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MRI INTERPRETATION
Hi, This is my fathers MRI report. Except the cochlear schwannoma, is there anything else? I am worried about MS.
MRI BRAIN(CONTRAST)
STUDY PROTOCOLS
FLAIR T1W AND FAST SPIN ECHO T2W HIGH RESOLUTION AXIAL IMAGES OF BRAIN WERE OBTAINED ON A DEDICATED PHASED ARRAY HEAD COIL USING 1.5 TESLA TWIN GRADIENT SYSTEM AND CORRELATED WITH T2W SAGGITAL, CORONAL(FAT SAT) AND T2 FALIR AXIAL AND DIFFUSION AXIAL IMAGES, SERIAL T1 WEIGHTED AXIAL, CORONAL AND SAGITTAL IMAGES OF THE BRAIN WERE OBTAINED AFTER ADMINISTRATION OF I.V(GADOLINIUM) CONTRAST
SUPRATENTORIAL
There are a few discrete and punctuate T2W/FLAIR hyperintense foci scattered in the bilateral periventricular sub cortical and deep white matter in temporal-trigonal and frontal-parietal lobes; Non-specific White Matter Hyper intensities (WMH’s) and common etiology include Lacunar Ischemia and HIE Vasculopathy and admixed perivascular (Virchow-Robin) spaces; Et at Lacunaire and ‘crible.
Rest of the cerebral parenchyma is normal in signal intensity with maintained grey and white matter differentiation.
Rest of bilateral basal ganglia and thalami are normal in volume and signal intensity.
Ventricles are borderline prominent(Ex Vacuo) with peri-ventricular subtle Intra-cerebral Arteriosclerotic/ Leuko-encephalopathy changes.Septum is in midlines. Basal cisterns and Sylvian fissures are prominent.
POSTERIOR FOSSA
Brainstem is central and normal in signal intensity. Fourth ventricle is central and normal. Cerebellum is normal in signal intensity. Major intracranial flow voids preserved.
THERE IS A FOCAL LOBULATED LESION OF SIGNAL ALTERATION ENCOMPASSING THE CISTERNAL AND CANALICULAR SEGEMENTS OF THE RIGHT VII/VIIITH NERVE COMPLEX AND TRANSENSION OF PORUS ACOUSTICUS CUMULATIVELY MEASURING APPROX. 12.4X11.6X10.2 MM IN SIZE APPEARING ISO-HYPOINTENSE ON T1W AND ISO-HYPERINTENSE ON T2W IMAGES WITH INTENSE INHOMOGENOUS ENHANCEMENT ON POST-GAD IMAGES; RIGHT VESTIBULO-COCHLEAR (ACOUSTIC) SCHWANNOMA/NEUROMA.
There is flow vascular voids(AICA/SCA) seen juxtaposed the Cisternal segments of the Right VII/VIIITH nerve complex and bilateral Vth (Trigeminal) nerves; Variant.
THERE IS RHINO-SINUSITIS WITH RIGHT WARDS DEVIATION OF NASAL SEPTUM.
DIAGNOSIS:
MR IMAGING OF BRAIN (CONTRAST) REVEALS THE FOLLOWING SALIENT FINDINGS:
THERE IS A FOCAL LOBULATED LESION OF SIGNAL ALTERATION ENCOMPASSING THE CISTERNAL AND CANALICULAR SEGMENTS OF THE RIGHT VII/VIIITH NERVE COMPLEX AND TRANSENSION OF PORUS ACOUSTICUS CUMULATIVELY MEASURING APPROX 12.4X11.6X10.2 MM IN SIZE APPEARING ISO-HYPOINTENSE ON T1W AND ISO-HYPERINTENSE ON T2W IMAGES WITH INTENSE INHOMOGENOUS ENHANCEMENT ON POST-GAD IMAGES; RIGHT VESTIBULO-COCHLEAR (ACOUSTIC) SCHWANNOMA/NEUROMA.
This discussion is related to Do I have MS?.
MRI BRAIN(CONTRAST)
STUDY PROTOCOLS
FLAIR T1W AND FAST SPIN ECHO T2W HIGH RESOLUTION AXIAL IMAGES OF BRAIN WERE OBTAINED ON A DEDICATED PHASED ARRAY HEAD COIL USING 1.5 TESLA TWIN GRADIENT SYSTEM AND CORRELATED WITH T2W SAGGITAL, CORONAL(FAT SAT) AND T2 FALIR AXIAL AND DIFFUSION AXIAL IMAGES, SERIAL T1 WEIGHTED AXIAL, CORONAL AND SAGITTAL IMAGES OF THE BRAIN WERE OBTAINED AFTER ADMINISTRATION OF I.V(GADOLINIUM) CONTRAST
SUPRATENTORIAL
There are a few discrete and punctuate T2W/FLAIR hyperintense foci scattered in the bilateral periventricular sub cortical and deep white matter in temporal-trigonal and frontal-parietal lobes; Non-specific White Matter Hyper intensities (WMH’s) and common etiology include Lacunar Ischemia and HIE Vasculopathy and admixed perivascular (Virchow-Robin) spaces; Et at Lacunaire and ‘crible.
Rest of the cerebral parenchyma is normal in signal intensity with maintained grey and white matter differentiation.
Rest of bilateral basal ganglia and thalami are normal in volume and signal intensity.
Ventricles are borderline prominent(Ex Vacuo) with peri-ventricular subtle Intra-cerebral Arteriosclerotic/ Leuko-encephalopathy changes.Septum is in midlines. Basal cisterns and Sylvian fissures are prominent.
POSTERIOR FOSSA
Brainstem is central and normal in signal intensity. Fourth ventricle is central and normal. Cerebellum is normal in signal intensity. Major intracranial flow voids preserved.
THERE IS A FOCAL LOBULATED LESION OF SIGNAL ALTERATION ENCOMPASSING THE CISTERNAL AND CANALICULAR SEGEMENTS OF THE RIGHT VII/VIIITH NERVE COMPLEX AND TRANSENSION OF PORUS ACOUSTICUS CUMULATIVELY MEASURING APPROX. 12.4X11.6X10.2 MM IN SIZE APPEARING ISO-HYPOINTENSE ON T1W AND ISO-HYPERINTENSE ON T2W IMAGES WITH INTENSE INHOMOGENOUS ENHANCEMENT ON POST-GAD IMAGES; RIGHT VESTIBULO-COCHLEAR (ACOUSTIC) SCHWANNOMA/NEUROMA.
There is flow vascular voids(AICA/SCA) seen juxtaposed the Cisternal segments of the Right VII/VIIITH nerve complex and bilateral Vth (Trigeminal) nerves; Variant.
THERE IS RHINO-SINUSITIS WITH RIGHT WARDS DEVIATION OF NASAL SEPTUM.
DIAGNOSIS:
MR IMAGING OF BRAIN (CONTRAST) REVEALS THE FOLLOWING SALIENT FINDINGS:
THERE IS A FOCAL LOBULATED LESION OF SIGNAL ALTERATION ENCOMPASSING THE CISTERNAL AND CANALICULAR SEGMENTS OF THE RIGHT VII/VIIITH NERVE COMPLEX AND TRANSENSION OF PORUS ACOUSTICUS CUMULATIVELY MEASURING APPROX 12.4X11.6X10.2 MM IN SIZE APPEARING ISO-HYPOINTENSE ON T1W AND ISO-HYPERINTENSE ON T2W IMAGES WITH INTENSE INHOMOGENOUS ENHANCEMENT ON POST-GAD IMAGES; RIGHT VESTIBULO-COCHLEAR (ACOUSTIC) SCHWANNOMA/NEUROMA.
This discussion is related to Do I have MS?.
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