sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzhu Almn / M / 29 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

H/O trauma in the dorsal region in January 0000.

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.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

The visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The visualized dorso-lumbar spinal cord reveals normal signal intensity. There is no cord compression.

The conus medullaris terminates at the L1 level.

Screening, T1 Weighted sagittal images of the lumbar spine do not reveal any significant feature of note.

IMPRESSION :

No significant abnormality is detected on this study.

ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzh M. Balmn / M / 22 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O paraplegia since 3-4 days.
H/O fall prior to this.

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.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

__
There is anterior wedging of the D12 vertebral body with break in the anterior and posterior cortex. Hypointense signal is seen adjacent to the superior cortical endplate on all the pulse sequences which would represent compressed trabeculae. The rest of the D2 vertebral body shows subtle hyperintense signal on the T2 Weighted images which is iso to hypointense to normal marrow on the T1 Weighted images and would represent bone edema/bruise in the given clinical setting.

There is slight posterior bulge of the posterior superior aspect of the D12 vertebra with indentation upon the spinal cord at that level. The dorsal spinal cord shows a hyperintense signal on the T2 Weighted (isointense to normal cord on the T1 Weighted images) extending over the D9 level superiorly upto the L1 level inferiorly suggestive of cord edema/contusion.
Scan-00008



The rest of the visualized dorso-lumbar vertebral bodies and 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.

IMPRESSION :

1. Anterior wedging of the D12 vertebral body with break in the anterior and posterior cortex with altered signal suggestive of compression fracture with bone edema/bruise, in the given clinical setting.

2. Cord signal alteration extending over the D9 level superiorly and the L1 level inferiorly suggestive of cord contusion with cord edema.

Date : 00.00.00

Name of the Patient : Abc XyzPatwarlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with numbness in BLE since 4-5 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 :

The L1 vertebral body is as marked on the film.

Small posterior disc bulges are seen to indent the thecal sac at the L4-L5 and L5-S1 levels.

A mild left postero-lateral disc bulge with small peridiscal osteophytes is seen to indent the thecal sac at the L3-L4 level.

The L5-S1 intervertebral disc shows loss of water content.

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 S1 level.


- 2 - scan-00006


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
16.0 mm at L4-L5
15.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Small posterior disc bulges at the L4-L5 and L5-S1 levels.

2. A mild left postero-lateral disc bulge with small peridiscal osteophytes at the L3-L4 level.

hs/sb
Date : 00.00.00

Name of the Patient : Abc XyzSonalmn / F / 19 yrs.
Referred by : Dr. Abc Xyzngaonkar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE:

C/O neck pain radiating to the RUE since 4-5 years.

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 slight loss of normal cervical lordosis.

The C2-C3, C3-C4 and C4-C5 intervertebral discs show loss of water content.

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.

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

IMPRESSION :

The MRI features are suggestive of dessicated C2-C3, C3-C4 and C4-C5 intervertebral discs.

Date : 00.00.00

Name of the Patient : Abc Xyzxmi Glmn / F / 26 yrs.
Referred by : Dr. Abc Xyzrges.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 10 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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

The left hippocampus is seen to be smaller in volume as compared to the right side and also shows evidence of a hyperintense signal on the T2 Weighted images.

There is slight fullness of the temporal horn of the left lateral ventricle.

The rest of 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 :

The MRI features are suggestive of hippocampal sclerosis on the left side.

hs/sb
Date : 00.00.00

Name of the Patient : Abc Xyzedumer lmn / M / 20 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with radiation of 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 appears to be sacralization of the L5 vertebra and the L4 vertebra is as marked on the film. Please correlate with plain radiographs.

There is mild retroplacement of the L3 vertebra over the L4 vertebra.

A linear hypointensity is seen to course through the left pedicle of the L4 vertebra (? congenital, ? pediculolysis).

A mild posterior disc bulge is noted at the L4-L5 level.

The lumbar vertebral bodies and the 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 D12-L1 level and the thecal sac terminates at the S1 level.

IMPRESSION :

The MRI features are suggestive of :

1. Probable sacralization of the L5 vertebra. Please correlate with plain radiographs.

2. A linear hypointensity in the left pedicle of the L4 vertebra ? congenital, ? pediculolysis.

sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzr M. Kalmn / M / 39 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 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 and T2 Weighted coronal images.

OBSERVATION :

There is a small bright focus on the proton and T2 Weighted images in the right fronto-temporal deep white matter and in the left thalamus. These lesions appear isointense to normal white matter on the T1 Weighted images.

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 slight prominence of the cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

1. Small bright foci on the proton and T2 Weighted images in the right fronto-temporal deep white matter and in the left thalamus are not specific for a single etiology. These may represent ischemic foci (though the lesion in the left thalamus may be a prominent perivascular space).

2. Slight prominence of the cerebellar folia bilaterally.

Date : 00.00.00

Name of the Patient : Abc Xyzh Shertlmn / M / 53 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Sella & Perisellar Region.

CLINICAL PROFILE :

C/O occasional headaches.
C/O giddiness with gait imbalance since 1 year.
Known diabetic/hypertensive.

EXAMINATION :

M.R.I of the sella and perisellar region was performed using the following parameters :

3 mm thick T1 Weighted and T2 Weighted coronal images.

3 mm thick T1 Weighted sagittal images.

The brain was screened with 5 mm thick T2 Weighted axial images.

OBSERVATION :

There is ballooning of the sella turcica. There is seen a lobulated, intermediate signal intensity mass lesion on the T1 Weighted images with its epicentre in the sella and extending into the suprasellar region. This lesion appears heterogeneously hyperintense on the T2 Weighted images. A 7.0 mms diameter sized cystic/necrotic focus is noted within the lesion, antero-superiorly. The lesion measures approximately 2.8 x 2.7 x 3.6 cms.

There is extension of the lesion into the suprasellar cistern. The pituitary stalk is not well identified separately from the lesion. Indentation and superior displacement of the optic chiasma is identified. Probable extension of the lesion into the left cavernous sinus is noted. The cavernous segment of the left internal carotid artery however shows normal flow signal. There is thinning of the dorsum sellae and the floor of the pituitary fossa.
..2/.







The posterior pituitary gland and the right cavernous sinus are unremarkable. A vertically oriented septum is noted in the sphenoid sinus, nearly in the midline.

Screening T2 Weighted axial images of the brain reveal subtle hyperintense signal in the insular cortex bilaterally which may represent ischemic changes. Mild dilatation of both the lateral and third ventricles is noted. The fourth ventricle is normal.

IMPRESSION :

An approximately 2.8 x 2.7 x 3.6 cms. sized lobulated mass lesion in the sella extending into the suprasellar region and left cavernous sinus as described, most likely represents a pituitary macro-adenoma.

Date : 00.00.00

Name of the Patient : Abc Xyzna Mitlmn / F / 23 yrs.
Referred by : Dr. Abc Xyzo.
Examination : M.R.I. of the Sella & Perisellar Region.

CLINICAL PROFILE :

Known C/O pituitary adenoma.
For follow-up.

EXAMINATION :

M.R.I of the sella and perisellar region was performed using the following parameters :

3 mm thick T1 Weighted and T2 Weighted coronal images.

3 mm thick T1 Weighted and T2 Weighted sagittal images.

The brain was screened with 5 mm thick T2 Weighted axial images.

OBSERVATION :

There is still seen an approximately 5.0 mms diameter sized, well-defined, hypointense lesion on the T1 Weighted images along the superior margin of the anterior pituitary gland, in the midline. This lesion appears slightly hyperintense on the T2 Weighted images. The pituitary stalk shows normal thickness and is in the midline.

The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The cavernous sinuses and the suprasellar cistern are unremarkable.







Septae are noted within the sphenoid sinus.

There is no significant abnormality on the T2 Weighted axial images of the brain.

IMPRESSION :

As compared to the previous MRI (study no:0000) dated 00.00.00, there is no significant change noted.

A Rathke cleft cyst should be considered as a differential diagnosis.

sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzbanu Shlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 1 1/2 years.

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 normal lumbar lordosis and loss of water content of the L5-S1 intervertebral disc.

There is a postero-central disc herniation at the L5-S1 level, indenting the dural theca anteriorly.

A minimal, posterior disc bulge is noted at the L4-L5 level.

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 L2 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

15.0 mm at L3-L4

14.0 mm at L4-L5

9.0 mm at L5-S1.

IMPRESSION :

Degenerated L5-S1 disc with a postero-central disc herniation at this level.