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Sunday, 27 December 2015 16:48

12946

hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyza Shlmn / F / 20 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Cervico-dorsal Spine
with Thoracic Outlet.

CLINICAL PROFILE :

C/O neckpain radiating to the LUE with tingling since 6-7 months.
H/O surgery over the left side of neck for similar complaints. Details not available.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.
4 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick T1 Weighted coronal images.

OBSERVATION :

The visualized cervico-dorsal vertebral bodies show normal signal intensity. The visualized cervico-dorsal intervertebral discs show mild loss of water content. The visualized pre and paravertebral soft tissues are unremarkable.

The visualized cervico-dorsal spinal cord reveals normal signal intensity.

There is no obvious mass lesion in the region of the thoracic outlet on this scan.

IMPRESSION :

No significant abnormality is detected within the cervico-dorsal spine on this study.


Sunday, 27 December 2015 16:48

12945

hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Blmn / M / 9 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures.
H/O right ear discharge.

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.

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, 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 in the middle ear and mastoid air cells on the right side.

IMPRESSION :

No abnormality is detected within the brain per se on this study.

Sunday, 27 December 2015 16:48

12943

hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzad Shlmn / M / 10 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures on 00.00.00 (2 episodes).

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, T2 Weighted and FLAIR coronal images.

OBSERVATION :

There is evidence of a subcentimeter well circumscribed hypointense lesion on the proton, T2 Weighted and FLAIR images within the right frontal region. A hyperintense speck is seen within the centre of the lesion on the proton images. This lesion is not well identified on the T1 Weighted images. It is surrounded by hypointense areas on the T1 Weighted images and which turn hyperintense on the proton, T2 Weighted and FLAIR images and would represent perilesional edema. There is effacement of the adjacent cerebral cortical sulci.

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 subcentimeter lesion within the right frontal region as described and this may represent a granuloma like a cysticercus in the granular nodular stage (? tuberculoma).


Sunday, 27 December 2015 16:48

12942

hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzed Sabir lmn / M / 62 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 5 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 Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra.

A posterior disc herniation is seen to indent the thecal sac at the L4-L5 level and narrow both neural foramina bilaterally at this level. Bilateral far lateral (extraforaminal) disc herniations are seen to indent the extraforaminal portion of the exiting L4 nerve roots at the L4-L5 level.

A posterior disc bulge is seen to indent the thecal sac and narrow both neural foramina at the L5-S1 level.

Bilateral far lateral (extraforaminal) disc bulges are noted at the L2-L3, L3-L4 and L5-S1 levels.

The L4-L5 facet joints show hypertrophic degenerative changes. The L5-S1 facet joints show degenerative changes. There is ligamentum flavum hypertrophy at the L4-L5 level.
Scan-00002


The lumbar intervertebral discs show loss of water content.

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 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 :

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

IMPRESSION :

The MRI features are suggestive of :

1. Grade I spondylolisthesis of the L4 vertebra over the L5 vertebra.

2. A posterior disc herniation, hypertrophic facetal arthropathy and ligamentum flavum hypertrophy with canal stenosis at the L4-L5 level.

3. Posterior disc bulge and facetal arthropathy at the L5-S1 level.

4. Bilateral far lateral (extraforaminal) disc herniations at the L4-L5 level.

5. A tight canal at the L5-S1 level.








Sunday, 27 December 2015 16:48

12941

hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyznth lmn / M / 16 yrs.
Referred by : Dr. Abc Xyzmdani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O tremors of either limb with flickering of eyes and loss of consciousness.
H/O epilepsy in mother in 0000.

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.

OBSERVATION :

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

The hippocampal complex on either side 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 :

Normal study of the brain.
Sunday, 27 December 2015 16:48

12940

hs/ke/nl/nl
Date : 00.00.00

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

CLINICAL PROFILE :

C/O seizures.

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.

OBSERVATION :

The left hippocampus is decreased in volume and shows a hyperintense signal on the T2 Weighted images. There is fullness of the temporal horn of the left lateral ventricle.

The right hippocampus is unremarkable.

There is prominence of the cerebellar folia bilaterally and mild fullness of the fourth ventricle. Note is made of a cavum septum pellucidum.

The right lateral and third 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 left hippocampal sclerosis and cerebellar atrophy.

Sunday, 27 December 2015 16:48

12939

hs/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzda lmn / F / 29 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O tuberculous spine. Operated 12 years back in the cervico-dorsal region. No details.
C/O backache radiating to the RLE with paresthesias since 4 months. Lumbar peritoneal shunt was done for same on 00.00.00.
Now C/O pain in the RLE and tingling.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

7 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is anterior wedging of the D8 vertebral body with a resultant kyphus. There is slight retroplacement of the D8 vertebral body with resultant cord compression. The cord at this level shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia/gliosis.

A small posterior disc herniation with peridiscal osteophytes is noted at the D7-D8 level with compression upon the cord.

A well-defined area which is near isointense to CSF is seen within the centre of the cord over the D4 to D7 levels and would represent a syrinx. Multiple septae are also seen. A smaller syrinx is seen over the D8 to D10 levels.






The visualized dorsal intervertebral discs show loss of water content. The D7 and D8 vertebral bodies show areas of fatty replacement of normal marrow.

The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12 level.

IMPRESSION :

The MRI features are suggestive of a compression fracture of the D8 vertebral body with a resultant kyphus and cord compression with cord edema/ischemia/gliosis as described. Also seen is a multi-septate syrinx over the D4 to D7 levels and a smaller syrinx over the D8 to D10 levels.


Sunday, 27 December 2015 16:48

12938

ke/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzB. Valmn / M / 37 yrs.
Referred by : Dr. Abc XyzDeshmukh / Dr. Abc Xyzatil.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O pain on the left side of the head and face (VI segment and V2 segment). ? Trigeminal neuralgia.

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.

OBSERVATION :

Small punctate flow void areas are seen adjacent to the root exit zone of the left trigeminal nerve without indenting, which represents a vascular loop (scans 105.4, 105.5, 106.4, 106.5).

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.

IMPRESSION :

Vascular loop adjacent to the root exit zone of the left trigeminal nerve without indentation.



Sunday, 27 December 2015 16:48

12937

ke/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzdas R. Klmn / M / 70 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O progressive left sided hemiparesis since morning of 00.00.00 with slurred speech.

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 hyperintense areas in the right corona radiata, centrum semiovale, right lentiform nucleus, temporal cortex and the right high parietal cortex on the proton, T2 Weighted and FLAIR images. These are iso to hypointense to grey matter on the T1 Weighted images. Similar changes are seen in the left cerebellar hemisphere, left superior cerebellar peduncle and the pons. There is no evidence of haemorrhage.

Lacunar infarcts which are isointense to CSF on all the pulse sequences are seen in bilateral coronal radiata and left centrum semiovale.

An area of cystic encephalomalacia is seen in the left centrum semiovale with surrounding gliotic changes.

There is mild dilatation of both the lateral and third ventricles. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
Scan-00007


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 :

1. Altered signal in the right corona radiata, centrum semiovale, right lentiform nucleus, temporal cortex and the right high parietal cortex, in the pons, left cerebellar hemisphere and left superior cerebellar peduncle are suggestive of areas of ischemia/infarction.

2. Lacunar infarcts in bilateral corona radiata and left centrum semiovale.

3. Area of cystic encephalomalacia in the left centrum semiovale.
Sunday, 27 December 2015 16:48

12936

ke/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzs Klmn / M / 24 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O altered sensorium with vomiting, gait ataxia and fever since 15 days.
H/O swelling over both kidneys. Diagnosed 15 days 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.

5 mm thick FLAIR coronal images.

3 mm thick T2 Weighted coronal images.

OBSERVATION :

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

There is slight 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 in the mastoid air cells and maxillary sinuses bilaterally.

IMPRESSION :

No significant abnormality is detected on this study.