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Date : 00.00.00
Name of the Patient : Abc XyzAchlmn / M / 65 yrs.
Referred by : Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Thorax.
CLINICAL PROFILE :
C/O drooping of the left eyelid since 6-7 months.
EXAMINATION :
M.R.I. of the thorax was performed using the following parameters:
8 mm thick T1 Weighted and T2 Weighted axial images.8 mm thick T1 Weighted sagittal images.9 mm thick T1 Weighted coronal images.
OBSERVATION :

There is seen a small, approximately 1.2 cms diameter sized lymphnode in the pretracheal-retrocaval region.

A small, approximately 1.1 cms diameter sized intermediate signal intensity lesion on T1 Weighted images is noted in the anterior mediastinal fat at about the level of the aortic arch (scans 102.12, 106.5). This lesion appears hypointense on the T2 Weighted images (scans 104.12). The anterior mediastinal fat is otherwise unremarkable and shows normal signal.

The vascular structures in the mediastinum are normal. The hila bilaterally appear to be normal.
The visualized cervico-dorsal vertebral bodies, the sternum and the costochondral joints do not reveal any area of altered signal intensity.


An approximately 3.0 x 1.8 cms sized well-defined, intermediate signal intensity lesion is noted in the subcoracoid region, in the intermuscular plane between the trapezius muscle and the infraspinatous muscle on the right (scans 104.2-4, 102.2-4). This lesion appears hyperintense on the T2 Weighted images.
IMPRESSION :
1. A small, approximately 1.2 cms diameter sized lymphnode in the pretracheal-retrocaval region
2. A small, approximately 1.1 cms diameter sized lesion in the anterior mediastinal fat at about the level of the aortic arch also most likely represents a lymphnode. The possibility of this lesion representing a thymic tumor seems less likely.

3. An approximately 3.0 x 1.8 cms sized well-defined, lesion in the subcoracoid region, in the intermuscular plane between the trapezius muscle and the infraspinatous muscle on the right is not specific for a single etiology. This may represents a fluid filled bursa.


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