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Sunday, 27 December 2015 16:48

14090

ke/hs/nl/rg.
/00000 Date : 11/00.00.00

Name of the Patient : Abc Xyzal M. Gokalgalmn / M / 68 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O right sided hemiplegia since 15 days.
Known hypertensive. On Rx.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted and Fast Scan (T2 *) axial images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

FEW IMAGES ESPECIALLY THE NECK MRA SHOW PATIENT MOTION.

OBSERVATION :

There is a well-defined area in the left thalamus extending superiorly into the left corona radiata. This lesion has a hyperintense periphery and a hypointense centre on the T1 Weighted images. This is seen to turn heterogeneously hypointense on the T2 Weighted and Fast Scan (T2 *) images. There is surrounding edema with mass effect and indentation upon the body of the left lateral and third ventricles with slight shift to the contralateral side.

There is slight fullness of the right lateral ventricle.

The fourth ventricle is normal. There is prominence of the cerebral cortical sulci. The basal cisternal spaces are unremarkable.



- 2 - Scan-00000/00000

INTRACRANIAL MRA :

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

NECK MRA :

Image quality degraded due to patient motion, however no significant abnormality is detected on the Neck MRA.

The right vertebral artery in the neck is smaller as compared to the left.

IMPRESSION :

A subacute hematoma in the left thalamus extending superiorly into the left corona radiata with surrounding edema and mass effect as described.

No significant abnormality is detected on the intracranial and neck MRA on this study.

Sunday, 27 December 2015 16:48

14089

ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzph lmn / M / 22 yrs.
Referred by : Dr. Abc Xyzhijwala.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

C/O pain in the right knee joint with swelling and inability to bend the RLE since 1 month.

EXAMINATION :

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

4 mm thick T1 Weighted, proton and GRASS (with fat saturation) sagittal images.

4 mm thick T1 Weighted and STIR coronal images.

4 mm thick Fast Scan (T2 *) axial images.

OBSERVATION :

Menisci :

There is a curvilinear hyperintense signal on all the pulse sequences within the posterior horn of the medial meniscus reaching upto the inferior articular surface and would represent Grade III meniscal signal (horizontal meniscal tear).

The anterior and posterior horns of the lateral menisci and anterior horn of the medial meniscus reveal normal configuration and signal characteristics.

Cruciate Ligaments :

The anterior and posterior cruciate ligaments show normal contour and signal characteristics.


Collateral Ligaments and the Patellar Tendon :

The medial and lateral collateral ligaments and the patellar tendon are normal.

Hoffas Fat Pad :

The Hoffas fat pad is normal.

Articular cartilage and bones :

The articular cartilage overlying the patella, tibia and femur appears normal.

IMPRESSION :

The MRI features are suggestive of a horizontal meniscal tear of the posterior horn of the medial meniscus of the right knee joint.



Sunday, 27 December 2015 16:48

14088

ke/sb/rg/nl
Date : 00.00.00

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

CLINICAL PROFILE :

C/O backache radiating to the RLE.

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 L5 over the S1 vertebral body with probable lysis of the L5 vertebra on the left side. Correlation with plain radiographs would be worthwhile.

A pseudo-posterior disc bulge is seen at the L5-S1 level.

Small postero-central disc herniation is seen at the L3-L4 level and a posterior disc bulge is noted at the L4-L5 level. The L3-L4, L4-L5 and L5-S1 intervertebral discs show 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-L1 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 :

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

IMPRESSION :

The MRI features are suggestive of :

1. Slight forward translation of the L5 over the S1 vertebral body with probable lysis of the L5 vertebra on the left side. Correlation with plain radiographs would be worthwhile.

2. A pseudo-posterior disc bulge at the L5-S1 level.

3. Small postero-central disc herniation at the L3-L4 level and a posterior disc bulge at the L4-L5 level.

Sunday, 27 December 2015 16:48

14087

sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzr lmn / M / 7 1/2 years.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures (left sided) since 2 years.

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.

Incidental note is made of enlarged adenoids.

IMPRESSION :

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

14086

sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Solmn / F / 19 yrs.
Referred by : Dr. Abc Xyzdi.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias 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 :

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

The lumbar vertebral bodies and the 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 S1-S2 level.

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

20.0 mm at L1-L2
21.0 mm at L2-L3
20.0 mm at L3-L4
19.0 mm at L4-L5
17.0 mm at L5-S1.
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The uterus appears slightly enlarged, which may be physiological and may be investigated further if clinically indicated.

IMPRESSION :

No significant abnormality is detected on this study.

Sunday, 27 December 2015 16:48

14085

sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzSadlmn / M / 76 yrs.
Referred by : Dr. Abc Xyz. Gandhi.
Examination : M.R.I. of the Abdomen.

CLINICAL PROFILE :

C/O pain in abdomen with weight loss since 6 months.
H/O ascites and cirrhosis 4-5 days back.

EXAMINATION :

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

6 mm thick T1 Weighted, T2 Weighted and STIR axial images.

7 mm thick T1 Weighted coronal images.

SOME IMAGES SHOW PATIENT MOTION AS THE PATIENT WAS NOT VERY CO-OPERATIVE.

OBSERVATION :

The liver appears smaller in size, with a nodular margin. There is seen an approximately 3.0 cms diameter sized nodular lesion between the anatomic right and left lobe of the liver which is slightly hyperintense on the T1 Weighted images and is relatively hypointense on the T2 Weighted images. This may represent a regenerating nodule (scans 105.9 & 107.9). Another similar lesion is noted in the left lobe of the liver superiorly (scans 105.6).

There is interpositioning of the large bowel between the liver and the right dome of the diaphragm.

There is no intrahepatic biliary radicle dilation. The intrahepatic venous architexture is normal.

The gall bladder is distended and shows evidence of a gall stone. There is no thickening of the gall bladder wall.


The pancreas is normal in bulk and signal intensity. There is mild splenomegaly without focal lesion.

Both the adrenal glands are normal.

Both the kidneys are normal in size and shape.

No lymphadenopathy is detected. There is evidence of a small amount of free fluid in the abdomen.

Few MR Venogram images were also obtained and there is visualization of the portal vein and faint visualization of the splenic vein.

IMPRESSION :

1. Changes in the liver suggests Cirrhosis of liver with evidence of regenerating nodules as described.

2. Gall bladder calculus.

3. Mild splenomegaly.

4. Mild ascites.

Sunday, 27 December 2015 16:48

14084

sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzNaglmn / M / 57 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches, giddiness with decreased hearing on the left side and tinnitus.

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.

There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
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 paranasal sinuses bilaterally.

IMPRESSION :

No significant abnormality is detected within the brain on this study.

Sunday, 27 December 2015 16:48

14083

sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzesh Glmn / M / 7 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures (left sided) since April 0000.
H/O fall with head injury 6-7 months ago.

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 :

Ill-defined, hyperintense areas on the T2 Weighted images in the posterior parietal periventricular white matter bilaterally, most likely represent areas of terminal myelination.

There is no focal area of abnormal 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 enlarged adenoids.

IMPRESSION :

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

14082

hs/sb/nl/nl
/82 Date : 00.00.00

Name of the Patient : Abc Xyz Gulmn / F / 24 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O headaches with occasional dizziness since 3 years.
C/O neckpain radiating to BUE (left more than right) with numbness 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.

The dorsal spine was screened with 4 mm thick T1 Weighted sagittal images and the lumbo-sacral spine was screened with 5 mm thick T1 Weighted and T2 Weighted sagittal images.

OBSERVATION :

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.

The cervical spinal cord reveals normal signal intensity.

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

A few of the dorsal intervertebral discs show loss of water content. Mild posterior disc bulges are noted at the L2-L3 and L5-S1 levels. The L2-L3 intervertebral disc shows loss of water content.

IMPRESSION :

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

14081

hs/sb/nl/nl
/82 Date : 00.00.00

Name of the Patient : Abc Xyz Gulmn / F / 24 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O headaches with occasional dizziness since 3 years.
C/O neckpain radiating to BUE (left more than right) with numbness since 1 year.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick FLAIR coronal images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

There is no focal area of altered signal intensity within 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.

INTRACRANIAL MRA :

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




- 2 - Scan-00001/82



NECK MRA :

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

IMPRESSION :

No significant abnormality is detected on the intracranial and neck MRA on this study.