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Sunday, 27 December 2015 16:48

12734

ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzalata Salmn / F / 49 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 0000. On anti-epileptics.

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.
4 mm thick FLAIR coronal images.

OBSERVATION :

There is thickening of the gyri in the left inferior frontal region anteriorly and appears hypointense to normal grey matter on the T1 Weighted images which is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. Minimal subcortical white matter edema is noted.

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 thickening of the gyri in the left inferior frontal region anteriorly and is not specific for a single etiology. This may represent contusion (? fall). The possibility of this being a neoplastic process (? infective) cannot be excluded.

A contrast enhanced scan would be worthwhile.


Sunday, 27 December 2015 16:48

12733

ke/sb/rg.
/00006 Date : 15/00.00.00

Name of the Patient : Abc XyzKhurlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

H/O retention of urine since 15-20 days which has recovered since 1 day with headaches, vomiting and giddiness and neck pain since 10-12 days.

EXAMINATION :

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

5 mm thick T1 Weighted, Proton and T2 Weighted sagittal images.

5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

Small postero-central disc protrusions are seen at the C3-C4 and C4-C5 levels.

The cervical intervertebral discs show slight 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.

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 small postero-central disc protrusions at the C3-C4 and C4-C5 levels.
Sunday, 27 December 2015 16:48

12732

sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzK. Thlmn / M / 28 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O numbness in BLE and occasional tingling since 2 1/2 months.

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 water content of the cervical intervertebral discs.

There are posteriorly herniated disc with fairly large posterior peridiscal osteophytes, more to the left of the midline, at the C3-C4 and C4-C5 levels, with cord compression and left neural foraminal narrowing. The cervical spinal cord at the C4-C5 level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia.

A fairly large, postero-central disc herniation with peridiscal osteophyte is noted at the C5-C6 level with cord compression. 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 protruded disc with peridiscal osteophyte is noted at the C6-C7 level.

The facet joints at the C4-C5 level appears slightly hypertrophied. The left sided joints of Luschka at the C3-C4 and C4-C5 levels show degenerative changes.

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

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

IMPRESSION :

1. Posteriorly herniated discs with fairly large posterior peridiscal osteophytes, more to the left of the midline, at the C3-C4 and C4-C5 levels, with cord compression and left neural foraminal narrowing.

2. A fairly large, postero-central disc herniation with peridiscal osteophyte at the C5-C6 level with cord compression.

3. Altered cord signal at the C4-C5 and C5-C6 levels suggests cord edema/ischemia.

4. Small postero-central protruded disc with peridiscal osteophyte at the C6-C7 level.

5. Hypertrophy of the facet joints at the C4-C5 level degenerative changes of the left sided joints of Luschka at the C3-C4 and C4-C5 levels.


Sunday, 27 December 2015 16:48

12731

ke/sb/rg/nl
Date : 00.00.00

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

CLINICAL PROFILE :

C/O neck pain radiating to the RUE with paresthesias since 2 months.
H/O fall 2 months ago.

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 at the C4-C5 level with compression of the spinal cord and resultant canal stenosis. The spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images. This is isointense to normal cord on the T1 Weighted images. A left postero-lateral disc herniation is also noted at the C4-C5 level with left neural foraminal narrowing and indentation upon the left C5 nerve root.

A left postero-lateral disc herniation with large peridiscal osteophytes is seen at the C3-C4 level with left neural foraminal narrowing. There is indentation upon the left C4 nerve root.

Small postero-central disc protrusions are seen at the C2-C3, C5-C6 and C6-C7 levels.
..2/.






- 2 - Scan-00009

Small posterior peridiscal osteophytes are seen at the C5-C6 and C6-C7 levels.

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.

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

IMPRESSION :

The MRI features are suggestive of :

1. Postero-central disc herniation at the C4-C5 level with resultant canal stenosis and cord edema/ischemia at this level.

2. A left postero-lateral disc herniation at the C4-C5 level indenting the left C5 nerve root.

3. A left postero-lateral disc herniation with large peridiscal osteophytes at the C3-C4 level indenting the left C4 nerve root.

4. A small postero-central disc protrusions at the C2-C3, C5-C6 and C6-C7 levels.

5. Small posterior peridiscal osteophytes at the C5-C6 and C6-C7 levels.

Sunday, 27 December 2015 16:48

12730

ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzi Kanlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gait imbalance, slurring speech, unresponsiveness and loss of appetite since 5 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.

5 mm thick FLAIR coronal images.

OBSERVATION :

There is a small bright focus in the white matter in the left high parietal region on the proton, T2 Weighted and FLAIR images (se/im 102.14, 105.12).

Prominent perivascular space is noted in the right posterior parietal deep white matter.

Both the lateral, third and the fourth ventricles are normal. There is prominence of the 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.

IMPRESSION :

1. Altered signal in the left high parietal region is of ? etiology, ? ischemic focus, ?? gliotic focus.

2. Mild prominence of the cerebellar folia bilaterally.
Sunday, 27 December 2015 16:48

12728


Sunday, 27 December 2015 16:48

12727

ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Sarvlmn / M / 41 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 1 month 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 is a posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac and left neural foraminal narrowing. A small posterior peridiscal osteophyte is also noted at this level.

A Schmorls node is seen in the inferior margin of the D11 vertebral body and along the superior margin of L2. The L3-L4 intervertebral disc shows slight loss of water content.

A hemangioma with fatty content is noted in the L3 vertebral body.

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 D12-L1 level and the thecal sac terminates at the S1 level.
..2/.







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
18.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of a posterior disc herniation with a small posterior peridiscal osteophyte at the L4-L5 level.






Sunday, 27 December 2015 16:48

12724

hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzs Castelmn / M / 34 yrs.
Referred by : Dr. Abc Xyzhijwala.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (left more than right) with paresthesias since 1 1/2 months.
H/O spine surgery in the past.

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 evidence of laminectomy of the L4, L5 and S1 vertebrae with post-operative changes in the posterior soft tissues at these levels.

There is mild retrolisthesis of the L4 over the L5 vertebrae. The L4-L5 and L5-S1 intervertebral discs shows loss of water content.

A small postero-central disc herniation is seen to indent the thecal sac at the L4-L5 level. The L4-L5 facet joints show hypertrophic degenerative changes.

Hypointense areas on the T1 Weighted images which show an intermediate signal intensity on the T2 Weighted images within the anterior epidural space at the L5 vertebral level with encasement of the traversing L5 nerve roots bilaterally. This most likely represents a scar tissue.


The intrathecal nerve roots at the L4 and L5 levels are thickened and irregularly defined suggestive of Group I arachnoiditis.

A small postero-central disc protrusion is noted at the L5-S1 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 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

IMPRESSION :

The MRI features are suggestive of :

1. Post-operative status.

2. Small postero-central disc herniation at the L4-L5 level.

3. Scar tissue within the anterior epidural space at the L5 vertebral level with encasement of the traversing L5 nerve roots bilaterally.

4. Hypertrophic facetal arthropathy at the L4-L5 level.

5. Group I arachnoiditis at the L4 and L5 levels.




Sunday, 27 December 2015 16:48

12723

hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzPurlmn / M / 38 yrs.
Referred by : Dr. Abc XyzAndar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O dystonia since childhood.
C/O neck being pulled to the left.

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.

FEW IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.

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. No obvious vascular anomaly is identified on this study.

IMPRESSION :

Normal study of the Brain.


Sunday, 27 December 2015 16:48

12722

hs/ke/nl/rg
Date : 00.00.00

Name of the Patient : Abc Xyzi Shlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache with paresthesias in the RUE since 8 months which has increased since 2 months.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is anterior wedging of the D4 vertebral body with a resultant kyphus. The D4 and D5 vertebral bodies are decreased in height.

Areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen to involve the D4 and D5 vertebral bodies and pedicles. There is slight extension into the anterior epidural space with mild compression upon the spinal cord. Minimal extension into the pre and paravertebral soft tissues is noted at these levels.

The D4-D5 intervertebral disc is involved by this pathologic process.

The rest of the visualized cervico-dorsal intervertebral discs show loss of water content.





The rest of the visualized dorsal vertebral bodies show normal signal intensity.

The visualized dorsal spinal cord reveals normal signal intensity.

The dorso-lumbar and lumbo-sacral spines were screened with 5 mm thick T1 Weighted sagittal images. Small posterior disc herniations are noted at the L4-L5 and L5-S1 levels. Small posterior peridiscal osteophytes are noted at the L5-S1 level.

IMPRESSION :

The MRI features are suggestive of osteitis and discitis involving the D4 and D5 vertebrae and the D4-D5 intervertebral disc respectively. This most likely represents an infective process like tuberculosis.

The possibility of this being a neoplastic process like a small cell tumor is less likely.