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Sunday, 27 December 2015 16:48

12872

sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Rampuralmn / F / 68 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 1 year.

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 partial sacralization of the L5 vertebra on the left.

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

Posterior disc bulges with posterior peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels, indenting the dural theca anteriorly.

Slight hypertrophy of the facet joints is seen at the L4-L5 and L5-S1 levels bilaterally.

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 :

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

IMPRESSION :

1. Partial sacralization of the L5 vertebra on the left.

2. Posterior disc bulges with posterior peridiscal osteophytes at the L3-L4 and L4-L5 levels.

3. Slight hypertrophy of the facet joints at the L4-L5 and L5-S1 levels bilaterally.






Sunday, 27 December 2015 16:48

12871

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzB. lmn / M / 60 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 8 days.

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 lumbar (more so at the L3-L4 and L4-L5 levels) intervertebral discs. Slight retroplacement of the L4 over the L5 vertebral body is noted.

There is a fairly large, postero-central, right far lateral and postero-lateral extruded discs with peridiscal osteophytes at the L4-L5 level with thecal sac compression and bilateral neural foraminal narrowing. Inferior migration of the disc fragment is noted in the anterior epidural space and right lateral recess of L5, with impingement of the traversing L5 nerve roots bilaterally. There is also indentation on the extraforaminal segment of the right L4 nerve root. Facetal hypertrophy with facet joint effusion is noted at the L4-L5 level bilaterally.

A small, postero-central disc herniation is noted at the L3-L4 level with slight inferior migration of the disc fragment indenting the dural theca anteriorly. Bilateral far lateral (extraforaminal) disc bulges are noted at this level.


A small postero-central protruded disc is noted at the D12-L1 level.

A probable left sided conjoint nerve root is noted at the L5-S1 level.

The lumbar vertebral bodies 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 :

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

IMPRESSION :

1. A fairly large, postero-central, right postero-lateral and far lateral extruded discs with peridiscal osteophytes at the L4-L5 level with inferior migration of the disc fragment in the anterior epidural space and right lateral recess of L5 impinging the traversing L5 nerve roots bilaterally. There is also indentation on the extraforaminal segment of the right L4 nerve root.

2. Facetal hypertrophy and facet joint effusion at the L4-L5 level bilaterally.

3. A small, postero-central disc herniation at the L3-L4 level with slight inferior migration of the disc fragment.








Sunday, 27 December 2015 16:48

12870

sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzmendra Shislmn / M / 5 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the RLE with limp since March 0000.

EXAMINATION :

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

4 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted axial images.

4 mm thick GRASS sagittal images.

OBSERVATION :

There is seen flattening of the epiphysis of the right femoral head which shows a hypointense signal on all the pulse sequences, which suggests sclerosis. Hyperintense signal on the STIR and GRASS images in the neck of the right femur may represent bone edema. The visualized right acetabulum shows normal contour. There is a small right hip joint effusion. The muscles around the right hip joint appears slightly atrophied.

The visualized left hip joint is unremarkable.

IMPRESSION :

Flattening of the epiphysis of the right femoral head with sclerosis suggests Perthes disease. Altered signal in the neck of the right femur suggests bone edema.

Sunday, 27 December 2015 16:48

12869

hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Glmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O behavioural disturbances since 4 years.
C/O gait ataxia on the left side since 1 year.
C/O inability to pass urine since 2 days.
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.

3 mm thick T1 Weighted sagittal images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

Hyperintense foci on the proton, T2 Weighted and FLAIR images are noted within the white matter in the fronto-parietal lobes bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.

A lacunar infarct (hyperintense to CSF) is seen in the left thalamus.

There is prominence of the cerebellar folia and cerebral cortical sulci bilaterally.





There is fullness of the third and both the lateral ventricles.

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.

A subgaleal lipoma is noted in the left frontal region.

IMPRESSION :

The MRI features are suggestive of :

1. Foci of altered signal intensity within the white matter in the fronto-parietal lobes bilaterally are most likely ischemic in etiology.

2. Lacunar infarct within the left thalamus.


Sunday, 27 December 2015 16:48

12868

hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyza N. Salmn / F / 56 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 4-5 months which has increased since 15-20 days.

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 lumbar intervertebral discs show loss of water content.

There is a large left paracentral disc extrusion indenting the traversing left S1 nerve root at the L5-S1 level.

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

Schmorls node is noted at the L2 level.

Type II degenerative changes are noted in the antero-superior portion of the L4 and L5 vertebral bodies. The lumbar facet joints show mild degenerative changes.

The rest of 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 L5-S1 level.

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

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

IMPRESSION :

A left paracentral disc extrusion at the L5-S1 level indenting the traversing left S1 nerve root.








Sunday, 27 December 2015 16:48

12867

sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzHathlmn / F / 55 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O giddiness with fall 3-4 episodes since 1 month.
Known hypertensive.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick T1 Weighted sagittal images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

There is seen an ill-defined, hyperintense signal on the T2 Weighted images in the left lentiform nucleus, head of the left caudate nucleus, left temporal cortex and in the left corona radiata. This lesion appears relatively hypointense on the T1 Weighted images and represents a recent ischemic insult. This lesion was not well appreciated on the previous MRI dated 00.00.00.

Ischemic lesions in the thalami bilaterally, the left corona radiata posteriorly and in the left cerebellar hemisphere and the lacunar infarcts previously described are unchanged from the previous study.

The agenetic corpus callosum, interhemispheric cyst and the status of the ventricles are also unchanged.





INTRACRANIAL MRA :

The anterior cerebral arteries are pulled slightly superiorly.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

NECK MRA :

The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

1. Altered signal in the left lentiform nucleus, head of the left caudate nucleus, left temporal cortex and in the left corona radiata represents a recent ischemic insult which was not well appreciated on the previous MRI dated 00.00.00.

2. The lacunar infarcts and the ischemic lesions described previously are unchanged. The congenital defects too are unchanged.

3. No significant abnormality is detected on the intracranial and neck MRA on this study.

Sunday, 27 December 2015 16:48

12865

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzGaffar Islmn / M / 61 yrs.
Referred by : Dr. Abc Xyzan.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches and vertigo since 14 days and decreased vision on 00.00.00.
Now C/O diplopia.
H/O similar complaints 3 years back from which patient recovered.
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.

3 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a small bright focus on the proton and T2 Weighted images in the subcortical white matter in the right frontal region (scans 102.12, 106.10). This lesion appears isointense to normal white matter on the T1 Weighted images.

There is mild fullness of both the lateral ventricles.

The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.






The optic nerves on either side show normal signal. The cavernous sinuses, sella and perisellar region is unremarkable. No obvious intraorbital lesion is noted on this study.

Inflammatory changes are noted in the right maxillary antrum.

IMPRESSION :

Small bright focus on the proton and T2 Weighted images in the subcortical white matter in the right frontal region most likely represents ischemic changes.

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

12864

hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzkumar Kalmn / M / 53 yrs.
Referred by : Dr. Abc Xyzthari.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O twitching of the left eye with numbness over the left cheek since 2 1/2 years.
Now C/O twitching of the right eye since 3 days.
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.

3 mm thick T1 Weighted coronal images.

MR cisternogram was obtained in the coronal plane.

A limited MRA (source images) was obtained through the region of interest.

OBSERVATION :

An ill-defined, hyperintense signal on the proton and T2 Weighted images in the right cerebellar hemisphere (hypointense on the T1 Weighted images) inferiorly, may represent an ischemic lesion.

There is a large vascular loop indenting the root exit zone of the left facial nerve.

There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.






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 :

The MRI features are suggestive of :

1. A vascular loop indenting the root exit zone of the left facial nerve.

2. Altered signal in the right cerebellar hemisphere, inferiorly, may represent an ischemic lesion.

Sunday, 27 December 2015 16:48

12863

hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzi Birwalmn / F / 69 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 15 days.

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 retroplacement of the L5 vertebra over the S1 vertebra and mild forward listhesis of the L4 vertebra over the L5 vertebra.

A posterior disc herniation with peridiscal osteophytes is seen to indent the thecal sac and narrow both neural foramina (left more than right) at the L5-S1 level. A left far lateral (extraforaminal) disc herniation is seen to indent the extraforaminal portion of the exiting left L5 nerve root at this level. Also seen is a small right fat lateral (extraforaminal) disc herniation at this level. Slight superior migration of the disc fragment, on the left is noted.

There is a postero-central disc herniation indenting the thecal sac at the L4-L5 level. A right postero-lateral (foraminal) disc herniation is seen to narrow the right neural foramen at this level. Bilateral (right more than left) far lateral (extraforaminal) disc herniations are seen to indent the extraforaminal portion of the exiting L4 nerve roots at the L4-L5 level.
..2/.





There is a small posterior disc herniation causing mild neural foraminal narrowing bilaterally at the L3-L4 level. Posterior disc bulges with small peridiscal osteophytes are noted at the D12-L1, L1-L2 and L2-L3 levels.

The L4-L5 and L5-S1 facet joints show hypertrophic degenerative changes.

The lumbar intervertebral discs show loss of water content. Hypointense areas on all the pulse sequences are evident within the L5-S1 intervertebral disc and this may represent calcium/vacuum phenomena.

Hemangioma with fat content is noted in the L3 vertebral body.

The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The D11 vertebral body is wedged, anteriorly, without change in signal intensity.

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 :

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

IMPRESSION :

The MRI features are suggestive of :

1. Retroplacement of the L5 vertebra over the S1 vertebra and mild forward listhesis of the L4 vertebra over the L5 vertebra.
..3/.




- 3 - Scan-00003



2. A posterior disc herniation with peridiscal osteophytes at the L5-S1 level.

3. A left far lateral (extraforaminal) disc herniation indenting the extraforaminal portion of the exiting left L5 nerve root at the L5-S1 level.

4. A small right far lateral (extraforaminal) disc herniation at the L5-S1 level.

5. Postero-central and right postero-lateral (foraminal) disc herniation at the L4-L5 level.

6. Bilateral (right more than left) far lateral disc herniations indenting the extraforaminal portion of the exiting L4 nerve roots at the L4-L5 level.

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






Sunday, 27 December 2015 16:48

12862

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Galmn / M / 22 yrs.
Referred by : Dr. Abc Xyzdhia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache.

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 are mild posterior disc bulges at the L4-L5 and L5-S1 levels.

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 D12-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 :

16.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
16.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

No significant abnormality is detected on this study.