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Sunday, 27 December 2015 16:48

13827

hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzbanu Hlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 12 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 water content of all the lumbar intervertebral discs and reduction in height of the L4-L5 and L5-S1 intervertebral discs.

There is a fairly large, postero-central disc herniation with peridiscal osteophyte at the L5-S1 level, with thecal sac compression and bilateral neural foraminal narrowing. Left far lateral disc bulge is also noted at this level.

A postero-central disc herniation with peridiscal osteophyte is noted at the L4-L5 level, indenting the dural theca anteriorly.

Type II degenerative marrow changes are noted adjacent to the L4-L5 intervertebral disc.







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

The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

17.0 mm at L1-L2
16.0 mm at L2-L3
18.0 mm at L3-L4
18.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. A fairly large, postero-central disc herniation with peridiscal osteophyte at the L5-S1 level, with bilateral neural foraminal narrowing.

2. A postero-central disc herniation with peridiscal osteophyte at the L4-L5 level.

Sunday, 27 December 2015 16:48

13826

sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyza lmn / F / 9 mnths.
Referred by : Dr. Abc Xyzdar / Dr. Abc Xyzarmar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O delayed milestones.
FTND.

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.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

Ill-defined, hyperintense signal on the proton and T2 Weighted images in the periventricular white matter bilaterally, more on the right side and in the right centrum semiovale, most likely represents unmyelinated white matter fibres.

There is mild to moderate dilatation of both the lateral ventricles. The septum pellucidum is not visualized. The third ventricle and the frontal horns of the lateral ventricles are well differentiated. The interhemispheric fissure is well formed. The corpus callosum is also well identified, but appears thin, probably the result of ventricular dilatation. The left optic nerve is well identified. The right optic nerve is also seen and is smaller than the left.

The head of the caudate nucleus, thalamus and the lentiform nucleus on the right side appear hypoplastic as compared to the left.

The fourth ventricle and posterior fossa are unremarkable.




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 suggest absence of the septum pellucidum with dilated lateral ventricles, hypoplastic head of the caudate nucleus, thalamus and the lentiform nucleus on the right side, well differentiated frontal horns and the anterior interhemispheric fissure and a small right optic nerve. Septo-optic dysplasia should be ruled out. Lobar holoprocencephaly is less likely.

Sunday, 27 December 2015 16:48

13825

hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzha Shlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with radiation of pain to the LLE with paresthesias.

EXAMINATION :

M.R.I of the lumbo-sacral spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

The lumbar intervertebral discs show slight loss of water content.

A right paracentral disc extrusion is seen to indent the thecal sac at the L1-L2 level. A disc fragment is seen to lie posterior to the L2 vertebral body on the right side.

A posteriorly bulging disc with a right paracentral disc protrusion is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level.

Mild posterior disc bulges are noted at the L3-L4 and L5-S1 levels.

The L3-L4 and L4-L5 facet joints show mild degenerative changes.






Fat is seen within the filum terminale over the L2 to L4 vertebral levels.

The lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

17.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A right paracentral disc extrusion at the L1-L2 level.

2. A posteriorly bulging disc with a right paracentral disc protrusion at the L4-L5 level.

Sunday, 27 December 2015 16:48

13823

sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzkalalmn / F / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with fever since 7-8 months.

EXAMINATION :

M.R.I of the lumbo-sacral spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is slight scoliosis of the lumbar spine with slight convexity to the right side.

A small, postero-central disc protrusion is noted at the L5-S1 level. Slight facetal hypertrophy is also noted at this level.

Focal fatty marrow changes are noted in the L4 and L5 vertebral bodies.

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

The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S2 level.





The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

17.0 mm at L1-L2
16.0 mm at L2-L3
17.0 mm at L3-L4
15.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

1. Slight scoliosis of the lumbar spine with slight convexity to the right side.

2. A small, postero-central disc protrusion at the L5-S1 level with slight facetal hypertrophy at this level.


Sunday, 27 December 2015 16:48

13821

hs/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzAwalmn / F / 36 yrs.
Referred by : Dr. Abc Xyztrak / Dr. Abc Xyznjabi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with gait ataxia since 15 days.

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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

There is mild prominence of the cerebellar folia bilaterally.

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 mild prominence of the cerebellar folia bilaterally.



Sunday, 27 December 2015 16:48

13820

hs/ke/nl
/22 Date : 00.00.00

Name of the Patient : Abc Xyzaj Nlmn / M / 26 yrs.
Referred by : Dr. Abc Xyzed.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O severe left sided 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.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

BRAIN :

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

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Incidental note is made of a Thornwaldts cyst.






- 2 - Scan-00000/22



INTRACRANIAL MRA :

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show 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 :

No significant abnormality is detected within the brain parenchyma or on the intracranial and neck MRA on this study.

Sunday, 27 December 2015 16:48

13819

hs/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzNalmn / M / 12 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

H/O fall with blackouts.
C/O headaches in the occipital region and neckpain.

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 :

The cervical vertebral bodies and the intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable. The odontoid process is placed more to the left of the midline.

The cervical spinal cord reveals normal signal intensity.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

No significant abnormality detected on this study.



Sunday, 27 December 2015 16:48

13817

sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzGailmn / F / 68 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O left sided neckpain since 1 month.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

There is loss of water content of all the cervical intervertebral discs.

The visualized cervico-dorsal vertebral bodies show spotty fatty marrow changes suggesting osteoporosis.

Small, postero-central protruded discs with peridiscal osteophytes are noted at the C3-C4, C4-C5, C5-C6 and C6-C7 levels, indenting the dural theca anteriorly.

Slight degenerative changes of the joints of Luschka is noted at the C4-C5 and C5-C6 levels bilaterally. Slight facetal hypertrophy is noted at the C3-C4 and C5-C6 levels.

Slight ligamentum flavum prominence is seen at the C3 and C6 vertebral levels.

The cervical spinal cord at the C5-C6 level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which may represent cord ischemia/gliosis.

- 2 - Scan-00007



The visualized pre and paravertebral soft tissues are unremarkable.

There is no significant cord compression.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

Incidentally noted is a hyperintense signal on the T2 Weighted images, in the visualized pons, which may represent ischemic changes. Inflammatory changes are noted in the sphenoid sinus.

IMPRESSION :

1. Altered signal in the visualized cervico-dorsal vertebral bodies may suggest osteoporosis.

2. Small, postero-central protruded discs with peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.

3. Slight degenerative changes of the joints of Luschka at the C4-C5 and C5-C6 levels bilaterally.

4. Altered signal in the pons may represent ischemic changes.

Sunday, 27 December 2015 16:48

13815

hs/ke/nl/nl.
Date : 00.00.00

Name of the Patient : Abc XyzDlmn / M / 43 yrs.
Referred by : Dr. Abc Xyzhta (Shah).
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O momentary unconsciousness.
Now C/O numbness in the LUE and LLE since 00.00.00.

EXAMINATION :

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

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

5 mm thick FLAIR coronal images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

BRAIN :

There is evidence of a well-defined area following CSF signal intensity characteristics on all the pulse sequences within the thalamus on the left side. This would represent a lacunar infarct. Adjacent to this are areas of hyperintensity on the proton, T2 Weighted and FLAIR images and this would represent gliotic/ischemic changes.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.



INTRACRANIAL MRA :

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show 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 MRI features are suggestive of a lacunar infarct within the left thalamus with adjacent areas of altered signal may represent gliotic/ischemic changes.

No significant abnormality is detected on the intracranial and neck MRA on this study.

Sunday, 27 December 2015 16:48

13814

hs/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyza Islmn / F / 53 yrs.
Referred by : Dr. Abc Xyz Ansari.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 2 months.
H/O lifting heavy weights.

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.

3 mm thick T1 Weighted coronal images.

OBSERVATION :

There is loss of water content of the lower lumbar intervertebral discs.

Postero-central disc herniations are seen to indent the thecal sac at the L3-L4 and L4-L5 levels.

A small postero-central disc herniation is seen to indent both the traversing S1 nerve roots at the L5-S1 level.

Bilateral far lateral (extraforaminal) disc herniations are seen at the L4-L5 level. The facet joints at this level show hypertrophic degenerative changes, with canal stenosis

The facet joints bilaterally at the L5-S1 level and on the left side at the L3-L4 level show degenerative changes.



Well-circumscribed lesions which are isointense to CSF are seen along the nerve roots within the spinal canal at the S1 vertebral level and these would represent Tarlovs (perineurial) cysts.

A focal lesion on all the pulse sequences is seen within the L1 vertebral body and this most likely represent a hemangioma with high fat content.

The rest of the lumbar vertebral bodies 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 S1 level.

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

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

IMPRESSION :

1. Postero-central disc herniations at the L3-L4 and L4-L5 levels.

2. Hypertrophic facetal arthropathy at the L4-L5 level with canal stenosis.
..3/.












- 3 - Scan-00004



3. Facetal arthropathy bilaterally at the L5-S1 level and on the left side at the L3-L4 level.

4. A small postero-central disc herniation indenting both the traversing S1 nerve roots at the L5-S1 level.

5 Tarlovs perineurial cysts at the S1 level.

6. A tight canal at the L3-L4 level.