sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzPalmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O gradual progressive weakness of BLE (right more than left) since 2 years.
C/O gait ataxia.

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.

The cervico-dorsal spine was screened with 4 mm thick T2 Weighted sagittal images.

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

OBSERVATION :

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

The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L2 level.

Screening images of the cervico-dorsal spine and the brain reveal no significant feature of note.

IMPRESSION :

Normal study of the Dorsal Spine.

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyznt lmn / M / 30 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O gait imbalance since 1 1/2 years and speech disturbances since 2-3 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 :

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

There is prominence of the cerebellar folia bilaterally. Fullness of the fourth ventricle is noted.

Both the lateral and the third 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 :

Mild cerebellar atrophy.

Scan No : Date : 99

Name of the Patient :
Referred by : Dr.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :


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 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 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 :

.0 mm at L1-L2
.0 mm at L2-L3
.0 mm at L3-L4
.0 mm at L4-L5
.0 mm at L5-S1.

IMPRESSION :

Normal study of the lumbo-sacral spine.

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzt Walmn / M / 25 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain and pain in both shoulders since 1 1/2 years.

EXAMINATION :

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

4 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 normal cervical curvature.

The cervical intervertebral discs except for the C2-C3 disc show loss of water content.

Small posterior disc herniations with peridiscal osteophytes are seen at the C4-C5, C6-C7 and C7-D1 levels with anterior indentation of the thecal sac.

There is anticlockwise rotation of the C1 over the C2 vertebra.

The cervical vertebral bodies show normal signal intensity. The joints of Luschka and 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.

Note is made of subcentimeter lymphnodes in the deep cervical chain bilaterally.

IMPRESSION :

The MRI features are suggestive of small posterior disc herniations with peridiscal osteophytes at the C4-C5, C6-C7 and C7-D1 levels.

sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzRalmn / M / 46 yrs.
Referred by : Dr. Abc Xyzapadia / Dr. Abc Xyzpai.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O right sided hemiparesis on 00.00.00 from which patient recovered within an hour.
Known hypertensive.

EXAMINATION :

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

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

Lacunar infarcts are noted in the left corona radiata extending into the left internal capsular region (into its genu and posterior limb) and in the left lentiform nucleus.

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

Inflammatory changes are noted in the paranasal sinuses.

INTRACRANIAL MRA :

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
Scan-00004



NECK MRA :

There is seen a plaque along the postero-lateral wall of the proximal left internal carotid artery with resultant narrowing of the proximal 1.5 cm segment of the vessel. A suspicious plaque is also noted along the postero-lateral wall of the proximal right internal carotid artery just distal to the common carotid bifurcation.

The common carotid arteries and their extracranial branches and the vertebral arteries appear normal bilaterally.

IMPRESSION :

1. Lacunar infarcts in the left corona radiata extending into the left internal capsular region (into its genu and posterior limb) and in the left lentiform nucleus.

2. A plaque along the postero-lateral wall of the proximal left internal carotid artery with resultant narrowing of the proximal 1.5 cm segment of the vessel.

3. A suspicious plaque along the postero-lateral wall of the proximal right internal carotid artery just distal to the common carotid bifurcation.

bv/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza lmn / F / 3 1/2 yrs.
Referred by : Dr. Abc Xyzooque.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures (single episode) on 00.00.00.

EXAMINATION :

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

4 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick T1 Weighted and T2 Weighted coronal 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.

Myelination pattern appears normal for the patients age.

IMPRESSION :

Normal study of the Brain.

ke/bv/rg.
Date : 00.00.00

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

CLINICAL PROFILE :

C/O seizures since 7 years. On anti-epileptics.

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 subcentimeter well-circumscribed lesion in the right temporal cortex laterally. This lesion has a small hyperintense centre and hypointense periphery on the proton and T2 Weighted images and is hypointense on the T1 Weighted images. No definite scolex can be identified on this study. No definite scolex can be identified on this study. There is surrounding white matter edema/gliosis (scans 102.5, 103.5, 104.5, 105.11, 106.5).

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 bilateral maxillary sinusitis and inflammatory changes in the ethmoidal air cells.

IMPRESSION :

The MRI features are suggestive of a granulomatous infective lesion in the right temporal cortex laterally follows the signal characteristics of cysticercus in the vesicular stage.

A follow up scan after treatment would be worthwhile.

sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / F / 30 yrs.
Referred by : Dr. Abc Xyzrmar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fall on 00.00.00 with injury to the back of head and loss of consciousness for half an hour.
C/O headaches 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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

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

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 no shift of the midline structures. No obvious vascular anomaly is identified on this study.

The superior surface of the pituitary is convex and normal for the patients age.

IMPRESSION :

Normal study of the Brain.

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Ponlmn / F / 56 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches (on the left side).
H/O being operated for meningioma on 00.00.00.
For follow up.

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 evidence of left frontal craniotomy with post-operative changes.

There are hypointense areas on T1 Weighted images in the left frontal region which are seen to follow CSF signal characteristics on all the pulse sequences. Hyperintense areas on the proton, T2 Weighted and FLIAR images at the periphery of this lesion would represent gliosis and the lesion would represent an area of cystic encephalomalacia, the result of previous surgery. No residual tumor is visualized on this study. Hyperintense areas are also seen on the FLAIR images in the right inferior frontal lobe, which would represent gliosis, the result of surgery.

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.


IMPRESSION :

The MRI features are suggestive of :

1. Post-operative status.

2. An area of cystic encephalomalacia in the left frontal region and an area of gliosis in the right frontal region.

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Galmn / M / 55 yrs.
Referred by : Dr. Abc Xyz Sane.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O loss of consciousness for 36 hours on 00.00.00.
No complaints after that.

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.
3 mm thick T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

Dilated perivascular spaces are seen in the centrum semiovale bilaterally.

There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. The vertebro-basilar system is ectatic with indentation upon the medulla and the pons.

IMPRESSION :

The MRI features are suggestive of age related cerebral and cerebellar atrophy.