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Sunday, 27 December 2015 16:48

13861

sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz. Plmn / M / 66 yrs.
Referred by : Dr. Abc Xyzcha.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain in the RLE since 3 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 loss of water content of nearly all the lumbar intervertebral discs except the L5-S1 disc.

Small posterior disc bulges are noted at the L2-L3, L3-L4 and L4-L5 levels. Far lateral disc bulges are noted at the L2-L3 and L4-L5 levels.

Facetal hypertrophy is seen at the L3-L4, L4-L5 and L5-S1 levels.

The visualized dorso-lumbo-sacral vertebral bodies show spotty fatty marrow changes suggesting osteoporosis.

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 :

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

IMPRESSION :

1. Small posterior disc bulges at the L2-L3, L3-L4 and L4-L5 levels.

2. Facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.

3. Spotty fatty changes in the visualized dorso-lumbo-sacral vertebral bodies suggests osteoporotic changes.
Sunday, 27 December 2015 16:48

13859

hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzed Hlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Dorsal Spine.
(Post-contrast Study)
CLINICAL PROFILE :

C/O backache with fever since 2-3 months.
C/O weakness of BLE with bladder involvement since 20-22 days.

EXAMINATION :

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

4 mm thick T1 Weighted sagittal images.

5 mm thick T1 Weighted axial images.

The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and the cervical spine was screened with 4 mm thick T1 Weighted sagittal images.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There are patchy areas of enhancement within the dorsal spinal cord. Also seen is enhancement in the region of the conus-cauda and along the intrathecal nerve roots in the lumbar region.

IMPRESSION :

In view of the pattern of enhancement the lesion within the dorsal spine (please see previous scan 00006 dated 00.00.00)
most likely represents myelitis with presence of arachnoiditis in the lumbar region.

The possibility of this being a neoplastic process is less likely.


Sunday, 27 December 2015 16:48

13857

hs/sb/nl/nl
/59 Date : 00.00.00

Name of the Patient : Abc Xyza Nlmn / F / 22 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O altered sensorium since 4 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 FLAIR coronal 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.

OBSERVATION :

There is gyral thickening in both the cerebral hemispheres and they show a hyperintense signal on the proton, T2 Weighted and FLAIR images. Areas with similar signal characteristics are noted within the hippocampus and para-atrial white matter bilaterally and splenium of the corpus callosum.

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

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.
- 2 - Scan-00007/59



Note is made of inflammatory changes in the ethmoidal air cells and sphenoid sinus.

The cervical spine was screened with the help of 4 mm thick T2 Weighted sagittal images and does not reveal any diagnostic feature of note.

IMPRESSION :

The MRI features are suggestive of altered signal involving the gyri in the cerebral hemispheres bilaterally and within the hippocampus and the para-atrial white matter bilaterally and splenium of the corpus callosum and this is not specific for a single diagnosis.

The differential diagnosis would include :

1. Hypoxic ischemic changes (? poisoning).

2. Viral encephalitis.

3. Post-epilepsy status.



Sunday, 27 December 2015 16:48

13856

hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Cholmn / M / 66 yrs.
Referred by : Dr. Abc Xyzsani.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O giddiness.

EXAMINATION :

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

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

OBSERVATION :

There are small areas of hyperintensity on the T2 Weighted images within the pons, thalamus, lentiform nuclei, periventricular white matter, the white matter in the fronto-parietal lobes bilaterally and in the left middle cerebellar peduncle.

There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

There is mild fullness of the ventricular system.

There is no shift of the midline structures.

Inflammatory changes are seen in the left maxillary sinus.

INTRACRANIAL MRA :

There is a slight narrowing of the cavernous segment of the left internal carotid artery with a plaque at its antero-lateral aspect.






The A1 segment of the left anterior cerebral artery is hypoplastic.

The petrous, cavernous and supraclinoid segments of the right internal carotid artery and the petrous and supraclinoid segments of the left internal carotid artery show normal signal and calibre. The visualized right 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 :

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

IMPRESSION :

The MRA features are suggestive of :

1. Areas of altered signal intensity within the pons, thalamus, lentiform nuclei, periventricular white matter, the white matter in the fronto-parietal lobes bilaterally and in the left middle cerebral peduncle are most likely ischemic in etiology.

2. Slight narrowing of the cavernous segment of the left internal carotid artery with a plaque at its antero-lateral aspect.



Sunday, 27 December 2015 16:48

13855

hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzz Jalmn / F / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with 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 :

A very mild posterior disc bulge is seen at the L5-S1 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.

Note is made of a cystic lesion, anterior to the sacrum on the left side. This may represent an ovarian cyst (An ultrasound of the pelvis may be worthwhile).

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 :

14.0 mm at D12-L1
15.0 mm at L1-L2
15.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

No significant abnormality is detected within the lumbo-sacral spine on this study.
Sunday, 27 December 2015 16:48

13854

hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Paidlmn / M / 30 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain with pain radiating to the LUE with paresthesias and wasting since 2-4 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 :

A large postero-central and left postero-lateral disc extrusion is seen to indent the cord and the left C7 nerve root at the C6-C7 level.

A posterior and left postero-lateral disc extrusion is seen to indent the cord and the left C6 nerve root at the C5-C6 level.

There is narrowing of the left neural foramen at the C5-C6 and C6-C7 levels.

Posterior disc bulges are seen at the C3-C4 and C4-C5 levels.

There is slight sclerosis of the tip of the odontoid process.






The cervical intervertebral discs show loss of water content.

The cervical vertebral bodies 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.

IMPRESSION :

The MRI features are suggestive of :

1. A large postero-central and left postero-lateral disc extrusion indenting the left C7 nerve root at the C6-C7 level.

2. A postero-central and left postero-lateral disc extrusion indenting the left C6 nerve root at the C5-C6 level.

Sunday, 27 December 2015 16:48

13853

hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzn Gailmn / M / 42 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O weakness of BLE since 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 :

A postero-central and right postero-lateral disc extrusion is seen to compress upon the cord and indent the right C6 nerve root at the C5-C6 level. The cord at this level shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images (isointense to normal cord on the T1 Weighted images) suggestive of cord edema/ischemia.

A small postero-central disc herniation is seen to indent the cord at the C3-C4 level.

A postero-central disc protrusion is seen at the C4-C5 level. There is a posterior disc bulge with peridiscal osteophytes at the C6-C7 level.

The C5-C6 facet joints show hypertrophic degenerative changes.

The cervical intervertebral discs show loss of water content.
Scan-00003



The cervical vertebral bodies show normal signal intensity. 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 postero-central and right postero-lateral disc extrusion with canal stenosis at the C5-C6 level.

2. Altered cord signal at the C5-C6 level may represent cord edema/ischemia.

3. A small postero-central disc herniation at the C3-C4 level.

4. A postero-central disc protrusion at the C4-C5 level.

5. Facetal arthropathy at the C5-C6 level.

Sunday, 27 December 2015 16:48

13852

hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 39 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain radiating to the left shoulder since 1 month.
H/O similar complaints in the 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.

4 mm thick T1 Weighted coronal images.

OBSERVATION :

There is occipitalization of the atlas and the odontoid process is seen to be short.

There is mild retroplacement of the C3 vertebra over the C4 vertebra. There appears to be ossification of the posterior longitudidnal ligament over the C1 to the C3-C4 level.

Postero-central disc herniations are seen to indent the thecal sac at the C2-C3 and C3-C4 levels.

Postero-central disc protrusions are noted at the C4-C5 and C5-C6 levels.

The C3-C4, C4-C5 and C5-C6 facet joints show degenerative changes.

The cervical intervertebral discs show loss of water content.



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 cervico-medullary junction is unremarkable.

IMPRESSION :

The MRI features are suggestive of :

1. Occipitalization of the atlas and a short odontoid process.

2. Ossification of the posterior longitudidnal ligament over the C1 to the C3-C4 level.

3. Postero-central disc herniations at the C2-C3 and C3-C4 levels.

4. Postero-central disc protrusions at the C4-C5 and C5-C6 levels.

5. Facetal arthropathy at the C3-C4, C4-C5 and C5-C6 levels.



Sunday, 27 December 2015 16:48

13851

hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzChaudlmn / M / 53 yrs.
Referred by : Dr. Abc Xyz / Dr. Abc XyzBR> 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 :

There is mild retroplacement of the L5 vertebra over the S1 vertebra. The visualized dorso-lumbar intervertebral discs show loss of water content.

A small posterior disc herniation is seen to narrow both neural foramina at the L5-S1 level. A left far lateral (extraforaminal) disc herniation is noted at this level.

A small posterior disc herniation with a large peridiscal osteophyte is seen to indent the thecal sac at the D11-D12 level.

There is a posterior disc bulge narrowing both neural foramina at the L4-L5 level. A small right far lateral (extraforaminal) disc herniation is seen at this level.

Small posterior peridiscal osteophytes are noted in the lumbar region.

Facetal hypertrophy is seen at the L3-L4, L4-L5 and L5-S1 levels.


Incidental note is made of a focal hyperintense lesion on all the pulse sequences within the L2 vertebral body and this may represent a hemangioma with high fat content.

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 :

16.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A small posterior disc herniation at the L5-S1 level.

2. A small posterior disc herniation with a large peridiscal osteophyte at the D11-D12 level.

3. A posterior disc bulge at the L4-L5 level.

4. Far lateral (extraforaminal) disc herniation on the left side at the L5-S1 level and on the right side at the L4-L5 level.

5. Facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.

Sunday, 27 December 2015 16:48

13850

hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzedafroz Shlmn / M / 14 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures.

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.

There is fullness of the temporal horn of the right lateral ventricle as compared to the left side.

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.

IMPRESSION :

No significant abnormality detected within the brain on this study.