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Sunday, 27 December 2015 16:48

12132

ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzn Plmn / M / 67 yrs.
Referred by : Dr. Abc Xyze.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

H/O fall on 00.00.00 with C6 # and C5/C6 dislocation.
C/O swelling over LUE and LLE with weakness/paresthesias in the LUE since then.

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 reduction in the height of the C5-C6 intervertebral disc which appears hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images.

The C5 and C6 vertebral bodies show hypointense areas on the T1 Weighted images which are seen to turn hyperintense on the T2 Weighted images.

There is a postero-central disc herniation at the C4-C5 level with anterior indentation of the thecal sac.

A left postero-lateral disc herniation is noted at the C5-C6 level with left neural foraminal narrowing and indentation on the left C6 nerve root. The spinal cord at the C5-C6 and C6 vertebral levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which is isointense to normal cord on the T1 Weighted images.

Posterior peridiscal osteophytes are noted at the C3-C4, C4-C5 and C5-C6 levels.
..2/.



- 2 - scan-00002


The C3-C4 and C4-C5 facet joints show mild degenerative changes.

Probable fracture of the posterior elements of the C5 vertebra is noted (scans 104.13).

The cervical intervertebral discs except for C5-C6 disc show loss of water content.

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

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

The flexion and extension images of the cervical spine do not reveal any significant feature of note.

IMPRESSION :

The MRI features are suggestive of :

1. Altered signal in the C5 and C6 vertebral bodies may suggests bone edema/bruise in the given clinical setting of trauma. Probable fracture of the posterior elements of C5 vertebra is noted.

2. A postero-central disc herniation at the C4-C5 level.

3. A left postero-lateral disc herniation at the C5-C6 level with left neural foraminal narrowing and indentation on the left C6 nerve root.

4. Altered signal of the cord at the C5-C6 and C6 vertebral levels would represent cord edema/contusion.

5. Posterior peridiscal osteophytes at the C3-C4, C4-C5 and C5-C6 levels.

Sunday, 27 December 2015 16:48

12131

Date : 00.00.00

Name of the Patient : Abc Xyz W. lmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O pain on the left side of neck and in the LUE and chestwall since 3 weeks (momentary).
Known HT. 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.

3 mm thick 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.

Sunday, 27 December 2015 16:48

12130

Date : 00.00.00

Name of the Patient : Abc Xyzel Calmn / M / 55 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since October 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 a right paracentral disc extrusion at the L4-L5 level with antero-lateral compression of the thecal sac. An extruded disc portion is seen to migrate inferiorly and indent the traversing right L5 nerve root.

A small, right paracentral disc herniation is seen at the L5-S1 level with mild indentation upon the right S1 nerve root.

A small posterior disc bulge is noted at the L3-L4 level. Anterior disc herniations are also noted at this level.

Slight hypertrophy of the facet joints is noted at the L4-L5 level.

The lower lumbar 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 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
17.0 mm at L2-L3
15.0 mm at L3-L4
6.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A right paracentral disc extrusion at the L4-L5 level with inferior migration of the disc fragment indenting the traversing right L5 nerve root.

2. A small, right paracentral disc herniation at the L5-S1 level with mild indentation upon the right S1 nerve root.

3. A small posterior disc bulge at the L3-L4 level.












Sunday, 27 December 2015 16:48

12129

sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyza Chlmn / M / 68 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O occasional backache since 1 month.
C/O radicular pain to BLE with paresthesias.

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 sacralization of the L5 vertebra which is as marked on the film.

There is loss of water content of all the lumbar intervertebral discs except the L1-L2 disc.

There is a generalized posteriorly herniated disc at the L4-L5 level with bilateral neural foraminal narrowing. Slight facetal and ligamentum flavum hypertrophy is noted at this level with resultant canal stenosis.

Posteriorly bulging discs with posterior peridiscal osteophytes are noted at the L2-L3 and L3-L4 levels. Bilateral neural foraminal narrowing is noted at these levels.







Slight facetal hypertrophy is noted at the L3-L4 level with tight lumbar canal at this level.

The lumbar vertebral bodies show spotty fatty marrow changes.
The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the 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 :

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

Incidentally noted is a left sided cortical renal cyst.

IMPRESSION :

1. Sacralization of the L5 vertebra which is as marked on the film.

2. A generalized posteriorly herniated disc at the L4-L5 level with bilateral neural foraminal narrowing and slight facetal and ligamentum flavum hypertrophy at this level with resultant canal stenosis.

3. Posteriorly bulging discs with posterior peridiscal osteophytes at the L2-L3 and L3-L4 levels with slight facetal hypertrophy at the L3-L4 level with tight lumbar canal.







Sunday, 27 December 2015 16:48

12128

ke/sb
Date : 00.00.00

Name of the Patient : Abc XyzGanglmn / M / 71 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with chest pain and tremors in the RUE since 1 year.

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 T2 Weighted sagittal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a hyperintense area in the right corona radiata on the proton, T2 Weighted and FLAIR images. This is hypointense to the normal white matter on the T1 Weighted images and is suggestive of an area of infarct.

Hyperintense areas are noted in the periventricular and fronto-parietal deep white matter on the proton, T2 Weighted and FLAIR images. These are isointense to normal white matter on the T1 Weighted images and are suggestive of areas of ischemia/infarction.

Virchow Robins spaces are noted in the lentiform nuclei bilaterally.

No obvious mass lesion is seen in the region of the tectum.

- 2 - scan-00008

Both the lateral, third and the fourth ventricles are normal. There is prominence of the cortical sulcal spaces in the fronto-parietal regions bilaterally. 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 thinning of the corpus callosum at the junction of the body with the splenium.

IMPRESSION :

1. An infarct in the right corona radiata.

2. Altered signal in the periventricular and fronto-parietal deep white matter suggestive of areas of ischemia/infarction.

Sunday, 27 December 2015 16:48

12127

ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzee A. Halmn / F / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches (left more than right) with decreased sensation on the left side and giddiness since 2-4 months.

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 :

Subtle hyperintense area is seen in the periatrial deep white matter on the proton, T2 Weighted and FLAIR images. This is isointense to the normal white matter on the T1 Weighted images and most likely represent areas of terminal myelination.

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 :

Altered signal in the periatrial deep white matter most likely represent areas of terminal myelination.

No other significant abnormality is detected on this study.

Sunday, 27 December 2015 16:48

12126

sb/bv
Date : 00.00.00

Name of the Patient : Abc XyzR. Milmn / F / 61 yrs.
Referred by : Dr. Abc Xyznshah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (right more than left).

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, L4-L5 and L5-S1 intervertebral discs.

Minimal posterior disc bulges with posterior peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels.

A small posterior disc herniation more to the right of the midline is identified at the L5-S1 level.

Slight facetal hypertrophy is noted at the L3-L4 and L4-L5 levels with slight ligamentum flavum hypertrophy at the L5 vertebral level.

The lumbar vertebral bodies show spotty fatty marrow changes.

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

IMPRESSION :

1. A small posterior disc herniation more to the right of the midline at the L5-S1 level.

2. Minimal posterior disc bulges with posterior peridiscal osteophytes at the L3-L4 and L4-L5 levels.

3. Slight facetal hypertrophy at the L3-L4 and L4-L5 levels with slight ligamentum flavum hypertrophy at the L5 vertebral level.








Sunday, 27 December 2015 16:48

12125

sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyz Shlmn / M / 20 yrs.
Referred by : Dr. Abc Xyzhan / Dr. Abc Xyz. Shaikh.
Examination : M.R.I. of the - Right Thigh.

CLINICAL PROFILE :

C/O swelling over the right thigh since 2 months.

EXAMINATION :

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

10 mm thick T1 Weighted and STIR axial images.

7 mm thick T1 Weighted and T2 Weighted sagittal images.

OBSERVATION :

The visualized right thigh appears increased in diameter as compared to the left. The visualized muscles of the right thigh are also bulky as compared to their counterparts in the left thigh. There is however, no signal change of the muscles of the right thigh when compared to the left. The facet planes around the muscles are well maintained. The visualized right femur is unremarkable. There is no bone erosion or destruction seen. No vascular encasement is noted. No obvious mass lesion is identified.

A small right knee joint effusion is noted.

IMPRESSION :

The MRI features are suggestive of increase in bulk of the muscles of the right thigh when compared to the left, without change in signal intensity. This may either suggest unilateral hypertrophy of the muscles of the right thigh or slight atrophy of the muscles of the left thigh. No signal change or mass lesion is identified. Small right knee joint effusion is noted.

Sunday, 27 December 2015 16:48

12124

ke/sb
Date : 00.00.00

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

CLINICAL PROFILE :

C/O backache radiating to BLE (right more than left) since June 0000 with paresthesias in the RLE.

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 L5-S1 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. There is inferior migration of the disc fragment which is seen to lie posterior to the S1 vertebral body, minimally indenting the S1 nerve roots, more on the right. Bilateral far lateral disc bulges are also noted at this level, right more than left with slight indentation upon the L5 nerve roots. Posterior peridiscal osteophytes are also noted at this level.

A posterior and right postero-lateral disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac.

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

There is slight wedging of the D12 vertebral body without any signal change.


Schmorls nodes are seen in the superior aspect of the D12 and L4 vertebral bodies. Type I degenerative change is seen in the L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc.

The rest of 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-L2 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 :

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

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc herniation with posterior peridiscal osteophytes at the L5-S1 level with inferior migration of the disc fragment indenting the S1 nerve roots bilaterally.

2. A posterior and right postero-lateral disc herniation at the L4-L5 level.








Sunday, 27 December 2015 16:48

12122

sb/hs
Date : 00.00.00

Name of the Patient : Abc Xyzhlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches and vomiting since 6 months.

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 very mild prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the ethmoidal air cells on the left and left frontal sinus.

IMPRESSION :

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