ke/bv
Date : 00.00.00

Name of the Patient : Abc Xyz K. Vanlmn / F / 38 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Abdomen.

CLINICAL PROFILE :

C/O pain in the abdomen with black motions (on & off) since 2 1/2 years.

EXAMINATION :

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

7 mm thick T1 Weighted and T2 Weighted axial images (with fat saturation).

5 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

There is mild splenomegaly. However the spleen shows normal signal intensity.

The liver is normal in size, shape and position. There is no focal or diffuse area of altered signal intensity. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architexture is normal.

The gall bladder is normal and reveals no intrinsic abnormality and concentrates the bile wall.

The pancreas is normal in size and shape.

Both adrenals are normal.

Both the kidneys are normal in size and shape.

No lymphadenopathy is detected. There is no evidence of free fluid within the abdomen.

IMPRESSION :

The MRI features are suggestive of mild splenomegaly.

No other significant abnormality detected on this study.

kebv
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gait imbalance with difficulty in speaking and inability to perform fine movements with hand 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 :

Hyperintense areas are seen in the periatrial deep white matter on the proton, T2 Weighted and FLAIR images which are isointense to white matter on the T1 Weighted images and would represent terminal areas of myelination.

A lacunar infarct which is hyperintense to CSF on all the pulse sequences is noted in the
left posterior parietal deep white matter.

There is suggestion of the caudate and lentiform nuclei appearing smaller as compared to normal.

There is moderate dilatation of both the lateral, third and the fourth ventricles. There is prominence of the cerebellar folia bilaterally. The basal cisternal spaces are prominent. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

The superior surface of the pituitary appears convex.

IMPRESSION :

Cerebral and cerebellar atrophy.

A neurodegenerative disorder should be ruled out.

sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyza Salmn / F / 70 yrs.
Referred by : Dr. Abc Xyzrone.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

H/O tuberculous osteomyelitis for which patient was operated on 00.00.00. (Decompression of D7).
C/O weakness of BLE persists.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

The D7 vertebral body is not visualized, ? total collapse, ?? surgical insertion. A kyphus is noted at that level. There is evidence of laminectomy of the D6 and D8 vertebrae with post-operative changes in the posterior dorsal region at these levels.

The D6 and D8 vertebral bodies are slightly wedged and show fatty marrow changes. The intervertebral disc between the D6 and D8 vertebral bodies is slightly hyperintense on the T2 Weighted images.

The dorsal spinal cord over the D6 to D8 vertebral levels is slightly atrophied and shows a hyperintense signal on the T2 Weighted images which may suggest gliotic/myelomalacic changes.

The rest of the dorsal vertebral bodies reveal normal signal intensity. The remaining intervertebral discs show slight loss of water content. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L1 level.
...2/..









- 2 -


IMPRESSION :

1. Post-operative status with ? surgical excision, ?? complete collapse of the D7 vertebral body.

2. Altered signal in the D6 and D8 vertebral bodies suggests fatty marrow changes, probably the sequelae of healing osteitis.

3. Atrophy of the dorsal spinal cord over the D6 to D8 vertebral levels, with altered signal may suggest gliotic/myelomalacic changes.

No previous scans were available for comparison.

Date : 00.00.00

Name of the Patient : Abc Xyz B. Vaglmn / F / 59 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the LUE with numbness since 3-4 days.

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 water content of the cervical intervertebral discs.

Small posterior peridiscal osteophytes are noted at the C3-C4, C4-C5 and C5-C6 levels.

Degenerative changes of the joints of Luschka on the left at the C4-C5 and C5-C6 levels are noted with resultant left neural foraminal narrowing.

Degenerative changes of the joints of Luschka are also noted at the C6-C7 level on the left and at the C3-C4 level on the right.

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

The cervical spinal cord reveals normal signal intensity.

The atlanto-axial region and the cervico-medullary junction are unremarkable.
...2/..











00008
- 2 -


IMPRESSION :

1. Small posterior peridiscal osteophytes at the C3-C4, C4-C5 and C5-C6 levels.

2. Degenerative changes of the joints of Luschka on the left at the C4-C5 and C5-C6 levels with left neural foraminal narrowing.

3. Degenerative changes of the joints of Luschka at the C6-C7 level on the left and at the C3-C4 level on the right.

Date : 00.00.00

Name of the Patient : Abc XyzR. Menlmn / M / 66 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left sided hemiparesis since 6.30 am on 00.00.00.
Known hypertensive.

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 Gradient (T2 *) coronal images.

OBSERVATION :

There is seen a fairly large, approximately 7.0 x 4.0 x 4.0 cms sized mass lesion in the right deep temporo-parietal region (in the region of the right external capsule). This lesion is iso to slightly hyperintense to normal white matter on the T1 Weighted images and is relatively hypointense on the proton and T2 Weighted images. This lesion is seen to bloom peripherally, on the Fast Scan (T2 *) images. Fluid signal is noted within this lesion which may represent serum, due to clot retraction. Layering is also noted within this lesion, posteriorly. There is mild perilesional edema with slight sulcal space effacement and compression of the right lateral ventricle. Minimal bulge of the midline structure to the left is noted. There is suspicious dissection of this lesion into the suprasellar cistern.

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the left centrum semiovale and in the posterior parietal periventricular white matter bilaterally. These lesions appear hypointense to normal white matter on the T1 Weighted images.

There is an ill-defined, hyperintense signal on the T1 Weighted images in the globus pallidus bilaterally, which appears isointense on the proton and T2 Weighted images and may represent calcification/paramagnetic substance deposition.
...2/..









00007
- 2 -


The left lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features suggest a fairly large, approximately 7.0 x 4.0 x 4.0 cms sized mass lesion in the right deep temporo-parietal region (in the region of the right external capsule) which follows the signal characteristics of a hyperacute to acute intracerebral hematoma.

Date : 00.00.00

Name of the Patient : Abc Xyzl Nlmn / M / 49 yrs.
Referred by : Dr. Abc Xyzdar / Dr. Abc Xyzla / Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O railway accident on 00.00.00, with altered sensorium since then.
C/O increased drowsiness for the last 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 coronal images.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is still seen a left fronto-temporo-parietal, subdural collection which follows CSF signal on all the pulse sequences. The maximum width of this lesion is about 1.5 cm. Resultant mild effacement of the cortical sulcal spaces is noted, with minimum indentation on the frontal horn of the left lateral ventricle.

A smaller, similar signal intensity lesion is noted in the right frontal region, measuring about 4.0 mms in width.

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the right high frontal region (scan 103.13), right occipital cortex (scan no 107.2) and along the postero-lateral margins of the pons and the junction of the pons and midbrain, bilaterally (scan no 107.8). These lesions appear iso to hyperintense to normal white matter on the T1 Weighted images.

Both the lateral, third and the fourth ventricles are otherwise unremarkable. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
....2/.









- 2 -


Fracture of the left zygomatic arch is noted.

Inflammatory changes are noted in the paranasal sinuses and mastoid air cells.

IMPRESSION :

1. Left fronto-temporo-parietal and right frontal, subdural collections as described.

2. Altered signal in the subcortical white matter in the right high frontal region, right occipital cortex and along the postero-lateral margins of the pons and the junction of the pons and midbrain, bilaterally may represent contusions/shearing injuries in the given clinical setting.

3. Fracture of the left zygomatic arch.

As compared to the previous MRI (00000) dated 00.00.00, there is no significant change in the mass effect although there is a marginal increase in the size of the subdural
collections.

Date : 00.00.00

Name of the Patient : Abc Xyzda Upadhlmn / F / 67 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O momentary aphasia (10 mins) at 3.00 p.m. on 00.00.00, with weakness of the LUE. Patient has recovered since then (? TIA).

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 :

Lacunar infarcts are noted in the pons on the right side, left thalamus and lentiform nuclei bilaterally.

There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the left external capsular region extending into the left temporal deep white matter and corona radiata. This lesion appears isointense on the T1 Weighted images and most likely represents an ischemic lesion.

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

Incidental note is made of an empty sella.

IMPRESSION :

1. Lacunar infarcts in the pons, left thalamus and lentiform nuclei bilaterally.
2. Altered signal in the left external capsular region extending into the left temporal deep white matter and corona radiata most likely represents an ischemic lesion.

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

Date : 00.00.00

Name of the Patient : Abc Xyzm Mohalmn / M / 1 1/2 yrs.
Referred by : Dr. Abc Xyzhiri.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O delayed milestones with microcephaly.
Flat occiput and large ears.

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 abnormal area of altered signal intensity within the brain parenchyma. The myelination pattern is normal for the patients age. Hyperintense areas seen within the posterior
parietal regions 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.

Note is made of an enlarged adenoids.

IMPRESSION :

Normal study of the Brain.

Date : 00.00.00

Name of the Patient : Abc Xyzben lmn / F / 52 yrs.
Referred by : Dr. Abc Xyzh Parekh / Dr. Abc Xyzejpal.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O left partial 3rd and 4th nerve palsy with clousre of the left eye since 5 days.
Known diabetic.

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 STIR coronal images.
3 mm thick FLAIR axial and coronal images through the pons.

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

OBSERVATION :

There is a small hyperintense focus within the centre of the pons on the FLAIR images. This is isointense to the normal white matter on the T1 Weighted images and would represent a small ischemic focus (scans 110.5, 107.10).

Dilated Virchow Robin spaces are noted in the centrum semiovale bilaterally.

The optic nerves are normal in their course and calibre and show normal signal intensity. The cavernous sinuses are unremarkable.

After administration of contrast there is no abnormal area of enhancement within the parenchyma or along the meninges.

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 :

The MRI features are suggestive of a small ischemic focus in the pons.

ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyza Gailmn / F / 19 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O Mercury poison intake on 00.00.00.
No complaints at present.
To r/o mercury deposits in brain.

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 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 left maxillary sinusitis.

IMPRESSION :

Normal study of the Brain.