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ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza Qurlmn / F / 32 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Right Gluteal Region.

CLINICAL PROFILE :

C/O backache with pain in the right buttock and swelling since 1 1/2 years.
H/O low grade fever.

EXAMINATION :

M.R.I of the right gluteal region was performed using the following parameters :

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

5 mm thick T1 Weighted and STIR coronal images.

8 mm thick T1 Weighted sagital images.

OBSERVATION :

There is a large hypointense mass lesion on the T1 Weighted images within the right gluteal region located within the fat planes between the gluteus medius, maximus and minimus muscles and the obturator muscle on the right side. This lesion is seen to turn hyperintense on the T2 Weighted and STIR images. The above muscles are displaced to the periphery of the lesion. There is extension of the lesion into the pelvis along the right lateral pelvic wall through the sciatic notch. Supero-inferiorly, the lesion extends for about 17 cms into the proximal right thigh, posteriorly.
Hyperintense signal on the T2 Weighted and STIR images within these muscles is inflammatory in etiology.

There is an ill-defined, hypointense signal on the T1 Weighted images in the right ischium, constituting the right acetabulum. This lesion appears hyperintense on the T2 Weighted and STIR images (scans 104.13, 105.13).
..2/.





- 2 - Scan-00005


The visualized right hip joint per se, left hip and thigh are unremarkable.

IMPRESSION :

Altered signal intensity mass lesion within the right gluteal region with extensions as described most likely represents an abscess. Altered signal in the right ischial bone, constituting the right acetabulum would represent osteitis. A tuberculous etiology should be considered as a likely possibility.



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