Regular User

Regular User

Sunday, 27 December 2015 16:48

14415

sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzr Kolmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O trigeminal neuralgia since 2 months.
H/O maxillary neurectomy done 2 months 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.

5 mm thick FLAIR coronal images.

3 mm thick T1 Weighted coronal images through the region of interest.

An MR Cisternogram was obtained in the coronal plane.

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.

A vascular loop is seen to indent the root exit zone of the left seventh and eighth cranial nerve complex.










No obvious vascular loop is identified at the root entry zone of the trigeminal nerves on either side.

IMPRESSION :

1. No abnormality is detected in the brain parenchyma per se.

2. A vascular loop indenting the root exit zone of the left seventh and eighth cranial nerve complex.

3. No obvious vascular loop is identified at the root entry zone of the trigeminal nerves on either side.










Sunday, 27 December 2015 16:48

14414

sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzan lmn / M / 13 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever with chills for a day, 1 month back.
C/O blackouts with fall, altered behaviour, headaches and weakness of upper limbs 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.

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.

Inflammatory changes are noted in the right maxillary antrum.

IMPRESSION :

Normal study of the Brain.













Sunday, 27 December 2015 16:48

14413

ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Malmn / F / 68 yrs.
Referred by : Dr. Abc Xyzlchandani.
Examination : M.R.I. of Both Hips.

CLINICAL PROFILE :

C/O pain in both hip joints (right more than left) since 6 months.

EXAMINATION :

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

5 mm thick T1 Weighted and STIR coronal images.

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

5 mm thick Proton density sagittal images.

OBSERVATION :

Very minimal fluid is noted within the left hip joint space per se.

The femoral head and the acetabulum reveal normal signal intensity bilaterally. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable.

The musculature surrounding both the hip joints and the visualized pelvis is normal.

Incidental note is made of dilated vascular channels in the subcutaneous fat in the right inguinal region and upper thigh, anteriorly.

IMPRESSION :

1. Minimal fluid in the left hip joint per se.

2. Dilated vascular channels in the proximal right thigh are ? varicosities.

Sunday, 27 December 2015 16:48

14412

sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzrlmn / F / 68 yrs.
Referred by : Dr. Abc Xyzlkaka / Dr. Abc Xyzroff.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O gait imbalance since 1 year.

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 water content of the cervical intervertebral discs.

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

Degenerative changes of the joints of Luschka is seen at the C4-C5 and C5-C6 levels on the left.

Slight facetal hypertrophy is noted at the C4-C5 level on the left.

The cervical vertebral bodies show spotty fatty marrow changes. The rest of 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.

IMPRESSION :

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

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

3. Slight facetal hypertrophy at the C4-C5 level on the left.




Sunday, 27 December 2015 16:48

14411

sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzhedlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 6 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.

OBSERVATION :

There is slight forward translation of the L3 over the L4 vertebra, loss of normal lumbar lordosis and loss of water content of the lower lumbar intervertebral discs.

A small posterior disc bulge is noted at the L5-S1 level.
Slight facetal hypertrophy is also seen at this level.

Posteriorly bulging discs with posterior peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels with bilateral neural foraminal narrowing. There is also facetal hypertrophy at these levels bilaterally with canal stenosis.

Slight facetal hypertrophy is also noted at the L1-L2 and L2-L3 levels.

The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
..2/.








The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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 :

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

IMPRESSION :

1. A small posterior disc bulge at the L5-S1 level with slight facetal hypertrophy.

2. Posteriorly bulging discs with posterior peridiscal osteophytes at the L3-L4 and L4-L5 levels with facetal hypertrophy bilaterally and canal stenosis.

3. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.

Sunday, 27 December 2015 16:48

14410

ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzy Fernalmn / M / 30 yrs.
Referred by : Dr. Abc Xyzcha.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache and pain in the left buttock since 6 years with numbness in the left foot since 6 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.

OBSERVATION :

There is Grade I spondylolisthesis of the L5 over the S1 vertebra with spondylolysis at L5 vertebra.

A pseudo-posterior and left postero-lateral disc herniation is seen at the L5-S1 level with left neural foraminal narrowing. A sequestered disc fragment is noted in the left neural foramen at the L5-S1 level with impingement of the foraminal portion of the left L5 nerve root. This disc shows slight loss of water content.

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 D12 level and the thecal sac terminates at the S2 level.
R>

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

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

IMPRESSION :

1. Grade I spondylolisthesis of the L5 over the S1 vertebra with spondylolysis of L5.

2. A pseudo-posterior disc herniation and a left postero-lateral disc herniation at the L5-S1 level with
a sequestered disc fragment in the left neural foramen at the L5-S1 level with impingement of the foraminal portion of the left L5 nerve root.

Sunday, 27 December 2015 16:48

14409

ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Salmn / F / 38 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Lumbo-sacral spine.

CLINICAL PROFILE :

C/O backache (on & off) since 3 years.
H/O pulmonary Kochs 3 years back. Completed AKT.

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 a small postero-central disc herniation at the L5-S1 level with anterior indentation of the thecal sac.

Small posterior disc herniations with peridiscal osteophytes are noted at the D12-L1 and L1-L2 levels.

The D12-L1, L1-L2 and L5-S1 intervertebral discs show loss of water content.

Tarlovs cyst is noted at the S2-S3 level.

Focal fatty changes/hemangiomas with fat content are noted in the L3, D12 and L1 vertebral bodies.

The L1 vertebral body is wedged slightly anteriorly.

The rest of 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 level and the thecal sac terminates at the S2 level.
..2/.


R>

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

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

IMPRESSION :

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

2. Small posterior disc herniations with peridiscal osteophytes
at the D12-L1 and L1-L2 levels.

Sunday, 27 December 2015 16:48

14408

hs/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzyans lmn / M / 1 1/2 yrs.
Referred by : Dr. Abc Xyzsbekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O ? absence spells, once in 2-3 days since last 1 month.

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

14407

ke/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Manlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O paresthesias in the RLE since 7 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.

OBSERVATION :

There is sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film.

There is a postero-central and left postero-lateral disc herniation at the L4-L5 level with indentation of the thecal sac and left neural foraminal narrowing. There is slight indentation upon both the traversing L5 nerve roots and upon
the exiting left L4 nerve root. The L4-L5 facet joints show degenerative changes. This intervertebral disc shows loss of water content.

Bilateral far lateral (extraforaminal) disc bulges are seen at the L3-L4 and L4-L5 levels.

Type I degenerative changes are seen in the L5 vertebral body adjacent to the L4-L5 intervertebral disc.

The rest of 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-L1 level and the thecal sac terminates at the S1 level.
..2/.


R>
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
14.0 mm at L3-L4
11.0 mm at L4-L5
7.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Sacralization of the L5 vertebral body.

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


Sunday, 27 December 2015 16:48

14406

hs/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzja Plmn / F / 38 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain radiating to BUE since 6 months.

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 :

A small postero-central disc protrusion is seen to indent the thecal sac at the C6-C7 level.

A posterior disc bulge is seen at the D1-D2 level.

There is fusion of the C5 and C6 vertebral bodies with a decrease in the antero-posterior dimensions of these vertebral bodies. This most likely represents congenital fusion.

The cervical intervertebral discs show loss of water content.

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.
..2/.







IMPRESSION :

The MRI features are suggestive of :

1. A small postero-central disc protrusion at the C6-C7 level.

2. Congenital fusion of the C5 and C6 vertebrae.

3. A posterior disc bulge at the D1-D2 level.