sb/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Furniturelmn / F / 69 yrs.
Referred by : Dr. Abc Xyz. Modi.
Examination : M.R.I. of the Right Shoulder Joint.

CLINICAL PROFILE :

C/O pain in the right shoulder joint since 1 month.

EXAMINATION :

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

4 mm thick T1 Weighted sagittal images.

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

PATIENT DID NOT CO-OPERATE FOR FURTHER EXAMINATION.

OBSERVATION :

There is irregularity of the greater tuberosity of the right humerus with marginal osteophytes. There is evidence of a complete rupture of the tendinous insertion of the supraspinatous muscle with retraction of the muscle belly. Fluid is noted in the subdeltoid and subacromial bursae. A cystic lesion which is slightly hyperintense to CSF on all the pulse sequences is noted at the junction of the head and neck of right humerus which may represent a degenerative cyst.

It is difficult to assess the glenoid labrum as the patient did not allow a complete evaluation. There is however, no obvious labral injury at the superior and inferior glenoid rims.








The acromion process is horizontally placed and has an antero-inferior hook suggesting Type III acromion process. Degeneration of the acromio-clavicular joint is noted. There is a small gleno-humeral joint effusion.

The head of the right humerus shows normal contour.

The articular cartilage of the head of the right humerus appears normal.

IMPRESSION :

The MRI features suggest a complete tear of the supraspinatous muscle of the right shoulder joint at its tendinous insertion with irregularity of the greater tuberosity of the right humerus. These changes are most likely degenerative in etiology. Type III acromion process is noted with degeneration of the acromio- clavicular joint. A degenerative cyst is noted in the head/neck of the right humerus.

sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzl T. Shlmn / M / 32 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Lower Neck & Chest-Wall.
CLINICAL PROFILE :
C/O gradually progressive swelling in the left axilla since 1 month with inability to lift the LUE.
EXAMINATION :
M.R.I. of the lower neck and chest-wall was performed using the following parameters:
7 mm thick T1 Weighted and T2 Weighted axial images.8 mm thick T1 Weighted and STIR coronal images.OBSERVATION :

There is seen a fairly large, intermediate signal intensity mass lesion on the T1 Weighted images along the left lateral chest wall. This lesion appears heterogeneously hyperintense on the T2 Weighted images. Extension of this lesion into the lower neck on the left, axilla and into the proximal left arm is noted. The pectoralis muscle along the anterior chest-wall is displaced by the lesion. The trapezius, latissimus dorsi and the serratus anterior muscles are displaced posteriorly and laterally respectively. The scapula is displaced postero-laterally and the left arm and shoulder girdle are displaced laterally. In the proximal left arm, the lesion is noted between the biceps and the triceps muscles, along the posterior margin of the humerus. In the axilla, the lesion is probably exposed to the exterior with loss of overlying subcutaneous fat. The fat planes between the mass lesion and the visualized muscles is well demarcated. No obvious involvement of the muscles per se is noted.
Scan-00000


At the root of the neck on the left side, the lesion is seen to encase the left subclavian artery. The left subclavian artery is encased along its course upto the proximal left arm. The left carotid sheath is displaced slightly antero-medially at the root of the neck. The left sternocleidomastoid muscles is also displaced slight anteriorly. Enlarged lymph nodes are noted, in the neck deep to the sternocleidomastoid muscles.

There is no obvious bone erosion or destruction seen. No obvious extension of the lesion through the chest wall into the left hemithorax is noted. There are no abnormally enlarged mediastinal lymph nodes identified.

It is difficult to assess metastasis into the lung parenchyma on this study.

Subcutaneous edema is noted on the skin surface overlying this lesion.
IMPRESSION :A fairly large, mass lesion along the left lateral chest-wall, extending into the lower neck on the left, left axilla and proximal left arm, medially, as described, is not specific for a single etiology. A soft tissue sarcoma is a likely possibility.

sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Nalmn / F / 45 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 5-6 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 loss of water content of the L5-S1 intervertebral disc.

There is Grade I spondylolisthesis of the L5 over the S1 vertebra with probable spondylolysis at L5 bilaterally. A resultant pseudoposterior disc bulge is noted at the L5-S1 level.

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

Slight facetal hypertrophy is noted at the L3-L4 and L4-L5 levels.

A hemangioma with fat content is seen in the L1 vertebral body.

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.

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

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

IMPRESSION :

Grade I spondylolisthesis of the L5 over the S1 vertebra with probable spondylolysis at L5 bilaterally with a pseudoposterior disc bulge at the L5-S1 level.

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzKlmn / F / 36 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain, vertigo and paresthesias in BUE since 1 year.

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.
FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

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

The upper cervical intervertebral discs show loss of water content.

The cervical vertebral bodies and the remaining intervertebral discs 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.

There are enlarged lymphnodes in the upper deep cervical region.

IMPRESSION :

No significant abnormality is detected on this study.

ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzD. Hlmn / M / 22 yrs.
Referred by : Dr. Abc Xyzshar.
Examination : M.R.I. of the Brain.
(Post-contrast study).

CLINICAL PROFILE :

C/O change in voice.
H/O Pulmonary kochs 1 year ago. Received AKT for 8 months.

EXAMINATION :

M.R.I. of the brain was performed after administration of contrast using the following parameters :

5 mm thick T1 Weighted axial images and 3 mm thick T1 Weighted coronal images with magnetization transfer.

4 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is thickening of the tectum with obliteration of the aqueduct. There is resultant dilatation of both the lateral and the third ventricles. There is thinning of the corpus callosum.

A small area of disc like enhancement is seen in the right cerebral peduncle, which may represent, ? hamartoma, ?? abnormal myelination, ?? neoplasia.

Suspicious thickening of the optic chiasma on the right and proximal right optic nerve is noted without enhancement.

There is fairly homogeneous enhancement of the dumbbell-shaped tumor in the right lateral epidural space extending into the soft tissues via the C2-C3 neural foramen.

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

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzKlmn / F / 36 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches in the occipital region since 1 year.
Also C/O neck pain with vertigo with paresthesias in BUE since 1 year.
Known hypertensive. On Rx.

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 no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

Normal study of the Brain.

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / M / 31 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 10 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.

SOME T1 AXIAL IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film.

There is a postero-central disc herniation at the L4-L5 level with posterior peridiscal osteophytes. Inferior migration of the disc is noted. This intervertebral disc shows loss of water content. The L4-L5 facet joints show mild degenerative changes. There is mild posterior displacement of the left L5 nerve root.

A small posterior disc bulge is noted at the L3-L4 level.

Type II degenerative changes are noted in the L4 and L5 vertebrae adjacent to the L4-L5 intervertebral disc.





An area of fat deposition is also noted in the S2 vertebral body.

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 D12 level and the thecal sac terminates at the L5 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
14.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebra.

2. A postero-central disc herniation at the L4-L5 level with posterior peridiscal osteophytes.

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzNavlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 5-6 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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is reduction in the volume of the right hippocampal head and proximal body (scans 106.10, 106.11). This region shows increased signal on the T2 Weighted images (scans 107.10, 107.11).

Dilated perivascular spaces are seen in the lentiform nucleii and cerebral peduncles.

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 polyp.

IMPRESSION :

The MRI features are suggestive of right hippocampal sclerosis.

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzn V. lmn / F / 83 yrs.
Referred by : Dr. Abc Xyzatt / Dr. Abc Xyzhah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures on 00.00.00 with ? left hemiparesis.
H/O being operated on 00.00.00 for removal of total knee replacement done 7 years back (infected).

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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There are hyperintense areas in the right high posterior parietal region on the proton, T2 Weighted and FLAIR images. These are hypointense to the white matter on the T1 Weighted images and would represent a recent infarct (scans 109.2-109.4, 105.14-105.16, 104.14-104.16).

Ischemic changes are also seen in the periventricular deep white matter and the frontal deep white matter.

There is fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is prominence of the cerebral cortical sulci bilaterally. 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 :

1. A recent infarct in the right high posterior parietal region.

2. Mild cerebral atrophy.

ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzSajlmn / M / 28 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O radicular pain in the LLE with paresthesias since 6 years.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

6 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There are mild degenerative changes with ligamentum flavum/capsular ligament hypertrophy at the D5-D6, D6-D7 and D8-D9 levels on the right.

The mid-dorsal intervertebral discs show loss of water content.

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

The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L1 level.








The cervico-dorsal and lumbo-sacral spines were screened with 4 mm thick T1 Weighted sagittal images which show a small posterior disc bulge at the C7-D1 level. Small posterior disc bulges are noted at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.

IMPRESSION :

Ligamentum flavum/capsular ligament hypertrophy at the D5-D6, D6-D7 and D8-D9 levels on the right.

No other significant abnormality is detected on this study.