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Sunday, 27 December 2015 16:48

12711

sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / F / 35 yrs.
Referred by : Dr. Abc Xyzud.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with tingling since 3 years which increased since 7-8 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 reduction in height and loss of water content of the L2-L3 intervertebral disc. There is spondylolysis at L2, bilaterally, with minimal anterior translation the L2 over the L3 vertebra.

Irregularity of the cortical endplates adjacent to the L2-L3 disc is noted. Ill-defined hypointense signal on all the pulse sequences is noted in the bodies of the L2 and L3 vertebrae adjacent to the L2-L3 disc, suggesting sclerosis. A posteriorly bulging disc with posterior peridiscal osteophytes is noted at the L2-L3 level with bilateral neural foraminal narrowing. Right far lateral disc herniation is also noted indenting the traversing right L2 nerve root. Anterior disc herniation with anterior peridiscal osteophytes is also noted at this level.

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




The rest of 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
16.0 mm at L2-L3
16.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. Changes at the L2-L3 disc level as described above are not specific for a single etiology. These most likely are degenerative in etiology in view of the spondylolysis at L2. The possibility of these changes being due to previous osteitis and discitis seems less likely.

2. Small posterior disc bulges at the L4-L5 and L5-S1 levels.








Sunday, 27 December 2015 16:48

12710

hs/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzji lmn / M / 62 yrs.
Referred by : Dr. Abc Xyzengsarkar.
Examination : M.R.I. of the Left Tibia.

CLINICAL PROFILE :

C/O limp and pain in the left one third leg since 10-15 days.

EXAMINATION :

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

4 mm thick T1 Weighted and STIR coronal images.

3 mm and 5 mm thick T1 Weighted sagittal images.

3 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There are multiple irregularly defined areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the STIR and T2 Weighted images within the medullary cavity of the entire left tibia. Few of these areas are mildly hyperintense on the T1 Weighted images. There is slight irregularity of the endosteum and also seen is slight periosteal reaction. A hyperintense signal is seen within the soft tissues adjacent to the tibial shaft on the T1 Weighted and STIR images and this may represent edema.

Endosteal irregularity is also noted in the left fibula.

The visualized lower femur shows normal signal intensity. There is no obvious bony destruction or erosion.
- 2 - Scan-00000

IMPRESSION :

The MRI features are suggestive of a pathologic process within the medullary cavity of the entire left tibia
as described and is not specific for a single etiology. This most probably suggests fibrous dysplasia.

The possibilities of these being a neoplastic or an infective process cannot be ruled out entirely.



Sunday, 27 December 2015 16:48

12709

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzr Kulklmn / M / 81 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O seizures since 0000. On anti-epileptics.
Last episode on 30th April 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.

5 mm thick FLAIR coronal images.

3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

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 subcortical white matter in the frontal and parietal regions bilaterally. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.

Lacunar infarcts (iso to hyperintense to CSF) are noted in the left cerebellar hemisphere and in the thalami bilaterally.

The hippocampal complex is unremarkable on either side.

There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally.
Scan-00009


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

Inflammatory changes are noted in the mastoid air cells bilaterally and in the right maxillary antrum.

IMPRESSION :

1. Altered signal in the posterior parietal periventricular white matter bilaterally and in the subcortical white matter in the frontal and parietal regions bilaterally most likely represent ischemic changes.

2. Lacunar infarcts in the left cerebellar hemisphere and in the thalami bilaterally.

3. Age related cerebral cortical and cerebellar atrophy.
Sunday, 27 December 2015 16:48

12707

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz A. Mithailmn / F / 33 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 5 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 appears to be sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film. Please correlate with plain radiographs.

There is loss of water content of the L4-L5 intervertebral disc.

There is a small, postero-central disc herniation at the L4-L5 level, indenting the dural theca anteriorly. Slight facetal hypertrophy is noted at this 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 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 :

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

Screening, T1 Weighted sagittal images of the dorsal spine and T1 Weighted coronal images of the sacro-iliac and hip joints do not reveal any significant feature of note.

IMPRESSION :

1. Sacralized L5 vertebra. Please correlate with plain radiographs.

2. Degenerated L4-L5 disc with a small, postero-central disc herniation at that level.








Sunday, 27 December 2015 16:48

12706

sb/hs/nl/nl
/8 Date : 00.00.00

Name of the Patient : Abc XyzSonalmn / F / 20 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O paresthesias on the right side of the body on 00.00.00.

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.

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

OBSERVATION :

BRAIN :

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.

The origins of the carotid and vertebral vessels are also unremarkable.

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

12705

ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzen Almn / F / 65 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known hypertensive & diabetic. On Rx.
C/O depression with non-responsiveness since 1 day.

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 an ill-defined, hyperintense signal on the proton and T2 Weighted images in the right posterior parietal periventricular white matter, which most likely represents ischemic changes.

There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is 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.

Incidental note is made of an empty sella.

IMPRESSION :

1. An empty sella.

2. Age related cerebral and cerebellar atrophy.

3. Altered signal in the right posterior parietal periventricular white matter, most likely represents ischemic changes.
Sunday, 27 December 2015 16:48

12704

ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzSlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzr Patil.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 1 year.

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.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are multiple hyperintense areas on the proton and T2 Weighted images in the frontal and parietal subcortical white matter bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are suggestive of ischemic lesions.

The tail of the hippocampus on the left side appears smaller due to obliquity.

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 areas of ischemia in the
frontal and parietal subcortical white matter bilaterally.



Sunday, 27 December 2015 16:48

12703

ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzli Mhlmn / F / 38 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 1 1/2 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 :

Small postero-central disc herniation is seen at the L5-S1 level. A small posterior disc bulge is noted at the L4-L5 level with anterior indentation of the thecal sac.

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

IMPRESSION :

The MRI features are suggestive of :

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

2. Small posterior disc bulge at the L4-L5 level.









Sunday, 27 December 2015 16:48

12702

ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzti Indulmn / F / 65 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with gait imbalance since 4 days.

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.

5 mm thick T1 Weighted sagittal images.

MR Cisternogram was also performed.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There are ill-defined hyperintense areas in the left corona radiata and the posterior parietal deep white matter on the proton, T2 Weighted and FLAIR images. These are isointense to the normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

The seventh and eighth cranial nerve complex on either side are unremarkable.

There is mild fullness of both the lateral ventricles. The 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.
Scan-00002


The normal hyperintense signal of the lens bilaterally is not visualized, probably the result of previous surgery.

IMPRESSION :

The MRI features are suggestive of areas of ischemia/infarction in the left corona radiata and the posterior parietal deep white matter bilaterally.

Sunday, 27 December 2015 16:48

12701

ke/sb/rg/nl
Date : 00.00.00

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

CLINICAL PROFILE :

C/O backache radiating to the LLE since 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 large left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with indentation upon the left L5 nerve root. This disc shows loss of water content. Slight inferior migration of the disc fragment is noted.

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

IMPRESSION :

The MRI features are suggestive of a large left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level indenting the left L5 nerve root. Slight inferior migration of the disc fragment is noted.