PROVISIONAL REPORT

Date : 00.00.00

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

CLINICAL PROFILE :

C/O left sided hemifacial spasm since 1 year.
C/O pain in the LUE and LLE since with fever 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.

3 mm thick T1 Weighted coronal images.

Limited MRA (source images) and MR Cisternogram in the coronal plane were obtained.

OBSERVATION :

There is no focal area of altered signal intensity in the brain parenchyma.

A large vascular loop is seen to deform the root exit zone of the left facial nerve.

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 large vascular loop deforming the root exit zone of the left facial nerve.

hs/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzKalmn / M / 55 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O change in voice since 15 days. H/O similar complaints 1 month back for an hour.
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.

OBSERVATION :

There are diffuse areas of hyperintensity on the proton, T2 Weighted and FLAIR images within the periventricular white matter bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology. Small foci with similar signal characteristics are noted within the pons, corona radiata and lentiform nuclei bilaterally.

Lacunar infarcts (iso to hyperintense to CSF) are seen within the pons, right thalamus and the corona radiata and lentiform nuclei bilaterally.

There is mild fullness of the third and both the lateral ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.





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

Note is made of a deviated nasal septum to the left side.

IMPRESSION :

The MRI features are suggestive of :

1. Altered signal within the periventricular white matter bilaterally, pons, corona radiata and lentiform nuclei bilaterally would represent ischemic changes.

2. Lacunar infarcts within the pons, right thalamus and the corona radiata and lentiform nuclei bilaterally.

ke/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzD. Lovallmn / M / 94 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis since 1 day.

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 are ill-defined hyperintense areas in the periventricular deep white matter on the proton, T2 Weighted and FLAIR images. These are iso to hypointense to normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

Similar smaller areas are seen in the pons and the left cerebral peduncle.

There is mild to moderate dilatation of both the lateral and third ventricles with resultant thinning of the corpus callosum. There is prominence of the cerebral cortical sulci.

The fourth ventricle is 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 :

Altered signal in the periventricular deep white matter, in the pons and left cerebral peduncle are suggestive of areas of ischemia/infarction.

sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzati Chlmn / F / 64 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O removal of teeth 3-4 years back.
C/O pain on the left side of face since 2 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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton and T2 Weighted images in the posterior parietal periventricular white matter bilaterally and in the white matter in the left frontal region. These lesions appear isointense to normal white matter on the T1 Weighted images.

There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is mild fullness of the ventricular system.

The basal cisternal spaces are unremarkable. There is no shift of the midline structures.








No obvious vascular loop is noted at the root exit zone of the seventh cranial nerve bilaterally and at the root entry zone of the trigeminal nerves on either side.

Incidentally noted is a cavum septum pellucidum and cavum vergae.

IMPRESSION :

Altered signal in the posterior parietal periventricular white matter bilaterally and in the white matter in the left frontal region most likely represents ischemic changes.

No obvious significant vascular loop is noted at the root exit zone of the seventh cranial nerve bilaterally and at the root entry zone of the trigeminal nerves on either side.

sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzana Dhalmn / F / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

H/O fall 1 month back with injury to head, vomiting and giddiness 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 and loss of water content of the cervical intervertebral discs.

Small postero-central protruded discs are noted at the C2-C3, 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.

The cervical spinal cord reveals normal signal intensity.

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









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

IMPRESSION :

Small postero-central protruded discs at the C2-C3, C5-C6 and C6-C7 levels.

No other significant abnormality is detected on this study.

sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzDlmn / M / 30 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to both shoulders since 1 1/2 months.

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.

3 mm thick T1 Weighted coronal images.

OBSERVATION :

There is scoliosis of the cervical spine with convexity to the left. Resultant clockwise rotational anomaly of the cervical vertebrae is noted.

There are congenital block C2/C3, C4/C5 and D1/D2/D3 vertebrae with intervening hypoplastic intervertebral discs. Probable hemivertebrae are noted in the upper dorsal region.

There is a posteriorly herniated disc with peridiscal osteophytes at the C3-C4 level with slight bilateral neural foraminal narrowing. Slight hypertrophy of the right facet joint is noted at the C3-C4 level.

A small posterior disc bulge is noted at the C7-D1 level.






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

The cervical spinal cord reveals normal signal intensity. There is no cord compression.

The cervico-medullary junction is unremarkable.

Screening, T2 Weighted sagittal images of the dorsal spine do not show any significant feature of note, other than the segmentation anomalies in the upper dorsal region.

IMPRESSION :

The MRI features are suggestive of :

1. Multiple segmentation anomalies of the cervical and upper dorsal vertebrae as described.

2. A posteriorly herniated with peridiscal osteophytes at the C3-C4 level.

sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzali Khilalmn / M / 75 yrs.
Referred by : Dr. Abc Xyzmpat.
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.

OBSERVATION :

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

There is a small, postero-central protruded disc with peridiscal osteophytes at the L5-S1 level. Slight facetal hypertrophy is also noted at this level.

A fairly large posteriorly herniated disc with peridiscal osteophyte is noted at the L4-L5 level with thecal sac compression. A sequestered disc fragment is noted in the right antero-lateral epidural space at the L4 vertebral level, compressing the thecal sac and the traversing right L4 nerve root. There is also facetal and ligamentum flavum hypertrophy at the L4-L5 level with canal stenosis.

There is a posterior and left postero-lateral peridiscal osteophyte at the L3-L4 level with slight left neural foraminal narrowing.


Type II degenerative marrow changes are noted adjacent to the L2-L3, L4-L5 and L5-S1 intervertebral discs. Slight irregularity of the cortical endplates adjacent to the L3-L4 and L4-L5 intervertebral discs is noted which may be due to degenerative changes.

The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the 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 :

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

Screening, T2 Weighted sagittal images of the lower cervical and dorsal spines do not reveal any significant feature of note.

IMPRESSION :

1. A small, postero-central protruded disc with peridiscal osteophytes at the L5-S1 level with slight facetal hypertrophy at this level.

2. A fairly large posteriorly herniated disc with peridiscal osteophyte at the L4-L5 level with a sequestered disc fragment in the right antero-lateral epidural space at the L4 vertebral level, compressing the traversing right L4 nerve root. There is also facetal and ligamentum flavum hypertrophy at the L4-L5 level with canal stenosis.

3. A posterior and left postero-lateral peridiscal osteophyte at the L3-L4 level.

sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyze Khamblmn / M / 44 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (left more than right with numbness since May 0000.

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.

There is loss of water content of the L1-L2, L2-L3 and L4-L5 intervertebral discs.

There is a fairly large, postero-central and left postero-lateral disc herniation at the L4-L5 level with left neural foraminal narrowing. Inferior migration of the disc fragment is noted along the posterior margin of the L5 vertebra, slightly more to the right of the midline. A sequestered disc fragment is noted in the left lateral recess of L4 and in the left neural foramen at the L4-L5 level with resultant indentation on the traversing left L4 nerve root.

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

A small postero-central disc herniation is seen at the L2-L3 level.


A postero-central protruded disc is noted at the L1-L2 level.

Slight hypertrophy of the L4-L5 facet joints is seen, bilaterally.

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-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 :

18.0 mm at L1-L2
17.0 mm at L2-L3
18.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebra.

2. A fairly large, postero-central and left postero-lateral disc herniation at the L4-L5 level with inferior migration of the disc fragment along the posterior margin of the L5 vertebra, slightly more to the right of the midline. A sequestered disc fragment is noted in the left lateral recess of L4 and in the left neural foramen at the L4-L5 level with resultant indentation on the traversing left L4 nerve root.
..3/.









- 3 - Scan-00001




3. A small postero-central disc herniation at the L2-L3 level.

4. A postero-central protruded disc at the L1-L2 level.

5. Slight facetal hypertrophy at the L4-L5 level, bilaterally.

sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Glmn / F / 60 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O deviation of mouth to the left, left sided weakness and loss of consciousness for 1 hour on 00.00.00.
Similar complaints since 25-30 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.

5 mm thick FLAIR coronal images.

OBSERVATION :

There is no focal area of altered signal intensity in the brain parenchyma.

Prominent perivascular spaces are noted in the periventricular white matter in the left posterior parietal region.

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.

sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyztala Ylmn / F / 40 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervical Spine.
(Post-contrast study).

CLINICAL PROFILE :

C/O weakness of BUE and BLE since 4-5 months with paresthesias.

EXAMINATION :

After contrast administration, the following parameters were used :

4 mm thick T1 Weighted sagittal images.

6 mm thick T1 Weighted axial images.

The dorsal spine was scanned with 4 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is still seen expansion of the cervico-dorsal spine from the cervico-medullary junction upto about the D7 vertebral level with a variegated appearance of the cord over these levels.

After contrast administration, there is enhancement of a solid nodule at the C7 and D1 vertebral levels. No meningeal enhancement is noted.

There is no area of abnormal enhancement in the lower dorsal region.