Regular User

Regular User

Sunday, 27 December 2015 16:48

12304

ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Chaphlmn / F / 37 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O heaviness of the LUE and LLE since 2 days.
H/O loss of vision on the right side for 5 days in 0000 and diminished vision on the left side in 0000. Recovered subsequently.

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 STIR coronal images through the optic nerves.

OBSERVATION :

There is a hyperintense area in the left corona radiata adjacent to the body of the left lateral ventricle on the proton and T2 Weighted images. This is hypointense to white matter on the T1 Weighted images. The lesion appears to be cigar shaped. A similar lesion is seen in the right temporo-parietal region (se/im 103.13, 104.13).

Hyperintense areas are also seen in the right corona radiata and right periatrial white matter on the proton and T2 Weighted images.

The intracranial and intraorbital optic nerves appear to be decreased in calibre with prominence of the perioptic space.





The right 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 a left maxillary polyp and right maxillary sinusitis.

IMPRESSION :

The MRI features are suggestive of lesions in the left corona radiata adjacent to the body of the left lateral ventricle, in the right temporo-parietal region, right corona radiata and right periatrial white matter represent demyelinating plaques (? multiple sclerosis).

Also seen is optic nerve atrophy bilaterally which may be the sequelae of previous demyelination.

As compared to the previous MRI dated 00.00.00, a fresh lesion is seen in the right temporo-parietal region. Also seen in optic nerve atrophy.


Sunday, 27 December 2015 16:48

12303

ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz S. Halmn / F / 24 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O neckpain with inability to get up from a squatting position and paresthesias in BUE and BLE since 10 years which has increased over the last 5 years.

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 :

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

The cervical spinal cord shows normal signal intensity.

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

IMPRESSION :

Normal study of the Cervical Spine.







Sunday, 27 December 2015 16:48

12301

ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / F / 14 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

H/O jaundice 1 month back.
C/O weakness of BLE with inability of walk since 2 months.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

6 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is a subtle hyperintense signal in the anterior column of the spinal cord at the D6 and D7 levels on the T2 Weighted images. This lesion is isointense to normal cord on the T1 Weighted images. The CSF space is unremarkable.

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.

The cervico-dorsal spine was screened with 5 mm thick T2 Weighted sagittal images and shows a congenital block C4/C5 vertebra.

IMPRESSION :

The MRI features are suggestive of altered signal in the spinal cord at the D6 and D7 levels which could be due to a sequelae of myelitis/demyelination.

Sunday, 27 December 2015 16:48

12300

ke/hs/nl/rg.
/302 Date : 00.00.00

Name of the Patient : Abc XyzDhlmn / M / 37 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O syncopal attacks 2-3 times in a day since 7-8 months.

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 no focal area of altered signal intensity within the brain parenchyma.

Incidental note is made of a mega cisterna magna.

Both the lateral, third and the fourth ventricles are normal. There is no shift of the midline structures.

Inflammatory changes are noted in the maxillary sinuses, frontal sinus and ethmoidal air cells.

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.

IMPRESSION :

No significant abnormality is detected on the intracranial and neck MRA on this study.

Sunday, 27 December 2015 16:48

12299

ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz R. Kollmn / F / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O weakness of BLE since 6 months.

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.

7 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is an exaggerated lumbar lordosis. The distal sacral and coccygeal vertebrae are not well-identified and may be hypoplastic (kindly correlate with plain radiographs).

The cord is low lying and its tip is seen to lie at the L3-L4 level.

Hyperintense signal is seen within the spinal canal which is intradural in location over the L5 to S1 levels on all the pulse sequences (following fat signal characteristics) and would represent a filum terminale lipoma (1 mm width).

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






The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and does not reveal any diagnostic feature of note.

IMPRESSION :

1. Low lying spinal cord with its tip lying at the L3-L4 level.

2. A filum terminale lipoma (1 mm width) within the spinal canal over the L5 to S1 levels.

3. The distal sacral and coccygeal vertebrae are not well-visualized and may be hypoplastic (to correlate with plain radiographs).

Sunday, 27 December 2015 16:48

12298

ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Mlmn / F / 60 yrs.
Referred by : Dr. Abc Xyzdi / Dr. Abc Xyzthan.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 1 month.

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 bilateral neural foraminal narrowing, left more than right. There is mild indentation upon the foraminal portion of the exiting left L4 nerve root. Ligamentum flavum and facetal hypertrophy is also noted at this level.

A posterior disc bulge is seen at the L3-L4 level. The L3-L4 facet joints show mild degenerative changes.

The lumbar intervertebral discs show loss of water content.

The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
Scan-00008


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

IMPRESSION :

A posterior disc herniation at the L4-L5 level with ligamentum flavum and facetal hypertrophy with a resultant tight canal at this level.




Sunday, 27 December 2015 16:48

12297

ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzh Mitlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O right frontal oligodendroglioma. Operated in May 0000. Received chemotherapy (2 cycles) and radiotherapy (20 sittings). Re-operated for recurrence in October 0000. Recovered.
Now C/O gait imbalance, memory loss, loss of control over bladder/bowel since January 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 T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is evidence of a right frontal craniotomy. An epidural collection having a maximum width of 0.8 cms is seen deep to the craniotomy site which is isointense to CSF on all the pulse sequences. There are diffuse areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton and T2 Weighted images in the right frontal lobe. Few areas which are iso to hyperintense to CSF on all the pulse sequences are noted within this lesion and would represent cystic/necrotic changes. There is effacement of the cerebral cortical sulci.






This lesion is seen to be extending into the genu of the corpus callosum on the right side. Also seen is mild indentation and postero-inferior displacement of the frontal horn of the right lateral ventricle. There is mild bulging of the anterior falx to the left side.
There is moderate dilatation of both the lateral, third and the fourth ventricles with periventricular CSF ooze. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.IMPRESSION :In a known C/O oligodendroglioma, status post-operative, the MRI features are suggestive of a residual/recurrent lesion in the right frontal lobe with post-operative cystic/necrotic changes and extensions as described.As compared to the previous MRI (study no:0000) dated 00.00.00, there is slight decrease in the bulk of the lesion. There is moderate dilatation of the ventricular system with periventricular CSF ooze. An epidural collection is noted at the site of the right frontal craniotomy.


Sunday, 27 December 2015 16:48

12296

hs/ke/rg/nl
Date : 00.00.00

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

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 10-12 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 retrolisthesis of the L5 vertebra over the S1 vertebra.

A posterior disc herniation with a peridiscal osteophyte is seen to indent the thecal sac and narrow both neural foramina at the L5-S1 level. An anterior disc herniation is seen at this level. Also seen is mild facetal and ligamentum flavum hypertrophy at this level. Bilateral far lateral (extraforaminal) disc herniations are noted at the L5-S1 level.

A large postero-central disc herniation with a peridiscal osteophyte is seen to indent the thecal sac at the L4-L5 level. A disc portion is seen to lie within the anterior epidural space at the L4 vertebral level.

Type I degenerative changes (hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images) are seen within the L5 vertebra adjacent to the L5-S1 intervertebral disc.

The L4-L5 and L5-S1 intervertebral discs show loss of water content.
..2/.



- 2 - scan-00006


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
9.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Retrolisthesis of the L5 vertebra over the S1 vertebra.

2. A posterior disc herniation with a peridiscal osteophyte
at the L5-S1 level.

3. A large postero-central disc herniation with a peridiscal osteophyte at the L4-L5 level with a disc portion lying within the anterior epidural space at the L4 vertebral level and resultant canal stenosis at this level.

4. Bilateral far lateral (extraforaminal) disc herniations at the L5-S1 level.

5. Mild facetal and ligamentum flavum hypertrophy at the L5-S1 level with a tight canal.










Sunday, 27 December 2015 16:48

12295

hs/ke/rg/nl.
Date : 00.00.00

Name of the Patient : Abc Xyz Bahlmn / M / 24 yrs.
Referred by : Dr. Abc Xyztkar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 4 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.

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 on either side is 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.

IMPRESSION :

Mild fullness of both the lateral ventricles.

No other abnormality is detected within the brain on this study.


Sunday, 27 December 2015 16:48

12294

hs/ke/rg/nl
Date : 00.00.00

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

CLINICAL PROFILE :

C/O backache since 2 months.
H/O similar complaints 1 year ago, which was recovered.

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 postero-central disc extrusion, more to the left of the midline and indenting the thecal sac at the L5-S1 level. A disc portion is seen to lie in the left lateral recess of S1 vertebra with resultant impingement of the traversing S1 nerve root. A disc portion is also seen to lie in the left anterior epidural space at the L5 vertebral level. The L5-S1 facet joints show mild degenerative changes.

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

Posterior disc bulges are noted at the L2-L3 and L3-L4 levels.

The L2-L3, L4-L5 and L5-S1 intervertebral discs show loss of water content. The L2-L3 intervertebral disc is reduced in height.


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 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
15.0 mm at L3-L4
13.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A large postero-central disc extrusion, more to the left of the midline at the L5-S1 level with a disc portion lying in the left lateral recess of S1 vertebra with resultant impingement of the traversing S1 nerve root. A disc portion is also seen to lie in the left anterior epidural space at the L5 vertebral level.

2. Mild facetal arthropathy at the L5-S1 level with canal stenosis.

3. A postero-central disc herniation with mild facetal arthropathy at the L4-L5 level.