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Sunday, 27 December 2015 16:48

13065

ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Paingalmn / F / 59 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O forgetfulness since 2 years with progressive dementia.

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.

There is prominence of the cerebral sulci most marked in both temporal lobes with loss of volume of the hippocampi with mild fullness of both the temporal horns. The 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 mild maxillary sinusitis.

IMPRESSION :

Atrophy of the temporal lobes bilaterally with loss of volume of both hippocampi.

Alzheimers disease should be ruled out.
Sunday, 27 December 2015 16:48

13064

ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzngi Plmn / F / 40 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 2 years.
H/O fall prior to this.

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 :

The L2-L3, L3-L4 and L5-S1 intervertebral discs show loss of water content.

The L3 vertebral body is as marked on the film.

There is scoliosis of the lumbar spine with convexity to the left side with clockwise rotation of the lumbar vertebral bodies.

There is a left postero-lateral disc herniation at the L3-L4 level with left neural foraminal narrowing and indentation upon the foraminal portion of the left L3 nerve root.

There is posterior disc herniation at the L5-S1 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.

A left far lateral (foraminal and extraforaminal) disc herniation is seen at the L2-L3 level with mild left neural foraminal narrowing and indentation upon the left L2 nerve root.
..2/.





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

The L3 vertebral body appears wedged anteriorly without any change is signal intensity.

The upper lumbar facet joints show mild degenerative changes.

Type II degenerative changes are seen in the L4 and L5 vertebral bodies adjacent to the L4-L5 disc. Type III degenerative change (sclerosis) is seen in the L5 vertebral body, anteriorly.

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 S3 level.

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

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

IMPRESSION :

1. A left postero-lateral disc herniation at the L3-L4 level with indentation upon the foraminal portion of the left L3 nerve root.

2. A left far lateral disc herniation at the L2-L3 level with indentation upon the left L2 nerve root.

3. A posterior disc herniation at the L5-S1 level.

Sunday, 27 December 2015 16:48

13063

hs/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzulla Anlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 9 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 slight forward subluxation of the L4 vertebra over the L5 vertebra.

There is a postero-central disc herniation with peridiscal osteophytes indenting the thecal sac at the L1-L2 level. There is reduction in height of this disc. An anterior disc herniation is also seen at this level.

Posterior disc bulges are seen to indent the thecal sac and narrow both the neural foramina at the L2-L3, L3-L4 and L4-L5 levels.

There is a right far lateral (foraminal and extraforaminal) disc herniation at the L2-L3 level. Also seen are far lateral (extraforaminal) disc bulges bilaterally at the L3-L4 and L4-L5 levels and on the left side at the L2-L3 level.
Scan-00003

The L4-L5 facet joints show hypertrophic degenerative changes. The L1-L2, L2-L3 and L3-L4 facet joints show degenerative changes.

The lumbar intervertebral discs show loss of water content.

Type II degenerative changes are noted in the lumbar region.

The rest of the 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 S1 level.

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

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

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc herniation with peridiscal osteophytes at the L1-L2 level.

2. Posterior disc bulges at the L2-L3, L3-L4 and L4-L5 levels.

3. A right far lateral (foraminal and extraforaminal) disc herniation at the L2-L3 level.

4. Hypertrophic facetal arthropathy at the L4-L5 level.

5. Facetal arthropathy at the L1-L2, L2-L3 and L3-L4 levels.


Sunday, 27 December 2015 16:48

13062

hs/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzn Shlmn / F / 14 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O weakness of the RLE since 00.00.00.

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 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 L5 level.

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

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

IMPRESSION :

No significant abnormality is detected within the lumbo-sacral spine on this study.

Sunday, 27 December 2015 16:48

13061

ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzalmn / F / 78 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O squint in the right eye since 15 days with diplopia (recovered).
Known hypertensive/diabetic.

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.

3 mm thick T1 Weighted and STIR coronal images through the optic nerves.

OBSERVATION :

There are hyperintense areas in the periatrial deep white matter on the proton, T2 Weighted and FLAIR images which are isointense to white matter on the T1 Weighted images and are suggestive of ischemic changes.

Hyperintense areas are seen in the lentiform nuclei bilaterally and the dentate nuclei on the T1 Weighted images which are isointense to grey matter on the proton and T2 Weighted images.

Lacunar infarcts/prominent perivascular space is seen in bilateral lentiform nuclei.

There is prominence of the cerebral cortical sulci bilaterally.

The optic nerves show normal signal intensity on the STIR images.

The cavernous sinuses are unremarkable on either side. ..2/.






The right superior opthalmic vein appears more prominent on the right side as compared to the left. However it shows normal flow void signal.

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 bilateral maxillary sinusitis and a superior convex surface of the pituitary.

IMPRESSION :

1. Altered signal intensity areas in the periatrial deep white matter are suggestive of ischemic changes.

2. Altered signal in the lentiform and dentate nuclei bilaterally can be seen with hepatocerebral syndrome.


Sunday, 27 December 2015 16:48

13060

hs/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzIbrlmn / M / 31 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches and giddiness since 2-3 months. Also C/O fever with chills (Malaria) since 15 days and paresthesias in BLE (on & off).

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.

There is fullness of both the lateral ventricles. The 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 ethmoidal air cells and frontal sinus.

IMPRESSION :

The MRI features are suggestive of fullness of both the lateral ventricles.

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

13059

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzpa Thilmn / M / 42 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with giddiness, gait imbalance and involuntary movements of the head since 2 months.
Known hypertensive and diabetic.

EXAMINATION :

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

5 mm thick T1 Weighted, proton and T2 Weighted axial images.
MR Cisternogram was obtained in the coronal plane.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is no area of abnormal signal intensity within the brain parenchyma.

The seventh and eighth cranial nerve complex on either is unremarkable.

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

The third 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.

Incidental note is made of inflammatory changes in the maxillary sinus, frontal sinus and ethmoidal air cells.

IMPRESSION :

Mild cerebral and cerebellar atrophy.


Sunday, 27 December 2015 16:48

13058

hs/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzGadlmn / M / 37 yrs.
Referred by : Dr. Abc Xyz Hashim.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with numbness since 3-4 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 loss of normal lumbar lordosis.

The L4-L5 and L5-S1 intervertebral discs show loss of water content.

A posterior disc herniation with peridiscal osteophytes is seen to indent the thecal sac and narrow both the neural foramina at the L4-L5 level.

A small posterior disc herniation is noted at the L5-S1 level.

There are far lateral (extraforaminal) disc bulges bilaterally at the L3-L4, L4-L5 and L5-S1 levels. An anterior disc herniation is noted at the L5-S1 level.

Facetal hypertrophy is noted in the lumbar region.
Scan-00008


Type I (hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images) and Type II (isointense to fat) degenerative changes are seen within the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc.

The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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-S2 level.

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

19.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
12.0 mm at L4-L5
15.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of a posterior disc herniation with peridiscal osteophytes at the L4-L5 level.


Sunday, 27 December 2015 16:48

13057

ke/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz. Sheriarlmn / F / 66 yrs.
Referred by : Dr. Abc Xyzdhwa.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O injury to head and neck with a nasal bleed 1 month back.
C/O pain on the right side of the head and giddness 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 Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is no focal area of altered signal intensity in the brain parenchyma. There is no obvious extracerebral collection of blood on this study.

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 :

No abnormality detected within the brain on this study.

Sunday, 27 December 2015 16:48

13056

ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzanti Goalmn / F / 85 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

H/O backache radiating to BLE since 3-4 years.
Alleged H/O fall 1 month back with weakness of BLE since then.

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 scoliosis of the lumbar spine with convexity to the
left. There is clockwise rotational anomaly of the upper lumbar vertebrae.

There is left lateral subluxation of the L3 vertebra over the L4 vertebra.

A posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. A disc portion is seen within the left lateral recess of the L5 vertebra with impingement of the traversing left L5 nerve root. There is ligamentum flavum hypertrophy at this level.

A small posterior disc herniation is seen to indent the thecal sac and narrowing both neural foramina at the L3-L4 level. Bilateral far lateral (extraforaminal) disc bulges are noted at the L3-L4 and L4-L5 levels.

A diffuse posterior disc bulge is seen at the L5-S1 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.
..2/.



The lumbar facet joints show degenerative changes.

Small bilateral postero-lateral disc bulges are noted at the L2-L3 level.

The lumbar intervertebral discs show loss of water content.

The lumbar vertebral bodies reveal normal signal intensity. 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 :

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

IMPRESSION :

1. Scoliosis of the lumbar spine with convexity to the
left.

2. Left lateral subluxation of the L3 vertebra over the L4 vertebra.

3. A posterior disc herniation at the L4-L5 level with ligamentum flavum hypertrophy at this level. A disc fragment is seen within the left lateral recess of the L5 vertebra.

4. A small posterior disc herniation at the L3-L4 level.

5. A diffuse posterior disc bulge at the L5-S1 level.

6. Small bilateral postero-lateral disc bulges at the L2-L3 level.

7. Facetal arthropathy in the lumbar region.