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hs/sb
Date : 00.00.00

Name of the Patient : Abc Xyz Maknlmn / F / 25 yrs.
Referred by : Dr. Abc Xyz Kazerouni.
Examination : M.R.I. of the Abdomen.

CLINICAL PROFILE :

C/O backache.
H/O left lymphadenitis, ? psoas abscess, 2 1/2 years ago. Also H/O pulmonary kochs 1 year ago. On AKT since then.

EXAMINATION :

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

7 mm thick T1 Weighted and T2 Weighted axial images.

6 mm thick T1 Weighted and T2 Weighted coronal images.

6 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is seen a fairly large, lobulated mass lesion in the prevertebral region to the left of the midline, just anterior to the left psoas muscle extending over the D11 to L4 vertebral levels. This lesion is of intermediate signal on the T1 Weighted images and appears relatively hypointense on the T2 Weighted images and appears relatively hypointense on the T2 Weighted images. This represents a conglomerate lymph node mass. Multiple, enlarged lymphnodes are also noted in the preaortic region, interaortico-caval region and in the retrocrural regions. The aorta is displaced slightly anteriorly. The renal vessels are stretched over the lymphnodal mass. The axis of the left kidney is deviated slightly anteriorly.

Hypointensity on all the pulse sequences within the gall bladder would represent calculi. The liver is slightly enlarged.


Multiple hypointense lesions on all the pulse sequences in the spleen may represent calcified granulomas.

The liver is normal in position. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architexture is normal.

The pancreas is normal in bulk and signal characteristics.

Both adrenals are normal.

Both the kidneys are normal in size and shape.

There is no evidence of free fluid within the abdomen.

IMPRESSION :

1. Multiple enlarged lymphnodes in the abdomen as described. These may be of tuberculous etiology, in the given clinical setting of past history of pulmonary tuberculosis.

2. Gall stones.

3. Probable calcified granulomas in the spleen, posteriorly.

Similar MRI findings may also be seen with neoplastic processes like small cell tumor like lymphoma.

As compared to the previous MRI (study no:0000) dated 00.00.00, there is no significant change noted in the lymphnodal mass.


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