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Regular User

Sunday, 27 December 2015 16:48

12121

hs/sb
Date : 00.00.00

Name of the Patient : Abc Xyzli Sakalmn / M / 58 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 15 days.
H/O being hit by a heavy object.

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 :

The L5 vertebra appears as marked on the film. Please correlate with plain radiographs.

A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level. A right far lateral (extraforaminal) disc herniation is seen to indent the extraforaminal portion of the exiting right L4 nerve root. The L4-L5 facet joints show mild hypertrophic degenerative changes. Also seen is mild ligamentum flavum hypertrophy at this level.

A small posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L3-L4 level. A small posterior disc bulge is noted at the L2-L3 level. A small left postero-lateral (foraminal) disc herniation is seen to narrow the left neural foramen at the L2-L3 level. A probable small disc fragment is noted in the left lateral recess of the L3 vertebra (se/im 104/15).


There are far lateral (extraforaminal) disc bulges bilaterally at the L2-L3 and L3-L4 levels and on the left side at the L4-L5 level.

The rest of the lumbar facet joints show mild degenerative changes. The pedicles of the lower lumbar vertebrae appear to be congenitally short in their antero-posterior dimensions.

The D11-D12, L2-L3, L3-L4 and L4-L5 intervertebral discs show loss of water content. The urinary bladder is markedly distended. Anterior disc herniations are noted at the L2-L3, L3-L4 and L4-L5 levels.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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
13.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. A posterior disc herniation, mild hypertrophic facetal arthropathy and mild ligamentum flavum hypertrophy with resultant canal stenosis at the L4-L5 level.
..3/.








- 3 - Scan-00001



2. A small posterior disc herniation at the L3-L4 level.

3. A right far lateral (extraforaminal) disc herniation indenting the extraforaminal portion of the exiting right L4 nerve root at the L4-L5 level.

4. Mild facetal arthropathy in the lumbar region.

5. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.






Sunday, 27 December 2015 16:48

12119

sb/hs
Date : 00.00.00

Name of the Patient : Abc Xyzal G. Milmn / M / 68 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O neckpain radiating to BUE with paresthesias since 2 1/2 months.

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 height of the C5-C6 and C6-C7 discs and loss of water content of the cervical intervertebral discs.

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

Posterior disc bulges with posterior peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels.

Degenerative changes of the joints of Luschka are noted at the C5-C6 level on the left and at the C6-C7 level bilaterally.

Slight ligamentum flavum hypertrophy is noted at the C6-C7 level.

The calibre of the left vertebral artery appears to be larger than normal at the C5-C6 and C6 levels with slight scalloping of the adjacent bones.
..2/.






A hypointense circumscribed lesion on the T1 Weighted images which turn hyperintense on the Fast Scan (T2 *) images is seen within the C6 vertebral body on the right side and this may represent a degenerative cyst.

The C5-C6 and C6-C7 facet joints show degenerative changes.

The cervical vertebral bodies show spotty fatty marrow changes. The rest of 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 :

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

2. Small, posterior disc bulges with posterior peridiscal osteophytes at the C5-C6 and C6-C7 levels.

3. Degenerative changes of the joints of Luschka at the C5-C6 level on the left and at the C6-C7 level bilaterally.

4. Slight ligamentum flavum hypertrophy at the C6-C7 vertebral level.

5. Facetal arthropathy at the C5-C6 and C6-C7 levels.

6. Slight increase in the calibre of the left vertebral artery at the C5-C6 and C6 levels.
Sunday, 27 December 2015 16:48

12118

sb/hs
Date : 00.00.00

Name of the Patient : Abc Xyzaraj Dlmn / M / 47 yrs.
Referred by : Dr. Abc Xyzmpat / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O epilepsy.
Alleged H/O vehicular accident in 0000 with head injury.
Now C/O short memory with headaches.

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.

3 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 slight prominence of the cerebellar folia and 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 right mastoid air cells.

IMPRESSION :

The MRI features are suggestive of mild prominence of the cerebellar folia and cerebral cortical sulci bilaterally.
Sunday, 27 December 2015 16:48

12117

sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyz R. Shlmn / M / 43 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with radiation of pain to the RLE with paresthesias since 1 month.
H/O lifting heavy weights.

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 L1-L2, L4-L5 and L5-S1 intervertebral discs.

There is a postero-central and right paracentral disc herniation at the L5-S1 level with slight inferior migration of the disc fragment indenting the traversing right S1 nerve root. Bilateral far lateral disc bulges are noted at this level.

A fairly large, posteriorly herniated disc with peridiscal osteophyte is noted at the L4-L5 level, indenting the dural theca anteriorly. A sequestered disc fragment is noted in the anterior epidural space to the right of the midline at the L5 vertebral level, compressing the thecal sac and indenting the traversing right L5 nerve root. A left far lateral disc bulge is also noted at this level.



A haemangioma with fat content is noted in the D12 vertebral body.

Type II degenerative marrow changes are noted adjacent to the L4-L5 and L5-S1 intervertebral discs.

Slight facetal hypertrophy is noted at the L4-L5 level.

The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining 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 :

14.0 mm at L1-L2
12.0 mm at L2-L3
12.0 mm at L3-L4
11.0 mm at L4-L5
8.0 mm at L5-S1.

IMPRESSION :

1. A postero-central and right paracentral disc herniation at the L5-S1 level with slight inferior migration of the disc fragment indenting the traversing right S1 nerve root. Bilateral far lateral disc bulges are noted at this level.

2. A fairly large, posteriorly herniated disc with peridiscal osteophyte at the L4-L5 level with a sequestered disc fragment in the anterior epidural space to the right of the midline at the L5 vertebral level, indenting the traversing right L5 nerve root.

3. Slight facetal hypertrophy at the L4-L5 level.







Sunday, 27 December 2015 16:48

12116

sb/ke
Date : 00.00.00

Name of the Patient : Abc XyzRodrilmn / M / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures 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.

4 mm thick FLAIR coronal images.

After administration of contrast, 5 mm thick T1 Weighted axial images with magnetization transfer, 4 mm thick T1 Weighted coronal images with magnetization transfer, 5 mm thick T1 Weighted sagittal images were obtained.

OBSERVATION :

There is seen a fairly large, ill-defined, mass lesion in the right fronto-temporal region. This lesion is seen to involve the grey and white matter and is predominantly isointense to normal grey matter on the T1 Weighted images and appears hyperintense on the T2 Weighted images. In the subcortical white matter, there are hypointense areas on the T1 Weighted images which turn hyperintense on the T2 Weighted images and may represent areas of necrosis. Altered signal is also noted in the head of the right caudate nucleus and in the external capsule and anterior limb of the internal capsule. Involvement of the genu of the corpus callosum on the right is also noted. There is effacement of the sulcal spaces in the right fronto-temporal region and mild indentation on the frontal horn of the right lateral ventricle. Slight bulge of the anterior interhemispheric fissure to the left is noted. There is also slight medial and inferior displacement of the right medial temporal pole.



There is a focal, hypointense lesion on the T1 Weighted images in the left frontal cortex which appears hyperintense on the T2 Weighted and FLAIR images.

The left lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.

After administration of contrast, there is patchy enhancement of the lesion in the right fronto-temporal region. There is no enhancement of the lesion in the left frontal cortex.

IMPRESSION :

A fairly large, ill-defined, patchily enhancing mass lesion in the right fronto-temporal region with signal characteristics and extensions as described, most likely represents a glial cell tumor. Focal, non-enhancing lesion in the left frontal cortex is not specific for a single etiology. This lesion may either represent another focus of a glial cell tumor (multicentric origin) or may represent metastasis from the right fronto-temporal lesion. The possibility of an ischemic lesion may also be considered as a differential diagnosis, though less likely.



Sunday, 27 December 2015 16:48

12115

Date : 00.00.00

Name of the Patient : Abc Xyzkash Milmn / M / 55 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O tinging in BUE and BLE with giddiness since 15 days.
Alleged H/O fall 6 months back.

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. There is a decrease in the height of the C5 and C6 vertebral bodies with posterior bulging.

There are posterior disc herniations at the C3-C4, C4-C5, C5-C6 and C6-C7 levels with posterior peridiscal osteophytes and anterior indentation of the thecal sac. Bilateral neural foramianl narrowing is noted at these levels with slight facetal arthropathy. The left C4-C5 facet joint shows hypertrophic degenerative changes.

Hyperintense signal is noted within the cervical spinal cord over the C3 to the C5 levels on the T2 Weighted and Fast Scan (T2 *) images and which is isointense to normal cord on the T1 Weighted images.

The cervical intervertebral discs show loss of water content.


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.

IMPRESSION :

1. Posterior disc herniations at the C3-C4, C4-C5, C5-C6 and C6-C7 levels with posterior peridiscal osteophytes with a tight canal over these levels.

2. Altered signal within the cervical spinal cord over the C3 to the C5 levels suggests cord edema/ischemia (?? demyelination).


Sunday, 27 December 2015 16:48

12114

ke/sb
Date : 00.00.00

Name of the Patient : Abc XyzJalmn / F / 14 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with blackouts (momentary) 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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

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

The paranasal sinuses in view are unremarkable.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

12113

hs/sb
Date : 00.00.00

Name of the Patient : Abc Xyza Sanlmn / F / 57 yrs.
Referred by : Dr. Abc Xyzheth.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with gait imbalance and diminished vision 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 and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal 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.

Incidental note is made of a polyp within the left maxillary sinus.

IMPRESSION :

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

Sunday, 27 December 2015 16:48

12112

sb/hs
Date : 00.00.00

Name of the Patient : Abc Xyza lmn / F / 13 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O fever with pain and weakness in the LLE since 4 months.

EXAMINATION :

M.R.I of the dorsal 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 :

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 visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the D12 level.

Screening, T2 Weighted sagittal images of the cervico-dorsal region do not reveal any significant feature of note.

IMPRESSION :

No abnormality is detected on this study.

Sunday, 27 December 2015 16:48

12111

ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzhant lmn / M / 3 yrs.
Referred by : Dr. Abc Xyzthalani.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches, vomiting and fever since 2 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.

5 mm thick FLAIR and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

There is no extracerebral collection identified on this study.

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.