NAME OF THE PATIENT: MR.

REFERRED BY: DR.

CT NO.: 1

DATE: 29 Oct. 15
AGE: YEARS
SEX: M

MDCT DENTAL STUDY- UPPER JAW / MAXILLA

Protocol: A plain dental MDCT study of the maxilla was performed with isotropic resolution. Panoramic and
para-axial reconstructions were performed.
Observations: MAXILLA
Density

Reduced / normal

Focal bone lesion

None

Diffuse bone lesion

None

Edentulism

Partial

Maxillary sinuses

Normal.

Incisive foramen

Image no.

Image number

Height in mm

Right side

Width in mm

Image number

Height in mm

Width in mm

Left side

NB: The height is measured from floor of the maxillary sinus to the top of the alveolar process. Anterior to the sinuses, it
is measured from floor of the nasal fossa to the top of alveolus. The scale of film is adjusted with real measurements,
hence measurements directly taken from the film are actual measurements.

Thanks for reference.

Dr. Jeshil Shah; M.D.

Consultant Radiologist.

NAME OF THE PATIENT: MR.

REFERRED BY: DR.
CT NO.: 1

DATE: 29 Oct. 15
AGE: YEARS
SEX: M

MDCT DENTAL STUDY- LOWER JAW / MANDIBLE

Protocol: A plain dental MDCT study of the mandible was performed with isotropic resolution. Panoramic
and para-axial reconstructions were performed.
Observations: MANDIBLE
Density

Reduced / normal

Focal bone lesion

None

Diffuse bone lesion

None

Edentulism

Partial

Mental foramen (MF) right

Image no.

Mental foramen left

Image no.

Image number

Height in mm

Width in mm

Image number

Height in mm

Width in mm

Right side.

Ant. to MF

Ant. to MF

Left side.

Ant. to MF

Ant. to MF

Right side.

Post. to MF

Post. to MF

Left side.

Post. to MF

Post. to MF

NB: The height is measured from the superior surface of the mandible to the top of the mandibular canal, posterior to the
mental foramen. Anterior to the mental foramen, it is measured from the superior surface of the mandible to the inferior

aspect of the mandible. The scale of film is adjusted with real measurements, hence measurements directly taken from
the film are actual measurements.

Thanks for reference.

Dr. Jeshil Shah; M.D.

Consultant Radiologist.

NAME OF THE PATIENT: MR.

REFERRED BY: DR.
MR NO.: 1

DATE: 29 Oct. 15
AGE: YEARS
SEX: M

COLOUR DOPPLER EXAMINATION OF RENAL ARTERIES

CLINICAL PROFILE: Complaints of
TECHNIQUE: Real time B mode, pulse wave and Colour Doppler triplex sonography of the renal
arterial system were performed bilaterally with 2-4 MHz curvi-linear probe on HD11 (Phillips)
colour doppler and sonar scanner and spectral waveforms were obtained at various segments.
OBSERVTIONS: * The right kidney measures 10.3 x 4.5 cms and left kidney measures 10.7 x 4.7
cms.
* Both kidneys are normal in size, shape and echotexture. Cortico-medullary differentiation and
cortical width are normal bilaterally. There is no hydronephrosis or calculus disease in either
kidney. Both kidneys show normal movements with respiration. No obvious collections are seen in
the peri-nephric spaces on either side.
* There is no suspicion of any adrenal mass lesion, on both sides.
* B mode examination shows no obvious wall calcification in the aorta or proximal renal arteries.
No evidence of renal arterial luminal narrowing, beading of the walls or calcifications is seen.
* On the Colour Doppler and duplex examination, both renal arteries and their intra-renal branches
show normal colour flow, spectral trace and velocity measurements. The arteries reveal low
resistance wave form pattern. The spectral trace reveals a sharp upstroke with double peaked
systole. No parvus tardus pattern or segments with turbulence or increased velocities are noted.
* Normal values:
PSV - > 70 cm / sec abnormal,
Acceleration time - abnormal if > 0.07sec.
Acceleration index - abnormal if < 3 m / sec2.
PI < 0.93 abnormal,
RI < 0.56 abnormal,
Difference of RI of > 5 % and in PI of 0.12 between both kidneys is abnormal.
* The Power Doppler examination revealed well preserved cortical flow bilaterally. No obvious
hypo-perfused areas are seen on either side.
* The main renal vein and intra-renal veins are well visualized and reveal normal flow with no
luminal thrombosis.
Cont. Pg-2

NAME OF THE PATIENT: MR.

REFERRED BY: DR.
MR NO.: 1

DATE: 29 Oct. 15
AGE: YEARS
SEX: M
Page 2

* Angle corrected velocities obtained at various segments are as follows:

ARTERY

Right Renal Artery origin

Renal Artery Hilum
Upper Renal pole
Mid Renal pole
Lower Renal pole
Left Renal Artery origin
Renal Artery hilum
Upper Renal pole
Mid Renal pole
Lower Renal pole
Aorta at renal arterial level

PSV in cm/sec

RI

ACC. TIME

ACC. INDEX

0.60
0.54
0.50
0.50
0.49
0.77
0.53
0.57
0.50
0.54
0. 84

* Renal aortic ratio (RAR) [i.e. PSV renal artery / aorta ratio] (Normal </= 3.5):- Right:

, Left:

IMPRESSION:

Normal colour doppler study of the renal arteries.

No suggestion of segmental renal artery stenosis is raised.
Kidneys are normal.
No adrenals mass lesion is seen.

Thanks for reference.

Dr. Jeshil Shah; M.D. Consultant Radiologist.

NOTE: THESE ARE OBSERVATIONS AND NOT FINAL DIAGNOSIS IN THEIR OWN RIGHT. USG FINDINGS NEED TO BE CORELATED WITH CLINICAL, LABORATORY AND
OTHER INVESTIGATION FINDINGS FOR FINAL DIAGNOSIS AND FURTHER MANAGEMENT. SONOGRAPHIC FINDINGS ARE DEPENDENT ON MULTIPLE FACTORS LIKE
PATIENT BODY HABITUS, ABDOMINAL WALL THICKNESS, POST PRANDIAL STATUS, STATUS OF URINARY BLADDER, TYPE OF SCANNER USED ETC.

NAME OF THE PATIENT: MR.

REFERRED BY: DR.
MR NO.: 1

DATE: 29 Oct. 15
AGE: YEARS
SEX: M

COLOUR DOPPLER EXAMINATION OF TRANSPLANT KIDNEY

CLINICAL PROFILE: Follow up case of renal transplantation done in past.
TECHNIQUE: Real time B mode, pulse wave and Colour Doppler triplex sonography of the
transplanted kidney was performed in pelvic region with 2-4 MHz curvi-linear probe on HD11
(Phillips) colour doppler and sonar scanner and spectral waveforms were obtained at various
segments.
OBSERVTIONS: * The transplanted kidney is seen in the right iliac fossa region and measures
approximately 10.3 x 4.5 cms. The native kidneys are very small in sizes.
* Transplanted right kidney is normal in size, shape and echotexture. Cortico-medullary
differentiation and cortical width are normal bilaterally. There is no hydronephrosis or calculus
disease.
* The transplanted renal vessels are seen anastomosed with right external iliac vessel by end on
side anastomosis.
* B mode examination shows no obvious wall calcification in the aorta, external iliac artery or
transplanted renal artery. No evidence of renal arterial luminal narrowing, beading of the walls or
calcifications is seen.
* On the Colour Doppler and duplex examination, transplanted kidney renal artery and their intrarenal branches show normal colour flow, spectral trace and velocity measurements. The arteries
reveal low resistance wave form pattern. The spectral trace reveals a sharp upstroke with double
peaked systole. No parvus tardus pattern or segments with turbulence or increased velocities are
noted.
* Normal values:
PSV - > 250 cm / sec abnormal and very specific for rejection,
PI <1.5 is normal, and >1.8 abnormal.
An RI <0.7 is normal, >0.9 abnormal, and between there is a large grey area.
The higher the RI or PI more likely is a diagnosis of acute rejection.
Acceleration time - abnormal if > 0.07sec.
Acceleration index - abnormal if < 3 m / sec2.
* The Power Doppler examination revealed well preserved cortical flow bilaterally. No obvious
hypo-perfused areas are seen on either side.
* The main renal vein and intra-renal veins are well visualized and reveal normal flow with no
luminal thrombosis.

Cont. Pg-2

NAME OF THE PATIENT: MR.

REFERRED BY: DR.
MR NO.: 1

DATE: 29 Oct. 15
AGE: YEARS
SEX: M
Page 2

* Angle corrected velocities obtained at various segments are as follows in transplanted kidney:
TRANSPLANT ARTERY

Renal Artery origin

Renal Artery Hilum
Upper Renal pole
Mid Renal pole
Lower Renal pole

PSV in cm/sec

RI

ACC. TIME

ACC. INDEX

0.60
0.54
0.50
0.50
0.49

* The Urinary Bladder is collapsed. Foleys bulb seen in situ.

IMPRESSION:

Normal colour doppler study of the transplanted renal artery.

No suggestion of segmental renal artery stenosis.
Transplanted kidney is normal.

Thanks for reference.

Dr. Jeshil Shah; M.D. Consultant Radiologist.

NOTE: THESE ARE OBSERVATIONS AND NOT FINAL DIAGNOSIS IN THEIR OWN RIGHT. USG FINDINGS NEED TO BE CORELATED WITH CLINICAL, LABORATORY AND
OTHER INVESTIGATION FINDINGS FOR FINAL DIAGNOSIS AND FURTHER MANAGEMENT. SONOGRAPHIC FINDINGS ARE DEPENDENT ON MULTIPLE FACTORS LIKE
PATIENT BODY HABITUS, ABDOMINAL WALL THICKNESS, POST PRANDIAL STATUS, STATUS OF URINARY BLADDER, TYPE OF SCANNER USED ETC.