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Sunday, 27 December 2015 16:48

13423

ke/sb/nl/rg.
Date : 00.00.00

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

CLINICAL PROFILE :

C/O seizures since 1 1/2 months.

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 and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a large, ill-defined hypointense area in the left occipital lobe which follows CSF signal intensity characteristics on all the pulse sequences. Hyperintense areas are noted at the periphery of this lesion on the proton, T2 Weighted and FLAIR images which are hypointense to the normal white matter on the T1 Weighted images and are suggestive of gliosis. There is dilatation of the occipital horn of the left lateral ventricle and this lesion would represent an area of cystic encephalomalacia. A large lesion which is slightly hyperintense on the T1 Weighted images is seen within the above mentioned lesion which measures approximately 2.8 x 1.0 x 2.1 mms and is seen to bloom on the proton, T2 Weighted and Fast Scan (T2 *) images and represents a large area of calcification.

The right 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 enlarged adenoids.

IMPRESSION :

An area of cystic encephalomalacia in the left occipital lobe with a large area of calcification measuring approximately 2.8 x 1.0 x 2.1 mms within it.

Sunday, 27 December 2015 16:48

13422

ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyznalmn / F / 80 yrs.
Referred by : Dr. Abc Xyzatil.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O severe vertigo since 10-12 days.
Known hypertensive.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

There are ill-defined, hyperintense areas in the periatrial deep white matter and posterior parietal periventricular white matter bilaterally, on the T2 Weighted images and are suggestive of areas of ischemia/infarction.

There is mild dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Incidental note is made of an empty sella.

INTRACRANIAL MRA :

The right vertebral artery is hypoplastic.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
..2/.





NECK MRA :

The right vertebral artery is hypoplastic.

The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.

Incidental note is made of enlarged thyroid lobes which would require further evaluation.

IMPRESSION :

1. Areas of altered signal in the periatrial deep white matter and posterior parietal periventricular white matter are suggestive of areas of ischemia/infarction.

2. Mild cerebral and cerebellar atrophy.

3. No significant abnormality is detected on the intracranial and neck MRA on this study.

4. Enlarged thyroid gland.
Sunday, 27 December 2015 16:48

13421

ke/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Trilmn / F / 48 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gait ataxia since 3 months.

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 are hyperintense areas on the proton, T2 Weighted and FLAIR images in the periatrial white matter. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.

The visualized left internal carotid artery is slightly smaller as compared to the opposite side.

There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. Slight prominence of the cerebral cortical sulci and cerebellar folia is noted. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Incidental note is made of an empty sella.

IMPRESSION :

1. Altered signal in the periatrial white matter may be ischemic in etiology.

2. Mild cerebral and cerebellar atrophy.

Sunday, 27 December 2015 16:48

13420

ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzen Blmn / F / 61 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE 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.

OBSERVATION :

There is slight forward translation of the L4 over the L5 vertebrae and mild retroplacement of the L5 over the S1 vertebrae. There appears to be spondylolysis of the L4 vertebra bilaterally.

A diffuse posterior disc herniation is seen at the L5-S1 level with posterior peridiscal osteophytes and anterior indentation of the thecal sac. There is resultant bilateral neural foraminal narrowing. There is mild indentation upon the foraminal portion of the exiting L5 nerve roots. Mild facetal hypertrophy is noted at the L5-S1 level.

A posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and mild bilateral neural foraminal narrowing. Small posterior peridiscal osteophytes are also noted at this level. The L4-L5 facet joints show hypertrophic degenerative changes.

Bilateral far lateral (extraforaminal) disc herniations are noted at the L4-L5 and L5-S1 levels.
..2/.







Small posterior and right far lateral disc bulges are seen at the L2-L3 level. The lumbar intervertebral discs except for the L3-L4 disc show loss of water content.

Type II degenerative changes are seen in the L5 and S1 vertebrae adjacent to the L5-S1 disc.

The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L1-L2 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
18.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. Slight forward translation of the L4 over the L5 and mild retroplacement of the L5 over the S1 vertebra.

2. A diffuse posterior disc herniation at the L5-S1 level with posterior peridiscal osteophytes.

3. A posterior disc herniation at the L4-L5 level with hypertrophic facetal arthropathy at the L4-L5 level.

4. Small posterior and right far lateral disc bulges at the L2-L3 level.

5. Bilateral far lateral (extraforaminal) disc herniations at the L4-L5 and L5-S1 levels.

Sunday, 27 December 2015 16:48

13419

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Shlmn / F / 16 yrs.
Referred by : Dr. Abc Xyzonawalla.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 5-6 months with low grade fever.
ESR - 58 mms.

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 which is as marked on the film.

A small posterior disc bulge is seen at the L4-L5 level with anterior indentation of the thecal sac.

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 S1 level.
..2/.












- 2 - scan-00009


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

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

IMPRESSION :

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

13418

Date : 00.00.00

Name of the Patient : Abc XyzShlmn / M / 26 yrs.
Referred by : Dr. Abc Xyzndhi.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the LUE since 15 days.

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 are left paracentral disc herniations with posterior peridiscal osteophytes at the C4-C5 and C5-C6 levels with anterior indentation of the cord.

A posterior peridiscal osteophyte, more to the right of the midline is seen to indent the thecal sac at the C3-C4 level.

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.
Scan-00008



The visualized upper dorsal spinal cord shows normal signal intensity.

IMPRESSION :

Left paracentral disc herniations with posterior peridiscal osteophytes at the C4-C5 and C5-C6 levels.

Sunday, 27 December 2015 16:48

13417

ke/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzRaiglmn / F / 27 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures (3 episodes) since 3 months.

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 and Fast Scan (T2 *) coronal images.

After administration of contrast the following parameters were used :

4 mm thick T1 Weighted coronal images with magnetization transfer.
5 mm thick T1 Weighted axial images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a fairly large, well-defined mass lesion in the left high frontal region and which measures approximately 2.5 x 3.2 x 2.5 cms. This lesion is predominantly hypointense with few hyperintense areas within it on the T1 Weighted images. This is seen to turn hyperintense on the proton and T2 Weighted images and hypointense on the FLAIR images suggestive of its predominant cystic nature. There is surrounding edema with mass effect and effacement of the adjacent sulci. Mild indentation upon the body of the left lateral ventricle and slight straightening of the posterior part of the corpus callosum is noted. The adjacent gyri appear thick and are hypointense to normal gray matter on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images.
Scan-00007


On administration of contrast, there is faint enhancement at the periphery of the cystic component.

The right 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 a mass lesion in the left high frontal region measuring approximately 2.5 x 3.2 x 2.5 cms. and most probably represents a neoplastic process like a glial cell tumor.
Sunday, 27 December 2015 16:48

13416

ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzChalmn / F / 20 yrs.
Referred by : Dr. Abc Xyznghvi.
Examination : M.R.I. of the Paranasal Sinus.

CLINICAL PROFILE :

C/O pain in the occipital region since 3-4 days.
C/O right eye proptosis and nasal bleeding since 2-3 months.

EXAMINATION :

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

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

3 mm thick T1 Weighted and STIR coronal images.

The brain was screened with 5 mm thick T2 Weighted axial images.

OBSERVATION :

There is a large, ill-defined mass lesion having its epicentre in the right nasal cavity and in the right maxillary antrum. There is destruction of the inferior wall of the right orbit with involvement of the inferior rectus and oblique muscles. This lesion is seen to expand the right nasal cavity, ethmoidal sinuses and right maxillary antrum. There is extension into the frontal sinus and sphenoid sinus on the right side (? retained secretions/? tumor tissue). There is no obvious extension into the cranial cavity. Hyperintense areas on the T1 Weighted images within the right maxillary sinus and sphenoid and frontal sinus on the right side may represent retained secretions.

There is proptosis on the right side and globe is displaced laterally and anteriorly.

The right optic nerve shows normal signal intensity.

- 2 - scan-00006


The left orbit 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 a mass lesion having its epicentre in the right nasal cavity and in the right maxillary antrum as described. This may represent a neoplasm like a squamous cell carcinoma or small cell tumors.


Sunday, 27 December 2015 16:48

13415

ke/sb/rg.
Date : 00.00.00

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

CLINICAL PROFILE :

Known C/O kochs spine.
H/O laminectomy over the D8 to L1 levels with removal of intramedullary SOL on 00.00.00 and 00.00.00.
C/O backache radiating to the LLE with weakness of BLE since 2 months.
Received AKT.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

8 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There are post-operative changes in the dorso-lumbar region over D9 to L1 levels.

The dorsal spinal cord over the D10 and D11 levels appears atrophied. Hypointense areas are noted within the spinal cord over these levels which turn hyperintense on the T2 Weighted images and would represent gliosis/myelomalacia. No obvious mass lesion is seen in the lower dorsal spinal cord.

The dorsal vertebral bodies and the intervertebral discs reveal normal signal intensity.

The conus medullaries terminates at the L1 level.

The cervico-dorsal spine was screened with 4 mm thick T2 Weighted sagittal images. Suspicious intramedullary granuloma is still noted in the cervical cord at the C7 level.
..2/.






IMPRESSION :
In a known C/O Kochs spine the MRI features are suggestive of :1. Post-operative status.

2. Cord atrophy over the D10 and D11 levels with cord signal alteration over these levels suggestive of gliosis/myelomalacia.
As compared to the previous MRI (scan no.0000) dated 00.00.00 there is no significant change noted.
Sunday, 27 December 2015 16:48

13414

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzNlmn / M / 38 yrs.
Referred by : Dr. Abc Xyz Sane.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with tingling since 0000.
H/O fall in childhood.

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 partial sacralization of the L5 vertebra and the L3 vertebral body is as marked on the film.

A small, postero-central disc herniation with posterior peridiscal osteophytes with bilateral postero-lateral disc herniations is seen at the L4-L5 level with anterior indentation of the thecal sac. The L4-L5 facet joint on the right side shows mild degenerative changes. This intervertebral disc show loss of water content.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The remaining 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-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
18.0 mm at L2-L3
18.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

1. Partial sacralization of the L5 vertebra.

2. A small, postero-central disc herniation with posterior peridiscal osteophytes with bilateral postero-lateral disc herniations at the L4-L5 level with mild facetal arthropathy on the right side.