Date : 00.00.00
Name of the Patient : Abc Xyz K. Mlmn / F / 24 yrs.
Referred by : Dr. Abc Xyzanwal Pannu.
Examination : M.R.I. of the Pelvis.
CLINICAL PROFILE :
C/O primary infertility.
H/O being operated for ovarian cyst 1 year ago.
M.R.I of the pelvis was performed using the following parameters:
8 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T2 Weighted sagittal images.
There is seen a fairly large, well-defined, approximately 8.5 x 8.0 x 7.0 cms sized intermediate signal intensity mass lesion in the pelvis, posterior to the uterus, in the midline. This lesion appears hyperintense on the T2 Weighted and STIR images. The rectum is seen to be displaced to the right and is draped along the right lateral margin of the mass lesion.
Both the ovaries are well-identified and show evidence of multiple folicles.
The urinary bladder shows no intrinsic lesion. The uterus appears normal.
The ischio-rectal fossae on either side appear normal.
There are no abnormally enlarged pelvic lymph nodes identified. No obvious vascular anomaly is noted. There is no free fluid in the pelvis. There is no bone erosion or destruction seen.
A scar is noted in the midline in the infraumblical region. Small lymphnodes are identified in both inguinal region.
An approximately 8.5 x 8.0 x 7.0 cms sized mass lesion in the pelvis, posterior to the uterus, in the midline is not specific for a single etiology. This may represent an ovarian lesion probably a cyst arising from the left ovary.
The possibility of a rectal lesion seems unlikely.