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Sunday, 27 December 2015 16:48

13498

ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzinh Manglmn / M / 45 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Right Ankle & Foot.

CLINICAL PROFILE :

Twisted right ankle 2 1/2 months back with pain since then.

EXAMINATION :

M.R.I. of the right ankle and foot was performed using the following parameters :

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

4 mm thick T1 Weighted and STIR coronal images.

4 mm thick T1 Weighted and GRASS sagittal images.

OBSERVATION :

There are ill-defined, hypointense areas replacing the normal marrow on the T1 Weighted images in the talor dome. These are seen to turn hyperintense on the T2 Weighted, STIR and the Gradient images. No cortical erosion is seen. Fluid is noted anterior to the talus. The ankle mortice per se is unremarkable.

The rest of the visualized bones show normal configuration and signal intensity. No obvious bone destruction or erosion is evident.

The visualized tendons and ligament show normal signal intensity. The visualized soft tissues are unremarkable.
scan-00008



IMPRESSION :

The MRI features are suggestive of altered signal within the talus and is most probably due to an infective process like tuberculosis.

The possibility of a post-traumatic etiology is less likely.

Sunday, 27 December 2015 16:48

13497

sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzi Mlmn / F / 35 yrs.
Referred by : Dr. Abc Xyzdi / Dr. Abc Xyzah. Examination : M.R.Cholangiogram.
CLINICAL PROFILE :
H/O open cholecystectomy done 3 years back for Gall stones. C/O abdominal pain since 12 days with vomiting (1 episode 10 days back).
EXAMINATION :
MR Cholangiogram was performed.
The abdomen was screened with 7 mm thick T1 Weighted and T2 Weighted axial images. 7 mm thick T2 Weighted coronal images.OBSERVATION :

The liver is normal in size, shape and position. There is no local or diffuse area of altered signal intensity. The intrahepatic venous architecture is normal.Both the visualized kidneys, pancreas, adrenals and spleen are normal in size and shape.The gall bladder is not visualized, the result of previous cholecystectomy.

The MRCP reveals mild dilatation of the common bile duct (which measures approximately 1.2 cms in its maximum dimension) and the right and left hepatic ducts. There is tapering of the common bile duct in its distal portion towards the ampulla ? soft structure. No obvious intrinsic lesion is noted in the visualized biliary tree. The visualized proximal pancreatic duct appears normal.


IMPRESSION :

1. Post-cholecystectomy status.

2. Mild dilatation of the common bile duct and the right and left hepatic ducts as described could be due to a soft structure.


Sunday, 27 December 2015 16:48

13496

sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzh Plmn / M / 22 yrs.
Referred by : Dr. Abc Xyzra.
Examination : M.R.I. of the Left Wrist.

CLINICAL PROFILE :

C/O pain in the left wrist.
H/O fall with entire weight of the body falling on the left wrist 2 months back.
H/O pulmonary kochs since 6 months. On AKT since then.

EXAMINATION :

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

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

3 mm thick T1 Weighted and GRASS coronal images.

3 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are small, subcentimeter hypointense lesions on all the pulse sequences in the trapezoid carpal bone, on all the pulse sequences which may represent bone islands. Very small cystic lesions are also noted.

The rest of the carpal bones show normal signal intensity and alignment. There is no bone erosion or destruction seen. The radiocarpal, intercarpal and carpo-metacarpal joints are unremarkable.








Minimal fluid is noted in the region of the scaphoid-trapezium bones, deep to the tendon of the extensor carpi radialis longus muscle and also deep to the dorsal capsule.

IMPRESSION :

Minimal fluid deep to the tendon of the extensor carpi radialis longus muscle and the dorsal capsule.

No other significant abnormality is detected on this study.

Sunday, 27 December 2015 16:48

13495

ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Ralmn / M / 56 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O vehicular accident on 00.00.00 with weakness of the LUE and LLE with slurred speech since then.

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.

After administration of contrast, the following parameters were used :

5 mm thick T1 Weighted axial, sagittal and coronal images.

FEW OF THE IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is a large, ill-defined hypointense area having its epicentre in the right lentiform nucleus on the T1 Weighted images. This is seen to involve the gyri of the insular cortex. Anteriorly the gyri along the parafalcine frontal region bilaterally are also involved. Medially the head of the caudtae nucleus is involved. There is inferior extension into the medial aspect of both the temporal lobes with uncal herniation on the right side and indentation upon the right cerebral peduncle. Hypointense areas are also noted on the T1 Weighted images within
Scan-00005


the thalami bilaterally and the right subthalamus. There is mass effect with effacement of the adjacent sulci, right Sylvian fissure and the quadrigeminal cistern on the right side. There is compression upon the body of the right lateral and the third ventricles with shift of the midline structures to the left. Also seen is involvement of the left temporal lobe. Few areas which are hypointense on the T1 Weighted and STIR images are seen within this lesion on the right side and these may represent cystic/necrotic changes.

After administration of contrast, there is slight enhancement of this lesion in the region of the right uncus.

The fourth ventricle is normal.

IMPRESSION :

The MRI features are suggestive of a lesion involving both cerebral hemispheres as described and most likely represents a neoplastic process like a glial cell tumor ? gliomatosis cerebri
or lymphoma (?? encephalitis).



Sunday, 27 December 2015 16:48

13494

ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzKaplmn / M / 65 yrs.
Referred by : Dr. Abc Xyzesai.
Examination : M.R.I. of the Left Shoulder.

CLINICAL PROFILE :

C/O pain in the left shoulder since 6 months.

EXAMINATION :

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

4 mm thick T1 Weighted and GRASS axial images.

4 mm thick T1 Weighted sagittal images.

4 mm thick T1 Weighted, Proton and T2 Weighted coronal images.

OBSERVATION :

There is irregularity of the humeral head and of the articular surface of the glenoid with irregularity of the articular cartilage. The subchondral bone in the glenoid shows hypointense areas on all the pulse sequences and this may represent sclerosis. Also seen is synovial thickening (? fibrosed). The anterior and inferior glenoid labrum is frayed. Also seen is slight fraying of the superior and posterior glenoid labrum.

The upper shaft of the left humerus show normal signal intensity. The visualized scapula appears normal. The biceps tendon in the biciptical groove shows normal signal intensity.








The tendinous insertion of the supraspinatus muscle shows normal signal intensity. There is no evidence of fluid in the subdeltoid bursa. There is no evidence of a tear of the supraspinatus muscle. The soft tissues around the left shoulder joint are unremarkable.

The acromio-clavicular joint shows osteophytes along its superior margin.

The visualized axilla is unremarkable.

IMPRESSION :

The MRI features are suggestive of osteoarthritis of the left shoulder joint as described.



Sunday, 27 December 2015 16:48

13493

hs/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Selmn / F / 43 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with radiation of pain to BLE (left more than right) since 4 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 mild posterior disc bulge at the L5-S1 level. The L5-S1 facet joints show degenerative changes.

The L2-L3 intervertebral disc is decreased in height and shows loss of water content.

Schmorls nodes are seen at the antero-superior aspect of the L3 and L4 vertebral bodies.

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 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
16.0 mm at L3-L4
16.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A mild posterior disc bulge at the L5-S1 level.

2. Facetal arthropathy at the L5-S1 level.

Sunday, 27 December 2015 16:48

13492

hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Khlmn / M / 47 yrs.
Referred by : Dr. Abc Xyzani.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

H/O fall from a height 20 years back with swelling (off and on) of the right arm since then.

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 normal cervical lordosis.

Posterior disc bulges with peridiscal osteophytes are seen to indent the thecal sac at the C5-C6 and C6-C7 levels. The joints of Luschka at the C6-C7 level show mild degenerative changes with mild bilateral neural foraminal narrowing.

A linear hypointensity on all the pulse sequences is seen within the inferior aspect of the C5 vertebral body and may represent compressed trabeculae. Hypointense areas on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen within this vertebral body and this may represent bone edema.

Type II/III degenerative changes are seen within the cervical vertebral bodies.





Mild posterior disc bulges are noted at the C3-C4 and C4-C5 levels. Small posterior peridiscal osteophytes are noted at the C2-C3 level.

Anterior disc herniations with peridiscal osteophytes are seen at the C5-C6 and C6-C7 levels. The cervical intervertebral discs show loss of water content.

The remaining 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 :

1. Posterior disc bulges with peridiscal osteophytes at the C5-C6 and C6-C7 levels.

2. Mild posterior disc bulges at the C3-C4 and C4-C5 levels.

Sunday, 27 December 2015 16:48

13490

hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Jaigalmn / M / 24 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 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.

Inflammatory changes are seen within the mastoid air cells on the right side.

IMPRESSION :

No abnormality is detected within the brain on this study.

Sunday, 27 December 2015 16:48

13489

hs/ke/nl/nl
/91 Date : 00.00.00

Name of the Patient : Abc XyzGonsalmn / F / 15 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O headaches and giddiness.

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.

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.
- 2 - Scan-00009/91



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

13488

hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzuqeem Anlmn / M / 36 yrs.
Referred by : Dr. Abc Xyzsari.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE 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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is mild retroplacement of the L5 over the S1 vertebrae.

A large postero-central disc extrusion, more to the right of the midline is seen at the L5-S1 level. A disc portion is seen to lie within the right lateral recess of the S1 vertebra with impingement of the traversing right S1 nerve root. This intervertebral disc is decreased in height and shows loss of water content.

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

The L5-S1 facet joints show hypertrophic degenerative changes. The L3-L4 and L4-L5 facet joints show mild degenerative changes.






A Schmorls node is seen at the superior aspect of the L3 vertebral body.

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.

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
13.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A large postero-central disc extrusion, more to the right of the midline at the L5-S1 level with a disc portion seen to lie within the right lateral recess of the S1 vertebra with impingement of the traversing right S1 nerve root.

2. Hypertrophic facetal arthropathy at the L5-S1 level.

3. Mild facetal arthropathy at the L3-L4 and L4-L5 levels.