Date : 00.00.00
Name of the Patient : Abc Xyz G. Palmn / M / 49 yrs.
Referred by : Dr. Abc Xyzsbekar.
Examination : M.R.I. of the Neck.
CLINICAL PROFILE :
C/O decreased hearing bilaterally since April 0000.
M.R.I of the neck was performed using the following parameters :
6 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
5 mm thick T1 Weighted and STIR coronal images.
5 mm thick T1 Weighted sagittal images.
There are multiple enlarged lymph nodes in the neck on either side, varying in size from about 1.0 cm to 2.5 cms in maximum transverse dimensions. These lymph nodes are noted in the submandibular region, deep to the sternocleidomastoid muscles bilaterally and in the posterior triangle on either side. These lymph nodes are of intermediate signal on the T1 Weighted images and appear hyperintense on the T2 Weighted images.
The prevertebral space and the carotid sheaths bilaterally are unremarkable.
The thyroid gland and the larynx are unremarkable. No obvious intrinsic lesion is noted in the visualized trachea. The submandibular glands and the parotid glands on either side are also unremarkable.
The MRI features suggest multiple enlarged lymph nodes in the neck as described.
On correlating the neck study with the study of the brain the lymph nodal enlargement is most likely metastatic in etiology.