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Sunday, 27 December 2015 16:48

11390

sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzolmn / F / 28 yrs.
Referred by : Dr. Abc Xyzh.
Examination: M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O low back pain .

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 L2-L3 intervertebral disc.

There is anti-clockwise rotation of the upper lumbar vertebrae.

There is Grade I spondylolisthesis of the L5 over the S1 vertebra, with spondylolysis at L5, bilaterally. A resultant, small pseudo-posterior disc bulge is noted at the L5-S1 level.

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

Schmorls nodes are noted in the upper lumbar region.

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 S2 level.

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

13.0 mm at L1-L2
- 2 -


13.0 mm at L2-L3

14.0 mm at L3-L4

14.0 mm at L4-L5

15.0 mm at L5-S1.

IMPRESSION :

Grade I spondylolisthesis of the L5 over the S1 vertebra, with spondylolysis at L5, bilaterally, with a small, pseudo-posterior disc bulge at the L5-S1 level.



Sunday, 27 December 2015 16:48

11389

Date : 00.00.00
sb/bv
Name of the Patient : Abc XyzGailmn / M / 35 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O paresthesias from neck downwards since May 0000 with weakness in the LUE.

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.

There is a postero-central disc herniation at the C4-C5 level with cord compression and canal stenosis. The cervical spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia.

A small, postero-central disc herniation with peridiscal osteophyte is noted at the C5-C6 level.

Slight facetal hypertrophy is noted at the C3-C4 and C4-C5 levels, more on the left side. The joints of Luschka at the C3-C4 level show early degenerative changes.

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

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

IMPRESSION :

1. A postero-central disc herniation with canal stenosis at the C4-C5 level with cord compression and altered cord signal suggesting cord edema/ischemia.
2. A small, postero-central disc herniation with peridiscal osteophyte at the C5-C6 level.




Sunday, 27 December 2015 16:48

11388

Date : 00.00.00
sb/bv
Name of the Patient : Abc Xyzray L. Plmn / M / 65 yrs.
Referred by : Dr. Abc Xyzrges.
Examination: M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with urinary incontinence.
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 FLAIR coronal images.

OBSERVATION :

Lacunar infarcts are noted in the pons, centrally, bilateral thalami and lentiform nuclei and in the head of the left caudate nucleus.

There is an ill-defined, hypointense signal on the T1Weighted images in the white matter in the right frontal, parafalcine region. A part of this lesion follows CSF signal on all the pulse sequences and the rest of the lesion appears hyperintense on the proton, T2 Weighted and FLAIR images.

Ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images is noted in the periventricular white matter bilaterally, bilateral centrum semiovale and in the subcortical white matter in the left fronto-parietal region.

Slow flow/thrombus is seen in the right vertebral artery.

There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and basal cisterns billaterally. There is no midline shift.



- 2 -


IMPRESSION :

1. Lacunar infarcts in the pons, centrally, bilateral thalami and lentiform nuclei and in the head of the left caudate nucleus.

2. Altered signal in the white matter in the right frontal, parafalcine region most likely represents an area of cystic encephalomalacia.

3. Altered signal in the periventricular white matter bilaterally, bilateral centrum semiovale and in the subcortical white matter in the left fronto-parietal region most likely represents ischemic changes. In view of the H/O hypertension, Binswangers disease should be ruled out.

4. Slow flow/thrombus in the right vertebral artery.


Sunday, 27 December 2015 16:48

11387br

Date : 00.00.00
hs/bv
Name of the Patient : Abc Xyz Jogllmn / M / 40 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Sella and Perisellar Region.

CLINICAL PROFILE :

C/O invasive pituitary tumor, operated upon in September 0000.
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 sagittal images.

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

OBSERVATION :

There is still seen a mass lesion within the sella, which is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images.

There is resultant ballooning of the sellar floor. There is extension of the lesion into the cavernous sinuses bilaterally, with encasement of the cavernous segments of the internal carotid arteries. These vessels however show normal flow-void signal. No suprasellar extension is noted. The pituitary stalk is deviated to the left. The posterior pituitary gland is well identified.

Screening T2 Weighted axial images of the brain do not reveal any significant feature of note.

Inflammatory changes are noted within the right maxillary sinus, frontal sinus and ethmoidal air cells.
..2/.













- 2 -


IMPRESSION :

The MRI features are suggestive of :

1. Post-operative status.

2. An invasive pituitary adenoma with extensions as already described.

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

Sunday, 27 December 2015 16:48

11387

Date : 00.00.00
hs/bv
Name of the Patient : Abc Xyz Jogllmn / M / 40 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Sella and Perisellar Region.

CLINICAL PROFILE :

C/O invasive pituitary tumor, operated upon in September 0000.
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 sagittal images.

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

OBSERVATION :

There is still seen a mass lesion within the sella, which is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images.

There is resultant ballooning of the sellar floor. There is extension of the lesion into the cavernous sinuses bilaterally, with encasement of the cavernous segments of the internal carotid arteries. These vessels however show normal flow-void signal. No suprasellar extension is noted. The pituitary stalk is deviated to the left. The posterior pituitary gland is well identified.

Screening T2 Weighted axial images of the brain do not reveal any significant feature of note.

Inflammatory changes are noted within the right maxillary sinus, frontal sinus and ethmoidal air cells.
..2/.













- 2 -


IMPRESSION :

The MRI features are suggestive of :

1. Post-operative status.

2. An invasive pituitary adenoma with extensions as already described.

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

Sunday, 27 December 2015 16:48

11386

Date : 00.00.00
sb/bv
Name of the Patient : Abc Xyzakant M. lmn / M / 42 yrs.
Referred by : Dr. Abc Xyzshtekar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain, radiating to BUE with paresthesias since 7-8 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 scoliosis of the cervical spine with convexity to the left. There is loss of water content of the cervical intervertebral discs . Clockwise rotation anomaly of upper cervical vertebrae is noted.

There is occipitalization of the atlas. The atlanto-dens interval measures approximately 2.3 mms.

Posterior disc bulges with posterior peridiscal osteophytes are noted at the C3-C4, C4-C5 and C5-C6 levels with indentation of the cervical spinal cord at the C3-C4 and C4-C5 levels. Slight neural foraminal narrowing is noted at these levels, bilaterally. There is also degenerative changes of the joints of Luschka at these levels. The cervical spinal canal appears tight at the C3-C4 level, with the spinal cord appearing triangular in shape.

The cervical spinal cord at the C3-C4 level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia.

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

The cervico-medullary junction is unremarkable.



- 2 -


IMPRESSION :

1. Occipitalization of the atlas.

2. Posterior disc bulges with posterior peridiscal osteophytes at the C3-C4, C4-C5 and C5-C6 levels with cord compression at the C3-C4 and C4-C5 levels and tight cervical canal at the C3-C4 level.

3. Altered signal of the cervical spinal cord at the C3-C4 level suggests cord edema/ischemia.

Sunday, 27 December 2015 16:48

11385

sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzayan Palmn / M / 72 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

Alleged H/O trauma with loss of consciousness for 2 days, 4-5 months back with quadriplegia and bladder/bowel involvement.

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 reversal of the normal cervical lordotic curve.

There is reduction in height of the C4-C5, C5-C6 and C6-C7 intervertebral discs with loss of water content of the cervical intervertebral discs.

Posterior bulging discs with posterior peridiscal osteophytes are noted at the C3-C4, C4-C5 , C5-C6 and C6-C7 levels with indentation on the cervical spinal cord at the C4-C5 and C5-C6 levels. . There is also ligamentum flavum hypertrophy at the C6 level.

The cervical spinal cord at the C4-C5 and C5 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images suggesting cord edema/ischemia.

Degenerative changes of the joints of Luschka is noted at the C4-C5 and C5-C6 levels bilaterally at the C6-C7 level on the right with corresponding neural foraminal narrowing.

Slight facetal hypertrophy is noted at the C4-C5 and C5-C6 levels on the left side.

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

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


IMPRESSION :

1. Posteriorly bulging discs with posterior peridiscal osteophytes at the C3-C4, C4-C5, C5-C6 and C6-C7 levels with ligamentum flavum hypertrophy at the C6 level.

2. Altered signal of the cervical spinal cord at the C4-C5 and C5 levels suggests cord edema/ischemia.

3. Degenerative changes of the joints of Luschka at the C4-C5 and C5-C6 levels bilaterally at the C6-C7 level on the right with corresponding neural foraminal narrowing.

4. Slight facetal hypertrophy at the C4-C5 and C5-C6 levels on the left side.


Sunday, 27 December 2015 16:48

11384

sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzn D. Kumlmn / F / 40 yrs.
Referred by : Dr. Abc XyzBhimani.
Examination : M.R.I. of the Pelvis.

CLINICAL PROFILE :

C/O pain in the abdomen since 3-4 years (off & on) with primary infertility and irregular menses. .

EXAMINATION :

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

8 mm thick T1 Weighted and T2 Weighted axial images.

5 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted and T2 Weighted sagittal images.

OBSERVATION :

The uterus is retroverted. No focal mass is identified in the uterine myometrium or the endometrial cavity. Small, luteal cysts are noted in the ovaries on either side. The ovaries are otherwise unremarkable. No adnexal mass is noted.

Urinary bladder shows normal wall thickness.

There are no abnormally enlarged pelvic lymphnodes noted. There is no free fluid in the pelvis.

The ischio-rectal fossae are unremarkable.

IMPRESSION :

No significant abnormality is detected on this study.
Sunday, 27 December 2015 16:48

11383

sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzn D. Kumlmn / F / 40 yrs.
Referred by : Dr. Abc XyzBhimani.
Examination : M.R.I. of the Abdomen.

CLINICAL PROFILE :

C/O pain in abdomen (off & on) since 3-4 years. Primary infertility. Irregular menses.

EXAMINATION :

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

7 mm thick T1 Weighted and T2 Weighted axial images.

7 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There is no focal or diffuse area of abnormal signal in the hepatic parenchyma. There is no dilatation of the intrahepatic biliary radicles. The hepatic venous architexture is unremarkable.

The gall bladder shows no intrinsic lesion. The spleen is normal.

Pancreas shows normal bulk and signal intensity.

Both the adrenal glands and kidneys are unremarkable.

There are no abnormally enlarged abdominal lymphnodes noted. There is no free fluid in the abdomen.

IMPRESSION :

No significant abnormality is detected on this study.
Sunday, 27 December 2015 16:48

11382br

hs/ke
Date : 00.00.00

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

CLINICAL PROFILE :

C/O involuntary movements of the right hand since 8 days and right foot since 3 dyas.
H/O DM & HT.
Has been operated for Potts spine (D5) in 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.

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

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

Susceptibility artifacts are seen in the region of the mandible on the left side (dental prosthesis/fillings).

Irregularly defined areas of hypointensity are seen on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the thalamus bilaterally.

Note is made of an empty sella.

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 sinus.

IMPRESSION :

The MRI features are suggestive of areas of altered signal intensity within the thalamus bilaterally. These may represent infarcts (? venous ? arterial).

The possibility of this being a demyelinating process cannot be entirely ruled out though less likely.