Regular User

Regular User

Sunday, 27 December 2015 16:48

12765

hs/sb/nl/nl
Date : 00.00.00



Name of the Patient : Abc Xyzh lmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.



The cervical spine was screened as requested with 4 mm thick T2 Weighted sagittal images and 5 mm thick GRASS axial images.

The cervical spinal cord shows normal signal intensity.

Sunday, 27 December 2015 16:48

12764

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzPlmn / M / 36 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE since 00.00.00.
Alleged H/O fall in 0000 with backache. Recovered with traction.

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 and L4-L5 intervertebral discs.

There is a postero-central and left paracentral extruded disc at the L4-L5 level with indentation on the dural theca anteriorly and on the traversing left L5 nerve root. Slight facetal hypertrophy is noted at that level.

A small postero-central disc herniation is seen at the L3-L4 level, with mild facetal hypertrophy.

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

IMPRESSION :

1. A postero-central and left paracentral extruded disc at the L4-L5 level with indentation on the traversing left L5 nerve root.

2. A small postero-central disc herniation at the L3-L4 level.

3. Slight facetal hypertrophy at the L4-L5 and L3-L4 levels.









Sunday, 27 December 2015 16:48

12763

hs/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzngi S. Glmn / F / 17 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 2 years.

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 within the brain parenchyma.

The hippocampus 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.

Inflammatory changes are noted in the right sided anterior ethmoidal air cells.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

12762

hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzGheelmn / M / 44 yrs.
Referred by : Dr. Abc Xyzlsara.
Examination : M.R.I. of the Right Thigh.

CLINICAL PROFILE :

C/O swelling over the right thigh which is progressive since 2 years with pain since 8 days.

EXAMINATION :

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

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

9 mm thick T1 Weighted coronal images.

5 mm thick T1 Weighted and STIR sagittal images.

OBSERVATION :

There is evidence of a fairly well-defined mass lesion measuring approximately 6.7 x 11.0 x 10.1 cms and located within the subcutaneous soft tissues in the anterior aspect of the right thigh.

This lesion is predominantly hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted and STIR images and most likely represents a cystic component of this lesion. This lesion also shows an intermediate signal intensity component on the T1 Weighted images which turns hyperintense on the T2 Weighted and STIR images which is located along its anterior and medial aspect. This may represent a solid component. Ill-defined hypointense signal is noted anterior and medial to this lesion within the subcutaneous fat and this may represent extension of this lesion/inflammatory changes.


The lesion is seen to be located anterior to the right rectus femoris muscle. It is seen to be compressing it with slight posterior displacement. There is suspicious involvement of this muscle. The inferior aspect of this lesion is located at a distance of approximately 20.0 cms proximal to the right knee joint.

The rest of the visualized muscles and right femur are unremarkable. There is no obvious vascular anomaly on this scan.

IMPRESSION :

The MRI features are suggestive of a mass lesion measuring approximately 6.7 x 11.0 x 10.1 cms, located within the subcutaneous soft tissues in the anterior aspect of the right thigh with its lower margin about 20.0 cms proximal to the right knee joint. This is not specific for a single diagnosis. Neoplastic process like a synovial cell sarcoma/soft tissue sarcoma may be considered as differential diagnosis.

Sunday, 27 December 2015 16:48

12761

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzed Ismail Anlmn / M / 70 yrs.
Referred by : Dr. Abc Xyzwala.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis since 2 days.
Past H/O right sided hemiparesis 3 years 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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

There is seen a diffuse hyperintense signal on the proton, T2 Weighted and FLAIR images along the cortex in the right frontal and parietal regions. This lesion appears hypointense to normal grey matter on the T1 Weighted images. Resultant slight effacement of the sulcal spaces is noted in these regions.

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

Lacunar infarcts (iso to hyperintense to CSF) are noted in the right centrum semiovale and right frontal region along the watershed zone of the distribution of the right anterior and middle cerebral arteries. Lacunar infarcts are also noted in the genu of the corpus callosum and head of left caudate nucleus.





There is mild dilatation of the third and both the lateral ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally.

There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

There is no obvious evidence of haemorrhage on this study.

Inflammatory changes are noted in the paranasal sinuses bilaterally.

IMPRESSION :

1. Altered signal along the cortex in the right frontal and parietal regions most likely represents a recent ischemic lesion.

2. Altered signal in the periventricular white matter bilaterally and in the bilateral centrum semiovale represents ischemic lesions.

3. Lacunar infarcts in the right centrum semiovale and right frontal region along the watershed zone of the distribution of the right anterior and middle cerebral arteries and in the genu of the corpus callosum and head of left caudate nucleus.

4. Mild cerebral cortical and cerebellar atrophy.
Sunday, 27 December 2015 16:48

12760

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / F / 8 yrs.
Referred by : Dr. Abc Xyz. Parmar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided seizures on 00.00.00 and 00.00.00.
H/O vomiting and headaches since 2 1/2 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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There is no focal area of altered signal intensity within 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.

A Thornwaldts cyst is noted in the posterior pharyngeal wall.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

12759

sb/hs/rg.
/9 Date : 00.00.00

Name of the Patient : Abc Xyz Lokhandlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O headaches with giddiness and vomiting (3 times) since 1 week.

EXAMINATION :

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

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

OBSERVATION :

There is no focal area of altered signal intensity within 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.

Inflammatory changes are noted in the maxillary antra bilaterally.

INTRACRANIAL MRA :

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
scan-00008


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 :

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



Sunday, 27 December 2015 16:48

12758

Date : 00.00.00

Name of the Patient : Abc Xyz Dlmn / M / 39 yrs.
Referred by : Dr. Abc Xyzesai.
Examination : M.R.I. of the Left Knee Joint.

CLINICAL PROFILE :

C/O pain in the left knee joint with instability of the left knee joint.

EXAMINATION :

M.R.I of the left knee joint was performed using the following parameters :

4 mm thick T1 Weighted and GRASS sagittal images.

4 mm thick T1 Weighted and STIR coronal images.

4 mm thick T1 Weighted axial images.

OBSERVATION :

There is slight forward translation of the left femur over the left tibia.

Slight depression of the lateral tibial plateau is noted.

Menisci

There is a linear hyperintense signal on all the pulse sequences in the posterior horn of the lateral meniscus of the left knee joint reaching upto the inferior articular margin. This represents a Grade III meniscal signal (Meniscal tear).

An intrameniscal signal in the anterior horn of the lateral meniscus and the anterior and posterior horns of the medial meniscus not reaching upto the articular margin suggest meniscal degeneration.


Cruciate Ligaments :

There is an ill-defined, intermediate signal on the T1 Weighted images along the course of the anterior cruciate ligament, which is not seen in continuity. This lesion appears hyperintense on the GRASS and STIR images and suggest a tear of the ACL.

The posterior cruciate ligament shows normal contour and signal characteristics.

Collateral Ligaments and the Patellar Tendon :

The lateral collateral ligament is not well identified in continuity suggesting a ? tear.

The medial collateral ligament and the patellar tendon are normal.

Hoffas Fat Pad :

The Hoffas fat pad is normal.

Articular cartilage and bones :

The articular cartilage overlying the patella, tibia and femur appears normal.

There are ill-defined, hypointense areas on the T1 Weighted images in the head of the fibula, lateral and medial tibial plateau and in the lateral femoral condyle (to a lesser degree in the medial femoral condyle). These areas appear hyperintense on the GRASS and STIR images and most likely represent bone bruise.

Minimal marginal osteophytosis is noted around the left knee joint.
..3/.









- 3 - Scan-00008



There is a small, left knee joint effusion.

IMPRESSION :

1. Slight forward translation of the left femur over the left tibia.

2. Slight depression of the lateral tibial plateau.

3. Altered signal in the posterior horn of the lateral meniscus of the left knee joint suggests a tear.
4. Altered signal along the course of the anterior cruciate ligament, with discontinuity of the same suggests a tear of the ACL.

5. Suspicious tear of the lateral collateral ligament.

6. Altered signal in the head of the fibula, lateral and medial tibial plateau and in the lateral femoral condyle (to a lesser degree in the medial femoral condyle) suggests bone bruise ? due to previous trauma.

7. A small, left knee joint effusion.



Sunday, 27 December 2015 16:48

12757

Date : 00.00.00

Name of the Patient : Abc Xyz Lokhandlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O headaches with giddiness and vomiting (3 times) since 1 week.

EXAMINATION :

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

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

OBSERVATION :

There is no focal area of altered signal intensity within 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.

INTRACRANIAL MRA :

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, 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 :

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

Sunday, 27 December 2015 16:48

12755

sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzalmn / M / 43 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O paresthesias in both hands since 15 days.

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 normal cervical lordosis and loss of water content of the cervical intervertebral discs.

A small, postero-central protruded disc is noted at the C3-C4 level.

A fairly large, posteriorly herniated disc with peridiscal osteophytes is noted at the C4-C5 level with cord compression and bilateral neural foraminal narrowing. Slight superior and inferior migration of the disc fragment is noted. The cervical spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia.

Small, postero-central disc herniation is noted at the C5-C6 level, indenting the dural theca anteriorly.







A small right paracentral disc herniation is noted at the C6-C7 level.

The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

A fairly large, posteriorly herniated disc with peridiscal osteophytes at the C4-C5 level with cord compression and cord signal alteration at this level suggesting cord edema/ischemia.