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Sunday, 27 December 2015 16:48

12186

sb/ke
Date : 00.00.00

Name of the Patient : Abc XyzShlmn / F / 44 yrs.
Referred by : Dr. Abc Xyzrkare.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O neck pain radiating to the LUE with tingling since 12 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 normal cervical lordosis and slight loss of water content of the cervical intervertebral discs.

There is a left postero-lateral (foraminal) disc herniation at the C5-C6 level indenting the traversing left C6 nerve root.

Small postero-central protruded discs are noted at the C4-C5 and C6-C7 levels.

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 shows normal signal intensity.

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

- 2 - scan-00006


IMPRESSION :

1. A left postero-lateral (foraminal) disc herniation at the C5-C6 level indenting the traversing left C6 nerve root.

2. Small postero-central protruded discs at the C4-C5 and C6-C7 levels.








Sunday, 27 December 2015 16:48

12185

sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyz Kulmn / M / 27 yrs.
Referred by : Dr. Abc Xyzabhat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness since 1 year.
C/O tinnitus on both sides since 6 months with decrease hearing on the right side since 2 weeks.

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 coronal images.

MR cisternogram was obtained in the coronal plane.

OBSERVATION :

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

The seventh and eighth cranial nerve complex are 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.

Sunday, 27 December 2015 16:48

12184

sb/ke
Date : 00.00.00

Name of the Patient : Abc XyzHajlmn / M / 37 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (right more than left).
H/O fall 1 year back.
H/O Sheurmanns disease 20 years back for which laminectomy of D11, D12 and L1 was done.

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.

6 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is anterior wedging of the D12 vertebral body with a kyphus at that level. The D11-D12 and D12-L1 intervertebral discs show loss of water content. Minimal anterior wedging of the D11 and L1 vertebral bodies is also noted. Anterior peridiscal osteophytes are noted at the D11-D12 and D12-L1 levels.

There is evidence of laminectomy at the D11 and D12 levels, with post-operative changes in the soft tissues in the posterior dorso-lumbar region at these levels.

There is slight compromise of the dorso-lumbar canal at the D12 and L1 levels due to the kyphus. Posteriorly bulging discs with posterior peridiscal osteophytes are noted at the D11-D12 and D12-L1 levels.
Scan-00004



The D11, D12 and L1 vertebral bodies show spotty fatty marrow changes.

The facet joint on the right side at the D12-L1 level appears slightly hypertrophied. The visualized pre and paravertebral soft tissues are unremarkable.

The visualized lower dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the D11-D12 level.

The T1 Weighted sagittal images of the lumbo-sacral region do not reveal any significant feature of note.

IMPRESSION :

1. Post-operative status.

2. Anterior wedging of the D12 vertebral body with a kyphus at that level. Slight compromise of the dorso-lumbar canal at the D12 and L1 levels is noted.

3. Posterior disc bulges with posterior peridiscal osteophytes at the D11-D12 and D12-L1 levels.

4. Slight facetal hypertrophy on the right side at the D12-L1 level.

Sunday, 27 December 2015 16:48

12183

sb.
Date : 00.00.00

Name of the Patient : Abc Xyzd Bhanlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O seizures since 00.00.00.
H/O fever +.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images, 5 mm thick FLAIR coronal images and 5 mm thick T1 Weighted sagittal images.

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

OBSERVATION :

There is an ill-defined, hyperintense area along the cortex in the left high parietal, parafalcine region, the medial aspect of the left temporal lobe and the right frontal lobe on the T2 Weighted and FLAIR images which is iso to hypointense to normal white matter on the T1 Weighted images.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Incidental note is made of right maxillary polyp.









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 :

1. Altered signal along the cortex in the left high parietal, parafalcine region, the medial aspect of the left temporal lobe and right frontal cortex, as described is not specific for a single etiology.

The differential diagnosis would include,

1. Multicentric glial cell tumor.

2. Sequelae of previous encephalitis.

3. Post-ictal changes.

4. Less likely, vascular lesions or granulomas.

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

A contrast enhanced scan is essential.
Sunday, 27 December 2015 16:48

12182

sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / F / 1 year.
Referred by : Dr. Abc Xyz. Parmar / Dr. Abc Xyzin.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O single episode of seizures 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.

OBSERVATION :

There is no focal area of altered signal intensity within the brain parenchyma. The myelination pattern is normal for the patients age.

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.

Incidental note is made of enlarged adenoids.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

12181

sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyz Dlmn / F / 72 yrs.
Referred by : Dr. Abc Xyznavati.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis since 2 days.
Known diabetic/hypertensive.

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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the right centrum semiovale. This lesion appears hypointense on the T1 Weighted images (scans 105.8, 103.15, 104.15, 102.15).

There are small bright foci on the proton, T2 Weighted and FLAIR images in the left posterior parietal periventricular white matter and in the subcortical white matter in the frontal regions bilaterally and in the head of the right caudate nucleus. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.

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-00001


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

There is no evidence of haemorrhage on this study.

Incidentally noted is an empty sella.

IMPRESSION :

1. Altered signal in the right centrum semiovale most likely represents a recent ischemic focus.

2. Small bright foci on the proton, T2 Weighted and FLAIR images in the left posterior parietal periventricular white matter, in the subcortical white matter in the frontal regions bilaterally and in the head of the right caudate nucleus also represent ischemic foci.

3. Age related cerebral and cerebellar atrophy with mild ventricular dilatation.
Sunday, 27 December 2015 16:48

12180

Date : 00.00.00

Name of the Patient : Abc Xyz Navglmn / M / 52 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O numbness in the fingers of the left hand since 00.00.00.

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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

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

Small postero-central protruded discs are noted at the C2-C3, C3-C4 and C4-C5 levels.

Fairly large, posterior peridiscal osteophytes (hard discs) are noted at the C5-C6 level with slight bilateral neural foraminal narrowing.

A postero-central and right paracentral disc herniation with peridiscal osteophytes is seen at the C6-C7 level, indenting the dural theca anteriorly.

Anterior peridiscal osteophytes are seen in the lower cervical region.






Degenerative changes of the joints of the Luschka is noted at the C5-C6 level bilaterally and at the C6-C7 level on the left. Resultant left neural foraminal narrowing is noted at the C6-C7 level. The facet joints at the C4-C5 and C5-C6 levels show degenerative changes bilaterally.

Probable ossification of the posterior longitudinal ligament is noted at the C6 vertebral level.

A suspicious, hyperintense signal on the sagittal T2 Weighted images in the cervical spinal cord at the C6 vertebral level is not identified on the axial images and is most likely artifactual.

The cervical vertebral bodies show normal signal intensity. 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 :

1. Small postero-central protruded discs at the C2-C3, C3-C4 and C4-C5 levels.

2. Fairly large, posterior peridiscal osteophytes (hard discs) at the C5-C6 level with slight bilateral neural foraminal narrowing.
..3/.








- 3 - Scan-00000



3. A postero-central and right paracentral disc herniation at the C6-C7 level with peridiscal osteophytes.

4. Degenerative changes of the joints of the Luschka at the C5-C6 level bilaterally and at the C6-C7 level on the left with resultant left neural foraminal narrowing at the C6-C7 level.

5. Degenerative changes of the facet joints at the C4-C5 and C5-C6 levels.

6. Probable ossification of the posterior longitudinal ligament at the C6 vertebral level.







Sunday, 27 December 2015 16:48

12178

sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzau N. Deshlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache 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 loss of water content of the L4-L5 and L5-S1 intervertebral discs.

A small, postero-central disc herniation is noted at the L5-S1 level with ventral indentation of the thecal sac.

A slightly larger, postero-central and left paracentral disc herniation with a small peridiscal osteophyte is noted at the L4-L5 level, indenting the dural theca anteriorly.

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.

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

20.0 mm at L1-L2
19.0 mm at L2-L3
19.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

1. A small, postero-central disc herniation at the L5-S1 level.

2. A postero-central and left paracentral disc herniation with a small peridiscal osteophyte at the L4-L5 level.








Sunday, 27 December 2015 16:48

12177

sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzba Chlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O tingling in the LLE since 00.00.00.
H/O fall prior to this from bed.

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 L3-L4 and L4-L5 intervertebral discs.

A small, postero-central protruded disc with peridiscal osteophytes is noted at the L4-L5 level.

A small posterior disc bulge with a left far lateral disc protrusion is noted at the L3-L4 level.

The facet joints at the D12-L1, L3-L4 and L4-L5 levels appear slightly hypertrophied.

Anterior peridiscal osteophytes are seen in the dorso-lumbar region.

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.
Scan-00007



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

IMPRESSION :

1. A small, postero-central protruded disc with peridiscal osteophytes at the L4-L5 level.

2. A small posterior disc bulge with a left far lateral disc protrusion at the L3-L4 level.

3. Facetal hypertrophy at the D12-L1, L3-L4 and L4-L5 levels.








Sunday, 27 December 2015 16:48

12176

sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzti Tilmn / M / 45 yrs.
Referred by : Dr. Abc Xyzavan.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches on the right side.
C/O right LMN facial palsy with right mastoid and right earache since May 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.

3 mm thick T1 Weighted coronal images.

MR cisternogram was obtained in the coronal plane.

OBSERVATION :

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

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

Soft tissue is noted in the right mastoid air cells which is of intermediate signal on the T1 Weighted images and hyperintense on the T2 Weighted images. This most likely represents inflammatory changes. Inflammatory changes are also noted in the right maxillary antrum.









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 :

No significant abnormality is detected in the brain parenchyma per se.

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