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Sunday, 27 December 2015 16:48

12861

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Panlmn / F / 43 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O subtotal excision of pituitary adenoma in 0000.
H/O acromegaly.
C/O headaches since 3 years.

EXAMINATION :

M.R.I of the brain, sella and perisellar region was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted axial images.

5 mm thick FLAIR coronal images.

3 mm thick T1 Weighted and T2 Weighted coronal images through the sella and perisellar region.

3 mm thick T1 Weighted sagittal images through the sella and perisellar region.

OBSERVATION :

There is evidence of a right frontal craniotomy. Slight volume loss is noted in the right frontal lobe with an ill-defined, hyperintense signal on the T2 Weighted and FLAIR images in the right inferior frontal region, most likely the sequelae of previous surgery.

There is still seen a well marginated, approximately 1.0 x 1.8 x 1.3 cms sized mass lesion in the suprasellar cistern, superior to the intracranial segment of the right optic nerve. This lesion is nearly isointense to the parenchyma on all the pulse sequences (scans 104.8, 102.8, 107.6, 103.6 & 7, 106.7). Minimal inferior displacement of the proximal right optic nerve is noted.



The sella is slightly widened. The pituitary gland shows a normal concave margin. The pituitary stalk is deviated to the left. The cavernous sinuses are unremarkable on either side.

Both the lateral, third and the fourth ventricles are normal. No obvious vascular anomaly is identified on this study.

There is thickening of the skull vault in the left frontal region.

Inflammatory changes are noted in the left maxillary antrum.

IMPRESSION :

1. Post-operative changes with encephalomalacic changes in the right frontal lobe.

2. An approximately 1.0 x 1.8 x 1.3 cms sized mass lesion in the suprasellar cistern, superior to the intracranial segment of the right optic nerve as described, most likely represents the residual pituitary macroadenoma, in the given clinical setting. (No pre-operative scans were available for comparison).

As compared to the previous CT-Scan dated 00.00.00, there is no significant change in the size of the lesion.



Sunday, 27 December 2015 16:48

12858

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzad Farolmn / M / 10 mnths.
Referred by : Dr. Abc Xyzbholkar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures on 00.00.00.
H/O fever since 00.00.00.
Delayed Milestones.

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 hippocampus 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.

The myelination pattern is normal for the patients age.

IMPRESSION :

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

12857

sb/bv/nl/nl
/9 Date : 00.00.00

Name of the Patient : Abc Xyz Mlmn / F / 80 yrs.
Referred by : Dr. Abc Xyzrani / Dr. Abc Xyziwala.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O difficulty in swallowing since 20 days.
H/O right sided hemiparesis in May 0000. Recovered.
Previous MRI s/o lacunar infarcts.

EXAMINATION :

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

5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick T2 Weighted, 5 mm thick FLAIR and 3 mm thick T1 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.

SOME IMAGES SHOW PATIENT MOTION AS PATIENT WAS COUGHING DURING EXAMINATION.

OBSERVATION :

There is seen an approximately 2.0 x 1.5 x 1.5 cms sized lobulated, sellar mass lesion extending into the suprasellar region. This lesion is of mixed signal with a solid and cystic component. There is indentation on the optic chiasma and proximal optic nerves which are displaced superiorly. There is no extension into the cavernous sinuses on either side. The posterior pituitary gland shows normal hyperintense signal on the T1 Weighted images. The anterior pituitary gland and the pituitary stalk are not well identified, separately.

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the posterior parietal periventricular white matter bilaterally and in the right centrum semiovale. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.


A lacunar infarct is noted in the right centrum semiovale.

There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and 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.

Inflammatory changes are noted in the maxillary antra bilaterally. Both eyes are aphakic.

IMPRESSION :

1. An approximately 2.0 x 1.5 x 1.5 cms sized lobulated, sellar mass lesion extending into the suprasellar region as described, most likely represents a pituitary macroadenoma.

2. Altered signal in the posterior parietal periventricular white matter bilaterally and in the right centrum semiovale most likely represent ischemic changes.


Sunday, 27 December 2015 16:48

12856

sb/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzGhadigaolmn / M / 42 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 10-12 days.
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 :

There is reduction in height of the L5-S1 disc and loss of water content of the L3-L4, L4-L5 and L5-S1 intervertebral discs.

A postero-central disc herniation with peridiscal osteophyte is noted at the L5-S1 level, indenting the dural theca anteriorly.

A fairly large, posteriorly extruded disc with peridiscal osteophytes is noted at the L4-L5 level with thecal sac compression. A sequestered disc fragment is noted in the anterior epidural space at this level.

A postero-central disc herniation with peridiscal osteophyte is noted at the L3-L4 level indenting the dural theca anteriorly.







The lumbar vertebral bodies and the remaining 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 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
14.0 mm at L2-L3
8.0 mm at L3-L4
6.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. A fairly large, posteriorly extruded disc with peridiscal osteophytes at the L4-L5 level with a sequestered disc fragment in the anterior epidural space at this level.

2. A postero-central disc herniation with peridiscal osteophyte at the L3-L4 level.

3. A postero-central disc herniation with peridiscal osteophyte at the L5-S1 level.

4. Lumbar canal stenosis at the L3-L4, L4-L5 and L5-S1 levels.






Sunday, 27 December 2015 16:48

12855

sb/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzai Kalmn / F / 40 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 2 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 loss of water content of the L2-L3 and L5-S1 intervertebral discs.

There is slight retroplacement of the L3 over the L4 vertebrae.

There is a postero-central disc herniation at the L5-S1 level.

A posteriorly herniated disc with peridiscal osteophyte is noted at the L4-L5 level with bilateral neural foraminal narrowing.

Small postero-central protruded discs are noted at the L3-L4 and L2-L3 levels.

Type II degenerative marrow changes are noted adjacent to the L4-L5 and L5-S1 intervertebral discs. Hemangiomas with fat content are noted in the L1 and D11 vertebral bodies.






The rest of the lumbar vertebral bodies and the remaining 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-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 :

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

IMPRESSION :

1. A postero-central disc herniation at the L5-S1 level.

2. A posteriorly herniated disc with peridiscal osteophyte at the L4-L5 level with bilateral neural foraminal narrowing.

3. Small postero-central protruded discs at the L3-L4 and L2-L3 levels.








Sunday, 27 December 2015 16:48

12854

sb/bv/nl/nl
Date : 00.00.00

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

CLINICAL PROFILE :

C/O weakness of the LUE and LLE since 1 year with gait imbalance.

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.

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.

Inflammatory changes are noted in the posterior ethmoidal air cells and sphenoid sinus on the right.

IMPRESSION :

No significant abnormality is detected on this study.

Sunday, 27 December 2015 16:48

12853

sb/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzS. Ablmn / M / 45 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 1 month.

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 D12-L1, L4-L5 and L5-S1 intervertebral discs.

There is a postero-central and right postero-lateral disc herniation at the L5-S1 level with right neural foraminal narrowing and posterior displacement of the right S1 nerve root.

A postero-central and left postero-lateral disc herniation is noted at the L4-L5 level with left neural foraminal narrowing. Slight inferior migration of the disc fragment is noted with probable indentation on the traversing L5 nerve roots bilaterally, more on the left side. Small posterior peridiscal osteophytes are noted at the L4-L5 and L5-S1 levels.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
Scan-00003



The conus medullaris terminates at the 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 :

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

IMPRESSION :

1. A postero-central and left postero-lateral disc herniation at the L4-L5 level with slight inferior migration of the disc fragment probably indenting the traversing L5 nerve roots bilaterally, moreon the left side.

2. A postero-central and right postero-lateral disc herniation at the L5-S1 level.


3. Small posterior peridiscal osteophytes at the L4-L5 and L5-S1 levels.








Sunday, 27 December 2015 16:48

12852

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzakant Rankhlmn / M / 24 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in the left hip with limp since 5-6 years.
H/O Pulmonary kochs since 4 months. On AKT.

EXAMINATION :

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

5 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is loss of normal contour of the left femoral head. There is an ill marginated, hypointense signal on the T1 Weighted images in the antero-superior quadrant of the left femoral head. This lesion appears heterogeneously hyperintense on the STIR and T2 Weighted images. There is reduction in the left hip joint space with irregularity of the articular cartilage overlying the left femoral head. Marginal osteophytosis is noted. The left acetabulum shows normal signal intensity. There is no left hip joint effusion. Slight atrophy of the muscles around the left hip joint is noted.

The visualized right hip joint is unremarkable.

IMPRESSION :

Changes in the left femoral head as described suggest Class C avascular necrosis of the left femoral head, with secondary osteoarthritis.



Sunday, 27 December 2015 16:48

12851

sb/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyza Blmn / F / 12 yrs.
Referred by : Dr. Abc Xyz Mulgaonkar / Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since February 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 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.

Note is made of enlarged adenoids.

IMPRESSION :

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

12850

sb/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzNerulmn / F / 34 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 28th April 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 loss of water content of the L3-L4, L4-L5 and L5-S1 intervertebral discs.

Small postero-central protruded disc with peridiscal osteophyte is noted at the L5-S1 level. Type II degenerative marrow changes are noted adjacent to this disc.

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

The rest of the lumbar vertebral bodies and the remaining 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-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 :

21.0 mm at L1-L2
20.0 mm at L2-L3
21.0 mm at L3-L4
19.0 mm at L4-L5
17.0 mm at L5-S1.

IMPRESSION :

Degenerated lower lumbar discs with a small postero-central protruded disc with peridiscal osteophytes at the L5-S1 level.