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Sunday, 27 December 2015 16:48

12165

sb/bv
Date : 00.00.00

Name of the Patient : Abc XyzMulmn / F / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O parkinsonism since 0000.
C/O sudden onset of bending on the left side (momentarily) for few minutes.
Known diabetic. On Rx.

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 are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the pons (predominantly on the right side), in the subcortical white matter in the temporo-parietal regions bilaterally, left corona radiata and in the frontal deep white matter bilaterally. These lesions appears nearly isointense to normal white matter on the T1 Weighted images. Similar changes are noted in the lentiform nuclei bilaterally and in the right thalamus.

There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidentally noted is hyperostosis frontalis interna.
- 2 - scan-00005


IMPRESSION :

Altered signal in the pons, in the subcortical white matter in the temporo-parietal regions bilaterally, left corona radiata, in the frontal deep white matter bilaterally and in the lentiform nuclei bilaterally and in the right thalamus represents ischemic changes.

Sunday, 27 December 2015 16:48

12164

ke/bv
Date : 00.00.00

Name of the Patient : Abc Xyz Vlmn / M / 13 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches since 15 days.
Alleged H/O trauma.

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.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is no focal area of abnormal signal intensity within the brain parenchyma. Hyperintense areas on the T2 Weighted images in the posterior parietal regions represent terminal areas of myelination.

Dilated Virchow Robin spaces are seen in the centrum semiovale 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.

There is no extracerebral collection identified on this scan.

Incidental note is made of enlarged adenoids.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

12163

hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyze Mulmn / M / 69 yrs.
Referred by : Dr. Abc Xyzlsara. Examination : M.R.Cholangiogram & M.R.I of Abdomen.
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 :
MR Cholangiogram was performed. 7 mm thick T1 Weighted and T2 Weighted axial images. 8 mm thick T2 Weighted coronal images.OBSERVATION :
There is slight narrowing of the mid segment of the common bile duct.

There is mild dilatation of the common bile duct, left and right hepatic ducts and few of the biliary radicles distal to the aforementioned narrowing.

The pancreatic duct is well visualized and has a diameter of approximately 8.0 mms and this may be normal for the patients age.

There is a diffuse area of hyperintensity on the T2 Weighted images (hypointense on the T1 Weighted images) within the posterior segment of the right hepatic lobe.





Both the visualized kidneys, pancreas, adrenals and spleen are unremarkable.The gall bladder is well-distended and does not reveal any intrinsic abnormality.

There is a slight defect in the linea alba with slight extension of fat through it.
IMPRESSION :

The MRCP features are suggestive of :

1. Slight narrowing of the mid segment of the common bile duct which is of undetermined etiology (? neoplastic ? inflammatory ? extrinsic compression).

2. Altered signal within the posterior segment of the right hepatic lobe is of undetermined etiology.
3. Narrowing with mild dilatation of the common bile duct, left and right hepatic ducts and few of the biliary radicles distal to the aforementioned narrowing of the mid segment of the common bile duct.

4. An epigastric hernia.




Sunday, 27 December 2015 16:48

12162

sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzla Suryavlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O neck pain with swelling over the right and left shoulder since 2 months.
H/O abdominal kochs 2 years back for which patient received AKT.

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.

3 mm thick Fast scan (T2 *) and 5 mm thick T1 Weighted coronal images.

OBSERVATION :

There is an ill-defined hypointense signal on the T1 Weighted images involving the C2 vertebral body and the odontoid process. This lesion appears hyperintense on the T2 Weighted and Fast Scan (T2 *) images. Erosion of the anterior margin of body of C2, to the right of the midline is noted with minimal prevertebral soft tissue extension of the lesion at that level. There is no atlanto-dens subluxation.

A small, right paracentral protruded disc is noted at the C6-C7 level.

Small left paracentral protruded disc is noted at the C5-C6 level.
..2/.







There is a 5.0 mm diameter sized focal, hypointense signal on all pulse sequences in the postero-superior margin of the C7 vertebral body to the right of the midline. This most likely represents an osteoma/bone island.

The C4-C5 and C5-C6 intervertebral discs show slight loss of water content.

The rest of the cervical vertebral bodies show normal signal intensity. The joints of Luschka are unremarkable.

The cervical spinal cord shows normal signal intensity.

The cervico-medullary junction is unremarkable.

Small subcentimeter lymphnodes are noted deep to the sternoclidomastoid muscles bilaterally.

IMPRESSION :

Altered signal in the C2 vertebral body and the odontoid process most likely represents osteitis, probably tuberculous osteitis (in the given past H/O abdominal kochs). Minimal prevertebral soft tissue extension is noted to right of the midline.

Sunday, 27 December 2015 16:48

12161

sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzla Suryavlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE:

C/O occipital headaches with heaviness of the head since 2 months.
H/O abdominal kochs 2 years back for which patient received AKT.

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 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.

IMPRESSION :

Normal study of the Brain.

Pathology of the C2 vertebra is as described in the cervical spine study.
Sunday, 27 December 2015 16:48

12160

ke/bv
Date : 00.00.00Name of the Patient : Abc Xyzh Palmn / M / 51 yrs.Referred by : Dr. Abc Xyzh Shah.Examination : M.R.I. of the Brain.
CLINICAL PROFILE : Known C/O TB Meningitis detected on 00.00.00. On AKT. Previous MRI s/o granulomas. No complaints at present.For follow up.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 thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.

After administration of contrast, the following parameters were used :5 mm thick T1 Weighted axial and coronal images with magnetization transfer.5 mm thick T1 Weighted sagittal images.OBSERVATION :
There is seen an approximately 1.5 x 0.8 x 1.2 cms sized well-marginated, mass lesion in the left cerebellar hemisphere, infero-medially. This lesion appears iso to hypointense to normal white matter on the T1 Weighted images and is relatively hypointense on the T2 Weighted and FLAIR images. There is mild perilesional edema/gliotic changes.


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.
After administration of contrast, there is rim enhancement of the above described lesion. No abnormal meningeal enhancement is noted. A polyp is noted in the right maxillary antrum. IMPRESSION :An approximately 1.5 x 0.8 x 1.2 cms sized rim enhancing lesion in the left cerebellar hemisphere, infero-medially following the signal characteristics of a tuberculoma. As compared to the previous MRI (study no:00000) dated 00.00.00, there is a decrease in the size of the left cerebellar lesion and non-visualization of the lesion in the right Sylvian fissure.
Sunday, 27 December 2015 16:48

12159

Date : 00.00.00

Name of the Patient : Abc Xyz Malkhelmn / M / 50 yrs.
Referred by : Dr. Abc Xyzodak / Dr. Abc Xyzndel.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O weakness of the LUE since 3 months with fasciculations. EMG s/o motor axon degeneration in both upper limbs with site of lesion at anterior horn cell level.

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 are small posterior disc herniations with posterior peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels with anterior indentation of the thecal sac. These interverterbal discs show loss of water content. Slight ligamentum flavum hypertrophy is noted at the C6-C7 level. Slight right neural foraminal narrowing is noted at the C5-C6 level.

The cervical vertebral bodies and the remaining 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. There is slight loss of normal ventral bulge of the cervical spinal cord at the C5-C6 level.
- 2 - scan-00009


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

IMPRESSION :

1. Small posterior disc herniations with posterior peridiscal osteophytes at the C4-C5, C5-C6 and C6-C7 levels.

2. Slight loss of ventral bulge of the cord on the left side at the C5-C6 level. Such changes may be seen in anterior horn cell disease.
Sunday, 27 December 2015 16:48

12157

ke/bv
Date : 00.00.00

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

CLINICAL PROFILE:

C/O neckpain radiating to BUE more than BLE with weakness with quadriparesis.

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 the 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.

The dorsal spine was screened with 5 mm thick T1 Weighted axial images and 5 mm thick T2 Weighted sagittal images and does not reveal any diagnostic feature of note.

IMPRESSION :

Normal study of the Cervical Spine.
Sunday, 27 December 2015 16:48

12156

ke/bv
Date : 00.00.00

Name of the Patient : Abc Xyzi Salmn / F / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O occasional headaches with giddiness.
H/O visual loss (left more than right) 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.

4 mm thick T1 Weighted coronal images.

5 mm thick FLAIR coronal images.

3 mm thick STIR coronal images.

5 mm thick T1 Weighted sagittal images.

PATIENT REFUSED CONTRAST EXAMINATION.

OBSERVATION :

There is a large extra-axial mass lesion in the interhemispheric frontal region which measures approximately 3.5 x 4.2 x 4.4 cms in the largest dimension. This lesion is seen to extend posteriorly displacing the optic chiasma postero-inferiorly. There is compression upon the overlying frontal lobes bilaterally. The anterior cerebral arteries are also displaced posteriorly. A CSF cleft is seen around the lesion with pial vessels. This lesion is hypointense to white matter on the T1 Weighted images and turns heterogeneously hyperintense to the grey matter on the proton, T2 Weighted and FLAIR images. There is slight extension into the suprasellar cistern. The lesion is seen to have a broad base.


Hyperintense areas are seen in the frontal deep white matter bilaterally on the proton and T2 Weighted images suggestive of perilesional edema.

There is moderate dilatation of both the lateral and third ventricles. The fourth ventricle is normal.

IMPRESSION :

The MRI features are suggestive of an extraaxial mass lesion in the interhemispheric frontal region measuring approximately 3.5 x 4.2 x 4.4 cms and represents a meningioma.

A contrast enhanced study would be worthwhile.


Sunday, 27 December 2015 16:48

12155

ke/bv
Date : 00.00.00

Name of the Patient : Abc Xyzai V. lmn / F / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache with paresthesias in BUE and BLE since 4 months.
H/O fall 4 months back.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

9 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

Few mid dorsal intervertebral discs show loss of water content.

The visualized dorsal 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 visualized dorsal spinal cord reveals normal signal intensity. However the spinal cord appears smaller in calibre from the D1 level till atleast the D11 vertebral levels.

The conus medullaris terminates at the L1 level.

IMPRESSION :

Small calibre of the dorsal spinal cord from the D1 to atleast the D11 vertebral levels without any change in signal intensity is suggestive of cord atrophy.