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Sunday, 27 December 2015 16:48

13652

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzYasin Anlmn / M / 60 yrs.
Referred by : Dr. Abc Xyz Raval.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache since 4 months which has increased since 15 days.

EXAMINATION :

M.R.I of the dorsal 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 collapse of the D8 vertebral body. The normal marrow of the D7 and D8 vertebral bodies is replaced by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The pedicles of these vertebrae are also involved by this pathology.
There is bulging of the vertebral bodies in the paravertebral soft tissues. Small anterior epidural extension is seen at the D8 vertebral level. There is destruction of the inferior cortical endplate of D7 and the superior cortical endplate of D8 with involvement of the D7-D8 intervertebral disc. The intranuclear cleft is not well visualized.

Subtle hyperintense signal is also noted in the D5 vertebral body on the left side on the T2 Weighted images.

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

The visualized dorsal spinal cord reveals normal signal intensity.


The conus medullaris terminates at the L1 level.

The lumbar and cervical spines were screened with T1 Weighted sagittal images and which do not reveal any significant feature of note.

IMPRESSION :

The MRI features are suggestive of altered signal of the D5, D7 and D8 vertebral bodies with involvement of their pedicles and intervening D7-D8 disc with extensions as described is not specific for a single etiology. The differential diagnosis may include,

1. Infective process like tuberculosis (most likely).

2. Neoplasia like small cell tumors (eg. myeloma) or metastasis (less likely).


Sunday, 27 December 2015 16:48

13651

ke/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzumar lmn / M / 46 yrs.
Referred by : Dr. Abc Xyzra.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O sudden onset of pain in the LLE since 1 month.

EXAMINATION :

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

5 mm thick T1 Weighted and STIR coronal images.

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

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is fluid (hypointense on the T1 Weighted images and hyperintense on the T2 Weighted and STIR images) within the left hip joint.

The femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within the right hip joint.

The musculature surrounding both the hip joints and the visualized pelvis is normal.

IMPRESSION :

The MRI features are suggestive of fluid within the left hip joint (? synovial thickening).



Sunday, 27 December 2015 16:48

13650

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzBlmn / F / 23 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE with paresthesias since 1 year.

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.

MOTION ARTIFACTS ARE NOTED.

OBSERVATION :

There is minimal forward translation of the L5 vertebra over the S1 vertebra with probable spondylolysis of the L5 vertebra. (Kindly correlate with plain radiographs). A minimal posterior disc bulge with peridiscal osteophytes is noted at the L5-S1 level.

A mild posterior disc bulge is seen at the L4-L5 level.

The lumbar vertebral bodies and the 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 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
14.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. Minimal forward translation of the L5 vertebra over the S1 vertebra with probable spondylolysis of the L5 vertebra. (Kindly correlate with plain radiographs).

2. Minimal posterior disc bulge with peridiscal osteophytes at the L5-S1 level.


Sunday, 27 December 2015 16:48

13649

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xylmn / M / 65 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided hemiparesis with dysarthria since 1 month.
Known diabetic/hypertensive.

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.

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 is seen a fairly large, well marginated, iso to hypointense (as compared to normal white matter), extraaxial mass lesion along the left fronto-parietal convexity. This lesion appears relatively hypointense on the T2 Weighted images. Resultant sulcal space effacement is noted, with mild perilesional edema in the underlying brain parenchyma and compression and inferior displacement of the body of the left lateral ventricle. This lesion is well demarcated from the underlying brain parenchyma by a CSF cleft. Linear flow-voids at the periphery of this lesion most likely represents blood vessels. This lesion appears dural based.



After contrast administration, there is uniform enhancement of the above described lesion, as well as the overlying dura. A dural tail is well identified. The lesion is seen to measure approximately 4.2 x 8.7 x 3.2

An ill-defined, hyperintense signal on the T2 Weighted and FLAIR images in the left paraatrial region may represent an ischemic lesion.

Prominent perivascular spaces are noted in the brain parenchyma on either side.

The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is minimal shift of the midline structures to the right. No obvious vascular anomaly is identified on this study.

The cerebellar folia appear prominent.

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

Inflammatory changes are noted in the right maxillary antrum.

IMPRESSION :

A fairly large, extraaxial, approximately 4.2 x 8.7 x 3.2 cms sized uniformly enhancing mass lesion along the left fronto-parietal convexity as described, most likely represents a meningioma.



Sunday, 27 December 2015 16:48

13648

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzv Chaudlmn / M / 47 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain with weakness and paresthesias in BLE.

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 an ill-defined, hyperintense signal on the Fast Scan (T2 *) images in the cervical spinal cord, posteriorly, extending from the cervico-medullary junction upto the C7 vertebral level. This lesion appears isointense to normal cord on the T1 Weighted images.

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

Minimal posterior disc bulges are noted at the C4-C5, C5-C6 and C6-C7 levels. Small posterior peridiscal osteophytes are noted at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.

The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

There is no cord compression.






The atlanto-axial region is unremarkable.

IMPRESSION :

Altered signal in the cervical spinal cord, posteriorly, extending from the cervico-medullary junction upto the C7 vertebral level as described is not specific for a single etiology. Demyelination is a likely possibility. Subacute combined degeneration of the cord should be ruled out, in view of location of the lesion in the posterior columns.

Sunday, 27 December 2015 16:48

13647

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzed lmn / M / 16 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O abnormal movements of both hands (right more than left).
Alleged H/O fall 1 year 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.

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

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is no focal area of altered signal intensity in 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. No obvious vascular anomaly is identified on this study.

IMPRESSION :

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

13646

sb/hs/nl/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzsham Saif Sullmn / F / 3 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with difficulty in walking.
? C/O cerebral palsy.

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 a small bright focus on the proton and T2 Weighted images in the left corona radiata which may represent a prominent perivascular space/lacune.

There is mild fullness of the frontal horns and bodies of the lateral ventricles bilaterally. The third and fourth ventricles are normal. There is thinning of the corpus callosum.

The hippocampal complex is unremarkable on either side.

The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.







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

IMPRESSION :

The MRI features are suggestive of :

1. Altered signal in the left corona radiata may represent a prominent perivascular space/lacune.

2. Thinning of the corpus callosum.


Sunday, 27 December 2015 16:48

13645

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzindranath Kalmn / M / 11 mnths.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O delayed milestones with birth asphyxia.

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 T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is no focal area of abnormal signal intensity in the brain parenchyma. The myelination pattern is 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.

IMPRESSION :

No abnormality is detected within the Brain on this study.




Sunday, 27 December 2015 16:48

13644

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzDhlmn / F / 43 yrs.
Referred by : Dr. Abc Xyzthak.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE since 3 months which has increased since 2 months.
Alleged H/O fall prior to this.
C/O occasional giddiness since 3 months.

EXAMINATION :

M.R.I of the cervico-dorsal 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.

The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images.

The brain was scanned with 5 mm thick T1 Weighted sagittal images and 5 mm thick T2 Weighted axial images.

OBSERVATION :

The visualized cervico-dorsal vertebral bodies and intervertebral discs show normal signal intensity.

The visualized cervico-dorsal spinal cord appears slightly smaller in diameter, without change in signal intensity. There is no cord compression.

The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
Scan-00004


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

Screening images of the lumbar spine do not reveal any significant feature of note.

Screening images of the brain reveal no abnormal signal in the brain parenchyma. The ventricular system is unremarkable. There is no midline shift.

The pituitary gland shows a convex superior margin.

IMPRESSION :

1. Slightly small calibre of the visualized cervico-dorsal spinal cord without change in the signal intensity, (of ? etiology/? significance).

2. No other significant abnormality is detected on this study.



Sunday, 27 December 2015 16:48

13643

sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzh Jawalmn / M / 24 yrs.
Referred by : Dr. Abc Xyz. Rana.
Examination : MR Venogram of the Left Lower Extremity.

CLINICAL PROFILE :

C/O swelling over the LLE since 5-6 years.

EXAMINATION :

The pelvis and both thighs were screened with 12 mm thick T2 Weighted (with fat saturation) axial images.

MR Venogram of the LLE was performed using 2D TOF sequence in the axial plane.

OBSERVATION :

There is no focal mass lesion identified in the visualized pelvis.

The visualized muscles of both thighs appear unremarkable.

There is increase in diameter of the left calf when compared to the right. This increase in diameter is due to increase in the bulk of subcutaneous tissues which appear hyperintense on the T2 Weighted images. The muscles of the left calf show normal signal intensity and appear normal in bulk.

MR venogram of the LLE reveals a slightly increased diameter of the left femoral and popliteal veins when compared to the right side. The left iliac veins are unremarkable. The visualized superfical and deep venous system of the left calf also appears slightly prominent, when compared to the right. Additional tributaries are noted on the left side emptying into the femoral vein and could be normal variant.

IMPRESSION :

Increase in the bulk of the subcutaneous tissue of the left calf may be consistent with lymphedema. Slight prominence of the superficial and deep veins of the left calf and the deep veins of the left thigh is noted. No obvious mass lesion is identified in the visualized pelvis or in the muscles of the LLE.