Regular User

Regular User

Sunday, 27 December 2015 16:48

14818

sb/hs/nl/rg/
Date : 00.00.00

Name of the Patient : Abc Xyzhan lmn / M / 55 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE with paresthesias since 10 days.

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.

6 mm thick T1 Weighted coronal images.

OBSERVATION :

There is loss of water content of the lumbar intervertebral discs.

There is scoliosis of the lumbar spine with convexity to the left. Resultant slight clockwise rotational anomaly of the lumbar vertebrae is noted. Fairly large, right lateral peridiscal osteophytes are noted on the right at the L2-L3 and L3-L4 levels.

A small posterior and left far lateral disc bulge is seen at the L5-S1 level.

A left paracentral and left postero-lateral disc herniation is noted at the L4-L5 level with left neural foraminal narrowing.



A right postero-lateral and right far lateral disc bulge is noted at the L3-L4 level with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L3 nerve root.

The facet joints at the L5-S1 level bilaterally, at the L4-L5 level on the left and at the L3-L4 level on the right
show hypertrophic degenerative changes with resultant lateral recess stenosis. Slight ligamentum flavum hypertrophy is also noted at the L5 vertebral level. Mild facetal hypertrophy is seen on the right at the L4-L5 level.

The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.

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 :

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

IMPRESSION :

1. Scoliosis of the lumbar spine with convexity to the left with resultant slight clockwise rotational anomaly of the lumbar vertebrae.

2. A small posterior and left far lateral disc bulge at the L5-S1 level.
..3/.








- 3 - Scan-00008


3. A left paracentral and left postero-lateral disc herniation at the L4-L5 level with left neural foraminal narrowing.

4. A right postero-lateral and right far lateral disc bulge at the L3-L4 level with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L3 nerve root.

5. Hypertrophic facetal arthropathy at the L5-S1 level bilaterally, on the left at the L4-L5 level and on the right at the L3-L4 level with resultant lateral recess stenosis.

Sunday, 27 December 2015 16:48

14817

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzed Ylmn / M / 20 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O paraplegia since 10 days with fever.

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.

The cervical spine was screened with 4 mm thick T2 Weighted sagittal images and the lumbar spine was screened with 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are patchy, ill-defined, hyperintense areas on the T2 Weighted images in the dorsal spinal cord centrally and peripherally at the D9, D10-D11, D11 and D11-D12 levels. These lesions appear relatively hypointense to normal cord on the T1 Weighted images.

Similar signal intensity changes are noted in the upper dorsal region and at the C5 vertebral level.

The visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

There is no cord compression.
Scan-00007



The conus medullaris terminates at the L1 level.

Screening images of the lumbar spine do not reveal any significant feature of note.

IMPRESSION :

Patchy altered signal in the dorsal spinal cord centrally and peripherally at the D9, D10-D11, D11 and D11-D12 levels, in the upper dorsal region and at the C5 vertebral level as described is not specific for a single etiology. These changes may represent myelitis/demyelination.





Sunday, 27 December 2015 16:48

14816

hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Tallmn / F / 21 yrs.
Referred by : Dr. Abc Xyz.
Examination : M.R.I. of the Sella & Perisellar Region.

CLINICAL PROFILE :

C/O irregular menses.
Serum Prolactin - 5.58 ng/ml.

EXAMINATION :

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

3 mm thick T1 Weighted and T2 Weighted coronal images.

3 mm thick T1 Weighted sagittal images.

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

OBSERVATION :

The pituitary gland is normal in its size, contour and location and reveals normal signal intensity. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable. The cavernous sinuses and suprasellar cistern are unremarkable.

IMPRESSION :

Normal study of the Sella & Perisellar Region.



Sunday, 27 December 2015 16:48

14815

hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzm lmn / M / 8 yrs.
Referred by : Dr. Abc Xyzvadekar.
Examination : M.R.I. of the Brain.
(Post-contrast Study).

CLINICAL PROFILE :

H/O fall with 2 episodes of seizures and gait imbalance since then.

EXAMINATION :

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial and coronal images with magnetization transfer.

4 mm thick T1 Weighted sagittal images.

4 mm thick T1 Weighted axial images through the region of interest.

OBSERVATION :

There is evidence of an area of hypointensity on the T1 Weighted images within the spinal cord at the C1/C2 level. This does not enhance after contrast administration and would most likely represent a contusion (Please see previous MRI (study no:00009) dated 00.00.00.

Also seen is an os odontoidium with the non-united portion showing slight posterior displacement.

There is no focal area of abnormal enhancement within the brain parenchyma or along the meninges.

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 scan.






Sunday, 27 December 2015 16:48

14814

sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzevi Glmn / F / 32 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE with paresthesias since 6-7 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 loss of water content of the L4-L5 and L5-S1 intervertebral discs.

There is a fairly large, right paracentral extruded disc with a peridiscal osteophyte at the L5-S1 level with slight inferior migration of the disc fragment with impingement of the traversing right S1 nerve root.

A postero-central and left postero-lateral disc herniation with a peridiscal osteophyte is noted at the L4-L5 level with left neural foraminal narrowing and impingement of the traversing left L5 nerve root.

The facet joints at the L4-L5 and L5-S1 levels bilaterally show slight hypertrophic degenerative changes.

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.
- 2 - Scan-00004



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 :

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

IMPRESSION :

1. A fairly large, right paracentral extruded disc with a peridiscal osteophyte at the L5-S1 level with slight inferior migration of the disc fragment with impingement of the traversing right S1 nerve root.

2. A postero-central and left postero-lateral disc herniation with a peridiscal osteophyte at the L4-L5 level with left neural foraminal narrowing and impingement of the traversing left L5 nerve root.

3. Slight hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels, bilaterally.


Sunday, 27 December 2015 16:48

14812

hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzuzd J. Darulmn / M / 11 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O single eipsode of seizure 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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick FLAIR coronal images.

OBSERVATION :

There is no focal area of altered signal intensity in the brain parenchyma.

The hippocampal 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.

IMPRESSION :

Normal study of the Brain.






Sunday, 27 December 2015 16:48

14811

hs/sb/nl.
/13 Date : 00.00.00

Name of the Patient : Abc Xyzhchand Chhlmn / M / 64 yrs.
Referred by : Dr. Abc Xyzandel / Dr. Abc Xyzra.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O right sided hemiparesis with loss of consciousness for 36 hours, 10 days back.
H/O right sided hemiparesis in April 0000 from which patient recovered.

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 evidence of an area which is near isointense to CSF on the T1 Weighted and T2 Weighted images within the head of the left caudate nucleus. An area of hypointensity on the T2 Weighted images is seen adjacent to this lesion and would most likely represent hemosiderin. There is ex-vacuo dilatation of the left frontal horn.

Hyperintense areas on the T2 Weighted images are seen in the periatrial white matter bilaterally and are most likely ischemic in etiology.

There is fullness of the third and both the lateral ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Scan-00001/13



INTRACRANIAL & NECK MRA :

The right vertebral artery is not visualized from its origin (distal portion prior to bifurcation seen, ? retrograde flow).

There is slight vessel wall irregularity and concentric narrowing of the cavernous segment of the right internal carotid artery.

There is vessel wall irregularity and attenuation of the flow signal within the proximal segment of the left middle cerebral artery, the left posterior cerebral artery and the basilar artery.

The A1 segment of the right anterior cerebral artery appears to be hypoplastic.

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

Concentric narrowing with flow signal attenuation is noted in the proximal 1.5 cms segment of the right internal carotid artery, just distal to the right common carotid bifurcation. The left common carotid artery and its bifurcation and the left vertebral artery are unremarkable.

IMPRESSION :

The MRA features are suggestive of :

1. An area of encephalomalacia within the head of the left caudate nucleus.
..3/.







- 3 - Scan-00001/13




2. Non-visualization of the right vertebral artery from its origin (distal portion prior to bifurcation seen, ? retrograde flow).

3. Slight vessel wall irregularity and concentric narrowing of the cavernous segment of the right internal carotid artery.

4. Vessel wall irregularity and attenuation of the flow signal within the proximal segment of the middle cerebral artery and the left posterior cerebral artery.

5. Stenosis of the proximal segment of the right internal carotid artery just distal to the right common carotid bifurcation.


Sunday, 27 December 2015 16:48

14810

ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzl H. Jailmn / M / 42 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O difficulty in writing since 5-6 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 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.

IMPRESSION :

Normal study of the Brain.













Sunday, 27 December 2015 16:48

14809

sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzj Ylmn / M / 28 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE and paresthesias 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 :

There is loss of water content of the L4-L5 intervertebral disc. There is slight retroplacement of the L4 vertebra over the L5 vertebra.

There is a small, right postero-lateral (foraminal) disc herniation at the L5-S1 level with right neural foraminal narrowing. Slight facetal hypertrophy is also noted at this level on the right side.

A right paracentral disc herniation with peridiscal osteophytes is noted at the L4-L5 level with slight inferior migration of the disc fragment indenting the traversing right L5 nerve root. Right sided facetal hypertrophy is also noted at this level.

Small right postero-lateral and right far lateral disc herniations with right neural foraminal narrowing is seen at the L4-L5 level.

Right far lateral (extraforaminal) disc bulges are noted at the L2-L3 and L3-L4 levels.


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 S2 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
15.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. A small, right postero-lateral (foraminal) disc herniation at the L5-S1 level with right sided facetal hypertrophy.

2. A right paracentral disc herniation with peridiscal osteophytes at the L4-L5 level with indentation of the traversing right L5 nerve root and right sided facetal hypertrophy.

3. Small right postero-lateral and right far lateral disc herniations at the L4-L5 level.

Sunday, 27 December 2015 16:48

14808

ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzLaklmn / M / 60 yrs.
Referred by : Dr. Abc Xyzsrani.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (left more than right) 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 slight retrolisthesis of the L5 over the S1 vertebral body. A pseudo-posterior disc bulge with peridiscal osteophytes is noted at the L5-S1 level with indentation on the S1 nerve roots.

A posterior disc bulge is noted at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.

Anterior disc herniation with peridiscal osteophytes is seen at the L3-L4 level. The lumbar intervertebral discs show loss of water content.

The lumbar facet joints and the D12-L1 facet joints show hypertrophic degenerative changes.

Ligamentum flavum hypertrophy is noted at the L4-L5, L5 and L5-S1 levels.

The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
..2/.








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 :

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

IMPRESSION :

1. Slight retrolisthesis of the L5 over the S1 vertebral body with a pseudo-posterior disc bulge with peridiscal osteophyte at the L5-S1 level indenting the S1 nerve roots.

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

3. Hypertrophic facetal arthropathy in the lumbar region and at the D12-L1 level with ligamentum flavum hypertrophy at the L4-L5, L5 and L5-S1 levels.

4. Tight lumbar canal at the L4-L5 and L5-S1 levels.