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Sunday, 27 December 2015 16:48

11839

/40 Date : 00.00.00

Name of the Patient : Abc Xyza Mohd. lmn / F / 42 yrs.
Referred by : Dr. Abc Xyzadhan.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias 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 :

A postero-central disc herniation is seen to indent the thecal sac at the L5-S1 level. The L5-S1 facet joints show mild degenerative changes.

Small bilateral postero-lateral disc bulges are noted at the L4-L5 level. There is resultant mild neural foraminal narrowing at this 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 rest of 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 S2 level.

- 2 - scan-00009


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

17.0 mm at L1-L2

16.0 mm at L2-L3

16.0 mm at L3-L4

13.0 mm at L4-L5

13.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

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

2. Mild facetal arthropathy at the L5-S1 level.


Sunday, 27 December 2015 16:48

11838

hs/ke
Date : 00.00.00

Name of the Patient : Abc Xyznt S. Plmn / M / 45 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness, gait imbalance and tinnitus on the left side since 2 months. H/O discharge from the ear 2 months back.

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.
MR Cisternogram was obtained in the coronal plane.

OBSERVATION :

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

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

Inflammatory changes are noted in the mastoid air cells on the left side.

IMPRESSION :

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

2. Inflammatory changes in the mastoid air cells on the left side.
Sunday, 27 December 2015 16:48

11837

sb/ke
Date : 00.00.00

Name of the Patient : Abc XyzK. Mlmn / F / 55 yrs.
Referred by : Dr. Abc Xyzorat.
Examination : M.R. Cholangiogram.

CLINICAL PROFILE :

C/O pain in the abdomen since 2 months.

EXAMINATION :

The upper abdomen was scanned with 7 mm thick T1 Weighted and T2 Weighted axial images and 4 mm thick T1 Weighted and STIR axial images.

MR cholangiogram was also obtained.

OBSERVATION :

There is seen an approximately 3.5 x 3.0 x 4.0 cms. sized well-marginated, hypointense mass lesion on the T1 Weighted images in the precaval region, in close relation to the head of the pancreas. This lesion appears heterogeneously hyperintense on the T2 Weighted and STIR images. Cystic/necrotic areas are noted within this region, posteriorly.

There is posterior displacement and mild compression of the inferior vena cava at the site of the lesion. The portal vein and the head of the pancreas are displaced slightly anteriorly. Slight extension of the lesion into the region of portahepatis is noted. The distal end of the common bile duct in the pancreatic head is well identified.

There is seen an approximately 3.0 cms diameter sized well-marginated, hypointense lesion on the T1 Weighted images in the right lobe of the liver, anteriorly and laterally, in close relation to the gall bladder fossa. This lesion appears relatively hypointense on the T2 Weighted images but is slightly hyperintense on the STIR images. No satellite lesions are noted.



There is no dilatation of the intrahepatic biliary radicles.

The gall bladder shows no intrinsic lesion. The body and tail of the pancreas are unremarkable.

Spleen, both kidneys and adrenal glands are unremarkable.

There is no free fluid in the abdomen.

The MRCP reveals a normal sized right and left hepatic ducts and common bile duct. No intrahepatic biliary radicle dilatation is noted. The pancreatic duct is not dilated.

IMPRESSION :

1. An approximately 3.5 x 3.0 x 4.0 cms. sized mass lesion in the precaval region, in close relation to the head of the pancreas as described is not specific for a single etiology. The differential diagnosis would include :

a. An exophytic carcinoma of the head of the pancreas.

b. A lymphnodal mass, ? metastatic.

c. Less likely to represent an inflammatory pancreatic lesion.

2. An approximately 3.0 cms diameter sized mass lesion in the right lobe of the liver, anteriorly and laterally, in close relation to the gall bladder fossa is also not specific for a single etiology, but most likely represents a neoplasm.

3. The MR cholangiogram reveals normal biliary tree.

Sunday, 27 December 2015 16:48

11836

hs/sb
/862 Date : 15/00.00.00

Name of the Patient : Abc Xyzee lmn / F / 50 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O pain over the right half of face since 6 years with difficulty in eating and speaking.

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.

MR cisternogram was obtained in the coronal plane.

A limited MRA was obtained through the region of interest.

OBSERVATION :

The seventh and eighth cranial nerve complex on the left side appears to be bulky with effacement of the CSF in the left IAM. The right seventh and eighth cranial nerve complex and both the visualized trigeminal nerves are unremarkable.

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

There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. Also seen is mild fullness of the third and both the lateral ventricles.







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

Incidental note is made of pansinusitis.

IMPRESSION :

The MRI features are suggestive of a bulky seventh and eighth cranial nerve complex on the left side and this may suggest inflammation/acoustic neurinoma.

If clinically indicated a contrast enhanced scan may be worthwhile to rule out the same.

Sunday, 27 December 2015 16:48

11835

Date : 00.00.00

Name of the Patient : Abc Xyz Mirlmn / F / 23 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 00.00.00.

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 L5-S1 intervertebral disc.

Small postero-central disc protrusion with posterior peridiscal osteophyte is noted at the L5-S1 level, indenting the dural theca anteriorly. Slight facetal hypertrophy is also noted at this level.

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 D12-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
18.0 mm at L2-L3
18.0 mm at L3-L4
17.0 mm at L4-L5
13.0 mm at L5-S1.

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

IMPRESSION :

Degenerated L5-S1 disc with a small postero-central protruded disc with peridiscal osteophyte at this level.







Sunday, 27 December 2015 16:48

11834

Date : 00.00.00

Name of the Patient : Abc Xyzath Plmn / M / 37 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O 3 episodes of seizures since 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.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

The hippocampus 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 left maxillary sinusitis.

IMPRESSION :

Normal study of the Brain.

Sunday, 27 December 2015 16:48

11833

sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyza Behramkalmn / F / 35 yrs.
Referred by : Dr. Abc Xyzgalhalikar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache.

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 reduction in height of the L5-S1 disc and loss of water content of the L4-L5 and L5-S1 intervertebral discs.

Small posterior disc bulge is noted at the L5-S1 level.

A small, postero-central protruded disc is seen at the L4-L5 level.

Type II degenerative marrow changes are noted adjacent to the L5-S1 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 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 :

22.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
13.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. A small posterior disc bulge at the L5-S1 level.

2. A small postero-central protruded disc at the L4-L5 level.








Sunday, 27 December 2015 16:48

11832

sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyz Vishnupurlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O sudden onset of right sided hemiparesis with inability to speak since 11.30 am of 00.00.00. Paresis recovered but speech defect persist.
Similar complaint 1 week back, recovered.

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 left temporo-parietal cortex. This lesion appears nearly isointense to normal grey matter on the T1 Weighted images. Resultant slight effacement of the cerebral cortical sulci in the left temporo-parietal region is noted.

Hyperintense signal is also noted in the posterior part of the putamen on the left side on the T2 Weighted and STIR images (se/im 103/12, 105/11).










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 obvious haemorrhage on this study.

Mucosal thickening is noted in the left maxillary antrum.

IMPRESSION :

Altered signal in the left temporo-parietal cortex and the posterior part of the putamen on the left side as described represents a recent infarct, in the given clinical setting.

Sunday, 27 December 2015 16:48

11831

sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzn Bholmn / F / 11 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Dorso-lumbo-sacral Spine.

CLINICAL PROFILE :

C/O kyphoscoliosis for surgery. Patient walks with a limp.

EXAMINATION :

M.R.I of the dorso-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 scoliotic deformity of the dorso-lumbar spine with convexity to the right.

There is a congenital block L2/L3 vertebra with a hypoplastic L2-L3 disc. Segmentation anomalies (butterfly vertebrae) are noted at the D10 and D11 levels. Spina bifida is noted at the L3, L2, D12 and probably D11 levels. There is anti-clockwise rotational anomalies of the dorso-lumbar vertebrae over the D8 to L4 levels and slight clockwise rotational anomalies of the upper dorsal vertebrae. The aorta and the IVC in the dorso-lumbar region are placed more so in the midline or slightly to the left of the midline (with the vertebrae rotated in the anti-clockwise direction).








There is evidence of two hemicords within a single thecal sac extending over approximately the D11 to L2 vertebral levels. It is difficult to distinguish deep midline clefts and hemicords over the D7 to D10 vertebral levels. No obvious bony bar or fibrous band is noted. The conus medullaris terminates at about the L3 vertebral level. No obvious intradural lipoma is noted on this study.

A syrinx is noted within the upper dorsal spinal cord over about the D4 to D6 vertebral levels.

Screening, T1 Weighted sagittal images of the cervical spine do not reveal any cranio-vertebral anomaly.

The visualized dorso-lumbo-sacral vertebral bodies reveal normal signal intensity. Small posterior peridiscal osteophytes are noted at the D9-D10 and D10-D11 levels.

The visualized pre and paravertebral soft tissues are unremarkable.


IMPRESSION :

The MRI features suggest scoliotic deformity of the dorso-lumbar spine with segmentation and rotational anomaly of the dorso-lumbar vertebrae. Two hemicords is noted over the D11 to L2 vertebral levels without obvious bony/fibrous bar. A syrinx is noted in the dorsal spinal cord over the D4 to D6 vertebral levels and probably extends into the hemicords at the D7 and D8 vertebral levels.

It is difficult to distinguish deep midline clefts and hemicords over the D7 to D10 vertebral levels.
Sunday, 27 December 2015 16:48

11829

sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyza S. Malgaolmn / F / 27 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : Intracranial MR Venogram.

CLINICAL PROFILE :

C/O diplopia on seeing long distance since 12 days and headaches. Also C/O puffiness of face and vomiting 13 days after delivery.
H/O delivery on 00.00.00.

EXAMINATION :

The brain was screened with the help of 5 mm thick T1 Weighted coronal and T2 Weighted axial images.

MR Venogram was also obtained.

OBSERVATION :

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

The ventricular system is unremarkable. There is slight prominence of the cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no midline shift.

Subtle hyperintense signal is seen within the left transverse and the sigmoid sinus on the T1 Weighted images. Similar signal is also noted in the vein of Galen and straight sinus.

On the MRV the left transverse sinus is not visualized with narrowing of the left sigmoid sinus and this may be due to thrombosis with partial recanalization of the left transverse straight sinus and vein of Galen.





IMPRESSION :

1. Prominent cerebellar folia.

2. Non-visualization of the left transverse sinus with narrowing of the left sigmoid sinus may be due to thrombosis with partial recanalization. Altered signal in the straight sinus and vein of Galen may also suggest partial thrombosis.