Date : 00.00.00
Name of the Patient : Abc Xyz Rlmn / M / 63 yrs.
Referred by : Dr. Abc Xyzo.
Examination : M.R.I. of the Abdomen.
CLINICAL PROFILE :
C/O squamous cell carcinoma of gastroesophageal junction. Received 2 cycles of chemotherapy.
To assess the effect of chemotherapy.
M.R.I of the abdomen was performed using the following parameters:
7 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
6 mm thick T1 Weighted coronal and sagittal images and 5 mm thick T1 Weighted oblique sagittal images.
There is seen a fairly well-marginated, lobulated mass lesion in the distal one fourth of the esophagus, gastro-esophageal junction and in the fundus of the stomach. This lesion is of intermediate signal on the T1 Weighted images but appears relatively hypointense on the T2 Weighted images. Thickening of the rest of the visualized gastric mucosa is also noted. The mass lesion is seen in close relation to the anterior margin of the aorta at the level of the gastroesophageal junction and covers about one third circumference of the aorta, anteriorly.
There is seen a very small, approximately 1.3 cm diameter sized well-defined, hypointense lesion on the T1 Weighted images in the left lobe of the liver, anteriorly. This lesion appears hyperintense on the T2 Weighted images (scans 102.10, 103.7). No satellite lesions are noted.
The rest of the visualized liver parenchyma is unremarkable. The pancreas, spleen, both kidneys and adrenal glands are unremarkable.
No lymphadenopathy is detected. There is no evidence of free fluid within the abdomen.
Minimal fluid is noted in the left pleural space.
A gastrostomy tube is seen in position.
In known C/O squamous cell carcinoma, the MRI features suggest a fairly well-marginated, lobulated mass lesion in the distal one fourth of the esophagus, gastro-esophageal junction and in the fundus of the stomach as described.
As compared to the previous Ct Scan dated 00.00.00, there is no significant change in the size of the lesion. The patient is status post-chemotherapy. A gastrostomy tube is also noted in position.