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Sunday, 27 December 2015 16:48

12259

sb/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzal Kaklmn / M / 48 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain in BLE with paresthesias and bladder/bowel involvement since July 0000.
H/O laminectomy at the L4-L5 level in July 0000.

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 lumbar intervertebral discs.

Slight retroplacement of the L3 over the L4 and of the L4 over the L5 vertebrae is noted.

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

A postero-central disc protrusion with peridiscal osteophytes is noted at the L5-S1 level with slight right neural foraminal narrowing.





A small right paracentral disc herniation with peridiscal osteophytes is noted at the L4-L5 level. There is an intermediate signal intensity lesion on the T1 Weighted images in the anterior epidural space on the left at the inferior margin of the L4 vertebral body, at the L4-L5 disc level and in the right lateral recess of the L5 vertebra. This lesion is slightly hypointense on the T2 Weighted images. There is no deformation of the thecal sac.

A small posterior disc herniation with peridiscal osteophytes is noted at the L3-L4 level.

A small postero-central protruded disc is noted at the L2-L3 level.

Postero-central and small left postero-lateral (foraminal) disc herniations are noted at the L1-L2 level.

The articular facets at the L5-S1 level appear hypertrophied. The L3-L4 and L4-L5 facet joints show hypertrophic degenerative changes with resultant bilateral neural foraminal narrowing at these levels.

The intrathecal nerve roots over the L3 to L5 vertebral levels appear clumped suggesting Group I arachnoiditis.

The lumbar vertebral bodies 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.
..3/.












- 3 - Scan-00009

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

12.0 mm at L1-L2
12.0 mm at L2-L3
9.0 mm at L3-L4

Screening T2 Weighted sagittal images of the dorsal spine shows slight facetal hypertrophy at the D9-D10 and D10-D11 levels.

IMPRESSION :

1. Post-operative status.

2. Slight retroplacement of the L3 over the L4 and of the L4 over the L5 vertebrae.

3. A small right paracentral disc herniation with peridiscal osteophytes the L4-L5 level.

4. Soft tissue lesion in the anterior epidural space on the left at the inferior margin of the L4 vertebral body, at the L4-L5 disc level and in the right lateral recess of the L5 vertebra most likely represents scar tissue.

5. A small posterior disc herniation with peridiscal osteophytes at the L3-L4 level.

6. Postero-central and small left postero-lateral (foraminal) disc herniations at the L1-L2 level.

7. Hypertrophic facetal arthropathy at the L3-L4 and L4-L5 levels.

8. Group I arachnoiditis over the L3 to L5 vertebral levels.








Sunday, 27 December 2015 16:48

12258

sb/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzv Salmn / M / 22 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness, headaches and drooping of the right eyelid with diplopia since 15 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.

3 mm thick T1 Weighted and STIR coronal images.

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.

No focal mass lesion is identified in the visualized orbits, cavernous sinuses, sella and in the suprasellar cistern on this study. The orbital apex is unremarkable. The optic nerves on either side show normal signal.

IMPRESSION :

No significant abnormality is detected on this study.

Sunday, 27 December 2015 16:48

12257

sb/hs/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Deoruklmn / F / 30 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE since 1 1/2 months.
Alleged H/O fall 5-6 years ago.

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 it is as marked on the film. Please correlate with plain radiographs.

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

There is a posteriorly herniated disc at the L5-S1 level, indenting the dural theca and the traversing S1 nerve roots bilaterally.

A postero-central disc herniation is noted at the L4-L5 level. Mild 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 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 :

18.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
10.0 mm at L4-L5
5.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebra. Please correlate with plain radiographs.

2. A posteriorly herniated disc at the L5-S1 level indenting the traversing S1 nerve roots bilaterally.

3. A postero-central disc herniation at the L4-L5 level.


Sunday, 27 December 2015 16:48

12256

hs/sb/rg/nl
Date : 00.00.00

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

CLINICAL PROFILE :

C/O seizures since 2 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.

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.

Inflammatory changes are seen within the frontal sinus, sphenoid sinus and ethmoidal air cells.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

12255

sb/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / M / 16 yrs.
Referred by : Dr. Abc Xyzi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O ALL, detected 8 years back. Has received Chemotherapy and cranial irradiation (completed 4 years back).
Now C/O memory loss.

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 on the FLAIR images in the subcortical white matter in the right frontal, parafalcine region (se/im 105.16). This lesion is not well-appreciated on the axial images. Small foci with similar signal characteristics are also seen in the parietal white matter bilaterally.

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.

Inflammatory changes are noted in the right maxillary antrum.

IMPRESSION :

Altered signal in the subcortical white matter in the right frontal, parafalcine region and in the parietal white matter bilaterally is not specific for a single etiology. These most likely represent gliotic/ischemic foci.


Sunday, 27 December 2015 16:48

12254

ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzas Plmn / M / 19 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 1 year.

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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is a small posterior disc bulge at the L5-S1 level.

Mild ligamentum flavum hypertrophy is noted at the L5-S1 level.

The L5-S1 facet joint on the left side and the L3-L4 and L4-l5 facet joints bilaterally show mild degenerative changes.

The lumbar vertebral bodies and the 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 :

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

IMPRESSION :

1. A small posterior disc bulge at the L5-S1 level.

2. Mild degenerative changes of the L5-S1 facet joint on the left side and of the L3-L4 and L4-L5 facet joints bilaterally.








Sunday, 27 December 2015 16:48

12253

ke/sb/nl
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzdi.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE since 15 days.
H/O similar complaints 1 year back from which patient 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 postero-central disc herniation at the L4-L5 level with anterior compression of the thecal sac and mild left neural foraminal narrowing. The L4-L5 facet joints appear mildly hypertrophied with a resultant tight canal. Small posterior peridiscal osteophytes are noted at the L4-L5 level.

Small posterior disc herniation is seen at the L5-S1 level. The L4-L5 and L5-S1 intervertebral discs show loss of water content.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints also appear slightly hypertrophied 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 :

22.0 mm at L1-L2
21.0 mm at L2-L3
20.0 mm at L3-L4
13.0 mm at L4-L5
14.0 mm at L5-S1.

IMPRESSION :

1. A postero-central disc herniation at the L4-L5 level with slight hypertrophy of the L4-L5 facet joints with resultant tight canal.

2. Small posterior disc herniation at the L5-S1 level.








Sunday, 27 December 2015 16:48

12252

hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyze Mulmn / M / 69 yrs.
Referred by : Dr. Abc Xyzlsara. Examination : Limited follow-up study.

CLINICAL PROFILE : C/O pain in the abdomen since May 0000 which has increased since 2 months with fever and chills.
H/O weight loss +.
EXAMINATION :
Limited MR Cholangiogram was performed. 7 mm thick T1 Weighted axial images. OBSERVATION :

Limited follow up MRCP was performed after ERCP/Papillotomy and which does not reveal narrowing of the common bile duct.

There is reduction in the size of the distended biliary radicles, right and left ducts as compared to the previous scan dated 00.00.00 (study no. 00003).



Sunday, 27 December 2015 16:48

12251

sb/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzn Khlmn / M / 29 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Left Knee Joint.

CLINICAL PROFILE :

C/O pain in the left knee joint since 2 months with clicking. Arthroscopy done on 00.00.00 revealed a partial ACL tear.

EXAMINATION :

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

4 mm thick T1 Weighted, proton and GRASS sagittal images.

4 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick GRASS axial images.

OBSERVATION :

Menisci

There is a linear hyperintense signal on all the pulse sequences in the posterior horn of the medial meniscus of the left knee joint, not reaching upto the articular margin. This represents Grade II meniscal signal (meniscal degeneration).

The anterior horns of the lateral and medial menisci and posterior horn of the lateral meniscus reveal normal configuration and signal characteristics.









Cruciate Ligaments :

The anterior cruciate ligament is slightly ill-defined and shows a slight hyperintense signal on the T2 Weighted and GRASS images, especially near its tibial attachment. This may represent a strain/partial tear of the anterior cruciate ligament.

The posterior cruciate ligament shows normal contour and signal characteristics.

Collateral Ligaments and the Patellar Tendon :

The medial and lateral collateral ligaments and the patellar tendon are normal.

Hoffas Fat Pad :

There is an ill-defined, hypointense signal on all the pulse sequences in the Hoffas fat pad which may represent fibrotic changes, the sequelae of previous arthroscopic intervention.

Articular cartilage and bones :

The articular cartilage overlying the tibia and femur appears normal.

A subchondral cyst is noted along the lateral patellar facet with slight irregularity of the overlying articular cartilage.

There is minimal fluid in the left knee joint.
..3/.













- 3 - Scan-00001


IMPRESSION :

1. Post-arthroscopic status.

2. Grade II meniscal signal in the posterior horn of the medial meniscus of the left knee joint.

3. Altered signal in the anterior cruciate ligament near its tibial attachment may suggest a strain/partial tear of the anterior cruciate ligament.

4. Chondromalacia patellae.

Sunday, 27 December 2015 16:48

12250

ke/sb/nl
Date : 00.00.00

Name of the Patient : Abc Xyzs lmn / M / 23 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O 2 episodes of seizures in 0000. On anti-epileptics for 1 year.
H/O fall on 00.00.00 with loss of consciousness and tongue bite.

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 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.

IMPRESSION :

Normal study of the Brain.