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Sunday, 27 December 2015 16:48

14258

hs/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / F / 58 yrs.
Referred by : Dr. Abc Xyzpase.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the RUE with paresthesias since 1 1/2 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 :

The cervical intervertebral discs show loss of water content.

A right paracentral disc herniation with peridiscal osteophytes is seen to indent the right ventral aspect of the cord and probably the right C6 nerve root at the C5-C6 level.

A small right paracentral disc herniation with small peridiscal osteophytes is seen to indent the right ventral aspect of the cord at the C6-C7 level.

Posterior disc bulges with small peridiscal osteophytes are seen to indent the thecal sac at the C2-C3 and C4-C5 levels. A posterior disc bulge is seen at the C3-C4 level.

The C2, C3 and C4 vertebral bodies show areas of fatty replacement of normal marrow.

The left joint of Luschka at the C3-C4 level show mild degenerative changes.
..2/.






The rest of the cervical vertebral bodies show normal signal intensity. The remaining 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 :

The MRI features are suggestive of :

1. A right paracentral disc herniation with peridiscal osteophytes at the C5-C6 level.

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


Sunday, 27 December 2015 16:48

14257

sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzsh Shlmn / M / 3 1/2 months.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since the age of 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 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.

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.

A thin membrane is seen in the right frontal extracerebral region of ? significance.

IMPRESSION :

Normal study of the Brain.
Sunday, 27 December 2015 16:48

14256

hs/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzndas Milmn / M / 76 yrs.
Referred by : Dr. Abc Xyzroff.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with radiating pain to BLE (right more than left).

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 appears to be partial sacralization of the L5 vertebra on the left side and the L5 vertebra is as marked on the film. Please correlate with plain radiographs.

There is scoliosis of the lumbar with convexity to the left side. Also seen is clockwise rotation of the lumbar vertebrae. There is left lateral subluxation of the L3 over the L4 vertebra.

The lumbar intervertebral discs show loss of water content. There is a decrease in the height of the L2-L3, L3-L4 and L4-L5 intervertebral discs with probable ankylosis of the L4-L5 disc. Hypointense areas on all the pulse sequences are noted within the L2-L3 and L3-L4 discs and this may represent calcium/vacuum phenomena.

A posterior disc herniation with peridiscal osteophytes is seen to indent the thecal sac and narrow both neural foramina at the L3-L4 level. The facet joints at this level show hypertrophic degenerative changes. Joint effusion is also noted within the left facet joint.
..2/.






Posterior peridiscal osteophytes (hard disc) are seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level.

A right postero-lateral (foraminal) disc herniation is seen to narrow the right neural foramen at the L2-L3 level. A left postero-lateral (foraminal) disc protrusion is seen at the L1-L2 level.

The L2-L3 and L4-L5 facet joints show degenerative changes.

Far lateral (extraforaminal) disc herniations with peridiscal osteophytes are seen bilaterally at the L2-L3, L3-L4 and L4-L5 levels. Also seen are anterior disc herniations with peridiscal osteophytes at these levels.

A large Schmorls node is noted at the inferior aspect of the L3 vertebral body. Type II degenerative changes are noted in the lumbar vertebral bodies.

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 :

15.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
15.0 mm at L4-L5
13.0 mm at L5-S1.
..3/.










- 3 - Scan-00006



IMPRESSION :

1. Scoliosis of the lumbar spine with convexity to the left side with left lateral subluxation of the L3 over the L4 vertebra.

2. Partial sacralization of the L5 vertebra on the left side. Please correlate with plain radiographs.

3. A posterior disc herniation with peridiscal osteophytes, hypertrophic facetal arthropathy and canal stenosis at the L3-L4 level with effusion within the left facet joint.

4. Posterior peridiscal osteophytes (hard discs) at the L4-L5 level.

5. A right postero-lateral (foraminal) disc herniation at the L2-L3 level.

6. Facetal arthropathy at the L2-L3 and L4-L5 levels.

7. Bilateral far lateral (extraforaminal) disc herniations with peridiscal osteophytes at the L2-L3, L3-L4 and L4-L5 levels.

Sunday, 27 December 2015 16:48

14255

sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzPalmn / M / 62 yrs.
Referred by : Dr. Abc Xyzrade.
Examination : M.R.I. of the Left Shoulder.

CLINICAL PROFILE :

C/O neckpain radiating to the LUE with numbness since 1 month.
H/O left shoulder dislocation in 0000.

EXAMINATION :

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

5 mm thick T1 Weighted and GRASS axial images.

4 mm thick T1 Weighted oblique sagittal images.

4 mm thick T1 Weighted, Proton and T2 Weighted oblique coronal images.

OBSERVATION :

There are subcentimeter diameter sized lesions within the subarticular aspect of the posterior portion of the left humeral head. These are hypointense on the T1 Weighted images and turn hyperintense on the T2 Weighted and GRASS images and would represent cystic changes.

A very small amount of fluid is seen within the left shoulder joint.

The left acromio-clavicular joint shows mild degenerative changes. The acromion is seen to slope laterally.

The upper shaft of the left humerus shows normal signal intensity. The visualized scapula appears normal. The glenoid labrum is unremarkable. The biceps tendon in the biciptical groove shows normal signal intensity.


The articular cartilage of the head of the left humerus appears normal.

The tendinous insertion of the supraspinatus muscle shows normal signal intensity. There is no evidence of fluid in the subdeltoid bursa. There is no evidence of a tear of the supraspinatus muscle. The soft tissues around the left shoulder joint are unremarkable.

The visualized axilla is unremarkable.

IMPRESSION :

The MRI features are suggestive of :

1. Subarticular cysts in the left humeral head.

2. Mild degenerative changes within the left acromio-clavicular joint.

3. A very small left shoulder joint effusion.



Sunday, 27 December 2015 16:48

14254

hs/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzPalmn / M / 62 yrs.
Referred by : Dr. Abc Xyzrade.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the LUE with numbness since 1 month.
H/O left shoulder dislocation in 0000.

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 slight forward translation of the C7 over the D1 vertebra.

There is loss of normal cervical lordosis. The cervical intervertebral discs show loss of water content and the C5-C6 and C6-C7 intervertebral discs are decreased in height.

Posterior disc herniations with posterior peridiscal osteophytes are seen to indent the thecal sac at the C5-C6 and C6-C7 levels.

A postero-central disc herniation is noted at the C4-C5 level. Posterior disc bulges with peridiscal osteophytes are noted at the C2-C3 and C3-C4 levels.

The cervical vertebral bodies show normal signal intensity. The joints of Luschka are unremarkable.
..2/.






Note is made of an enlarged right paratracheal lymph node.

The cervical spinal cord reveals normal signal intensity.

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

IMPRESSION :

The MRI features are suggetive of :

1. Forward translation of the C7 over the D1 vertebra.

2. Posterior disc herniations with posterior peridiscal osteophytes at the C5-C6 and C6-C7 levels.

3. A postero-central disc herniation at the C4-C5 level.

4. An enlarged right paratracheal lymph node.

Sunday, 27 December 2015 16:48

14253

ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzalmn / F / 15 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neck pain with paresthesias in all four extremities since 7 days.
H/O fever +.

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.

The dorsal spine was screened with 3 mm thick T2 Weighted sagittal images.

OBSERVATION :

The cervical spinal cord and the upper dorsal spinal cord is swollen. Hyperintense signal is seen on the T2 Weighted and the Fast Scan (T2 *) images, centrally extending from the cervico-medullary junction upto the conus. This is hypointense to the cord on the T1 Weighted images. The CSF space is effaced in the upper cervical region. There is no cord compression.

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.
Scan-00003


The atlanto-axial region is unremarkable.

IMPRESSION :

The MRI features are suggestive of altered signal intensity within the spinal cord centrally extending from the cervico-medullary junction upto the conus. This most likely represents myelitis in the given clinical setting.

The possibility of this being demyelination or ischemic changes appear less likely.
Sunday, 27 December 2015 16:48

14252

hs/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzha Plmn / F / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical & Dorsal
Spines (Post-contrast Study).

CLINICAL PROFILE :

C/O weakness of BLE (left more than right) since 1 month.
C/O bladder involvement since 1 day.


A contrast enhanced study was obtained in the cervical and dorsal regions using 4 mm thick T1 Weighted sagittal images and 5 mm thick T1 Weighted axial images.


After administration of contrast there is patchy enhancement of the lesion at the C3-C4 and C4-C5 levels in the region of the left postero-lateral column (scans 103.10, 103.13).

No enhancement is seen along the meninges.

The possibility of demyelinating plaques should be considered.

Sunday, 27 December 2015 16:48

14251

ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzm Glmn / F / 3 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O MR with delayed milestones and seizures since 3-4 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.

3 mm thick T2 Weighted coronal images.

5 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

There is slight prominence of the interhemispheric fissure.

The hippocampus 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.

Note is made of inflammatory changes in both maxillary and ethmoidal air cells and right mastoid air cells.

IMPRESSION :

The MRI features are suggestive of slight prominence of the interhemispheric fissure (? significance).
Sunday, 27 December 2015 16:48

14250

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches (right sided) since 1 month.
H/O Right Ca breast surgery in 0000. Received Chemotherapy (6 cycles).

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.

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

Dilated perivascular spaces are seen in the cerebral peduncles bilaterally.

After administration of contrast, there is no abnormal enhancement within the brain parenchyma or along the meninges.







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

14249

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzhav Klmn / M / 1 yr.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since birth.
? partial agenesis of corpus callosum.

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

The myelination pattern appears normal for the patients age.

The hippocampal complex on either side is unremarkable.

The corpus callosum appears 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.