CT ABDOMEN WITH CONTRAST Serial axial sections of the whole abdomen were studied with oral and I.V.

contrast media. Anterior and posterior abdominal walls are normal. Peritoneal fat planes are normal. LIVER : Normal in size and density. No S.O.L. seen. No evidence of I.H.B.D. Portal radicles are normal. Intra hepatic IVC is normal. GALL BLADDER : Normal in size and density. Pericholecystic area is normal. PANCREAS : Normal in size and density. Peripancreatic area is normal. Portal and splenic veins are normal. AORTA & I.V.C. : Normal. Coeliac and mesentric areas are normal. Pericaval and aortic areas are normal. DIAPHRAGMATIC CURVES : Normal. ADRENAL GLANDS : Normal. KIDNEYS : Both kidneys are normal in size, density and function. Pelvicalyceal system on both sides are normal. Perinephric areas are normal. SPLEEN : Normal in size and density. Splenic vessels are normal. Other vascular structures are normal. Stomach, duodenum and small bowels are normal. UTERUS AND OVARIES : Normal in size and density. URINARY BLADDER : Outlines are normal. No filling defects. OTHER FINDINGS : Bowel loops and recto-sigmoid are normal. Pelvic fat planes and vascular structures are normal. No significant lymphadenopathy. Bones are normal.

MRI: PANORAMA T1, T2 - sagittal, axial and coronal planes of the Panorama (cervico dorsal lumbar spine) were studied. CERVICAL SPINE : This study reveals normal anatomical configuration and signal intensity of the cervical spinal cord. The surrounding theca and subarachnoid spaces are normal. The cervical vertebral bodies, pedicles, laminae and spinous processes show normal alignment. The intervertebral discs are normal and show normal signal intensity. The pre and paravertebral soft tissue plane does not show any obvious abnormality. DORSAL SPINE ; This study reveals normal signal intensity and anatomical configuration of the dorsal segments of the spinal cord. The surrounding subarachnoid CSF spaces are normal. The dorsal vertebral bodies, pedicles, laminae and spinous processes show normal alignment and MR morphology. The intervertebral discs show normal signal intensities and MR features. There is no evidence of pathology involving the dorsal neural foramina and paraspinal soft tissues. LUMBAR SPINE : The study reveals normal morphology and alignment of vertebral bodies, pedicles, laminae and spinous processes. The intervertebral discs show normal signal intensity and no evidence of disc prolapse. The conus medullaris and nerve roots of cauda equina signals appear normal. The pre and paravertebral soft tissue plane does not show any obvious abnormality.

MRI : 10 ML CONTRAST: T1, T2, FLAIR, DWI - axials ; T1 - sagittal and FLAIR - coronal sections of the brain and post contrast T1 - sagittal, axial and coronal sections were studied. The cerebral white and grey matter shows normal configurational pattern and signal intensity MRI: ANGIOGRAM T1, T2, FLAIR, DWI - axials ; T1 - sagittal and FLAIR - coronal sections of the brain were studied. Cerebral MR angiography was also done. The cerebral white and grey matter shows normal configurational pattern and signal intensities in T1 and T2 weighted scans. The basal ganglia, thalami, brainstem and cerebellum show normal M.R. morphology and signal intensities. The ventricular system appears normal. The C.S.F. in the cerebral sulci and the intracranial cisternal spaces show no abnormality. M.R. Angiography Brain : Both sides internal carotid, anterior cerebral, middle cerebral arteries are normal. The vertebro-basilar artery is normal. Both posterior cerebral arteries are normal. NECK ANGIOGRAPHY : Both common carotid arteries are of normal calibre. The bifurcations of both common carotid arteries are normal. The course and calibre of internal carotid artery on both sides are normal. There is no obvious stenosis of the internal carotid artery. Both vertebral arteries show normal calibre and course. No aneurysm or A.V. malformation noted in the neck vessels. M.R. TOF Angiography of intracranial veins : - Superior sagittal sinus, inferior sagittal sinus, vein of galen, basal vein of Rosenthal, internal cerebral vein, transverse sinuses, petrosal sinuses and cortical veins show normal signals.

MRI: ARTHROGRAM:, BRAIN SCREENING, BOTH JOINT, BRACHIAL PLEXES, T1, T2, STIR - sagittal, axial and coronal sections of both hips were studied. - Both hip joints show normal signals. - Both femoral heads show normal signals. - Marrow signal intensity is normal. - No obvious free fluid in the hips. - Soft tissues show normal signals.

MRI : BRAIN & BRAIN LABPROTOCOL (WTHOUT CONTRAST) T1, T2, FLAIR, DWI - axials ; T1 - sagittal and FLAIR - coronal sections of the brain and post contrast T1 - sagittal, axial and coronal sections were studied. The cerebral white and grey matter shows normal configurational pattern and signal intensity MRI: BRAIN & ORBITS WITH GADO: T1, T2,Flair, sagittal, axial and coronal sections of the brain are studied without contrast. The cerebral white and grey matter shows normal configurational pattern and signal intensities in T1 and T2 weighted scans. The basal ganglia, thalami, brainstem and cerebellum show normal M.R. morphology and signal intensities. The ventricular system appears normal. The C.S.F. in the cerebral sulci and the intracranial cisternal spaces show no abnormality. The soft tissue structures of face and orbits are normal.

MRI: BRAIN ROUTINE: T1, T2, FLAIR, DWI - axials ; T1 - sagittal and FLAIR - coronal sections of the brain were studied without contrast. The cerebral white and grey matter shows normal configurational pattern and signal intensities on T1 and T2 weighted scans. The basal ganglia, thalami, midbrain, brainstem and both cerebellar hemispheres show normal M.R. morphology and signal intensities. The ventricular system appears normal configuration. There is no shift of midline. The C.S.F. in the cerebral sulci and the intracranial cisternal spaces show no abnormality. The soft tissue structures of face and orbits are normal. MRI: BRAIN WITH CONTRAST: T1, T2, FLAIR, DWI - axials ; T1 - sagittal and FLAIR - coronal sections of the brain and post contrast T1 - sagittal, axial and coronal sections were studied. The cerebral white and grey matter shows normal configurational pattern and signal intensities in T1 and T2 weighted scans. The basal ganglia, thalami, brainstem and cerebellum show normal M.R. morphology and signal intensities. The ventricular system appears normal. The C.S.F. in the cerebral sulci and the intracranial cisternal spaces show no abnormality.

MRA BRAIN : T1, T2, FLAIR, DWI - axials ; T1 - sagittal and FLAIR - coronal sections of the brain were studied. Cerebral MR angiography was also done. The cerebral white and grey matter shows normal configurational pattern and signal intensities in T1 and T2 weighted scans. The basal ganglia, thalami, brainstem and cerebellum show normal M.R. morphology and signal intensities. The ventricular system appears normal. The C.S.F. in the cerebral sulci and the intracranial cisternal spaces show no abnormality. M.R. Angiography Brain : Both sides internal carotid, anterior cerebral, middle cerebral arteries are normal. The vertebro-basilar artery is normal. Both posterior cerebral arteries are normal. NECK ANGIOGRAPHY : Both common carotid arteries are of normal calibre. The bifurcations of both common carotid arteries are normal. The course and calibre of internal carotid artery on both sides are normal. There is no obvious stenosis of the internal carotid artery. Both vertebral arteries show normal calibre and course. No aneurysm or A.V. malformation noted in the neck vessels. M.R. TOF Angiography of intracranial veins : - Superior sagittal sinus, inferior sagittal sinus, vein of galen, basal vein of Rosenthal, internal cerebral vein, transverse sinuses, petrosal sinuses and cortical veins show normal signals.

MRI: BRAIN (WITH CONTRAST) T1, T2, FLAIR, DWI - axials ; T1 - sagittal and FLAIR - coronal sections of the brain and post contrast T1 - sagittal, axial and coronal sections were studied. The cerebral white and grey matter shows normal configurational pattern and signal intensities in T1 and T2 weighted scans. The basal ganglia, thalami, brainstem and cerebellum show normal M.R. morphology and signal intensities. The ventricular system appears normal. The C.S.F. in the cerebral sulci and the intracranial cisternal spaces show no abnormality.

MRI: CERVICAL, CERVICAL SPINE. T1, T2 - sagittal and axial sections of the cervical spine were studied. This study reveals normal anatomical configuration and signal intensity of the cervical spinal cord. The surrounding theca and subarachnoid spaces are normal. The cervical vertebral bodies, pedicles, laminae and spinous processes show normal morphology and alignment. The intervertebral discs show normal signal intensities. The pre and paravertebral soft tissues appear normal.

MRI: DL (DORSO LUMBER) : T1, T2 - sagittal and axial planes of the dorso lumbar spine were studied. DORSAL SPINE : This study reveals normal signal intensity and anatomical configuration of the dorsal segments of the spinal cord. The surrounding subarachnoid CSF spaces are normal. The dorsal vertebral bodies, pedicles, laminae and spinous processes show normal alignment and MR morphology. The intervertebral discs show normal signal intensities and M.R. features. There is no evidence of pathology involving the dorsal neural foramina and paraspinal soft tissues. LUMBAR SPINE : The study reveals normal morphology and alignment of vertebral bodies, pedicles, laminae and spinous processes. The intervertebral discs show normal signal intensity and no evidence of disc prolapse. The conus medullaris and nerve roots of cauda equina signals appear normal. The pre and paravertebral soft tissue plane does not show any obvious abnormality.

MRI: DORSAL T1, T2, FLAIR, DWI - axials ; T1 - sagittal and FLAIR - coronal sections of the brain and post contrast T1 - sagittal, axial and coronal sections were studied. The cerebral white and grey matter shows normal configurational pattern and signal intensit T1, T2, sagittal and axial planes of the dorsal spine were studied. This study reveals normal signal intensity and anatomical configuration of the dorsal segments of the spinal cord. The surrounding subarachnoid CSF spaces are normal. The dorsal vertebral bodies, pedicles, laminae and spinous processes show normal alignment and MR morphology. The intervertebral discs show normal signal intensities and M.R. features. There is no evidence of pathology involving the dorsal neural foramina and paraspinal soft tissues.

MRI: IAC (WITH CONTRAST): KJR : T2 - axial sections of the brain were studied. T1, T2 DRIVE - axial and coronals and post contrast T1 sagittal, axial and coronal sections of the I.A.C. were also studied. The ventricular system appears normal. There is no obvious abnormal signals noted in the cerebral and cerebellar parenchyma. M.R. Angiography of Brain : Both sides internal carotid, anterior and posterior cerebral, middle cerebral, vertebral and basilar arteries are normal. M.R. TOF Angiography of intracranial veins : - Superior sagittal sinus, inferior sagittal sinus, vein of galen, basal vein of Rosenthal, internal cerebral vein, transverse sinuses, petrosal sinuses and cortical veins show normal signals. INTERNAL AUDITORY CANAL : - Both sides mastoid air cells, petrous are normal. - Both I.A.C. complexes are normal.

- Cochlea, semi circular canals are normal on both sides. - Facial nerves are normal. - Vestibulo-cochlear nerve is normal. - Vestibulo-cochlear nuclei are normal.

MRI: LUMBAR: T1, T2, FLAIR, DWI - axials ; T1 - sagittal and FLAIR - coronal sections of the brain and post contrast T1 - sagittal, axial and coronal sections were studied. The cerebral white and grey matter shows normal configurational pattern and signal intensit T1, T2 - sagittal and axials ; STIR - sagittal and coronal planes of the lumbar spine were studied. The study reveals normal morphology and alignment of vertebral bodies, pedicles, laminae and spinous processes. The intervertebral discs show normal signal intensity and no evidence of disc prolapse. The conus medullaris and nerve roots of cauda equina signals appear normal. The pre and paravertebral soft tissues appear normal. MRI: ORBITS: T1, T2, SPIR, STIR, axial, sagittal and coronal sections of the orbits were studied without contrast. Both sides anterior chamber signals normal. Both sides lens appear normal. Both sides vitreous signals are normal. Both chorioretinal membrane area signals normal. Both sides retro-orbital fat signals normal. Extra occular muscles signals normal on both sides. Optic nerve signals appear normal. Neuro vascular structure signals appear normal on both sides.

Optic chaisma signals appear normal. Both lacrimal gland area signals normal. Other soft tissue signals normal.

MRI PELVIS T1, T2, STIR - axial and coronal sections of the pelvis were studied. Both hip joints show normal signals. Both femoral heads show normal signals. Marrow signal intensity is normal. No obvious free fluid in the hips. Soft tissues show normal signals. URINARY BLADDER : Outlines are normal. No filling defects. PROSTATE : Normal in size. Seminal vesicles are normal.

MRI KNEE SINGLE JOINT SKDP : Sagittal - T1, T2, T2 GRE, STIR ; Coronal - T2, STIR ; Axial - T2 sections of performed. knee was

Anterior and posterior cruciate ligaments show normal morphology and signal intensity. Anterior and posterior horns of medial and lateral menisci appear normal. Medial and lateral collateral ligament shows normal configuration and MR signals. Articular cartilage of the femoral condyles and tibial plateau is intact and is of normal thickness. No evidence of any joint effusion. The femoral condyle and tibial plateau show normal marrow signals. No bone bruise/ marrow oedema. Quadriceps tendon and patella show normal signals. Supra, infra and retro patellar areas show normal signals. Neurovascular bundle and musculature around the knee joint appear normal.

MRI COCHLEA DR. K.J.R T2 & FLAIR axials of MRI brain were studied. Posterior fossa structure are normal. No altered signal intensities noted in brain parenchyma. Both lateral, lll and lV ventricles are normal. No evidence of midline shift. Basal cisterns are normal. T1 & T2 Drive axial, coronal and sagittal of both IAC were studied. Both CP angle cisterns and IAC shows normal signal intensities. Both sides semicircular canals, vestibule and cochlea signals are normal. MIP reconstructions of inner ear shows normal signals in cochlea turns and semicircular canals. Both sides Vll, Vlll nerves and its branches appear normal.

MRI HIPPO CAMPI Multiplanar, multiecho sequences through the brain were performed. Volumetric analysis and T2 relaxometry of the hippocampi was performed. The study reveals : Both the cerebral hemispheres are normal. No focal or diffuse area of signal abnormality is seen. The sellar and parasellar regions are normal. The basal ganglia and thalami are normal. The brainstem and cerebellum are normal. The ventricles are normal. The C.V. junction is normal. The hippocampi are normal in size and signal intensity. The hippocampal volumes and relaxation times are normal and show no significant difference on either sides. MRI PANORAMA CERVICAL T1, T2 - sagittal and axial sections of the cervical spine were studied. The cervical vertebral bodies and posterior neural arch elements show normal morphology and alignment. The intervertebral discs show normal morphology. The cervical segment of the spinal cord shows normal dimensions and signal intensity. The surrounding theca and CSF subarachnoid spaces are normal. The pre and paravertebral soft tissues appear normal. DORSAL T1, T2 - sagittal and axial sections of the dorsal spine were studied. The dorsal vertebral bodies and posterior neural arch elements show normal morphology and alignment.

The dorsal intervertebral discs show normal morphology. The dorsal segment of the spinal cord shows normal dimensions and MR signals. The surrounding theca and CSF subarachnoid spaces are normal. The pre and paravertebral soft tissues appear normal. LUMBAR T1, T2 - sagittal and axial planes of the lumbar spine were studied. This study shows normal morphology and alignment of vertebral bodies, pedicles, laminae and spinous processes. The lumbar intervertebral discs show normal morphology and signal intensity. The conus medullaris and nerve roots of the cauda equina show normal morphology. The CSF in the subarachnoid space shows normal signal intensity. There is no abnormality of the pre or paravertebral soft tissue.

IVP PLAIN X-RAY K.U.B. : Both renal shadows are normal. Both psoas shadows arenormal. No abnormal radio-opaque shadow seen in KUB region. Bones are normal. I.V.P: Both kidneys show good nephrogram. Both kidneys are normal in shape, size and position. There is prompt excretion of contrast on both sides. Pelvicalyceal system on both sides are normal. Both ureters are normal in course and calibre. URINARY BLADDER : Full bladder appears normal in contour. Outlines are smooth. No filling defects. There is no significant post void residual urine.

MCUG Under aseptic conditions, the urethra was catheterised with an infant feeding tube and diluted contrast medium was infused and radiographs were obtained. The contour and capacity of the urinary bladder is normal. No evidence of sacculations, filling defects noted. No evidence of vesico ureteric reflux. The posterior urethra is normal. No evidence of diverticulum noted. Post void film shows insignificant residual urine.

X-RAY ABDOMEN KUB Both the kidneys are of normal size, contour and position. No evidence of radio-opaque calculi in K.U.B. area. No evidence of any calcification seen. Psoas shadows are normal. Bone density is normal. X-RAY ERECT ABDOMEN : No evidence of any obvious mass lesions noted. Liver and splenic shadows are within normal limits. Renal and psoas outlines are within normal limits. Intestinal gas pattern is normal. No evidence of any abnormal air fluid levels noted. No evidence of any free air in the peritoneal cavity. No evidence of any abnormal radio opaque densities noted. Bones are normal. X-RAY ABDOMEN (SUPINE) : No evidence of any obvious mass lesions noted. Liver and splenic shadows are within normal limits. Renal and psoas outlines are within normal limits. Intestinal gas pattern is normal. No evidence of any abnormal radio opaque densities noted. Bones are normal.

X-RAY ANKLE

Bone density and trabecular pattern are normal. Bone alignment is normal. Joint space and articular margins are normal. No evidence of any sclerotic/ lytic lesions seen. No evidence of fracture seen. Soft tissues are normal. X-RAY ARM Bone density and trabecular pattern are normal. No evidence of any sclerotic/ lytic lesions seen. No evidence of fracture seen. Soft tissues are normal.

X-RAY ASCENDING URETHROGRAM (RGU) Under all aseptic precautions 10 ml. of contrast is diluted with normal saline is injected into the urethra. Oblique radiographs are taken during the injection of contrast under Fluoroscopy. The penile, bulbar urethra and membranous and prostatic urethra are normal in caliber and smooth in outlines. There is no evidence of intraluminal or extraluminal filling defects. No evidence of diverticula or fistula. Contrast is seen entering into the urinary bladder.

X-RAY BARIUM

Barium passed smoothly throughout the large bowel . No evidence of filling defect or obstruction noted. Mucosal pattern is normal. Presacral space is normal.

X-RAY BARIUM MEAL FOLLOW THROUGH Stomach : Contour size and outlines are normal. Duodenal cap is well formed and is normal. Jejunal and ileal loops show normal contour, size and outlines. Ileo-caecal junction is normal. Ascending colon is normal.

X-RAY BARIUM MEAL STOMACH AND DUODENUM Under fluroscopic screening barium passes smoothly along the oesophagus and GE junction into the stomach. Mucosal pattern is normal. No evidence of filling defects. Oesophago-gastric junction is normal. No evidence of gastro-oesophageal reflux. Stomach - Contour, size and outlines are normal. Duodenal cap is well formed and is normal. Jejunal loops are normal.

X-RAY BARUM SWALLOW

- Barium passes smoothly along the esophagus and G.E. junction into the stomach. - The mucosal pattern is normal. - There is no evidence of filling defects seen. - No evidence of extrinsic pressure on the oesophagus. - The oesophago-gastric junction is normal. No evidence of gastro-oesophageal reflux.

X-RAY CHEST AP

Both lungs are clear. Mediastinum is central in position. Bones and soft tissues are normal. X-RAT BOTH ANKLE Bone density and trabecular pattern are normal. Bone alignment is normal. Joint space and articular margins are normal. No evidence of any sclerotic/ lytic lesions seen. No evidence of fracture seen. Soft tissues are normal.

X-RAY BOTH FEET Bone density is normal. Bone alignment is normal. Joint space and articular margins are normal. No evidence of any sclerotic/ lytic lesions seen. No evidence of any erosion or eburnation seen. No evidence of any fracture seen. Soft tissues are normal. X-RAY BOTH HANDS Bone density and trabecular pattern are normal. Bone alignment is normal. Joint space and articular margins are normal.

No evidence of any sclerotic/ lytic lesions seen. No evidence of fracture seen. Soft tissues are normal. X-RAY BOTH HIPS

Bone density and trabecular pattern are normal. No evidence of any lytic or sclerotic lesion noted. Both S.I. joints and hip joints are normal. Soft tissues are normal.

X-RAY BOTH N KNESS AP

Bone density and trabecular pattern are normal. Bone alignment is normal. Joint space and articular margins are normal. No evidence of any sclerotic/ lytic lesions seen. No evidence of fracture seen. Soft tissues are normal. X-RAY BOTH N KNESS AP AND LAT Bone density and trabecular pattern are normal. Bone alignment is normal. Joint space and articular margins are normal. No evidence of any sclerotic/ lytic lesions seen. No evidence of fracture seen. Soft tissues are normal.

X-RAY BOTH KNEES SKYLINE VIEW Bone density and trabecular pattern are normal. Bone alignment is normal. Joint space and articular margins are normal. No evidence of any sclerotic/ lytic lesions seen. No evidence of fracture seen. Soft tissues are normal.

X-RAY CERVICAL SPINE

Bone density is normal. Alignment of the spine is normal. No evidence of sclerotic or lytic lesions seen. No paraspinal soft tissue abnormality is seen. No evidence of any cervical ribs. X-RAY CHEST LAT Retro-sternal and retro-cardiac clear spaces normal. Costophrenic angles clear. Lungs are clear. X-RAY CHEST PA Both lung fields are clear. Both hila are normal in size and position. Costophrenic and cardiophrenic angles are clear. Cardiac size and contour are within normal limits. The rib cage is normal. Soft tissues are normal. X-RAY ELBOW

Bone density is normal. Bone alignment is normal. The articular margins and joint spaces are normal. No evidence of sclerotic or lytic lesions seen. No evidence of bony injury is seen. Soft tissues are normal. X-RAY FEMUR

Bone density and trabecular pattern are normal. No lytic or sclerotic lesions noted. No evidence of any fracture seen. Soft tissues are normal.

X-RAY FOREARM

Bone density and trabecular pattern are normal. No evidence of any sclerotic/ lytic lesions seen.

No evidence of fracture seen. Soft tissues are normal.

X-RAY MANDIBLE AP The mandible is showing normal anatomical configuration without any osteolytic lesion or sclerosis. The temporo-mandibular joint is normal. No evidence of any bony injury.

X-RAY MANGIBLE PA Joint space and articular margins are normal. Alignment of joint normal. Movement of mandibular condyle normal. No evidence of sclerotic / lytic lesion noted. X-RAY MASTOIDS Mastoid air cells on both sides are clear. Both T.M. joints appear normal. X-RAY NASOPHARYNX Posterior nasopharyngeal wall thickness is normal. Nasopharyngeal air column is normal. No evidence of air fluid level in pervertebral space. Soft tissues shadow is normal.

X-RAY PELVIS Bone density and trabecular pattern are normal. No evidence of any lytic or sclerotic lesion noted. Both S.I. joints and hip joints are normal. Soft tissues are normal. X-RAY PNS

Paranasal sinuses show normal lucency. No evidence of mucosal thickening or fluid collection seen. Bone density is normal. No evidence of bony erosions seen. No evidence of any significant deviation of the bony septum.

X-RAY SACRUM COCCYX

No evidence of any bony injury. Alignment of sacral and coccygeal segments are normal. Bone density is normal. No evidence of sclerotic/ lytic lesion noted. Soft tissues are normal. X-RAY SILOGRAM Under all aseptic precautions, Stansen duct is cannulated, contrast was injected and radiographs were taken. Main duct, branches and intraglandular ducts are showing normal size and branching. No evidence of cystic area/ cut off.

HSG Under aseptic precautions, 10 ml. of diluted contrast is injected into the uterine cavity. Uterus is of normal size. Both the fallopian tubes are well outlined. Evidence of spillage of contrast noted into the peritoneal cavity. No dilatation, filling defects and extrinsic or intrinsic impression seen.

WHOLE-ABDOMEN (MALE) LIVER : Normal in size . Echotexture is uniform and normal. No I.H.B.D./ focal lesions. PORTAL VEIN : Normal in size, measures mm. GALL BLADDER : Well distended with normal walls and lumen. No calculi/pericholecystic fluid. COMMON BILE DUCT : Normal in size, measures mm. PANCREAS : Normal in size and echotexture. AORTA, IVC and para aortic areas are normal. SPLEEN : Normal in size and echotexture.

KIDNEYS : Both kidneys are normal in site, size and echotexture. No evidence of calculi/ hydronephrosis. Right kidney measures : Left kidney measures : URINARY BLADDER : Well distended with normal walls. No evidence of calculi/ growth/ diverticula . Prevoid urine volume = Post void residual urine = PROSTATE : Normal in size with homogenous echogenicity. No evidence of calcification within. Prostate measures : Seminal vesicles are normal. OTHERS : No evidence of any free fluid in the peritoneal cavity.

WHOLE-ABDOMEN (FEMALE) LIVER : Normal in size . Echotexture is uniform and normal. No I.H.B.D./ focal lesions. PORTAL VEIN : Normal in size, measures mm. GALL BLADDER : Well distended with normal walls and lumen. No calculi/pericholecystic fluid. COMMON BILE DUCT : Normal in size, measures mm. PANCREAS : Normal in size and echotexture. AORTA, IVC and para aortic areas are normal. SPLEEN : Normal in size and echotexture.

KIDNEYS : Both kidneys are normal in site, size and echotexture. No evidence of calculi/ hydronephrosis. Right kidney measures : Left kidney measures : URINARY BLADDER : Well distended with normal walls. No evidence of calculi/ growth/ diverticula . UTERUS : Normal in size and echotexture. Uterus measures : Combined endometrial thickness is normal. OVARIES : Normal in size and echotexture. Right ovary measures : Left ovary measures : OTHERS : No evidence of any free fluid in P.O.D.

LOWER ABDOMEN URINARY BLADDER : Bladder is well filled. Bladder contour is regular. Bladder wall thickness is normal. Mucosa is smooth. No abnormal intraluminal echoes seen. UTERUS : Normal in size and echogenicity. Uterus measures : Combined endometrial thickness is normal. OVARIES : Normal in size and echotexture. Right ovary measures : Left ovary measures : OTHERS : No evidence of any free fluid in P.O.D.

KUB : KIDNEYS : Both kidneys are normal in size and echotexture. Right kidney measures : Left kidney measures : No evidence of calculi or calyceal dilatation. The pelvis and proximal ureters are not dilated. The perinephric spaces are clear. URINARY BLADDER : Normal in outline and configuration. No evidence of any abnormal internal echoes. The region of bladder base and para vesical regions are normal. There is no significant post void residual urine. PROSTATE : Normal in size and shows a smooth outline and uniform echogenicity. Prostate measures :

LATE PREGNANCY Single, live, intrauterine foetus is seen. Foetal movements and cardiac activity are noted. Placenta is anterior/ posterior . Amniotic fluid is adequate. No obvious congenital anomalies noted. Foetal heart rate is beats/ min. Foetal measurements are : BPD HC FL AC EFW mm mm mm mm gms. corresponding to weeks days. corresponding to weeks days. corresponding to weeks days. corresponding to weeks days.

EDD : As per LMP : ; USG : EGA : As per LMP : ; USG : PRESENTATION : DOPPLER :

IInd TRIMESTER

TIFFA SCAN

FETUS : Single viable. Presentation : Foetal heart rate : beats/min. Foetal movements seen. AFI : Liquor : . Placenta position : Umbilical cord : 3-vessels are normal. Fetal Biometry in mm. BPD : ; HC - ; AC Morphometric ratios : HC/AC : ; FL/BD : . ; FL ; HUM : mm.

Fetal weight : gms (+/- gms). Scan gestation age : weeks. Scan EDD : Cranial vault - Normal. Midline falx - Normal. Laeral ventricle mm. Choroid plexus - Normal. TCD mm. Cisternal magna mm. Nuchal thickness - mm. Spine - Normal. Stomach bubble - Normal. Bowel loops - not dilated. Abdominal wall - Intact. Heart - 4 chamber view appear normal. Both kidneys - Normal. Renal pelvis - Normal. Long bones of upper limbs appear normal to extent visualised. Long bones of lower limbs appear normal to extent visualised.

IIIrd TRIMESTER

DOPPLER SCAN :

FETUS : Single viable. Presentation : Foetal heart rate : beats/min. Fetal movements seen. AFI : Liquor : Placenta position : Placenta echo and thickness : Retroplacental space : Myometrium : Umbilical cord : 3-vessels are normal. Fetal Biometry in mm. BPD : ; HC ; AC ; FL mm.

Morphometric ratios : HC/AC : ; FL/BD :

Fetal weight : gms (+/- 408 gms). Scan gestation age ; Scan EDD : COLOR DOPPLER STUDY : S/D R.I. P.I. 1. Uterine artery : 2. Umbilical artery : 3. Middle cerebral artery :

EARLY PREGNANCY Gravid uterus showing normal echotexture. No focal lesions. Intrauterine gestation noted. Mean sac diameter measures Foetal pole and yolk sac noted. CRL measures mm corresponding to weeks days mm corresponding to weeks days.

Cardiac flicker noted. Heart rate measures beats per minute.

Good chorionic condensation noted. No evidence of sub chorionic collection. Placenta is seen forming EDD as per ultrasound Nuchal translucency measures Cervical length measures mm. mm.

No evidence of adnexal mass lesions. Corpus leuteal cyst seen in Right ovary measures : Left ovary measures : ovary measuring

ARTERIAL DOPPLER OF BOTH UPPER LIMBS subclavian, axillary, brachial, ulnar and radial arteries are normal in calibre and pulsatility, with no significant focal or diffuse luminal narrowing. DOPPLER STUDY : - Flow velocities and spectral patterns are normal. - No evidence of any turbulence or spectral broadening

ARTERIAL DOPPLER - ONE LIMB DR S.K. side common femoral, profunda femoris, superficial femoral, popliteal, anterior and posterior tibial and dorsalis pedis arteries are normal in calibre and pulsatility, with no significant focal or diffuse luminal narrowing. DOPPLER STUDY : - Flow velocities and spectral patterns are normal. - No evidence of any turbulence or spectral broadening seen.

PENILE DOPPLER PAPAVERINE FORMAT `B' MODE : Both corpora cavernosa and the cavernosal arteries appear normal. Corpus spongiosus and the penile urethra appear normal. No abnormal calcifications seen in the penile soft tissues. DOPPLER STUDY : Doppler evaluation of both cavernosal arteries was performed before and after intracavernous injection of 30mg of Papaverine. - Peak systolic velocities upto -- cms/sec seen in the cavernosal arteries before intracavernous injection of Papaverine with absent diastolic flow. - Peak systolic velocities of upto -- cms/sec and peak diastolic velocities of upto -- cms/sec seen in the cavernosal arteries after intracavernous injection of Papaverine. - Diastolic flow absence seen after -- mins of Papaverine injection. PSV EDV (cms/sec) (cms/sec) Pre Papaverine : Post Papaverine : 2 min. 5 min. 10 min. 15 min. 20 min. 00 00 00 00 00 00 00 00 00 00 00 00

BIOMIX FORMAT

`B' MODE : Both corpora cavernosa and the cavernosal arteries appear normal. Corpus spongiosus and the penile urethra appear normal. No abnormal calcifications seen in the penile soft tissues. DOPPLER STUDY : Doppler evaluation of both cavernosal arteries was performed before and after intracavernous injection of Biomix. - Peak systolic velocities upto -- cms/sec seen in the cavernosal arteries before intracavernous injection of Biomix with absent diastolic flow. - Peak systolic velocities of upto -- cms/sec and peak diastolic velocities of upto -- cms/sec seen in the cavernosal arteries after intracavernous injection of Biomix. - Diastolic flow absence seen after -- mins of Biomix injection. PSV EDV (cms/sec) (cms/sec) Pre Biomix : Post Biomix : 2 min. 5 min. 10 min. 15 min. 20 min. 00 00 00 00 00 00 00 00 00 00 00 00

RENAL DOPPLER RIGHT KIDNEY SIZE OF THE KIDNEY : ECHOGENICITY C.M. DISTINCTION : : LEFT KIDNEY

CORTICAL THICKNESS : SYSTOLIC VELOCITY :

DIASTOLIC VELOCITY : PSV (Aorta) :

RENAL ARTERY/AORTA RATIO : ACCELERATION TIME : RENAL ARTERY SIZE :

TRANSPLANT KIDNEY 'B' MODE : Transplant kidney is normal in size and echogenicity. Cortical thickness is normal. Corticomedullary differentiation is normal. Sinus texture is normal. No evidence of perinephric or paravesical collection. Transplant Kidney measures : x mm. Parenchymal thickness is mm

Doppler : Main renal artery at hilum and intrarenal branches show normal flow velocities and spectral patterns. Resistive indices are in the normal range ( ). FLOW AND SPECTRUM : PSV EDV cms/sec. cms/sec. Arcuate artery : Interlobar artery : Segmental artery : Main renal artery : at hilum R.I.

CAROTID DOPPLER 'B' MODE : Both the carotid systems including common carotid, bifurcation and both its branches show normal origin and course. Vessel walls are smooth. No evidence of plaque, stenosis or abnormal dilatation seen. The caliber and pulsatility of all the vessels on both sides are normal. DOPPLER STUDY : Both the common carotids, extracranial parts of internal and external carotids show normal inflow velocity. There is a uniform laminar flow. No evidence of turbulence, bidirectional flow or spectral broadening seen. Both vertebral arteries are normal.

VENOUS DOPPLER - BOTH LOWER LIMBS SKDP Both common femoral, superficial femoral and popliteal veins are normal in calibre and show normal compressibility with spontaneous flow, respiratory phasicity and augmentation of flow on distal compression. Great saphenous vein and sapheno femoral junction on both sides appear normal. No evidence of reflux across either sapheno femoral junction. Anterior and posterior tibial veins on both sides are of normal calibre and show flow within on distal compression.

VENOUS ONE LIMB SKDP common femoral, superficial femoral and popliteal veins are normal in calibre and show normal compressibility with spontaneous flow, respiratory phasicity and augmentation of flow on distal compression. Great saphenous vein and sapheno femoral junction appear normal. No evidence of reflux across the sapheno femoral junction. Anterior tibial and posterior tibial veins are of normal calibre and show flow within on distal compression.

TRANSPLANT KIDNEY : 'B' MODE : Transplant kidney is normal in size and echogenicity. Cortical thickness is normal. Corticomedullary differentiation is normal. Sinus texture is normal. No evidence of perinephric or paravesical collection. Transplant Kidney measures : x mm. Cortical thickness is mm

Doppler : Main renal artery at hilum and intrarenal branches show normal flow velocities and spectral patterns. Resistive indices are in the normal range ( - ). FLOW AND SPECTRUM : PSV EDV cms/sec. cms/sec. Arcuate artery Interlobar artery Segmental artery Main renal artery at hilum at distal part : : : : : R.I.

SCROTAL DOPPLER Both testes are normal in size and show homogenous echotexture. No evidence of focal lesions on either side. Testicular vascularity on both sides are normal. Right testis measures : Left testis measures : Both epididymes are normal in size and echotexture and show normal vascularity. Right epididymal head measures : Left epididymal head measures : Peritesticular veins on both sides are not dilated. Scrotal wall on both sides is normal.

THYROID Right lobe of thyroid measures : Left lobe of thyroid measures : Isthmus measures : Both lobes of thyroid and the isthmus are normal in size and echotexture. No evidence of any focal or diffuse lesions. No significant cervical lymphadenopathy. Major neck vessels appear grossly normal.

CTCHEST Serial axial sections of chest were studied. MEDIASTINUM : Fat and vascular structures are normal. Trachea, carina, right and left main bronchi are normal. BOTH LUNGS : Bronchial tree, vessels and parenchyma are normal. Pleura is normal on both sides. Bones and soft tissues are normal.