ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza Malmn / F / 35 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Right Shoulder.

CLINICAL PROFILE :

C/O pain and mild swelling over the right shoulder joint since 1 1/2 months.

EXAMINATION :

M.R.I of the right 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 :

The head of the right humerus shows normal contour and the head and upper shaft of the right humerus show normal signal intensity. The visualized scapula appears normal. The glenoid labrum is unremarkable. The biceps tendon in the biciptical groove shows normal signal intensity.

The articular cartilage of the head of the right humerus appears normal. There is no joint effusion.

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 right shoulder joint are unremarkable.

There is no obvious bone erosion or destruction seen.

The acromio-clavicular joint is normal.

The visualized axilla is unremarkable.

IMPRESSION :

Normal study of the Right Shoulder Joint.

sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzD. Almn / M / 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 since 2 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 water content of the L5-S1 intervertebral disc.

There is a fairly large, left paracentral extruded disc with peridiscal osteophyte at the L5-S1 level. A sequestered disc fragment is noted in the left lateral epidural space at the L5 and L5-S1 levels with indentation on the traversing left S1 nerve root.

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

Slight facetal hypertrophy is noted at the L5-S1 level.

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-L2 level and the thecal sac terminates at the S2 level.
- 2 - scan-00003


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

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

IMPRESSION :

1. A fairly large, left paracentral extruded disc with peridiscal osteophyte at the L5-S1 level with a sequestered disc fragment in the left lateral epidural space at the L5 and L5-S1 levels with indentation on the traversing left S1 nerve root.

2. A small posterior disc bulge at the L4-L5 level.

3. Slight facetal hypertrophy at the L5-S1 level.

sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza lmn / F / 59 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to BUE with numbness since 2 1/2 years.

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 water content of the cervical intervertebral discs.

Posterior disc bulges with posterior peridiscal osteophytes are noted at the C3-C4, C4-C5, C5-C6 and C6-C7 levels, the largest one being at the C5-C6 and C6-C7 levels.

The cervical vertebral bodies show spotty fatty marrow changes suggesting osteoporosis. 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.

IMPRESSION :

Posterior disc bulges with posterior peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.

As compared to the previous MRI dated 00.00.00, there is no significant change noted.

sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xylmn / M / 22 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Pelvis.

CLINICAL PROFILE :

C/O swelling in the left inguinal region with pain in the LLE since 1 year.

EXAMINATION :

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

10 mm thick T1 Weighted and T2 Weighted axial images.

9 mm thick T1 Weighted and STIR coronal images.

9 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is destruction of the acetabular component of the left iliac bone, left pubic bone and partially, the left ischial bone. The remnant of the acetabular component of the left iliac bone and ischial bones appear relatively hypointense when compared to the normal marrow on the T1 Weighted images and appears hyperintense on the T2 Weighted and STIR images. There is seen a fairly large, approximately 16.0 x 16.0 x 21.0 cms sized, lobulated intermediate signal intensity mass lesion extending from the level of the true pelvis through the inguinal region into the proximal left thigh, medially. This lesion appears heterogeneously hyperintense on the T2 Weighted and STIR images but is predominantly hypointense on the T2 Weighted images. The pelvic structures including the urinary bladder and the rectum are seen to be displaced to the right. The muscles in the left inguinal region and the proximal left thigh are displaced laterally. The left iliac and femoral vessels are draped along the antero-lateral margin of the lesion. The left ilio-psoas muscle is along the left lateral margin of the lesion. There is extension into the left hip joint per se. A small left hip joint effusion is also noted. In the proximal left thigh the lesion is seen medially and posteriorly.
..2/.





The visualized left femoral head and neck are unremarkable. There are no abnormally enlarged lymph nodes identified in the visualized pelvis.

Atrophy of the muscles around the left hip joint is noted.

IMPRESSION :

A fairly large, approximately 16.0 x 16.0 x 21.0 cms sized, heterogeneous signal intensity mass lesion in the pelvis extending into the proximal left thigh, with destruction of the left iliac, pubic and ischial bones as described, is not specific for a single etiology. A sarcomatous lesion (? chondrosarcoma) may be considered as a differential diagnosis. Involvement of the left hip joint is also noted.

sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / F / 42 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE.

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 L3-L4, L4-L5 and L5-S1 intervertebral discs.

There is a small, postero-central disc herniation at the L4-L5 level.

Minimal posterior disc bulges are noted at the L3-L4 and L5-S1 levels.

Slight facetal hypertrophy is noted at the L5-S1 level, more so on the right.

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 thecal sac at the L5-S1 and S1 levels has a trefoil appearance and this may represent epidural lipomatosis.


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 :

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

Fat is noted in the filum terminale over the L2 to L4 vertebral levels.

Incidentally noted is slight widening of the endometrial canal of the uterus, which requires further evaluation, if clinically indicated.

IMPRESSION :

1. A small, postero-central disc herniation at the L4-L5 level.

2. Slight facetal hypertrophy at the L5-S1 level, more so on the right.

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzir Dlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O slurred speech with tingling in BLE, loss of balance and memory since 6 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.

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.

sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzNlmn / M / 17 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures on 00.00.00.

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 FLAIR coronal images.

OBSERVATION :

There are (atleast two) linear hyperintense signals on the proton, T2 Weighted and FLAIR images in the white matter oriented perpendicular to the left lateral ventricular wall. These lesions appear hypointense to normal white matter on the T1 Weighted images.

A cystic lesion following CSF signal on all the pulse sequences is noted in the right choroid fissure.

The hippocampal complex is unremarkable on either side.

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.






A polyp is noted in the left maxillary antrum.

IMPRESSION :

1. Altered signal in the white matter adjacent to the left lateral ventricle is not specific for a single etiology. The morphology and signal characteristics favour demyelinating lesions. The possibility of ischemic lesions or prominent perivascular spaces seems less likely.

2. Right sided choroid fissure cyst.

sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzBandlmn / F / 21 yrs.
Referred by : Dr. Abc Xyzinde.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

Alleged H/O fall in May 0000 with backache and paresthesias in BLE since then.

EXAMINATION :

M.R.I of the cervico-dorsal 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 near complete collapse of the D3 vertebral body with a kyphus at that level.

The D2 and the visualized D3 vertebral bodies appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. The D2-D3 and D3-D4 intervertebral discs show loss of water content. Involvement of both the pedicles of the D2 and D3 vertebrae is noted with involvement of the right sided costo-vertebral and costo-transverse joints at the D3 level and of the left costo-vertebral joint at this level.

There is seen an intermediate signal intensity soft tissue lesion in the prevertebral, paravertebral and anterior epidural region over the D2 to D3 vertebral levels. This lesion also appears hyperintense on the T2 Weighted images. There is resultant cord compression and cord signal alteration (isointense to normal cord on the T1 Weighted images and hyperintense on the T2 Weighted images) suggesting cord edema/ischemia/myelitis.


The rest of the visualized cervico-dorsal vertebral bodies and intervertebral discs reveal normal signal intensity.

IMPRESSION :

Near complete collapse of the D3 vertebral body with altered signal of the D2 and D3 vertebrae as described most likely represents osteitis, probably tuberculous osteitis. Prevertebral, paravertebral and anterior epidural soft tissue lesion may represent granulation tissue/abscess. There is resultant cord compression and cord signal alteration suggesting cord edema/ischemia/myelitis.

The possibility of this lesion representing a neoplasm like a small cell tumor though less likely, cannot be entirely excluded.

sb/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzPlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain with involuntary shifting of the neck towards the right and numbness in the LUE since 6 months.

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 water content of the cervical intervertebral discs.

There is a posteriorly herniated disc with peridiscal osteophytes at the C3-C4 level, indenting the dural theca anteriorly. Degenerative changes of the joints of Luschka are noted at this level, bilaterally, with resultant neural foraminal narrowing.

Small, postero-central disc herniations with peridiscal osteophytes are noted at the C4-C5 and C5-C6 levels.

Small posterior disc bulges are noted at the C2-C3 and C6-C7 levels.

Focal fatty marrow changes are noted in the cervical vertebrae.






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 :

1. A posteriorly herniated disc with peridiscal osteophytes at the C3-C4 level and degenerative changes of the joints of Luschka, bilaterally at this level.

2. Small, postero-central disc herniations with peridiscal osteophytes at the C4-C5 and C5-C6 levels.

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz H. Slmn / F / 3 1/2 yrs.
Referred by : Dr. Abc Xyzvdekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures (1 episode) 1 1/2 months back.

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 FLAIR coronal images.

OBSERVATION :

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

The hippocampal complex is unremarkable on either side.

Both the lateral and third ventricles are unremarkable. There is mild fullness of the fourth ventricle with prominent cerebellar folia. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

No obvious abnormality is detected at the site of suspected lesion in the left occipital lobe on the previous CT Scan dated 00.00.0000.









IMPRESSION :

The MRI features are suggestive of mild prominence of the cerebellar folia bilaterally.

No obvious abnormality is detected at the site of suspected lesion in the left occipital lobe on the previous CT Scan dated 00.00.0000.

If clinically indicated a contrast enhanced scan may be worthwhile.