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Sunday, 27 December 2015 16:48

13529

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Jhalmn / M / 57 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches and twitching of the left eye since 1 year.
Known 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.

Limited 3D TOF MRA sequence source images was obtained through the region of interest.

MR cisternogram was obtained in the coronal plane through the IAM.


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 slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. There is no shift of the midline structures.

A vascular loop is seen to indent the root exit zone of the seventh cranial nerve on the left without deforming the same. The seventh and eighth cranial nerve complex per se are otherwise unremarkable.
Scan-00009



Inflammatory changes are noted in the sphenoid sinus on the right side.

IMPRESSION :

A vascular loop indenting the root exit zone of the seventh cranial nerve on the left side.

No significant abnormality is detected in the brain parenchyma per se on this study.

Sunday, 27 December 2015 16:48

13528

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzn Sullmn / M / 3 yrs.
Referred by : Dr. Abc Xyzthi.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

Alleged H/O RTA on 00.00.00 with traumatic paraplegia and amputation of the left arm.

EXAMINATION :

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

3 mm thick T1 Weighted and T2 Weighted sagittal images.

7 mm thick T1 Weighted and T2 Weighted axial images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is thinning of the lower dorsal spinal cord from the D10 vertebral body upto the conus medullaris. It is difficult to appreciate the signal characteristics of the lower dorsal spinal cord on this study. There is no cord compression.

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 upper dorsal spinal cord reveals normal signal intensity.

IMPRESSION :

The MRI features suggest atrophy of the lower dorsal spinal cord from the D10 vertebral body upto the tip of the conus. No compressive pathology is identified.




Sunday, 27 December 2015 16:48

13527

sb/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzGlmn / F / 35 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella & Perisellar Region.

CLINICAL PROFILE :

C/O giddiness and headaches (off & on) since 2 years and galactorrhea since 4 years.

EXAMINATION :

M.R.I of the sella and perisellar region was performed using the following parameters :

3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted and T2 Weighted sagittal images.
The brain was screened with 5 mm thick T2 Weighted axial images.

OBSERVATION :

The pituitary gland is normal in its size, contour and location and reveals normal signal intensity. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable.

The suprasellar region and cavernous sinuses are unremarkable on either side.

T2 Weighted axial images of the brain do not reveal any significant feature of note.

Inflammatory changes are noted in the maxillary sinuses bilaterally.

IMPRESSION :

Normal unenhanced study of the sella and perisellar region.

If a pituitary microadenoma is strongly suspected a contrast enhanced scan may be worthwhile.




Sunday, 27 December 2015 16:48

13526

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Qurlmn / F / 23 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the RUE with numbness since 4 years.
Alleged H/O fall prior to this.

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 lower medulla, cervical and upper dorsal spinal cords are increased in diameter.

There is seen an ill-marginated, intermediate signal intensity mass lesion on the T1 Weighted images in the cervical spinal cord, extending over the C2 to C6 vertebral levels. This lesion appears heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images. A similar signal intensity intramedullary lesion is noted at the D2 and D3 vertebral levels. Effacement of the CSF space in the cervical region is noted.

CSF signal intensity lesion on all the pulse sequences is noted in the distal medulla and the cervico-medullary junction and within the cervical spinal cord at the C7 and D1, D4 and D5 vertebral levels. These lesions may represent tumor related cysts/syrinx.



The inferior margin of the above described lesion, including the tumor related cyst is at the D5 vertebral level.

There is slight loss of water content of the C2-C3 to C5-C6 intervertebral discs.

Minimal posterior disc bulges are noted at the C4-C5 and C5-C6 levels.

IMPRESSION :

A heterogeneous signal intensity, intramedullary mass lesion extending from the distal medulla upto the D5 vertebral level, is not specific for a single etiology. This most likely represents an intramedullary neoplasm like an astrocytoma or an ependymoma.

The possibility of an infective/inflammatory lesion seems less likely.

A contrast enhanced scan may be worthwhile.


Sunday, 27 December 2015 16:48

13525

sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Ylmn / F / 40 yrs.
Referred by : Dr. Abc Xyzshar / Dr. Abc Xyzri.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O tingling in the LUE and LLE since May 0000.
For follow up.

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.

Limited 2D PC MR Angiogram images were obtained in the axial and coronal planes.

OBSERVATION :

There is an ill-defined, predominantly hypointense signal on the T1 Weighted images in the right high parietal cortex. This lesion appears hyperintense on the T2 Weighted and FLAIR images and represents gliotic/encephalomalacic changes, the sequelae of a previous vascular insult. Ill-defined, hyperintense signal on all pulse sequences is noted within the above described lesion, which represents extracellular methaemoglobin (subacute haemorrhage).

There is an ill-defined, hypointense signal on the T1 Weighted images along the right fronto-temporo-parietal cortex and subcortical white matter. This lesion appears hyperintense on the proton, T2 Weighted and FLAIR images. Resultant slight effacement of the sulcal spaces in these regions is noted.
scan-00005

The petrous and the cavernous segments of the right internal carotid artery show an intraluminal, hyperintense signal on all pulse sequences, instead of the normal flow-void signal. On the MRA sequences, there is non-visualization of the right internal carotid artery.

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

IMPRESSION :

1. Alterd signal in the right high parietal cortex represents gliotic/encephalomalacic changes, the sequelae of a previous vascular insult. Evidence of subacute haemorrhage is also noted.

2. Altered signal along the right fronto-temporo-parietal cortex and subcortical white matter follows the signal characteristics of a recent ischemic lesion.

3. Slow flow/thrombus in the petrous and cavernous segments of the right internal carotid artery with non-visualization of the intracranial segment of the right internal carotid artery.

As compared to the previous limited MRI dated 00.00.00 (scan no.00006), there is an increase in the extent of the lesion. There is also evidence of slow flow/thrombus in the petrous and cavernous segments of the right internal carotid artery on the present study.


Sunday, 27 December 2015 16:48

13524

sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Telmn / F / 17 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Hippocampal Region.

CLINICAL PROFILE :

C/O seizures (1st episode 2 years back and 2nd on 00.00.00).

EXAMINATION :

M.R.I of the hippocampal region was performed, as requested using the following parameters :

3 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick T2 Weighted axial images through the brain.

OBSERVATION :

There is no area of focal altered signal intensity on the T2 Weighted axial images of the brain.

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.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

13523

sb/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Manjrlmn / M / 50 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O paresthesias in all four extremities with difficulty in walking and getting up from squatting position since 6 months.

EXAMINATION :

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

5 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 the cervical intervertebral discs.

There is atlanto-dens subluxation, with the atlanto-dens interval measuring approximately 9.0 mms. Soft tissue (hypointense on the T1 Weighted dimages and hyperintense on the T2 Weighted and Fast Scan (T2 *) images) is noted in the predental space between anterior arch of the C1 vertebra and the odontoid process. Cord compression is noted at the C1-C2 level with the cervical spinal cord showing a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images at the C1-C2 level suggesting cord edema/ischemia/gliotic changes. The tip of the odontoid is hypointense on all the pulse sequences and this may represent sclerosis.





Posterior peridiscal osteophytes are noted in the cervical region indenting the dural theca anteriorly. The facet joints at the C4-C5, C5-C6 and C6-C7 levels appear hypertrophied.

Fatty marrow changes are noted in the upper cervical vertebrae.

The visualized pre and paravertebral soft tissues are unremarkable.

IMPRESSION :

1. Atlanto-dens subluxation, with the atlanto-dens interval measuring approximately 9.0 mms. There is cord compression and cord signal alteration suggesting
cord edema/ischemia/gliotic changes. The soft tissue lesion in the predental space may represent pannus and rheumatoid arthritis should be excluded.

2. Posterior peridiscal osteophytes in the cervical region.

3. Facetal hypertrophy at the C4-C5, C5-C6 and C6-C7 levels.



Sunday, 27 December 2015 16:48

13522

sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzhlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzaikh.
Examination : M.R.I. of the Brain with Sella & Perisellar region.

CLINICAL PROFILE :

C/O headaches with hypogonadism.

EXAMINATION :

M.R.I of the brain with sella and perisellar region 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 T1 Weighted and T2 Weighted coronal 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.

The pituitary gland is normal in its size, contour and location and reveals normal signal intensity. The anterior pituitary gland measures approximately 5.0 mms in its height. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable.



The cavernous sinus and the suprasellar cisterns are unremarkable.

IMPRESSION :

Normal unenhanced study of the brain, sella and perisellar region.

Sunday, 27 December 2015 16:48

13521

sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzr Shlmn / F / 30 yrs.
Resferred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 3 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 sacralization of the L5 vertebra and the L4 vertebral body is as marked on the film.

There is Grade I spondylolisthesis of the L4 over the L5 vertebra with spondylolysis at L4 bilaterally (scans 102.2, 102.6). A resultant small pseudo-posterior disc bulge is noted 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 D12-L1 level and the thecal sac terminates at the S1 level.



- 2 - scan-00001


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

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

IMPRESSION :

1. Sacralization of the L5 vertebra.

2. Grade I spondylolisthesis of the L4 over the L5 vertebra with spondylolysis at L4 bilaterally.

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


Sunday, 27 December 2015 16:48

13520

sb/bv/rg/nl
Date : 00.00.00

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

CLINICAL PROFILE :

C/O tremors in BUE (right more than left) sine 2 years.
H/O abdominal kochs 1 year back. Received. AKT.

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.

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 slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

No significant abnormality is detected on this study.