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sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzalmn / F / 20 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Abdomen.

CLINICAL PROFILE :

C/O pain and swelling over the abdomen since 3 years.

EXAMINATION :

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

6 mm thick T1 Weighted and 7 mm thick T2 Weighted (with fat saturation) axial images.

5 mm thick T1 Weighted coronal and sagittal images.

MR venogram was obtained.

OBSERVATION :

There is hepatosplenomegaly. Diffuse hyperintense signal on the T1 Weighted images is noted in the liver which is suppressed on the T2 Weighted images and may represent diffuse fatty infiltration of the liver. Slight distortion of the venous architexture is noted. There is no dilatation of the intrahepatic biliary radicles.

The spleen shows normal signal characteristics.

The gall bladder is normal and reveals no intrinsic abnormality.

The pancreas is normal in size and signal intensity.






Both the kidneys are normal in size.

No lymphadenopathy is detected. A small amount of free fluid is noted in the abdomen.

The inferior vena cava appears slightly dilated, proximally. The hepatic veins in the liver are also slightly prominent. There is however normal flow signal identified in the inferior vena cava, hepatic veins and in the portal system.

There is a focal expansion of the lower dorsal spinal cord. It is isointense to CSF on the T1 Weighted and T2 Weighted images. A dedicated study of the dorsal spine may be worthwhile.

IMPRESSION :

1. Hepatosplenomegaly with diffuse fatty infiltration of the liver.

2. Mild ascites.

3. Prominent inferior vena cava and hepatic veins without evidence of obstruction of these vessels.

4. A CSF intensity lesion within the lower dorsal spinal cord. A dedicated study of the dorsal spine may be worthwhile.



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