Date : 00.00.00
Name of the Patient : Abc Xyzt Slmn / M / 56 yrs.
Referred by : Dr. Abc Xyzaubal / Dr. Abc Xyzhoo.
Examination : M.R.I. of the Pelvis with screening of
CLINICAL PROFILE :
C/O backache radiating to the RLE with numbness since 3-4 months.
M.R.I of the pelvis was performed using the following parameters:
6 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
8 mm thick T1 Weighted coronal images.
The lumbo-sacral spine was screened with 5 mm thick T1 Weighted and T2 Weighted sagittal images.
The cervical and dorsal spines were screened with 4 mm thick T1 Weighted sagittal images.
Multiple areas of hypointensity on the T1 Weighted and T2 Weighted images are seen to involve the pelvic bones, right femoral head and all the lumbo-sacral vertebrae. A few hypointense lesions on the T1 Weighted images are seen to turn mildly hyperintense on the T2 Weighted images. Hypointense areas on the T1 Weighted images are also seen to involve most of the cervico-dorsal vertebrae.
Areas of hyperintensity on the T2 Weighted images are seen along the right iliac wing and these may represent edema/extension of the pathologic process per se.
The prostate gland is seen to be enlarged. The urinary bladder is distended with slight thickening of the bladder wall.
A well circumscribed area of hyperintensity on all the pulse sequences is seen within the L1 vertebral body on the right side and this may represent a hemangioma with high fat content.
The ischio-rectal fossae on either side appear normal.
There appear to be enlarged lymphnodes in the lumbar prevertebral region.
No obvious vascular anomaly is noted.
The MRI features are suggestive of areas of altered signal intensity within the pelvic bones, right femoral head and along the spinal axis as described. These MRI findings are strongly suggestive of secondary depositis (probably sclerotic).
Prostatic carcinoma should be ruled out in view of the enlarged prostate gland.