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Sunday, 27 December 2015 16:48

13011

sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzai Chlmn / F / 70 yrs.
Referred by : Dr. Abc Xyznjawalla.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with tingling 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 mild retroplacement of the L3 over the L4 vertebra.

There is loss of water content of the lower lumbar intervertebral discs.

A small, left far lateral protruded disc is noted at the L5-S1 level. The L5-S1 facet joints show mild degenerative changes, left more than right.

A minimal, postero-central and right postero-lateral disc bulge is seen at the L4-L5 level.

A small posterior disc bulge with peridiscal osteophyte is noted at the L3-L4 level.

There is minimal facet joint effusion at the L3-L4 and L4-L5 levels bilaterally.

Focal fatty marrow changes are noted adjacent to the L3-L4 and L4-L5 intervertebral disc.
..2/.







The rest of 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 S2 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
18.0 mm at L2-L3
19.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

Minimal facet joint effusion at the L3-L4 and L4-L5 levels bilaterally.

No other significant abnormality is detected on this study.

Sunday, 27 December 2015 16:48

13010

sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzdan lmn / M / 57 yrs.
Referred by : Dr. Abc Xyzhtekar.
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 loss of water content of the L1-L2 and L4-L5 intervertebral discs with reduction in height of the L1-L2 disc.

Small posterior disc bulges are noted at the L4-L5 and L5-S1 levels. A small left far lateral protruded disc is noted at the L5-S1 level.

Posterior peridiscal osteophyte with a posterior disc bulge is identified at the L1-L2 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 L2 level and the thecal sac terminates at the S3 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
20.0 mm at L2-L3
20.0 mm at L3-L4
19.0 mm at L4-L5
19.0 mm at L5-S1.

Screening, T2 Weighted sagittal images of the dorsal spine do not reveal any significant feature of note.

IMPRESSION :

No significant abnormality is detected on this study.

Sunday, 27 December 2015 16:48

13009

sb/ke/nl/rg.
s Date : 00.00.00

Name of the Patient : Abc XyzSlmn / M / 14 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O 1 episode of seizures 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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There is seen an approximately 1.0 cm diameter sized, well-defined, CSF intensity lesion on all the pulse sequences in the left lentiform nucleus which may represent a prominent Virchow Robin Space or a lacune (more likely the former) as a flow void signal is noted within, representing a vessel (scan 106.12). Similar, smaller lesions are noted in the right lentiform nucleus.

The hippocampal complex is unremarkable on either side.

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 :

CSF signal intensity lesion in the left lentiform nucleus may represent a prominent Virchow Robin Space or a lacune (more likely the former) as a flow void signal is noted within, representing a vessel.
Sunday, 27 December 2015 16:48

13008

sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzM. Blmn / M / 19 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O road traffic accident on 00.00.00 at 6.30 pm with vomiting and loss of consciousness at that time.

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 Fast Scan (T2 *) coronal images.

OBSERVATION :

There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images along the inferior frontal and temporal cortex bilaterally. This lesion appears hypointense to normal grey matter on the T1 Weighted images. On the Fast Scan (T2 *) images, this lesion shows focal areas of hypointense signal which may suggest hemoglobin breakdown products.

There is seen a small, extradural hematoma in the left temporal region with a maximum width of about 5.0 mms. This lesion is of intermediate signal on the T1 Weighted images and hyperintense on the proton and T2 Weighted images.

Very small, subdural effusion is noted in the fronto-temporal regions bilaterally.

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.




A subgaleal hematoma is noted in the left posterior parietal region.

IMPRESSION :

1. Altered signal in the inferior frontal and temporal cortex bilaterally represents cortical contusions, probably haemorrhagic, in the given clinical setting.

2. A small extradural hematoma in the left temporal region with a maximum width of about 5.0 mms.

3. Very small, subdural effusions in the fronto-temporal regions bilaterally.

4. A subgaleal hematoma is noted in the left posterior parietal region.




Sunday, 27 December 2015 16:48

13007

sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Bhallmn / M / 36 yrs.
Referred by : Dr. Abc Xyz.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness 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 coronal images.

3 mm thick FLAIR coronal, axial and sagittal images.

OBSERVATION :

There is seen a very small subcentimeter, hypointense lesion best appreciated on the FLAIR images in the right posterior parietal, subcortical white matter (scans 108.5, 107.6, 102.14). This lesion is not well appreciated on the T1 Weighted images. Perilesional white matter hyperintense signal on the FLAIR images may represent perilesional edema/gliosis.

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.

Mucosal thickening is noted in the maxillary antra bilaterally.







IMPRESSION :

Subcentimeter, focal lesion best identified on the FLAIR images in the right posterior parietal, subcortical white matter as described, most likely represents a granuloma, probably a calcifying granuloma. Perilesional hyperintense signal may represent gliosis/edema.

As compared to the previous CT Scan, dated 00.00.0000, there is no significant change in the size of the lesion.
Sunday, 27 December 2015 16:48

13005

sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Suryavalmn / F / 30 yrs.
Referred by : Dr. Abc Xyzgaonkar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O giddiness, hearing loss on the left side, pain on the left side of face, weakness of the LUE and gait ataxia since 8 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.

3 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted sagittal images.

After administration of contrast, 5 mm thick T1 Weighted axial images and 4 mm thick T1 Weighted coronal and sagittal images with magnetization transfer were obtained.

OBSERVATION :

Small bright foci on the proton, T2 Weighted and STIR images in the white matter in the frontal regions bilaterally on the axial images are most likely prominent perivascular spaces (scans 106.7, 8, 14).

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.



After administration of contrast, there is no focal area of abnormal enhancement in the brain parenchyma or the meninges.

Inflammatory changes are noted in the left mastoid air cells and sphenoid sinus on the right.

IMPRESSION :

Inflammatory changes in the left mastoid air cells and sphenoid sinus on the right.

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


Sunday, 27 December 2015 16:48

13004

sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xylmn / M / 41 yrs.
Referred by : Dr. Abc Xyz Janjire.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O neckpain and low back pain with radiating pain to the RUE and RLE and tingling since 7 years.

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 loss of water content of the cervical intervertebral discs.

A postero-central disc herniation with peridiscal osteophytes is noted at the C5-C6 level, indenting the dural theca anteriorly. Slight ligamentum flavum hypertrophy is also noted at this level.

Small postero-central protruded discs are noted at the C3-C4, C4-C5 and C6-C7 levels.

Slight facetal hypertrophy is noted at the C5-C6 level.

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 :

1. A postero-central disc herniation with peridiscal osteophytes at the C5-C6 level with slight ligamentum flavum and facetal hypertrophy at this level.

2. Small postero-central protruded discs at the C3-C4, C4-C5 and C6-C7 levels.




Sunday, 27 December 2015 16:48

13003

sb/bv/nl/rg.
Date : 00.00.00

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

CLINICAL PROFILE :

C/O neckpain and low back pain with radiating pain to the RUE and RLE and tingling since 7 years.

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 the L5-S1 intervertebral disc.

A small, postero-central protruded disc with peridiscal osteophyte is seen 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 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 :

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

IMPRESSION :

A small, postero-central protruded disc with peridiscal osteophyte at the L5-S1 level.


Sunday, 27 December 2015 16:48

13002

sb/ke/nl/rg
Date : 00.00.00

Name of the Patient : Abc Xyz Slmn / M / 40 yrs.
Referred by : Dr. Abc Xyzlkarni.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 5 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 probable sacralization of the L5 vertebra and the L4 vertebral body is as marked on the film.

There is a fairly large, posteriorly extruded disc with peridiscal osteophyte at the L4-L5 level with thecal sac compression and indentation on the traversing L5 nerve roots bilaterally. A probable sequestered disc fragment is noted in the anterior epidural space at the L4-L5. There is loss of water content of the L4-L5 intervertebral disc.

A small posterior disc bulge is noted at the L3-L4 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.
Scan-00002

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 :

19.0 mm at L1-L2
19.0 mm at L2-L3
16.0 mm at L3-L4
5.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. Probable sacralization of the L5 vertebra and the L4 vertebral body is as marked on the film.

2. A fairly large, posteriorly extruded disc with peridiscal osteophyte at the L4-L5 level with indentation on the traversing L5 nerve roots bilaterally. A probable sequestered disc fragment is noted in the anterior epidural space at the L4-L5 level.

3. Canal stenosis at the L4-L5 level.
Sunday, 27 December 2015 16:48

13001

sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzh C. lmn / M / 47 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches, giddiness and tinnitus, bilaterally since 3 1/2 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.
3 mm thick T1 Weighted coronal images.
MR cisternogram was also obtained in the coronal plane.

After administration of contrast, the following parameters were used :

3 mm thick T1 Weighted coronal images with fat saturation.
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.

OBSERVATION :

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

The seventh and eighth 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.
scan-00001


After administration of contrast, there is no focal area of abnormal enhancement within the brain parenchyma, seventh and eighth cranial nerve complex or along the meninges.

IMPRESSION :

No significant abnormality is detected on this study.