Date : 00.00.00
Name of the Patient : Abc Xyz R. Harlmn / F / 12 yrs.
Referred by : Dr. Abc Xyzah. Examination : M.R.I. of the Chest.CLINICAL PROFILE :
C/O fever with loss of appetite and weight, headaches, vomiting, swelling of BLE since 1 month. H/O seizures 1 months ago.
M.R.I. of the chest 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 a well-defined, wedge-shaped lesion in the apical segment of the right upper lobe which is hypointense to fat and hyperintense to muscle on the T1 Weighted images. This is seen to turn heterogenously hyperintense on the T2 Weighted images. Few curvilinear hypointense areas are seen within this lesion on all the pulse sequences which would represent an air bronchogram and this lesion would represent an area of collapse consolidation.
Pleural effusion is noted bilaterally with fluid in the interlobar fissure, bilaterally.
The rest of the lung fields appear to be normal. The vascular structures in the mediastinum are normal. The hila bilaterally appear to be normal.scan-00005
No enlarged lymphnodes are identified.The visualized cervico-dorsal vertebral bodies, the sternum and the costochondral joints do not reveal any area of altered signal intensity.IMPRESSION :
The MRI features are suggestive of an collapse-consolidation in the apical segment of the right upper lobe as described.