obvious intracerebral bleed on this scan.

IMPRESSION :

The MRI features are suggestive of :

1. Areas of altered signal within the periventricular and fronto-parietal white matter bilaterally, pons and the basal ganglia bilaterally and these most likely is ischemic in etiology.

2. Lacunar infarcts within the basal ganglia bilaterally, pons, right cerebellar hemisphere and corona radiata bilaterally.

3. Cerebral and cerebellar atrophy.








Sunday, 27 December 2015 16:48

14969

Written by
hs/sb/nl/rg.
/971 Date : 00.00.00

Name of the Patient : Abc Xyzram Kalmn / M / 60 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O difficulty in swallowing since 8-10 days.
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.

NECK MRA IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There are areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the periventricular and fronto-parietal white matter bilaterally, pons and basal ganglia bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.

Lacunar infarcts (iso to hyperintense to CSF) are seen within the basal ganglia bilaterally, pons and right cerebellar hemisphere.

There is mild to moderate dilatation of the ventricular system. Also seen is prominence of the basal cisternal spaces, cerebellar folia and cerebral cortical sulci bilaterally.

There is no shift of the midline structures.

Inflammatory changes are noted in the ethmoidal air cells bilaterally.

INTRACRANIAL MRA :

There is circumferential narrowing of the cavernous segment of the right internal carotid artery.
..2/.







The petrous and supraclinoid segments of the internal carotid arteries bilaterally and the cavernous segment of the left internal carotid artery shows normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

NECK MRA :

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. Areas of altered signal within the periventricular and fronto-parietal white matter bilaterally, pons and basal ganglia bilaterally are most likely ischemic in etiology.

2. Lacunar infarcts within the basal ganglia bilaterally, pons and right cerebellar hemisphere.

3. Mild to moderate dilatation of the ventricular system which is disproportionate to the degree of cerebral atrophy. Normal pressure hydrocephalus should be excluded.

4. Circumferential narrowing of the cavernous segment of the right internal carotid artery.

Sunday, 27 December 2015 16:48

14968

Written by
sb/hs/nl.rg.
Date : 00.00.00

Name of the Patient : Abc Xyzid Rlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzonawalla.
Examination : M.R.I. of the Right Shoulder.

CLINICAL PROFILE :

C/O pain in the right shoulder since 3 months.

EXAMINATION :

M.R.I of the right shoulder was performed using the following parameters :

4 mm thick T1 Weighted and GRASS axial images.

4 mm thick T1 Weighted and T2 Weighted sagittal images.

4 mm thick T1 Weighted, Proton and T2 Weighted coronal images.

OBSERVATION :

There is seen a focal, intermediate signal intensity on all the pulse sequences in the tendon of the right supraspinatus muscle. This most likely suggests tendon degeneration/tendinitis.

There are degenerative changes of the right acromio-clavicular joint with marginal osteophytes impinging the musculo-tendinous junction of the right supraspinatus muscle.

There is a mild right shoulder joint effusion with fluid along the bicipital tendon in the bicipital groove. Small amount of fluid is seen within the subaromial and subscapularis bursae.

The head of the right humerus shows marginal osteophytes. The head and upper shaft of the right humerus show normal signal intensity. The visualized scapula appears normal. The glenoid labrum is unremarkable. The biceps tendon in the bicipital groove shows normal signal intensity.
- 2 - ..2/.


The articular cartilage of the head of the right humerus appears normal.

There is no evidence of fluid in the subdeltoid bursa.
The soft tissues around the right shoulder joint are unremarkable.

The acromion process is oriented horizontally.

The visualized axilla is unremarkable.

IMPRESSION :

1. Focal altered signal in the tendon of the right supraspinatus muscle most likely suggests tendon degeneration/tendinitis.

2. Degenerative changes of the right acromio-clavicular joint with impingement of the musculo-tendinous junction of the right supraspinatus muscle.

3. Effusion in the right shoulder joint.



Sunday, 27 December 2015 16:48

14967

Written by
hs/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzUmbralmn / M / 25 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches since 15 days.
H/O bleeding from the left ear 2 weeks back.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick T1 Weighted coronal images.

MR cisternogram was obtained in the coronal plane.

OBSERVATION :

There is no focal area of altered signal intensity in the brain parenchyma.

The seventh and eight cranial nerve 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.

Inflammatory changes are seen in both maxillary sinuses. The nasal septum is deviated to the right side.

IMPRESSION :

No abnormality is detected within the brain per se on this study.

Sunday, 27 December 2015 16:48

14966

Written by
hs/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzdhi Kshatlmn / M / 26 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

H/O appendictomy with spinal anasthesia on 00.00.00 with weakness of BLE since then.

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 :

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.

The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L1 level.

The cervical spine was screened with 4 mm thick T2 Weighted sagittal images and the lumbo-sacral spine was screened with 5 mm thick T1 Weighted sagittal images and these do not show any significant feature of note.

IMPRESSION :

No abnormality detected within the dorsal spine on this study.

Sunday, 27 December 2015 16:48

14965

Written by
hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Salmn / M / 26 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O pontine astrocytoma. Has received multiple cycles of radiotherapy.
Diplopia and ataxia still persist.

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.

3 mm thick T2 Weighted coronal images.

OBSERVATION :

There is an ill-defined, hypointense area in the pons, more so on the left side on the T1 Weighted images which is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. Inferiorly, the medulla is slightly involved. There is extension into the left middle cerebellar peduncle. Slight involvement of the left cerebellar hemisphere is also seen. There is mild indentation upon the anterior and left lateral aspect of the fourth ventricle.

The third and both the lateral ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
..2/.














IMPRESSION :

The MRI features are suggestive of an ill-defined mass lesion (known C/O astrocytoma) in the pons with extensions as described.

As compared to the previous MRI (study no:00008) dated 00.00.00, there is marked decrease in the size of the lesion. The ventricles have also decreased in size.


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