Date : 00.00.00

Name of the Patient : Abc Xyza T. Tlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/ neckpain in the LUE aright hip joint since 2 1/2 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.

The hip joints were screened with 5 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

There is slight loss of water content of the L5-S1 intervertebral disc.

Posteriorly bulging discs are noted at the L4-L5 and L5-S1 levels with minimal indentation on the anterior dural theca. Slight hypertrophy of the facet joints at these levels is also noted.

The lumbar vertebral bodies and the remaining intervertebral discs show normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus modularize terminates at the D12-L1 level and the theca sac terminates at the S2 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

16.0 mm at L2-L3

15.0 mm at L3-L4










- 2 -


11.0 mm at L4-L5

8.0 mm at L5-S1

Screening images of the hip hoints reveal an ill-defined hypointense signal on the T1 Weighted images in the left iliac bone adjacent to the left sacro-iliac joint. This lesion appears hyperintense on the STIR images.

Bone islands are noted in the head of the right femur. No other significant abnormality is detected in the hip joints on either side.

IMPRESSION :

1. Posteriorly bulging discs at the L4-L5 and L5-S1 levels with slight facetal hypertrophy at these levels.

2. Altered signal in the iliac bone adjacent to the left sacro-iliac joint may suggest sacro-ilitis.

If clinically indicated a dedicated study of the sacro-iliac joints would be worthwhile.

Date : 00.00.00

Name of the Patient : Abc Xyza T. Tlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/ neckpain in the LUE aright hip joint since 2 1/2 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.

The hip joints were screened with 5 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

There is slight loss of water content of the L5-S1 intervertebral disc.

Posteriorly bulging discs are noted at the L4-L5 and L5-S1 levels with minimal indentation on the anterior dural theca. Slight hypertrophy of the facet joints at these levels is also noted.

The lumbar vertebral bodies and the remaining intervertebral discs show normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus modularize terminates at the D12-L1 level and the theca sac terminates at the S2 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

16.0 mm at L2-L3

15.0 mm at L3-L4










- 2 -


11.0 mm at L4-L5

8.0 mm at L5-S1

Screening images of the hip hoints reveal an ill-defined hypointense signal on the T1 Weighted images in the left iliac bone adjacent to the left sacro-iliac joint. This lesion appears hyperintense on the STIR images.

Bone islands are noted in the head of the right femur. No other significant abnormality is detected in the hip joints on either side.

IMPRESSION :

1. Posteriorly bulging discs at the L4-L5 and L5-S1 levels with slight facetal hypertrophy at these levels.

2. Altered signal in the iliac bone adjacent to the left sacro-iliac joint may suggest sacro-ilitis.

If clinically indicated a dedicated study of the sacro-iliac joints would be worthwhile.

Date : 00.00.00

Name of the Patient : Abc Xyzambalmn / M / 19 yrs.
Referred by : Dr. Abc Xyzadia.
Examination: M.R.I. of the Right Ankle..

CLINICAL PROFILE :

C/O pain in the right ankle since 6 months.
H/O fall 6 months back.

EXAMINATION :

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

4 mm thick T1 Weighted and Fast Scan (T2 *) sagittal images.

4 mm thick T1 Weighted and T2 Weighted axial images.

4 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

There are small hypointense areas in the superior aspect of the talus in the subchondral region on the T1 Weighted images which are seen to turn slightly hyperintense on the Fast Scan (T2 *) images and would represent subchondral cysts or osteochondritis dissecans.

Small punctate hypointense areas are seen within the inferior aspect of the talus on the T1 Weighted images and which are seen to turn hyperintense on the T2 Weighted and STIR images . These may represent bone cysts.

Effusion is seen within the right ankle joint.

The rest of the visualized bones, ligaments and soft tissues are unremarkable.


IMPRESSION :

The MRI features are suggestive:

1. Altered signal in the superior aspect of the talus in the subchondral region may represent subchondral cysts or osteochondritis dissecans.
2. Altered signal in the inferior aspect of the talus.
3. Effusion within the right ankle joint.

Date : 00.00.00

Name of the Patient : Abc Xyz Shlmn / M / 7 yrs.
Reffered by : Dr. Abc Xyzar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O vehicular accident at 1.0 pm on 00.00.00 with right facial and brachial paralysis since then.

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 T2 Weighted sagittal images.

The cervical spine was screened with 5 mm thick T2 Weighted sagittal images.

OBSERVATION :

There is no focal area of altered signal intensity in 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.

There is a hyperintense signal on the T2 Weighted and FLAIR images in the subgaleal soft tissues in the right parieto-occipital region. This may represent a soft tissue contusion/hematoma, in the given clinical setting.

The T2 Weighted sagittal images of the cervical spine do not reveal any significant feature of note.

Incidental note is made of enlarged adenoids.

IMPRESSION :

Altered signal in the subgaleal soft tissues in the right parieto-occipital region may represent a subgaleal contusion/hematoma in the given clinical setting.

No other significant abnormality is detected on this study.

Date : 00.00.00

Name of the Patient : Abc Xyz Shlmn / M / 7 yrs.
Reffered by : Dr. Abc Xyzar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O vehicular accident at 1.0 pm on 00.00.00 with right facial and brachial paralysis since then.

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 T2 Weighted sagittal images.

The cervical spine was screened with 5 mm thick T2 Weighted sagittal images.

OBSERVATION :

There is no focal area of altered signal intensity in 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.

There is a hyperintense signal on the T2 Weighted and FLAIR images in the subgaleal soft tissues in the right parieto-occipital region. This may represent a soft tissue contusion/hematoma, in the given clinical setting.

The T2 Weighted sagittal images of the cervical spine do not reveal any significant feature of note.

Incidental note is made of enlarged adenoids.

IMPRESSION :

Altered signal in the subgaleal soft tissues in the right parieto-occipital region may represent a subgaleal contusion/hematoma in the given clinical setting.

No other significant abnormality is detected on this study.

Date : 00.00.00

Name of the Patient : Abc Xyz Jalmn / F / 61 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

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 a hyperintense signal on the proton, T2 Weighted and FLAIR images in the left lentiform nucleus, posteriorly, extending into the left corona radiata. This lesion appears hypointense on the T1 Weighted images and most likely represents a recent ischemic lesion , in the given clinical setting.

A lacunar infarct is noted in the right corona radiata.

There is mild fullness of both the lateral ventricles. The 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 evidence of haemorrhage.

IMPRESSION :

1. Altered signal in the left lentiform nucleus, posteriorly, extending into the left
corona radiata, most likely represents a recent ischemic lesion, in the given clinical
setting.
2. Lacunar infarct in the right corona radiata.

Date : 00.00.00

Name of the Patient : Abc Xyz Jalmn / F / 61 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

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 a hyperintense signal on the proton, T2 Weighted and FLAIR images in the left lentiform nucleus, posteriorly, extending into the left corona radiata. This lesion appears hypointense on the T1 Weighted images and most likely represents a recent ischemic lesion , in the given clinical setting.

A lacunar infarct is noted in the right corona radiata.

There is mild fullness of both the lateral ventricles. The 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 evidence of haemorrhage.

IMPRESSION :

1. Altered signal in the left lentiform nucleus, posteriorly, extending into the left
corona radiata, most likely represents a recent ischemic lesion, in the given clinical
setting.
2. Lacunar infarct in the right corona radiata.

sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzandra Halmn / M / 18 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

C/O paresthesias in BLE since 3-4 days.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

6 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is an ill-defined, hypointense signal on the T1 Weighted images involving the pedicles, laminae and spinous processes of the D2 and D3 vertebrae. This signal appears diffusely hyperintense on the T2 Weighted images.

There is seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the posterior epidural space extending over the D1 to D4 vertebral levels. This lesion appears hyperintense on the T2 Weighted images (minimal soft tissue is also noted in the interspinous region at the D2 and D3 level). There is resultant anterior displacement and compression of the dorsal spinal cord over the D1 to D4 vertebral levels. The dorsal spinal cord over these levels shows a hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia. There is also extension into the neural foramina bilaterally at the D2-D3 and D3-D4 levels.

Subtle signal change is also noted in the D2 and D3 vertebral bodies.

The rest of the visualized cervico-dorsal vertebral bodies and the intervertebral discs show normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

Enlarged paratracheal-retrocaval and pretracheal, mediastinal lymph nodes are noted.

- 2 -


IMPRESSION :

Altered signal of the pedicles, laminae and spinous processes of the D2 and D3 vertebrae most likely represents osteitis, probably tuberculous osteitis. Posterior epidural soft tissue lesion over the D1 to D4 vertebral levels may represent granulation tissue/abscess. There is resultant cord compression and cord signal alteration over these levels, suggesting cord edema/ischemia.

Enlarged mediastinal lymph nodes are noted as described.

Round cell tumors should be considered as a differential diagnosis.

Date : 00.00.00

Name of the Patient : Abc Xyza Qurlmn / F / 8 mnths.
Referred by : Dr. Abc Xyzooq.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O atypical seizure like disorder since 2 months.
EEG - normal.

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 slight prominence of the cortical sulcal spaces in the fronto-parietal regions bilaterally with slight fullness of both the lateral ventricles.

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

The hippocampal complex is unremarkable on either side.

The 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 :

Slight fullness of both the lateral ventricles and prominence of the cortical sulcal spaces in the fronto-parietal regions.

Date : 00.00.00

Name of the Patient : Abc Xyzn R. Nilmn / M / 31 yrs.
Referred by : Dr. Abc Xyziya.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O giddiness with vomiting on 00.00.00 with left sided hemiplegia since then.
Patient is in altered sensorium.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial MRA was performed with 3D TOF sequence.

The study could not be completed as the patient was not very co-operative and could not be sedated as per the referring physicians instruction.

OBSERVATION :

The T2 Weighted axial images of the brain reveal an ill-defined hyperintense signal in the right cerebellar hemisphere, posteriorly, in the pons and at the junction of the midbrain and pons, centrally, in the right cerebral peduncle, right thalamus and in the right temporo-parietal region. This signal change suggest ischemic changes, in the given clinical setting. Limited MRA sequence which was possible identifies the cavernous and supraclinoid segments of the internal carotid arteries, proximal anterior and middle cerebral arteries and the posterior cerebral arteries bilaterally. These vessels do not reveal significant feature of note. The distal basilar artery is not well identified on the collapsed angiograpy images.
..2/.




- 2 -


Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable.There is no shift of the midline structures.

IMPRESSION :

Altered signal in the right cerebellar hemisphere, posteriorly, in the pons and at the junction of the midbrain and pons, centrally, in the right cerebral peduncle , right thalamus and in the right temporo-parietal region most likely represents recent ischemic lesions, in the given clinical setting. There is no obvious haemorrhage noted.

The MR angio sequences needs to be repeated when the patient is co-operative.