hs/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzah Mlmn / M / 24 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache radiating to the LUE since 5 years.

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 cervico-dorsal spine was screened with 4 mm thick T1 Weighted sagittal images and is unremarkable.

IMPRESSION :

Normal study of the Dorsal Spine.

hs/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Jlmn / M / 66 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Pelvis.

CLINICAL PROFILE :

C/O pain in the hip joints (left more than right) and the LLE since 3 months with a limp on the left side.
H/O laminectomy at L1 with excision of tumor. Histopathology s/o chondrosarcoma. Received 3 sittings of radiotherapy.
To r/o metastasis.

EXAMINATION :

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

6 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial and sagittal images.

6 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

There is mild enlargement of the prostate gland.

The urinary bladder appears normal. There is no mass lesion identified on this study.

The ischio-rectal fossae on either side appear normal.

There are no abnormally enlarged pelvic lymph nodes identified. No obvious vascular anomaly is noted. There is no free fluid in the pelvis.

IMPRESSION :

Mild enlargement of the prostate gland.

No other significant abnormality is detected on this study.

sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzra Glmn / M / 27 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Left Knee Joint.

CLINICAL PROFILE :

C/O pain and swelling over the left knee joint since 3 months.

EXAMINATION :

M.R.I of the left knee joint was performed using the following parameters :

4 mm thick T1 Weighted, proton and GRASS sagittal images.

4 mm thick T1 Weighted and STIR coronal images.

4 mm thick T1 Weighted and GRASS axial images.

OBSERVATION :

Menisci

There is seen a linear hyperintense signal on all the pulse sequences in the posterior horn of the medial meniscus of the left knee joint reaching upto the inferior articular margin. This represents Grade III meniscal signal (meniscal tear).

The anterior horn of the medial and posterior horn of the lateral meniscus reveal normal configuration and signal characteristics.

There is seen a well marginated, fluid intensity lesion on all the pulse sequences in communication with the anterior horn of the lateral meniscus of the left knee joint. This lesion is seen to extend into the soft tissues along the anterior and lateral margins of the left knee joint space. The lateral collateral ligament is stretched by the lesion. This lesion represents a parameniscal cyst.


Cruciate Ligaments :

The anterior and posterior cruciate ligaments show normal contour and signal characteristics.

Collateral Ligaments and the Patellar Tendon :

The medial and lateral collateral ligaments and the patellar tendons are normal.

Hoffas Fat Pad :

The Hoffas fat pad is normal.

Articular cartilage and bones :

The articular cartilage overlying the patella, tibia and femur appears normal.

IMPRESSION :

1. Grade III meniscal signal (meniscal tear) in the posterior horn of the medial meniscus of the left knee joint.

2. A well marginated, fluid intensity lesion on all the pulse sequences along the anterior and lateral margins of the left knee joint space, in communication with the anterior horn of the lateral meniscus, represents a parameniscal cyst.

sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzp Ralmn / M / 23 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O paresthesias in the LLE since 8 days.
H/O fever +.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

10 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is loss of water content of the D6-D7 intervertebral disc.

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

The visualized dorsal spinal cord shows normal signal intensity. There is no cord compression.

The conus medullaris terminates at the D12-L1 level.

The T2 Weighted sagittal images of the cervical spine do not reveal any significant feature of note.

IMPRESSION :

No significant abnormality is detected on this study.

sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xylmn / F / 29 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. - Dorsal Spine (Post-contrast Study)

CLINICAL PROFILE :

C/O tingling in the LLE since 1 month.

EXAMINATION :

The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images.

After administration of contrast the following parameters were used :

7 mm thick T1 Weighted axial (with fat saturation) images.

4 mm thick T1 Weighted sagittal (with fat saturation) images.

The brain was screened with 5 mm thick T1 Weighted axial images with magnetization transfer.

OBSERVATION :

The T2 Weighted sagittal images of the dorsal spine reveal hyperintense signal within the dorsal spine cord at the D5 vertebral level and over the D9 and D10 vertebral levels. There is decrease in the extent of the signal intensity change at the D9 and D10 vertebral levels when compared to previous MRI dated 00.00.00. There is also a decrease in the focal increase in size of the dorsal cord on the previous study.

After administration of contrast, there is no focal area of abnormal enhancement in the visualized dorsal and cervical spinal cord or the brain parenchyma on this study.

The possibility of demyelinating lesions should be considered in the differential diagnosis.

sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzed Hlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache with fever since 2-3 months.
C/O weakness of BLE with bladder involvement since 20-22 days.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

10 mm thick T1 Weighted and T2 Weighted axial images.

The cervical spine was screened with 4 mm thick T2 Weighted sagittal images.

OBSERVATION :

There is an ill-defined, hyperintense signal on the T2 Weighted images in the cervico-dorsal spinal cord, centrally, extending from C6 to D11 vertebral levels. This signal appears hypointense to normal cord on the T1 Weighted images. Resultant slight increase in diameter of the cervico-dorsal spinal cord over these levels is noted.

There is slight loss of water content of the mid dorsal intervertebral discs.

The visualized dorsal vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
Scan-00006


There is no cord compression.

The conus medullaris terminates at the L1 level.

IMPRESSION :

Slight increase in diameter of the cervico-dorsal spinal cord over the C6 to D11 vertebral levels as described with altered signal may represent myelitis in the given clinical setting.

The possibility of demyelination seems less likely.

A contrast enhanced scan may be worthwhile to r/o underlying pathology.

sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Nlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzdi.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

H/O bullet injury on 4th July 0000.
C/O 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.

6 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

The D12 vertebral body is as marked on the film.

The D11, D12 and L1 vertebral bodies show an ill-defined, hypointense signal on the T1 Weighted images which appears hyperintense on the T2 Weighted images. Fracture of the right pedicle and transverse process of the L1 vertebra and the left lateral margin and left pedicle of the D12 vertebra is noted. A fractured fragment is noted in the anterior epidural space along the posterior margin of the D12 vertebral body and in the right lateral epidural space at the L1 vertebral level (scans 105.4, 106.4). The right L1 nerve root in the right neural foramen at the L1-L2 level is not well-identified. The D12 nerve root in the left D12 neural foramen is also not well-identified.

There is an ill-defined, hyperintense signal on the T2 weighted images in the lower dorsal spinal cord over D11 to L1 vertebral levels. This lesion appears predominantly hypointense on the T1 Weighted images. Ill-defined hyperintense signal on all the pulse sequences is also noted within the dorsal spinal cord at the D12 and L1 vertebral
..2/.






levels which may represent hemoglobin breakdown products (extracellular methemoglobin). It is difficult to identify the margins of the lower dorsal spinal cord over the D11 to L1 vertebral levels. It is also difficult to exclude a small epidural/intradural haemorrhage on this study.

The CSF in the thecal sac in the lumbar region appears slightly hyperintense when compared to normal on the T1 Weighted images. Suspicious small epidural hematoma is noted, circumferentially around the thecal sac, in the lumbar region.

Ill-defined, hyperintense signal on the T2 Weighted images in the paravertebral and posterior paraspinal soft tissues on the right over the D12 and L1 vertebral levels represent soft tissue injury.

The rest of the visualized dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints at the L1-L2, D11-D12, D10-D11 and D9-D10 levels appear slightly hypertrophied. The visualized prevertebral soft tissues are unremarkable.

The conus medullaris is not well identified but probably terminates at the L1 vertebral.

IMPRESSION :

In a known C/O bullet injury,

1. Altered signal of the D11, D12 and L1 vertebral bodies suggests bone bruise with fracture of the right pedicle and transverse process of the L1 vertebra and the left lateral margin and left pedicle of the D12 vertebra.

2. Fractured fragments in the anterior epidural space along the posterior margin of the D12 vertebral body and in the right lateral epidural space at the L1 vertebral level.
..3/.




- 3 - Scan-00005


3. Altered signal of the lower dorsal spinal cord over D11 to L1 vertebral levels represents haemorrhagic cord contusion in the given clinical setting.

4. Altered signal of the CSF in the thecal sac in the lumbar region suggest intradural haemorrhage with suspicious small epidural hematoma in the lumbar region.

hs/sb/nl/rg.
Date : 00.00.00

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

CLINICAL PROFILE :

C/O seizures.

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.

2 mm thick 3D SPGR 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.

IMPRESSION :

Normal study of the Brain.

sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyznnisa Ghalmn / F / 58 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 4-6 months.
H/O tuberculosis in the left kidney 18 years back for which patient was operated. Received AKT.

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 T2 Weighted axial images.

S. I. joints were scanned with 5 mm thick T1 Weighted axial images and 4 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

There is loss of water content of the lumbar intervertebral discs. There is minimal forward translation of the L4 over the L5 vertebra without obvious spondylolysis.

A small posterior disc bulge is noted at the L4-L5 level.

A small postero-central protruded disc with peridiscal osteophyte is noted at the L5-S1 level.

The facet joints at the L3-L4, L4-L5 and L5-S1 levels show hypertrophic degenerative changes (maximum at the L4-L5 level).

Fatty marrow changes are noted in the L5 vertebral body.

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 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
16.0 mm at L2-L3
18.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.

The study of the sacro-iliac joints reveal widening of the sacro-iliac joint space bilaterally with marginal osteophytes along the anterior margins of the sacro-iliac joints on either sides. Irregularity of the margins of the sacro-iliac joints is also noted, with periarticular sclerotic changes. No obvious bone destruction or soft tissue mass lesion is identified.

IMPRESSION :

1. Minimal forward translation of the L4 over the L5 vertebra without obvious spondylolysis.

2. A small posterior disc bulge at the L4-L5 level.

3. A small postero-central protruded disc with peridiscal osteophyte at the L5-S1 level.

4. Hypertrophic facetal arthropathy at the L3-L4, L4-L5 and L5-S1 levels (maximum at the L4-L5 level).

5. Changes in the sacro-iliac joints on either side may be the result of osteitis condensans ilii (? degenerative).

sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzl Katlmn / F / 3 1/2 yrs.
Referred by : Dr. Abc Xyzthari.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O delayed milestones.

EXAMINATION :

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

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

4 mm thick T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

The myelination pattern appears normal for the patients age.

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.

Note is made of enlarged adenoids.

IMPRESSION :

Normal study of the Brain.