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Sunday, 27 December 2015 16:48

12744

hs/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzn Ralmn / F / 42 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O neckpain and backache with radiation of pain to the RUE and BLE.

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 L4-L5 intervertebral disc shows loss of water content.

Small postero-central disc herniations are seen at the L4-L5 and L5-S1 levels with ventral indentation of the thecal sac at the L4-L5 level.

There is mild ligamentum flavum hypertrophy at the L4-L5 and L5 levels. Mild facetal hypertrophy is noted at the L4-L5, L3-L4 and L2-L3 levels with effusion in the right facet joint at the L4-L5 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 dorsal spine was screened with 5 mm thick T2 Weighted sagittal images and does not reveal any significant feature of note.
..2/.







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
17.0 mm at L3-L4
14.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Small postero-central disc herniations at the L4-L5 and L5-S1 levels.

2. Mild ligamentum flavum hypertrophy at the L4-L5 and L5 levels.

3. Facetal hypertrophy at the L4-L5, L3-L4 and L2-L3 levels with effusion in the right facet joint at the L4-L5 level.







Sunday, 27 December 2015 16:48

12743

hs/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzn Ralmn / F / 42 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain and backache with radiation of pain to the RUE and BLE.

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 a postero-central disc herniation with peridiscal osteophytes, more to the right of the midline and indenting the cord at the C6-C7 level and the right C7 nerve root.

A small left paracentral disc herniation with peridiscal osteophytes is seen to indent the cord at the C5-C6 level.

Note is made of a postero-central disc protrusion at the C4-C5 level.

The cervical intervertebral discs show loss of water content.

The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
Scan-00003



The cervical spinal cord reveals normal signal intensity.

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

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc herniation with peridiscal osteophytes, more to the right of the midline at the C6-C7 level with indentation upon the right C7 nerve root and the spinal cord.

2. A small left paracentral disc herniation with peridiscal osteophytes at the C5-C6 level.

3. A posterior disc protrusion at the C4-C5 level.

Sunday, 27 December 2015 16:48

12742

sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzabdulla Blmn / M / 40 yrs.
Referred by : Dr. Abc Xyzoshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O road accident on 00.00.00 with loss of consciousness.
Right fronto-parietal craniectomy done on 00.00.00. For follow up.
Now C/O right sided weakness.

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 evidence of a right temporo-parietal craniectomy with herniation of the brain parenchyma through the craniectomy site.

Ill-defined, hyperintense areas on the T1 Weighted images are noted in the inferior frontal regions bilaterally, left anterior temporal region and in the right frontal and temporal regions. These lesions remain hyperintense on the proton, T2 Weighted and Fast Scan (T2 *) images and represent haemorrhagic contusions. Diffuse, ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the white matter in the right fronto-temporo-parietal region may represent edema. Resultant obliteration of sulcal space is noted in the right cerebral hemisphere.

A small, epidural hematoma is noted in the right frontal region with a maximum width of about 1.0 cm. This lesion is hyperintense on all the pulse sequences.


CSF intensity lesions on all the pulse sequences in the subdural space in the left fronto-temporal region and in the right parieto-occipital parafalcine region, most likely represent subdural effusions.

A very thin sliver of hyperintense signal on all the pulse sequences in the right temporo-parieto-occipital region may represent subdural haemorrhagic fluid.

There is mild fullness of both the lateral ventricles. The right antrium appears pulled towards the craniectomy site. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight shift of the midline structures to the right. No obvious vascular anomaly is identified on this study.

Undisplaced fracture of the right frontal bone, right temporal bone and diastasis of the sagittal suture is noted.

Soft tissue in the sphenoid sinus and in the mastoid air cells bilaterally, more on the right, may represent haemorrhage.

IMPRESSION :

1. Post-operative status with herniation of the brain parenchyma through the craniectomy site.

2. Altered signal in the inferior frontal regions bilaterally, left anterior temporal region and in the right frontal and temporal regions represents haemorrhagic contusions.

3. A small, epidural hematoma in the right frontal region with a maximum width of about 1.0 cm.

4. CSF intensity lesions on all the pulse sequences in the subdural space in the left fronto-temporal region and in the right parieto-occipital parafalcine region, most likely represent subdural effusions.

5. Undisplaced fracture of the right frontal bone, right temporal bone and diastasis of the sagittal suture.




Sunday, 27 December 2015 16:48

12741

ke/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz P. Ralmn / F / 5 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since the age of 1 1/2 years.
H/O fever at onset.

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.

IMPRESSION :

Normal study of the Brain.


Sunday, 27 December 2015 16:48

12740

sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzKanlmn / F / 37 yrs.
Referred by : Dr. Abc Xyzraf.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 1 1/2 - 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 a small posterior disc herniation, more to the right of the midline at the L5-S1 level with mild right neural foraminal narrowing. Posterior peridiscal osteophytes are noted at this level. This disc shows loss of water content.

The L4-L5 and L5-S1 facet joints appear hypertrophied.

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 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 :

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

IMPRESSION :

1. A small posterior disc herniation, more to the right of the midline, with posterior peridiscal osteophytes at the L5-S1 level.

2. Hypertrophy of the L4-L5 and L5-S1 facet joints.







Sunday, 27 December 2015 16:48

12739

sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc lmn / M / 27 yrs.
Referred by : Dr. Abc XyzPanat.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias.

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

The facet joints at the L4-L5 and L5-S1 levels appear slightly hypertrophied.

The lumbar vertebral bodies and the 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 :

18.0 mm at L1-L2
18.0 mm at L2-L3
16.0 mm at L3-L4
15.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

1. Small posterior disc bulges with small posterior peridiscal osteophytes at the L3-L4 and L4-L5 levels.

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

No previous X-rays were available for review.








Sunday, 27 December 2015 16:48

12738

sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzkant Jlmn / M / 49 yrs.
Referred by : Dr. Abc Xyzthwani / Dr. Abc Xyzah.
Examination : M.R.I. of the Left Shoulder.

CLINICAL PROFILE :

H/O fall with body weight on the left shoulder on 00.00.00 and difficulty to lift the LUE since then.

EXAMINATION :

M.R.I of the left 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 :

There is seen an ill-defined, hypointense signal on the T1 Weighted images in the region of the lesser and greater tuberosity of the left humerus. This lesion appears hyperintense on the T2 Weighted and GRASS images. The margins of the greater and lesser tuberosities of the left humerus are not well delineated on this study. These tuberosities appear slightly depressed in relation to the humeral head.

There is evidence of avulsion of the anterior lip of the labrum, inferiorly, with altered signal (hypointense on the T1 Weighted images and hyperintense on the T2 Weighted and GRASS images) in the antero-inferior glenoid rim.

Minimal fluid is noted in the gleno-humeral joint.





The articular cartilage of the head of the left humerus appears normal.

The tendinous insertion of the supraspinatous muscle shows normal signal intensity. There is no evidence of fluid in the subdeltoid bursa. There is no evidence of a tear of the supraspinatous muscle.

The acromion process is seen to be sloping slightly posteriorly. Slight hypertrophy if the inferior margin of the acromio-clavicular joint is noted.

The visualized axilla is unremarkable.

IMPRESSION :

1. Altered signal in the region of the greater and lesser tuberosities of the left humerus with ill-defined margins suggest a fracture of the tuberosities with bone bruise.

2. Avulsion of the anterior lip of the labrum, inferiorly, with injury to the glenoid rim, antero-inferiorly.

3. Minimal fluid in the gleno-humeral joint.

4. Slight hypertrophy of the inferior margin of the acromio-clavicular joint.



Sunday, 27 December 2015 16:48

12737

ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzKanklmn / M / 38 yrs.
Referred by : Dr. Abc Xyzhankar.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O one episode of temporary blurring of vision with decreased sensation over the LUE and face with headaches.

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.

4 mm thick FLAIR axial images.

5 mm thick T1 Weighted sagittal images.

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

OBSERVATION :

BRAIN :

There are linear/punctate areas which are near isointense to CSF in the occipito-parietal lobes bilaterally on the proton, T2 Weighted and FLAIR images. These most likely represent prominent perivascular spaces (less likely to be ischemic in etiology).






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 right vertebral artery is hypoplastic.

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

NECK MRA :

The right vertebral artery in the neck is also hypoplastic.

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

The cervical spine was screened with 5 mm thick T2 Weighted sagittal images which show small postero-central disc herniation at the C5-C6 and C6-C7 levels.

IMPRESSION :

No significant abnormality is detected within the brain parenchyma or on the intracranial and neck MRA on this study.

Sunday, 27 December 2015 16:48

12736

sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzai Mahlmn / F / 65 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O right sided hemiparesis since 15 days.
H/O similar complaints 4-5 years back from which patient recovered.
Known diabetic/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.

OBSERVATION :

There are CSF intensity lesions on all the pulse sequences in the posterior parietal periventricular white matter on the left. These lesions represent areas of cystic encephalomalacia, most likely sequelae of a previous vascular insult. Periventricular white matter hyperintense signal on the T2 Weighted images would represent gliotic changes. Resultant mild dilatation of the atrium and posterior body of the left lateral ventricle is noted.

Ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the periventricular white matter in the right frontal and right posterior parietal regions and in the right corona radiata, most likely represent ischemic lesions.

Lacunar infarcts are noted in the pons on the left and in the right lentiform nucleus.






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 cerebellar folia bilaterally. 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 maxillary antrum.

IMPRESSION :

1. Altered signal in the posterior parietal periventricular white matter on the left represents an area of cystic encephalomalacia with perilesional gliosis, most likely a sequelae of previous vascular insult.

2. Altered signal in the periventricular white matter in the right frontal and right posterior parietal regions and in the right corona radiata, most likely represent ischemic lesions.

3. Lacunar infarcts in the pons on the left and in the right lentiform nucleus.


Sunday, 27 December 2015 16:48

12735

sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Plmn / M / 34 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Thorax.
CLINICAL PROFILE :
Known C/O CCF with dilated cardiomyopathy with hypertension.
C/O breathlessness since January 0000.
To r/o coarctation of aorta.
EXAMINATION :
M.R.I. of the thorax was performed using the following parameters:
8 mm thick T1 Weighted and T2 Weighted axial images.5 mm thick T1 Weighted coronal images.5 mm thick T1 Weighted sagittal images.
5 mm thick MPGR oblique sagittal images.
OBSERVATION :

The visualized ascending aorta, aortic arch and descending thoracic aorta show normal signal characteristics. The origins of the right brachiocephalic, left common carotid and left subclavian arteries are unremarkable. The superior vena cava appears slightly more distended.

No obvious stenosis is noted along the aortic arch or descending thoracic aorta on this study.

A sliver of fluid is seen in the pericardium on the right side suggestive of mild pericardial effusion.

A moderate sized pleural effusion is noted in the right hemithorax.

The hila bilaterally appear to be normal.No enlarged mediastinal lymphnodes are identified.
The trachea and main bronchi do not show any intrinsic lesion.
The visualized cervico-dorsal vertebral bodies, the sternum and the costochondral joints do not reveal any area of altered signal intensity.IMPRESSION :1. Moderate sized right sided pleural effusion.

2. Mild pericardial effusion.

3. No obvious stenosis is noted along the visualized thoracic aorta on this study.