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Sunday, 27 December 2015 16:48

12586

hs/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzn Khlmn / M / 6 1/4 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella & Perisellar Region.

CLINICAL PROFILE :

Known C/O precocious puberty.
For follow-up.

EXAMINATION :

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

3 mm thick T1 Weighted and T2 Weighted (with fat saturation) coronal images.

3 mm thick T1 Weighted sagittal images.

5 mm thick T2 Weighted axial images.

MR cisternogram was obtained in the coronal plane.

OBSERVATION :

There is a fairly well circumscribed mass lesion in the suprasellar cistern. This lesion is located between the pituitary stalk and the mamillary bodies. This lesion appears to be sessile and appears to be arising from the tuber cinereum. This lesion is isointense to grey matter on the T1 Weighted images and turns heterogeneously hyperintense on the T2 Weighted images.

The pituitary gland is normal.

There is no focal area of abnormal signal alteration within the brain on the T2 Weighted axial images.


IMPRESSION :

The MRI features are suggestive of a mass lesion in the suprasellar cistern. In the given clinical setting, signal characteristics, age and sex of the patient and location of the lesion, it most probably represents a tuber cinereum hamartoma.

As compared to the previous MRI (study no:0000) dated 00.00.00, there is no significant change noted.



Sunday, 27 December 2015 16:48

12585

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyza Shlmn / F / 24 yrs.
Referred by : Dr. Abc XyzShetty / Dr. Abc Xyzhoni.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache 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.

OBSERVATION :

There is a small posterior disc herniation at the L5-S1 level with anterior indentation of the thecal sac.

A small posterior disc bulge is noted at the L4-L5 level.

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 :

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

The sacro-iliac joints were further studied with the help of 4 mm thick T1 Weighted coronal images and 4 mm thick STIR axial images, which do not reveal any diagnostic feature of note.

IMPRESSION :

1. A small posterior disc herniation at the L5-S1 level with anterior indentation of the thecal sac.

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








Sunday, 27 December 2015 16:48

12584

ke/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xylmn / F / 35 yrs.
Referred by : Dr. Abc XyzBR> Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

Known C/O left Ca breast. Operated 4 years back.
C/O backache radiating to the RLE since 8-10 days.

EXAMINATION :

M.R.I of the dorso-lumbar 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 near complete collapse of the D12 vertebral body and central wedging of the D11 and L5 vertebral bodies with an angular kyphus at the D11/D12 level.

There is replacement of the normal marrow of nearly all the vertebrae in the spinal axis by hypointense areas on the T1 Weighted images which are seen to turn heterogeneously hyperintense on the T2 Weighted images. Similar areas are also noted within the sternum, appendages of a few vertebrae and the sacral ala and the iliac bone on the left side.

There is posterior bulging of the D10, D11 and D12 vertebral bodies with posterior displacement and compression of the spinal cord. The cord over the D9 to D12 levels shows a subtle hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia.





Pre and paravertebral soft tissue extension with epidural extension is noted in the sacral region.

A large pleural effusion is seen on the right side.

The conus medullaris terminates at the D12-L1 level.

IMPRESSION :

In a known C/O Ca breast, the MRI features are suggestive of altered signal in the spinal axis and within the sternum and the sacral ala and in the iliac bone on the left side is suggestive of metastasis. There is cord signal alteration over the D9 to D12 vertebral levels suggestive of cord edema/ischemia.







Sunday, 27 December 2015 16:48

12583

ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Mlmn / M / 12 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures, blurring of vision and fall with LOC since 3 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.

5 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is reduction in the volume of the body of the hippocampus on the right side with prominence of the temporal horn. The underlying collateral white matter is however unremarkable (scan 105.8, 105.9, 106.8, 106.9). Subtle increase in the signal intensity is also noted in this region.

There is slight reduction in the volume of the tail of the hippocampus on the left 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.

Incidental note is made of enlarged adenoids.

IMPRESSION :

The MRI features are suggestive of reduction in the volume of the body of the hippocampus on the right side and tail of the hippocampus on the left side suggestive of hippocampal sclerosis.




Sunday, 27 December 2015 16:48

12582

ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Mlmn / F / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 6 years. 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.

OBSERVATION :

There is slight fullness of the right temporal horn which may be a normal variant.

The rest of 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.

Note is made of an empty sella.

IMPRESSION :

No significant abnormality detected within the brain per se on this study.


Sunday, 27 December 2015 16:48

12581

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Plmn / F / 17 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Hippocampal Region.

CLINICAL PROFILE :

H/O seizures in childhood and 3 episodes in last 1 year.

EXAMINATION :

M.R.I of the hippocampal region was performed, as requested using the following parameters :

3 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick T2 Weighted axial images through the brain.

OBSERVATION :

There is no area of abnormal altered signal intensity on the T2 Weighted axial images of the brain. Hyperintense areas in both posterior parietal regions represent terminal areas of myelination. Dilated perivascular spaces are seen in the centrum semiovale bilaterally.

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.

The pituitary gland has a superior convex margin which may be normal for the patients age.

Incidental note is made of mild right maxillary sinusitis.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

12580

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz S. lmn / F / 47 yrs.
Referred by : Dr. Abc Xyztange.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 6 years which has increased since 2-3 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 :

The L4-L5 and L5-S1 intervertebral discs show loss of water content.

There is a fairly large postero-central disc herniation at the L4-L5 level with anterior indentation of the thecal sac.

A small posterior disc herniation is noted at the L5-S1 level.

Small posterior disc bulge is noted at the L3-L4 level.

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

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 L1 level and the thecal sac terminates at the S2 level.

- 2 - scan-00000


The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

13.0 mm at L1-L2
14.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A fairly large postero-central disc herniation at the L4-L5 level.

2. Small posterior disc bulge at the L3-L4 level and a small posterior disc herniation at the L5-S1 level.

3. Ligamentum flavum hypertrophy at the L5, L5-S1 and S1 levels.









Sunday, 27 December 2015 16:48

12579

ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc XyzAli M.lmn / M / 65 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

Known C/O kochs spine.
H/O inability to walk 15 months ago which has improved.
For follow up.

EXAMINATION :

M.R.I of the dorso-lumbar 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 anterior wedging of the D11 and D12 vertebral bodies with mild angular kyphus at that level.

There is replacement of the normal marrow of the D11 and D12 vertebral bodies by hypointense areas on the T1 Weighted images which are seen to turn heterogenously hyperintense on the T2 Weighted images. The pedicles of these vertebrae are also involved by the pathology. There is breach of the superior and inferior cortical endplates of the D12 and D11 vertebral bodies with involvement of the D11-D12 intervertebral disc which appears hyperintense on the T2 Weighted images suggestive of its involvement. There is pre and paravertebral soft tissue extension over the D10-D11 to the D12-L1 levels. Anterior epidural extension is also seen at the D11-D12 levels.

The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.

Large anterior peridiscal osteophytes are seen to the right of the midline in the mid and lower dorsal regions.
..2/.




- 2 - scan-00009


The visualized dorso-lumbar spinal cord reveals slight increase in the signal intensity suggestive of cord edema/ischemia.

The conus medullaris terminates at the D12 level.

IMPRESSION :

In a known C/O Kochs spine the MRI features are suggestive of altered signal of the D11 and D12 vertebral bodies and involvement of the D11-D12 intervertebral discs with extensions as described.

As compared to the previous MRI dated 00.00.00, there is reduction in the soft tissue component of the above described lesion.
Sunday, 27 December 2015 16:48

12578

sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzalmn / F / 20 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Abdomen.

CLINICAL PROFILE :

C/O pain and swelling over the abdomen since 3 years.

EXAMINATION :

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

6 mm thick T1 Weighted and 7 mm thick T2 Weighted (with fat saturation) axial images.

5 mm thick T1 Weighted coronal and sagittal images.

MR venogram was obtained.

OBSERVATION :

There is hepatosplenomegaly. Diffuse hyperintense signal on the T1 Weighted images is noted in the liver which is suppressed on the T2 Weighted images and may represent diffuse fatty infiltration of the liver. Slight distortion of the venous architexture is noted. There is no dilatation of the intrahepatic biliary radicles.

The spleen shows normal signal characteristics.

The gall bladder is normal and reveals no intrinsic abnormality.

The pancreas is normal in size and signal intensity.






Both the kidneys are normal in size.

No lymphadenopathy is detected. A small amount of free fluid is noted in the abdomen.

The inferior vena cava appears slightly dilated, proximally. The hepatic veins in the liver are also slightly prominent. There is however normal flow signal identified in the inferior vena cava, hepatic veins and in the portal system.

There is a focal expansion of the lower dorsal spinal cord. It is isointense to CSF on the T1 Weighted and T2 Weighted images. A dedicated study of the dorsal spine may be worthwhile.

IMPRESSION :

1. Hepatosplenomegaly with diffuse fatty infiltration of the liver.

2. Mild ascites.

3. Prominent inferior vena cava and hepatic veins without evidence of obstruction of these vessels.

4. A CSF intensity lesion within the lower dorsal spinal cord. A dedicated study of the dorsal spine may be worthwhile.



Sunday, 27 December 2015 16:48

12577

sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzKlmn / M / 26 yrs.
Referred by : Dr. Abc Xyz. Desai.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to the RUE with paresthesias since 10-15 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 water content of the cervical intervertebral discs.

There is a fairly large, right postero-lateral disc herniation with peridiscal osteophytes at the C6-C7 level indenting the spinal cord, right C7 nerve root and narrowing the right neural foramen at that level.

Small posterior disc bulges are noted at the C4-C5 and C5-C6 levels.

Slight facetal hypertrophy is noted at the C3-C4 level bilaterally.

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 :

1. A fairly large, right postero-lateral disc herniation with peridiscal osteophytes at the C6-C7 level indenting the spinal cord and right C7 nerve root.

2. Small posterior disc bulges at the C4-C5 and C5-C6 levels.