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Sunday, 27 December 2015 16:48

15001

ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzJelmn / F / 38 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 since 2 months.
H/O L4-L5 hemilaminectomy with discectomy done in May 0000.

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 except for the L1-L2 show loss of water content.

There are post-operative changes in the posterior soft tissues at the L5 level. A partial laminotomy with facetectomy at the L5 level on the right side is noted.
Small posterior peridiscal osteophytes are noted at the L4-L5 level. This disc is reduced in height. There are hypertropic changes in the facet joints at the L4-L5 level on the left side.

There is a small posterior disc herniation at the L3-L4 level with anterior indentation of the thecal sac.

Type II degenerative changes are noted in the L4 and L5 vertberal bodies adjacent to the L4-L5 intervertebral disc.

Anterior peridiscal osteophytes are seen in the dorsal region.


The rest of 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 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
18.0 mm at L2-L3
17.0 mm at L3-L4
15.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. Post-operative status.

2. Hypertrophy of the facet joints at the L4-L5 level on the left side with small posterior peridiscal osteophytes at this level.

2. A small posterior disc herniation at the L3-L4 level.

Sunday, 27 December 2015 16:48

15000

ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzankhla.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O pain in the neck with pain radiating to the LLE and RUE and weakness of the LLE.

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 is a hyperintense signal on the proton, T2 Weighted and FLAIR images in the periatrial deep white matter and is probably ischemic in etiology (scans 105.4 & 105.5).

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

The fourth ventricle is normal. The basal cisternal spaces are prominent. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Both eyes are aphakik. Inflammatory changes are seen in the right mastoid air cells.

IMPRESSION :

1. Altered signal in the periatrial deep white matter is probably ischemic in etiology.

2. Mild cerebral atrophy.

Sunday, 27 December 2015 16:48

14999

bv/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz. Nasim Anlmn / M / 1 year.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O inability to hold head with seizures.
Premature delivery.

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.
Patient had involuntary jaw movements.

OBSERVATION :

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

The myelination pattern appears normal for the patients age.

There is mild fullness of both the lateral and the third ventricles. The fourth ventricle is 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 :

Mild fullness of both the lateral and the third ventricles.

No other significant abnormality is detected.
Sunday, 27 December 2015 16:48

14998

ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzhant Toplmn / M / 15 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

H/O fall on 00.00.00 with pain in the back on the right side since then.

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 Gradient coronal images.
Vitamin E capsules were placed at the site of pain.

OBSERVATION :

There is no evidence of any lesion in the right renal area.

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 D12-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 :

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

IMPRESSION :

Normal study of the lumbo-sacral spine.

Sunday, 27 December 2015 16:48

14997

ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Fernalmn / F / 55 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain with pain radiating to BUE (right more than left) with numbness since August 0000. H/O fall prior to this.

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 :

The cervical intervertebral discs show loss of water content.

There is a right postero-lateral disc herniation with large peridiscal osteophyte at the C5-C6 level, causing bilateral neural foraminal narrowing and indentation upon the right C6 nerve root.

A small posterior disc bulge is seen at the C4-C5 level.

The joints of Luschka on the left side at the C3-C4 and C6-C7 levels show degenerative changes with mild left neural foraminal narrowing.

The facet joints on the left side at the C4-C5 and C5-C6 levels show hypertrophic changes.

Focal fatty changes are noted in the upper cervical vertebral bodies.
..2/.







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

IMPRESSION :

1. A right postero-lateral disc herniation with large peridiscal osteophyte at the C5-C6 level and indentation upon the right C6 nerve root.

2. Degenerative changes of the joints of Luschka on the left side at the C3-C4 and C6-C7 levels with mild left neural foraminal narrowing.

Sunday, 27 December 2015 16:48

14996

ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzhila Blmn / F / 42 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE and paresthesias.

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 are small posterior disc bulges at the L4-L5 and L5-S1 levels.

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 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
14.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.
>


The S. I. joints were screened with the help of 5 mm thick STIR coronal images which do not reveal any diagnostic feature of note.

IMPRESSION :

Small posterior disc bulges at the L4-L5 and L5-S1 levels.


Sunday, 27 December 2015 16:48

14995

ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzagar Shlmn / M / 43 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.

5 mm thick T1 Weighted sagittal 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.

Sunday, 27 December 2015 16:48

14994

ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzhamesh Jlmn / M / 11 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

H/O no control over bladder since birth.

EXAMINATION :

M.R.I of the dorso-lumbar 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 visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

There appears to be a spina bifida at S1 level.

The visualized dorso-lumbar spinal cord reveals normal signal intensity. The intrathecal roots show normal distribution.

The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.

There is no evidence of any spinal cord tethering.

IMPRESSION :

No significant abnormality detected on this study.

There is no evidence of spinal cord tethering.




Sunday, 27 December 2015 16:48

14992

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzal Palmn / M / 72 yrs.
Referred by : Dr. Abc Xyza Mistry / Dr. Abc Xyz Mehta.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O tremors of BUE and BLE 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 and Gradient coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

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

Dilated perivascular spaces are seen within the centrum semiovale bilaterally.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are prominent. There is prominence of the cerebral cortical sulci. Note is made of a giant cisterna magna. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

Cerebral atrophy.
Sunday, 27 December 2015 16:48

14991

ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzVilmn / M / 56 yrs.
Examination : M.R.I. of the Right Knee Joint.

CLINICAL PROFILE :

H/O fall 2 days back with pain in the right knee joint since then.

EXAMINATION :

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

4 mm thick T1 Weighted, proton and GRASS sagittal images.

4 mm thick T1 Weighted and T2 Weighted coronal images.

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

OBSERVATION :

Menisci :

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

Cruciate Ligaments :

The posterior cruciate ligament appears buckled. There is no break, or change in signal intensity.

The anterior cruciate ligament shows normal contour and signal characteristics.

Collateral Ligaments and the Patellar Tendon :

There appears to be increased signal intensity on the T2 Weighted and STIR images of the posterior fibres of the lateral collateral ligament with slight buckling suggestive of a strain.
..2/.







The medial collateral ligament 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.

There is a fracture of the head of the fibula (styloid process).

Hyperintense signal is noted on the proton, T2 Weighted and Gradient images in the subcutaneous region in the lateral aspect of the right knee joint which would represent edema, in the given clinical setting.

Minimal effusion is seen within the right knee joint.

IMPRESSION :

The MRI features are suggestive of :

1. Strain of the posterior fibres of the lateral collateral ligament.

2. A fracture of the head of the fibula (styloid process).

3. Slight buckling of the posterior cruciate ligament without change in signal intensity.

4. Altered signal in the subcutaneous region in the lateral aspect of the right knee joint would represent edema.

5. Minimal effusion within the right knee joint.



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