Date : 00.00.00
Name of the Patient : Abc Xyz Purlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzdeo.
Examination : M.R.I. of the Abdomen.
CLINICAL PROFILE :
C/O carcinoid tumor of the terminal ileum. Operated on 00.00.00.
C/O abdominal pain, distention, vomiting and diarrhoea.
M.R.I of the abdomen was performed using the following parameters:
7 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR axial images.
6 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted sagittal images.
There is seen an ill-defined, hyperintense signal on the T1 Weighted images in the medial segment of the left lobe of the liver anteriorly. This lesion appears isointense to the rest of the hepatic parenchyma on the T2 Weighted and STIR images. There is no distortion of the hepatic venous architecture on this study. No satellite lesion is noted on this study. There is no intrahepatic biliary radicle dilation.
The gall bladder is normal and reveals no intrinsic abnormality.
The pancreas is normal in bulk and signal intensity.
The spleen and both adrenals are normal.
Both the kidneys are normal in size and signal characteristics.
No obvious lymphadenopathy is detected. There is no evidence of free fluid within the abdomen.
Ill-defined, altered signal intensity lesion in the medial segment of the left lobe of the liver anteriorly as described, is not specific for a single etiology. Focal fatty change may be considered as a differential diagnosis. Metastatic deposit cannot be entirely excluded, though less likely.
A post-contrast MRI of the liver, biopsy of the lesion or a follow up scan are indicated.