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ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / F / 36 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Left Forearm.

CLINICAL PROFILE :

C/o pain and swelling over the left forearm since 2 months with deformity of the fingers.
H/O Pulmonary Kochs. Completed AKT.

EXAMINATION :

M.R.I of the left forearm was performed using the following parameters :

8 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

5 mm thick T1 Weighted and STIR sagittal images.

5 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There is a fairly large, well marginated, hypointense lesion with a hyperintense periphery on the T1 Weighted images along the ulnar margin of the left forearm extending into the flexor compartment of the left forearm. This lesion turns hyperintense on the T2 Weighted and STIR images. Ill-defined, hyperintense signal on the T2 Weighted images is noted in the flexor digitorum
profundus muscle and the brachialis muscle suggestive of their involvement. This lesion is seen to tract from the level of the proximal left radio-ulna joint, medially, between the flexor digitorum profundus muscle and the flexor carpi ulnaris muscle, anteriorly into the left forearm, between the flexor digitorum profundus muscle (posteriorly), flexor carpi ulnaris muscle (medially) and the flexor digitorum superficialis muscle and flexor carpi radialis muscle (anteriorly). The distal extent of the lesion is nearly upto the distal left radio-ulna joint. Extension of the lesion between the flexor tendons is also noted.
The neurovascular bundle appears to be displaced anteriorly and medially at the periphery of this lesion.
..2/.




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Hyperintense signal on the T2 Weighted and STIR images is noted in the subcutaneous fat along the medial and anterior aspect of the left forearm which is suggestive of subcutaneous edema.

The rest of the visualized muscles of the left forearm show normal signal intensity. There is no obvious bone erosion or destruction seen.

IMPRESSION :

The MRI features suggest a fairly large mass lesion in the left
forearm, medially and anteriorly with signal characteristics and extensions as described. This most likely represents an abscess.

The possibility of a neoplasm is less likely.


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