sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza Sanglmn / F / 59 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures (single episode) 2 days back.
Known hypertensive.
H/O left facial weakness with twitching of the left eye 8 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 T2 Weighted coronal images.

5 mm thick FLAIR 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 prominence of the cerebral cortical sulci and cerebellar folia bilaterally. 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.

PROVISIONAL REPORT

Date : 00.00.00

Name of the Patient : Abc Xyzant lmn / M / 76 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O intracerebral bleed detected on 00.00.00 with loss of consciousness.
H/O ventriculostomy done 10 days 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 Fast Scan (T2 *) and FLAIR coronal images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is evidence of a space occupying lesion having a hypointense centre with a hyperintense rim on the T1 Weighted images and is predominantly hypointense on the proton, T2 Weighted and Fast Scan (T2 *) images within the right basal ganglia with extension into the right lateral ventricle. This lesion would represent a subacute hematoma. There is compression upon the frontal horn of the right lateral ventricle with mild shift of the midline to the left side. Blood is seen within the third, fourth and both the lateral ventricles, suprasellar cistern and right Sylvian fissure.

There is mild to moderate dilatation of the ventricular system. Periventricular hyperintensities are seen on the proton, T2 Weighted and FLAIR images suggestive of CSF ooze.

Hyperintense areas on the proton, T2 Weighted and FLAIR images are seen within both lentiform nuclei and may be ischemic in etiology.
..2/.







No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in both mastoid air cells, both maxillary sinuses, ethmoidal air cells and sphenoid sinus.

IMPRESSION :

The MRI features are suggestive of a subacute hematoma within the right basal ganglia with extension into the ventricular system as described.

Also seen is mild to moderate communicating hydrocephalus.

hs/bv/rg.
Date : 00.00.00

Name of the Patient : Abc XyzChlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzishnav.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness with fall and LOC for half an hour 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.

5 mm thick FLAIR coronal images.

3 mm thick 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.

sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Mlmn / F / 20 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

C/O backache since 7-8 months.
H/O ? Kochs spine. Not completed AKT.

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.

OBSERVATION :

The D7 vertebral body is as marked on the film.

There is near complete collapse of the D5 vertebral body and partial collapse of the D4 vertebral body. The D4-D5 intervertebral disc is not well-identified. The visualized D4 and D5 vertebral bodies appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. The D3-D4 and D5-D6 intervertebral discs appear intact. There is minimal prevertebral and paravertebral soft tissue lesion at the D4 and D5 vertebral levels which also appears hyperintense on the T2 Weighted images. Minimal extension of the soft tissue lesion in the anterior epidural space is noted. The D2 vertebral body also appears hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images.

The rest of the visualized cervico-dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.

The visualized cervico-dorsal spinal cord reveals normal signal intensity. There is no cord compression.
..2/.






T1 Weighted sagittal images of the dorso-lumbar spine do not reveal any significant feature of note.

IMPRESSION :

Complete collapse of the D4 and D5 vertebrae with altered signal as described most likely represents osteitis with discitis (D4-D5 disc), probably tuberculous in etiology. The prevertebral, paravertebral and anterior epidural soft tissue lesion would represent granulation tissue.

The possibility of a neoplasm seems less likely.

sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzJhalmn / M / 19 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of Both Hips & S.I.Joints.

CLINICAL PROFILE :

C/O pain in the left hip and in LLE since 1 month.

EXAMINATION :

M.R.I of both hips and sacro-iliac joints was performed using the following parameters :

5 mm thick T1 Weighted and STIR coronal images.

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

The cervico-dorsal and lumbar spines were screened with 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is an ill-defined, hypointense signal on the T1 Weighted images in the left iliac bone adjacent to the left sacro-iliac joint. This lesion appears hyperintense on the T2 Weighted and STIR images. The left sacral ala is unremarkable. The cortical margin of the left iliac bone adjacent to the left sacro-iliac joint appears intact. The left sacro-iliac joint space is also unremarkable. No soft tissue abnormality is detected around the left sacro-iliac joint.

The right sacro-iliac joint and the visualized spine appear unremarkable.

Focal, subcentimeter, hypointense lesions on all pulse sequences in the left acetabulum and the femoral heads on either side, most likely represent bone islands.


The femoral heads reveal normal contour. There is no obvious bony destruction or erosions noted. The articular cartilages are unremarkable. There is no effusion within both the hip joints.

The musculature surrounding both the hip joints is normal.

IMPRESSION :

1. Altered signal in the left iliac bone adjacent to the left sacro-iliac joint is probably inflammatory/infective in etiology.

The possibility of this being a neoplastic process cannot be entirely ruled out though less likely.

2. No significant abnormality is detected in the hip joints or in the visualized spine on this study.

sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzR. Khlmn / F / 24 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache 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 slight loss of water content of the L4-L5 intervertebral disc.

There is a postero-central disc herniation at the L4-L5 level with slight inferior migration of the disc fragment, indenting the dural theca anteriorly.

There is a small posterior disc bulge at the L5-S1 level.

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-L1 level and the thecal sac terminates at the S1 level.
Scan-00009


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
16.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

Degenerated L4-L5 disc with a postero-central disc herniation at this level with slight inferior migration of the disc fragment.

ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzMalmn / F / 47 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with numbness 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 a small postero-central disc protrusion at the L5-S1 level with anterior indentation of the thecal sac. This disc is dessicated and shows loss of water content.

A left far lateral disc bulge with peridiscal osteophytes is seen at the L4-L5 level with mild indentation upon the extraforaminal portion of the traversing left L4 nerve root.

A Schmorls node is seen in the superior aspect of the D11 vertebral body with apparent central wedging of the vertebra. However there is no signal change noted in the D11 vertebral body.

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-L2 level and the thecal sac terminates at the S1-S2 level.
..2/.







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

19.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
17.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

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

2. A left far lateral disc bulge with peridiscal osteophytes at the L4-L5 level with mild indentation upon the extraforaminal portion of the traversing left L4 nerve root.

ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzh Haldlmn / M / 54 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O tingling on the left half of body for half an hour on 00.00.00.
Known hypertensive/diabetic.

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 images with magnetization transfer.

5 mm thick T1 Weighted coronal and sagittal images.

MR venography was also performed.

OBSERVATION :

There is a large broad based extra-axial mass lesion in the left parafalcine high parietal region which measures approximately 2.0 x 4.2 x 3.1 cms. This lesion is isointense to grey matter on the T1 Weighted images and is heterogeneously hyperintense on the proton, T2 Weighted and FLAIR images. There is slight mass effect with compression upon the underlying brain parenchyma and surrounding edema. The superior sagittal sinus posteriorly is slightly displaced to the right and is not involved by the lesion, although it is in close proximity. There is mild perilesional edema.
..2/.






On administration of contrast, there is homogeneous enhancement of the lesion with a tail seen to extend anteriorly. The pial vessels are seen to surround this lesion.

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 polyp.

IMPRESSION :

The MRI features are suggestive of an extra-axial mass lesion in the left parafalcine high parietal region measuring approximately 2.0 x 4.2 x 3.1 cms. and follows the signal characteristics of a meningioma.

ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzRlmn / F / 19 yrs.
Referred by : Dr. Abc Xyz Kasbekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O hearing loss on the left side since 1 month with vertigo.
To R/O brainstem lesion.

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.

MR cisternogram was also performed.

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 a right maxillary polyp.

IMPRESSION :

Normal study of the Brain.

ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzShlmn / F / 55 yrs.
Referred by : Dr. Abc Xyztcheswala.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O psychosis since 4 years.
C/O deviation of mouth towards right with watering of the right eye since 8 days.
Known hypertensive/diabetic.

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 are hyperintense areas on the proton, T2 Weighted and FLAIR images in the frontal lobes bilaterally. These are slightly hypointense to white matter on the T1 Weighted images. There is dilatation of the frontal horn of both the lateral ventricles and prominence of the cerebral sulci in that region. The CSF spaces in this region are markedly prominent.

Similar areas are seen in the temporal lobes bilaterally, (left more than right) with dilatation of the temporal horns of the lateral ventricles. Both temporal lobes appear more atrophic as compared to the generalized brain atrophy. The hippocampus also appears smaller bilaterally.

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.
..2/.







Incidental note is made of bilateral maxillary sinusitis and inflammatory changes in the ethmoidal air cells.

IMPRESSION :

The MRI features are suggestive of altered signal with atrophy in the frontal and temporal lobes as described suggesting a neurodegenerative disorder.

Alzheimers disease is a likely possibility.