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Date : 00.00.00

Name of the Patient : Abc Xyzv Namlmn / M / 2 1/2 yrs.
Referred by : Dr. Abc Xyzo.
Examination : M.R.I. of the Pelvis.

CLINICAL PROFILE :

Undescended left testis.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
4 mm thick T1 Weighted and T2 Weighted (with fat saturation) sagittal images.
4 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

There is a small hypointense area within the left inguinal region on the T1 Weighted images which is seen to turn hyperintense on the T2 Weighted and STIR images. This is oval in shape and measures approximately 2.0 x 0.8 cms. This would be suggestive of a canalicular undescended testis. There is a suggestion of fluid collection in that region ? hydrocele. The left scrotal sac is hypoplastic.

A well-defined, lesion of intermediate signal intensity on the T1 Weighted images is seen in the left inguinal region laterally, just medial to the sartorius muscle and is seen to turn hyperintense on the T2 Weighted images and would represent enlarged lymph node.

Subtle hyperintense signal seen on the T2 Weighted and STIR images in the left gluteal muscle laterally which is probably due to intramuscular injection.

The urinary bladder appears normal.

The ischio-rectal fossae on either side appear normal.

No obvious vascular anomaly is noted.

IMPRESSION :

1. Undescended canalicular testis on the left side with a hydrocele/hernia.
2. A lymph node in the left inguinal region laterally, just medial to the sartorius
muscle.

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