Regular User

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Sunday, 27 December 2015 16:48

14526

sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc XyzPalmn / M / 36 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE with paresthesias since 1 month.

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.

There is a fairly large postero-central and right paracentral disc herniation at the L5-S1 level with right neural foraminal narrowing. A sequestered disc fragment is noted in the right lateral recess of S1 with impingement of the traversing right S1 nerve root. The L5-S1 facet joints show degenerative changes.

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

A probable conjoint neve root is seen on the left side at the L5-S1 and S1 levels.

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/.



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

14.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
14.0 mm at L5-S1.

IMPRESSION :

A fairly large postero-central and right paracentral disc herniation at the L5-S1 level with a sequestered disc fragment in the right lateral recess of S1 impinging the
traversing right S1 nerve root.


Sunday, 27 December 2015 16:48

14523

Date : 00.00.00

Name of the Patient : Abc XyzM. Hlmn / F / 70 yrs.
Referred by : Dr. Abc Xyzmani.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias.

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 suggestion of sacralization of L5 vertebra and is as marked on the film.

There is posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac. The L4-L5 facet joints show gross hypertrophic degenerative changes with resultant effusion. There is indentation upon the left L5 nerve root.

Small posterior disc bulges are seen at the L3-L4 and the L5-S1 levels.

The lumbar intervertebral discs except for the L5-S1 show loss of water content.

A hemangioma with fatty content is seen in the L1 vertebral body on the right side and in the D12 vertebral body on the left side.

The rest of the lumbar vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.







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 :

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

IMPRESSION :

The MRI features are suggestive of :

1. Sacralization of L5 vertebra and which is as marked on the film.

2. A posterior disc herniation at the L4-L5 level with gross hypertrophic facetal arthropathy and resultant effusion at this level.


Sunday, 27 December 2015 16:48

14522

ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzesh Shlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 1 1/2 years.
H/O bus accident and injury to head 5 years 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.
3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There is a very small, approximately 4.0 mm diameter sized hypointense lesion, more pronounced on the proton and T2 Weighted images in the left frontal, subcortical white matter (scans 103.17, 102.17, 105.17). This lesion also appears hypointense on the T1 Weighted images. Perilesional white matter hyperintense signal on the T2 Weighted images may represent gliotic changes.

The hippocampal complex on either side is unremarkable.

Slight fullness of the temporal horn of the right lateral ventricle is a normal variant.

The left 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 a Thorn waldts cyst.

IMPRESSION :

A 4.0 mm diameter sized hypointense lesion on all the pulse sequences in the left frontal, subcortical white matter, most likely represents a calcified granuloma with perilesional gliotic changes.




Sunday, 27 December 2015 16:48

14521

ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzBalilmn / M / 70 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with numbness in BLE since 1 year.

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 intervertebral discs except L1-L2 disc show loss of water content.

There is a postero-central disc herniation with peridiscal osteophytes at the L5-S1 level and anterior indentation of the thecal sac. Bilateral far lateral (extraforaminal) disc bulges are also noted at this level, right more than left with indentation upon the extraforaminal portion of the L5 nerve roots. There is ligamentum flavum hypertrophy with mild facetal hypertrophy at this level.

A posterior and left postero-lateral (foraminal) disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and left neural foraminal narrowing. The L4-L5 facet joints bilaterally show degenerative changes. Mild ligamentum flavum hypertrophy is seen at the L5 level.

A left paracentral disc herniation is seen at the L3-L4 level with antero-lateral indentation of the thecal sac and mild left neural foraminal narrowing.
..2/.







Small posterior peridiscal osteophytes are noted at the L2-L3 level. The L2-L3 intervertebral disc appears reduced in height.

The L2-L3 and L3-L4 facet joints show hypertrophic degenerative changes.

Anterior disc herniations are seen at the L2-L3, L3-L4 and L5-S1 levels.

Type II degenerative changes are seen in L2 and L3 vertebral bodies adjacent to the L2-L3 intervertebral disc anteriorly.

The rest of the lumbar vertebral bodies and the L1-L2 intervertebral disc reveals 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 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 :

16.0 mm at L1-L2
14.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc herniation with peridiscal osteophytes at the L5-S1 level with ligamentum flavum hypertrophy and mild facetal hypertrophy at this level.
..3/.




- 3 - Scan-00001


2. A posterior and left postero-lateral disc herniation at the L4-L5 level with facetal arthropathy bilaterally.

3. A left paracentral disc herniation at the L3-L4 level with small posterior peridiscal osteophytes.

4. Hypertrophic facetal arthropathy at the L2-L3 and L3-L4 levels.

5. Tight lumbar canal at the L4-L5 and L5-S1 levels.
Sunday, 27 December 2015 16:48

14519

ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzarlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzshar / Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures on 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.

OBSERVATION :

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

The hippocampal 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.

IMPRESSION :

Normal study of the Brain.













Sunday, 27 December 2015 16:48

14518

ke/sb/rg.
/20 Date : 00.00.00

Name of the Patient : Abc Xyzh Andlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzri / Dr. Abc Xyznghal.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O left hemiplegia on 00.00.00.

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 :

There is a fairly well-circumscribed, hyperintense area on the T2 Weighted images in the right corona radiata. This is hypointense to the normal white matter on the T1 Weighted images and would represent an infarct.

A lacunar infarct (isointense to CSF on all the pulse sequences) is seen anterior to the above mentioned lesion and the right 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.

Incidental note is made right maxillary polyp.

INTRACRANIAL MRA :

There is paucity of the Sylvian branches of the left middle cerebral artery.

The left vertebral artery is hypoplastic.
..2/.








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

NECK MRA :

The left vertebral artery in the neck also appears hypoplastic.

Atherosclerotic plaques are noted along the postero-medial walls of the proximal internal carotid arteries bilaterally, just distal to the common carotid bifurcation. Resultant mild stenosis of these vessels is noted.

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

IMPRESSION :

1. Altered signal in the right corona radiata would represent a subacute infarct.

2. A lacunar infarct in the right corona radiata, anteriorly
and the right lentiform nucleus.

3. Atherosclerotic plaques along the postero-medial walls of the proximal internal carotid arteries bilaterally, just distal to the common carotid bifurcation.


Sunday, 27 December 2015 16:48

14517

ke/hs/nl/rg.
Date : 00.00.00

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

CLINICAL PROFILE :

C/O vomiting since 2 days.
C/O acute onset of involuntary movements of neck since 10 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 and Fast Scan (T2 *) coronal images.

OBSERVATION :

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

There is mild fullness of both the lateral and fourth ventricles. The third ventricle is normal.

There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

A giant cisterna magna is noted.

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 mild cerebral and cerebellar atrophy.













Sunday, 27 December 2015 16:48

14516

ke/hs/nl.
Date : 00.00.00

Name of the Patient : Abc XyzBlmn / M / 54 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 10 days.

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 mild retroplacement of the L4 vertebra over the L5 vertebra.

A posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. A small portion of the disc is seen to migrate inferiorly and lies posterior to the L5 vertebral body.

A small, postero-central disc herniation is seen to indent the thecal sac at the L5-S1 level. A postero-central disc protrusion is noted at the L1-L2 level.

Bilateral far lateral (extraforaminal) disc bulges are seen at the L4-L5 and L5-S1 levels.

Small posterior disc bulges are seen at the L2-L3 and L3-L4 levels with slight bilateral neural foraminal narrowing at the L3-L4 level.


Schmorls nodes are seen in the lumbar region. The D11-D12, L1-L2, L2-L3 and L4-L5 intervertebral discs show loss of water content.

The L3-L4, L4-L5 and L5-S1 facet joints show hypertrophic degenerative changes. Mild ligamentum flavum hypertrophy is noted over the L4-L5 to the L5-S1 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 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 :

15.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. Retroplacement of the L4 vertebra over the L5 vertebra.

2. A posterior disc herniation at the L4-L5 level with a small portion of the disc migrating inferiorly and lying posterior to the L5 vertebral body.

3. A small postero-central disc herniation at the L5-S1 level.
..3/.









- 3 - Scan-00006



4. A postero-central disc protrusion at the L1-L2 level.

5. Small posterior disc bulges at the L2-L3 and L3-L4 levels.

6. Hypertrophic facetal arthropathy at the L3-L4, L4-L5 and L5-S1 levels.

7. A tight canal at the L4-L5 level.












Sunday, 27 December 2015 16:48

14515

ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyznay Ilmn / M / 5 1/2 yrs.
Referred by : Dr. Abc Xyzrade.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O acute weakness of BUE and BLE on 00.00.00 which has slightly improved since then.

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 :

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

The cervical and the visualized upper dorsal spinal cord reveals normal signal intensity.

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

IMPRESSION :

Normal study of the Cervical spine.


Sunday, 27 December 2015 16:48

14514

sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyznay Ilmn / M / 5 1/2 yrs.
Referred by : Dr. Abc Xyzrade.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O acute weakness of BUE and BLE on 00.00.00 which has slightly improved 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 coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

A small, focal, hypointense area on the T1 Weighted images is seen in the right posterior parietal deep white matter. This is seen to turn hyperintense on the proton and T2 Weighted images and represents a prominent perivascular space.

There is no focal area of abnormal signal 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.

IMPRESSION :

No significant abnormality is detected on this study.