sb/hs/nl.rg.
Date : 00.00.00

Name of the Patient : Abc Xyzid Rlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzonawalla.
Examination : M.R.I. of the Right Shoulder.

CLINICAL PROFILE :

C/O pain in the right shoulder since 3 months.

EXAMINATION :

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

4 mm thick T1 Weighted and GRASS axial images.

4 mm thick T1 Weighted and T2 Weighted sagittal images.

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

OBSERVATION :

There is seen a focal, intermediate signal intensity on all the pulse sequences in the tendon of the right supraspinatus muscle. This most likely suggests tendon degeneration/tendinitis.

There are degenerative changes of the right acromio-clavicular joint with marginal osteophytes impinging the musculo-tendinous junction of the right supraspinatus muscle.

There is a mild right shoulder joint effusion with fluid along the bicipital tendon in the bicipital groove. Small amount of fluid is seen within the subaromial and subscapularis bursae.

The head of the right humerus shows marginal osteophytes. The head and upper shaft of the right humerus show normal signal intensity. The visualized scapula appears normal. The glenoid labrum is unremarkable. The biceps tendon in the bicipital groove shows normal signal intensity.
- 2 - ..2/.


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

There is no evidence of fluid in the subdeltoid bursa.
The soft tissues around the right shoulder joint are unremarkable.

The acromion process is oriented horizontally.

The visualized axilla is unremarkable.

IMPRESSION :

1. Focal altered signal in the tendon of the right supraspinatus muscle most likely suggests tendon degeneration/tendinitis.

2. Degenerative changes of the right acromio-clavicular joint with impingement of the musculo-tendinous junction of the right supraspinatus muscle.

3. Effusion in the right shoulder joint.

hs/sb/nl/rg.
Date : 00.00.00

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

CLINICAL PROFILE :

C/O headaches since 15 days.
H/O bleeding from the left ear 2 weeks 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 coronal images.

MR cisternogram was obtained in the coronal plane.

OBSERVATION :

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

The seventh and eight cranial nerve 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.

Inflammatory changes are seen in both maxillary sinuses. The nasal septum is deviated to the right side.

IMPRESSION :

No abnormality is detected within the brain per se on this study.

hs/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzdhi Kshatlmn / M / 26 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

H/O appendictomy with spinal anasthesia on 00.00.00 with weakness of BLE since then.

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 visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L1 level.

The cervical spine was screened with 4 mm thick T2 Weighted sagittal images and the lumbo-sacral spine was screened with 5 mm thick T1 Weighted sagittal images and these do not show any significant feature of note.

IMPRESSION :

No abnormality detected within the dorsal spine on this study.

hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Salmn / M / 26 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O pontine astrocytoma. Has received multiple cycles of radiotherapy.
Diplopia and ataxia still persist.

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.

3 mm thick T2 Weighted coronal images.

OBSERVATION :

There is an ill-defined, hypointense area in the pons, more so on the left side on the T1 Weighted images which is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. Inferiorly, the medulla is slightly involved. There is extension into the left middle cerebellar peduncle. Slight involvement of the left cerebellar hemisphere is also seen. There is mild indentation upon the anterior and left lateral aspect of the fourth ventricle.

The third and both the lateral ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
..2/.














IMPRESSION :

The MRI features are suggestive of an ill-defined mass lesion (known C/O astrocytoma) in the pons with extensions as described.

As compared to the previous MRI (study no:00008) dated 00.00.00, there is marked decrease in the size of the lesion. The ventricles have also decreased in size.

hs/sb/nl.rg.
Date : 00.00.00

Name of the Patient : Abc Xyza Agalmn / F / 14 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizure disorder.

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 seen an approximately 4 mm diameter sized hypointense lesion, more pronounced on the T2 Weighted images in the right occipital cortex. This may represent a calcified granuloma. Minimal, perilesional, white matter hyperintense signal on the T2 Weighted images is noted which may represent gliotic changes.

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 pansinusitis.

IMPRESSION :

The MRI features are suggestive of 4 mm diameter sized lesion
in the right occipital cortex may represent a calcified granuloma.

If clinically indicated, a contrast enhanced scan would be worthwhile.

hs/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Tavlmn / F / 58 yrs.
Referred by : Dr. Abc Xyzukar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches (in occipital region) with tingling sensation and occasional giddiness since 2 months.
Known hypertensive.

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 evidence of a small bright area on the proton, T2 Weighted and FLAIR images within the left frontal white matter. This is iso to hypointense to normal white matter on the T1 Weighted images and is most likely ischemic in etiology.

There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. Also seen is mild fullness of both the lateral ventricles. 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.

Incidental note is made of pansinusitis.









The cervical spine was screened with 4 mm thick T2 Weighted sagittal images. Posteriorly bulging discs with peridiscal osteophytes are seen to indent the cord at the C5-C6 and C6-C7 levels. The spinal canal at these levels is tight and a dedicated study of the cervical spine would be worthwhile, if clinically indicated.

IMPRESSION :

The MRI features are suggestive of an area of altered signal intensity within the left frontal white matter and is most likely ischemic in etiology.

hs/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzai lmn / M / 60 yrs.
Referred by : Dr. Abc Xyzndhi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O twitching on the left side of face since 3 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.
3 mm thick T1 Weighted coronal images.
MR Cisternogram was obtained in the coronal plane.

OBSERVATION :

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

A small vascular loop is noted at the root exit zone of the right seventh and eighth cranial nerve complex without deforming the same.

The seventh and eighth cranial nerve complex on either side are otherwise 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.










Mild inflammatory changes are noted in the paranasal sinuses.

IMPRESSION :

No abnormality is detected within the brain per se on this study.

A small vascular loop at the root exit zone of the right seventh and eighth cranial nerve complex without deforming the same.

If clinically indicated a contrast enhanced study would be worthwhile.

hs/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzGaffar Aklmn / M / 55 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O backache with paresthesias in the RLE and bowel involvement since 15 days.

EXAMINATION :

M.R.I of the cervical spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

There is a posterior disc herniation with peridiscal osteophytes indenting the cord at the C6-C7 level. The spinal cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images and this may represents cord edema/ischemia.

A postero-central disc herniation with peridiscal osteophytes, more to the left of the midline is seen to indent the cord at the C5-C6 level. The C5-C6 facet joints show degenerative changes.

A small postero-central disc herniation with small peridiscal osteophytes is seen to indent the thecal sac at the C4-C5 level. The left facet joint at this level shows hypertrophic degenerative changes.

Ligamentum flavum hypertrophy is seen at the C5-C6 and C6-C7 levels with resultant tight canal at these levels.



There is a postero-central disc protrusion at the C3-C4 level. A posterior disc bulge with small peridiscal osteophytes is seen at the C7-D1 level.

The cervical intervertebral discs show loss of water content. Some of the cervical vertebral bodies show areas of fatty replacement of normal marrow.

The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

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

IMPRESSION :

The MRI features are suggestive of :

1. A posterior disc herniation with peridiscal osteophytes indenting the cord at the C6-C7 level.

2. A postero-central disc herniation with peridiscal osteophytes, more to the left of the midline at the C5-C6 level with facetal arthropathy.

3. Altered cord signal at the C6-C7 level may represent cord edema/ischemia.

4. A small postero-central disc herniation with small peridiscal osteophytes at the C4-C5 level.

5. Hypertrophic facetal arthropathy at the C4-C5 level on the left side.

6. Ligamentum flavum hypertrophy with resultant tight canal at the C5-C6 and C6-C7 levels.

7. A postero-central disc protrusion at the C3-C4 level.

hs/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzAbdulla Hlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 2 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 :

The lumbar intervertebral discs show loss of water content.

A small posterior disc herniation is seen to indent the thecal sac and narrow both the neural foramina at the L4-L5 level. Bilateral far lateral (extraforaminal) disc herniations are noted at this level.

There is a postero-central disc herniation indenting the thecal sac at the D12-L1 level.

Bilateral far lateral (extraforaminal) disc bulges are noted at the L2-L3 and L3-L4 levels.

A mild posterior disc bulge is noted at the L5-S1 level. The right L5-S1 facet joint shows hypertrophic degenerative changes.

Facetal hypertrophy is noted at the L4-L5 level.



Anterior disc herniations with peridiscal osteophytes are seen over the L1-L2 to L4-L5 levels.

The lumbar vertebral bodies 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 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
13.0 mm at L2-L3
14.0 mm at L3-L4
13.0 mm at L4-L5
14.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A small posterior disc herniation and bilateral far lateral (extraforaminal) disc herniations
with facetal hypertrophy at the L4-L5 level

2. Postero-central disc herniation at the D12-L1 level.

3. Hypertrophic facetal arthropathy at the L5-S1 level on the right side.

hs/bv/rg.
Date : 00.00.00

Name of the Patient : Abc XyzMandlmn / M / 41 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache.

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 L4-L5 and L5-S1 intervertebral discs show loss of water content and the L4-L5 disc appears reduced in height.

A postero-central disc herniation is seen to indent the thecal sac at the L5-S1 level.

Postero-central and left postero-lateral disc protrusions are seen to indent the thecal sac and narrow the left neural foramen respectively at the L4-L5 level. The left L4-L5 facet joint shows degenerative changes.

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 S1 level.



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

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

IMPRESSION :

The MRI features are suggestive of :

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

2. Postero-central and left postero-lateral disc protrusions at the L4-L5 level.

3. Facetal arthropathy at the L4-L5 level on the left side.