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Sunday, 27 December 2015 16:48

14342

ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz K. Deshplmn / M / 29 yrs.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches since 6 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.

4 mm thick T1 Weighted coronal images.

5 mm thick T1 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.

Incidental note is made of deviation of the nasal septum to the left with slight hypertrophy of the right nasal turbinates and compromise of the right nasal passage.

IMPRESSION :

Normal study of the Brain.










Sunday, 27 December 2015 16:48

14341

ke/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzGopaslmn / F / 90 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O drowsiness and vomiting since the evening of 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.

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

5 mm thick T1 Weighted sagittal images.

IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is an ill-defined hypointense area on the T1 Weighted images in the right cerebellar hemisphere and right middle cerebellar peduncle. This is seen to turn hypointense on the proton and T2 Weighted images. Few streaks are seen to bloom on the Fast Scan (T2 *) images. There is mass effect with indentation upon the right lateral aspect of the fourth ventricle. There is mild perilesional edema. There is probable extension into the fourth ventricle.

Hyperintense areas on the proton, T2 Weighted and FLAIR images are seen in the periventricular white matter and bilateral corona radiata and centrum semiovale. These are hypointense to white matter on the T1 Weighted images.

There is mild dilatation of both the lateral and third ventricles. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.


There is ectasia of the vertebro-basilar system.

The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

IMPRESSION :

The MRI features are suggestive of :

1. An acute bleed in the right cerebellar hemisphere and right middle cerebellar peduncle.

2. Altered signal in the periventricular white matter and bilateral corona radiata and centrum semiovale which may be ischemic in etiology.

3. Age related cerebral and cerebellar atrophy.

Sunday, 27 December 2015 16:48

14340

ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xylmn / M / 28 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever with chills 1 month back with altered sensorium 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.

IMAGES SHOW GROSS PATIENT MOTION.

PATIENT REFUSED SEDATION.

OBSERVATION :

There is a hyperintense area in the right thalamus on the proton, T2 Weighted and FLAIR images. This is iso to hypointense on the T1 Weighted images.

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 :

Altered signal in the right thalamus is not specific for a single diagnosis. The possibilities to be considered are :

1. An ischemic lesion.

2. Encephalitis.

Sunday, 27 December 2015 16:48

14339

ke/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzbhai Pavslmn / M / 36 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain on the left side with pain radiating to the LUE since 2 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 :

There is a small, right paracentral disc herniation at the C6-C7 level with left anterior indentation of the thecal sac. Posterior peridiscal osteophytes are also noted at this level.

A left postero-lateral disc protrusion with peridiscal osteophytes is seen at he C3-C4 level. A mild posterior disc bulge is seen at the C5-C6 level.

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.
Scan-00009



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

IMPRESSION :

The MRI features are suggestive of :

1. A small, right paracentral disc herniation with posterior peridiscal osteophytes at the C6-C7 level.

2. A left postero-lateral disc protrusion with peridiscal osteophytes at the C3-C4 level.

Sunday, 27 December 2015 16:48

14338

ke/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzumar Kanlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O wasting of BUE with tingling since 3-4 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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is a posterior disc bulge with posterior peridiscal osteophytes at the C4-C5 level with anterior indentation of the thecal sac. This disc shows loss of water content.

Mild posterior disc bulges with small peridiscal osteophytes are seen at the C2-C3 and C3-C4 levels.

The cervical vertebral bodies and the remaining intervertebral discs 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.
Scan-00008


IMPRESSION :

The MRI features are suggestive of :

1. A posterior disc bulge with posterior peridiscal osteophytes at the C4-C5 level.

2. Mild posterior disc bulges with small peridiscal osteophytes at the C2-C3 and C3-C4 levels.


Sunday, 27 December 2015 16:48

14337

ke/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyznt Manjrlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzzare.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O slight weakness of BUE and BLE since 00.00.00 with neckpain.

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 a small postero-central disc protrusion at the C5-C6 level with mild anterior indentation of the thecal sac. Small posterior peridiscal osteophytes are also noted at this level.

Mild posterior disc bulges with small peridiscal osteophytes are seen at the C3-C4 and C4-C5 levels.

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.




The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and shows mild degenerative changes.

IMPRESSION :

The MRI features are suggestive of :

1. A small postero-central disc protrusion with small posterior peridiscal osteophytes at the C5-C6 level.

2. Mild posterior disc bulges with small peridiscal osteophytes at the C3-C4 and C4-C5 levels.

Sunday, 27 December 2015 16:48

14336

ke/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzAgalmn / M / 56 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE 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 a suggestion of sacralization of the L5 vertebra and it is as marked on the film. Please correlate with plain radiographs.

A posterior disc bulge is seen at the L4-L5 level with anterior indentation of the thecal sac.

Small posterior disc bulges are noted at the L1-L2, L2-L3, L3-L4 and L5-S1 levels.

The lumbar intervertebral discs show slight loss of water content.

Mild ligamentum flavum hypertrophy is seen at the L4-L5 and L5 levels. The L2-L3 to L5-S1 facet joints show hypertrophic degenerative changes. The L1-L2 facet joints show mild degenerative changes.

The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
..2/.





- 2 - Scan-00006


The conus medullaris terminates at the L1-L2 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 :

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

IMPRESSION :

The MRI features are suggestive of :

1. Probable sacralization of the L5 vertebra. Please correlate with plain radiographs.

2. A posterior disc bulge with a tight canal at the L4-L5 level.

3. Small posterior disc bulges at the L1-L2, L2-L3, L3-L4 and L5-S1 levels.

4. Mild ligamentum flavum hypertrophy at the L4-L5 and L5 levels.

5. Hypertrophic facetal arthropathy over the L2-L3 to the L5-S1 levels.

6. Mild facetal arthropathy at the L1-L2 level.



Sunday, 27 December 2015 16:48

14335

ke/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzt Mlmn / M / 12 yrs.
Referred by : Dr. Abc XyzGawhale.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE with tingling since 15 days.
C/O bladder involvement since 4 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.

5 mm thick T1 Weighted coronal images.

IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.

OBSERVATION :

There is replacement of the normal marrow by hypointense areas on the T1 Weighted images of the L4 vertebral body. This is seen to be isointense to normal marrow on the T2 Weighted images.

An intermediate signal intensity lesion on the T1 Weighted images is seen within the spinal canal, probably extradural in location over the L3 to S1 levels predominantly posteriorly and laterally. This is seen to turn mildly hyperintense on the T2 Weighted images.

The remaining lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.



The conus medullaris terminates at the L1-L2 level.

IMPRESSION :

Altered signal of the L4 vertebral body and a soft tissue lesion within the spinal canal, probably extradural in location over the L3 to S1 levels predominantly posteriorly and laterally is not specific for a single etiology. The possibilities to be considered are :

1. Infective processes like tuberculosis.

2. Neoplasia like round cell tumors.


Sunday, 27 December 2015 16:48

14334

ke/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Fajalmn / M / 39 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O progessive swelling in the lower lumbar region with pain since 2 years.

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.

4 mm thick STIR coronal images through the region of interest.

Vitamen E capsules were placed at the site of swelling.

OBSERVATION :

There is a postero-central disc protrusion with posterior peridiscal osteophytes at the L5-S1 level.

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

Schmorls nodes are noted in the dorso-lumbar region.

The L4-L5 and L5-S1 facet joints on the right side show mild degenerative changes.

The lumbar intervertebral discs show loss of water content.

The lumbar vertebral bodies reveal normal signal intensity. The remaining 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 S2 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
16.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
11.0 mm at L5-S1.

No obvious mass lesion is seen in the gluteal region on this scan.

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc protrusion with posterior peridiscal osteophytes at the L5-S1 level.

2. Mild facetal arthropathy at the L4-L5 and L5-S1 levels on the right side.



Sunday, 27 December 2015 16:48

14333

KE/HS/RG.
Date : 00.00.00

Name of the Patient : Abc XyzDlmn / M / 55 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O 2 episodes of momentary blackouts (1st episode 1 1/2 months back and 2nd episode 2 days back).
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 :

There are subtle hyperintense areas on the T2 Weighted images in the bilateral centrum semiovale and the left corona radiata. These are probably ischemic in etiology.

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

INTRACRANIAL MRA :

The left posterior communicating artery is seen to be continuing as the left posterior cerebral artery which shows slight vessel wall irregularity and slight attenuation in the flow signal.

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 right posterior cerebral artery also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
..2/.





R>
NECK MRA :

Images show slight patient motion.

The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

The MRA features are suggestive of :

1. Altered signal in the bilateral centrum semiovale and the left corona radiata are most probably ischemic in etiology.

2. Slight vessel wall irregularity and slight attenuation of the flow signal of the left posterior cerebral artery.