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Date : 00.00.00

Name of the Patient : Abc Xyz Nlmn / F / 20 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Plelvis.


CLINICAL PROFILE :

C/O primary amenorrhea.
Follow up.
H/O surgery 1 year ago. Details of this surgery were unavailable to us as the patient/relatives refused to reveal the same.

EXAMINATION :

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

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

6 mm thick T1 Weighted and T2 Weighted (with fat saturation) sagittal images.

6 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

There is seen an approximately 9.5 x 4.5 x 6.0 cms sized well-defined, hyperintense mass lesion on the T1 Weighted image between the rectum and the uterus more to the left of the midline. This lesion appears significantally more hyperintense on the T2 Weighted and STIR images. Layering is noted within this lesion.

An approximately, 4.0 x 3.0 x 4.5 cm sized multiseptated cystic lesion is noted in the left adnexal region (which is slightly more hyperintense when compared to urine in the urinary bladder).

The uterus is displaced to the right and is antiverted. The endometrium is unremarkable. Both the ovaries are not well-identified, separately.

The urinary bladder shows no intrinsic lesion.

There are no abnormally enlarged pelvic lymphnodes identified. There is no free fluid in the pelvis.
- 2 -


IMPRESSION :

1. An approximately 9.5 x 4.5 x 6.0 cms sized mass lesion between the uterus and the rectum more to the left of the midline is not specific for a single etiology. This may represent a haemorrhagic collection/fluid with high protein content in the region of the vagina (? due to vaginal atresia/vaginal septum - ? distended horn of a bicornuate uterus) .

2. An approximately, 4.0 x 3.0 x 4.5 cm sized multiseptate cystic lesion in the left adnexal region may represent an ovarian cyst.