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Sunday, 27 December 2015 16:48

13706

ke/sb/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzbai Chaudlmn / F / 52 yrs.
Referred by : Dr. Abc Xyzdeo. Examination : M.R.Cholangiogram.
CLINICAL PROFILE : C/O pain in the abdomen since 1 month.
C/O jaundice since 1 month.
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 dilatation of the intrahepatic biliary radicles in the right and left lobe of liver. There is smooth tapering at the junction of the right and left hepatic duct with the common hepatic duct. A hypointense area is seen at the level of bifurcation on the T2 Weighted images. The distal portion of the common bile duct is well visualized and appears normal.

The gall bladder is small and contracted. Few hypointense areas are noted within the gall bladder on the T2 Weighted images which would represent calculi. The cystic duct is unremarkable.

There is mild hepatomegaly. There is no local or diffuse area of altered signal intensity.

Both the visualized kidneys, pancreas, adrenals and spleen are normal in size and signal characteristics.The visualized pancreatic duct is unremarkable.
There is no free fluid in the abdomen.


IMPRESSION :

The MRCP features suggest intrahepatic biliary radicle dilatation with obstruction at the level of the common hepatic duct.

A stricturous lesion is a likely possibility.

A neoplastic lesion cannot be entirely ruled out.

Sunday, 27 December 2015 16:48

13705

sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzma R. Tonwalmn / F / 6 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O ? drop attacks since 0000.

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 FLAIR coronal images.

3 mm thick T2 Weighted 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, small, well marginated, CSF intensity lesions on all the pulse sequences in the subcortical white matter in the frontal and parietal lobes bilaterally and in the genu of the corpus callosum on the right. These lesions vary in size from a few mms to 1.0 cm in diameter. There is no perilesional edema. After administration of contrast, there is no enhancement of these lesions.

The hippocampal complex is unremarkable on either side.
Scan-00005


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.

There is no other focal area of abnormal enhancement in the brain parenchyma or the meninges.

IMPRESSION :

Multiple, small, non-enhancing CSF intensity lesions on all the pulse sequences in the subcortical white matter in the frontal and parietal regions bilaterally and in the genu of the corpus callosum as described are not specific for a single etiology. These lesions may represent prominent perivascular spaces or lacunes. Mucopolysaccharidosis should be ruled out.
Sunday, 27 December 2015 16:48

13704

ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyza Limbalmn / F / 28 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches (right sided) since 2 years.

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.

OBSERVATION :

There is a large well-defined, lesion in the body of the right lateral ventricle, posteriorly which measures approximately 2.2 x 3.0 x 2.1 cms. This lesion follows CSF signal characteristics on all the pules sequences and represents an intraventricular cyst.

There is slight fullness of the occipital horn of the right lateral ventricle.

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

The left 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 an intraventricular cyst in the body of the right lateral ventricle, posteriorly, measuring approximately 2.2 x 3.0 x 2.1 cms.
Sunday, 27 December 2015 16:48

13703

ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzra Kalmn / M / 32 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.

OBSERVATION :

There is redution in the volume of the hippocampus on the left side. Hyperintense signal is noted within the left hippocampus on the T2 Weighted images and this would be suggestive of mesial temporal sclerosis.

The right hippocampus 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 :

The MRI features are suggestive of left mesial temporal sclerosis.
Sunday, 27 December 2015 16:48

13702

hs/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Slmn / F / 41 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O radicular pain in the LUE and LLE since 8 months.

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.

4 mm thick T2 Weighted coronal images with fat saturation.

OBSERVATION :

There are multiple serpingeneous signal voids at the C1/C2 level, just to the left and lateral to the thecal sac and in the left paraspinal soft tissues. This may represent a vascular malformation.

The cervical intervertebral discs show loss of water content.

The cervical vertebral bodies show normal signal intensity. 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 multiple vessels at the C1/C2 level, just to the left and lateral to the thecal sac and in the left paraspinal soft tissues and this may represent a vascular malformation.

Sunday, 27 December 2015 16:48

13701

ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzesh I. Dlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzdakia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 15 days.

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 retroplacement of the L5 over the S1 vertebra. A small posterior disc herniation with peridiscal osteophyte is seen at the L5-S1 level with mild indentation upon the S1 nerve roots.

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

There is mild forward subluxation of the L1 over the L2 vertebral body. An anterior transepiphysial disc herniation is seen in the antero-superior portion of the L2 vertebral body. The lumbar intervertebral discs show loss water content.

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 S2 level.



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

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

IMPRESSION :

The MRI features are suggestive of :

1. Slight retroplacement of the L5 over the S1 vertebra.

2. A small posterior disc herniation with peridiscal osteophyte at the L5-S1 level with mild indentation upon the S1 nerve roots.

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


Sunday, 27 December 2015 16:48

13700

sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzalmn / M / 35 yrs.
Referred by : Dr. Abc Xyzlkaka.
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.

OBSERVATION :

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

The hippocampal complex is unremarkable on either side.

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.

There is a hypointense signal on all the pulse sequences in the sphenoid sinus on the right, which most likely represents an unpneumatised segment of the sphenoid sinus.

IMPRESSION :

Normal study of the Brain.
Sunday, 27 December 2015 16:48

13699

ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzi Basulmn / F / 53 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O headaches and watering of the eyes 2 years back.
C/O deviation of the left eye medially with loss of vision on the left side and diminished vision on the right side since 2 years.

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 and STIR coronal images.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

The left eye ball is deviated medially, with slight medial rotation of the right eyeball.

The antero-posterior dimension of both the eyeballs appears larger as compared to normal and this can be seen with patients of myopia.

The optic nerves show normal signal intensity on the STIR images on either side.

There is no focal area of altered signal intensity in the brain parenchyma. The cavernous sinuses, sella and suprasellar cistern are 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 left maxillary sinusitis.
..2/.







IMPRESSION :

The MRI features are suggestive of :

1. Deviation of the left eye ball medially with slight medial rotation of the right eyeball.

2. Larger antero-posterior dimension of both the eyeballs and this can be seen with patients of myopia.

3. No intracranial abnormality is detected on this study.
Sunday, 27 December 2015 16:48

13698

ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzustafa Anlmn / M / 74 yrs.
Referred by : Dr. Abc Xyzsari.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since since 2 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 a small posterior disc bulge at the L4-L5 level with anterior indentation of the thecal sac. The L3-L4 and L4-L5 intervertebral discs show slight loss of water content.

Type II degenerative marrow changes are noted in the L4 and L5 vertebral bodies adjacent to the L3-L4 and L4-L5 intervertebral discs. A focal fatty change is seen in the L2 vertebral body.

The left facet joint at the L5-S1 level shows mild degenerative changes.

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 level and the thecal sac terminates at the S1 level.
Scan-00008

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

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

IMPRESSION :

No significant abnormality is detected on this study.
Sunday, 27 December 2015 16:48

13697

ke/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzBamulmn / M / 50 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias.
H/O L3-L4-L5 laminectomy done in 0000.

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 evidence of L3-L4-L5 laminectomy. There are post-operative changes in the posterior soft tissues over the L3 to S1 levels. Mild retroplacement of the L3 over the L4 vertebral bodies is noted.

A posterior and a right postero-lateral disc herniation is seen at the L3-L4 level with antero-lateral indentation of the thecal sac. A portion of the disc is seen to migrate inferiorly in the right lateral recess of the L4 vertebral body with impingement of the right L4 nerve root. The L3-L4 disc shows loss of water content.

A right postero-lateral disc bulge is seen at the L2-L3 level with right neural foraminal narrowing.

Small postero-central protruded disc is noted at the L1-L2 level.

Anterior disc herniation is seen at the L2-L3 level with Type I degenerative marrow changes in the L2 and L3 vertebral bodies.
..2/.







The rest of the lumbar 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 intrathecal nerve roots appear 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 :

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

A probable left cortical renal cyst is noted.

IMPRESSION :

1. Post-operative status.

2. A posterior and a right postero-lateral disc herniation at the L3-L4 level with a portion of the disc seen to migrate inferiorly in the right lateral recess of the L4 vertebral body with impingement of the right L4 nerve root.

3. A right postero-lateral disc bulge at the L2-L3 level.

4. Small postero-central protruded disc at the L1-L2 level.