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sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzee G. Salulmn / F / 45 yrs.
Referred by : Dr. Abc Xyz Dalal
Examination : M.R.I. of the S. I. Joints.

CLINICAL PROFILE :

Known C/O Ca cervix. Hysterectomy was done on 00.00.00. Received radiotherapy for 45 days.
C/O backache with pain radiating to the LLE since 2 months.

EXAMINATION :

M.R.I of the S. I. joints was performed using the following parameters :

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

4 mm thick T1 Weighted and STIR coronal images.

OBSERVATION :

There are ill-defined, hyperintense areas on the T2 Weighted and STIR images in the sacral bones adjacent to the sacro-iliac joints. This lesion appears hypointense on the T1 Weighted images. No obvious erosion of the margin of the sacro-iliac joints is noted. No soft tissue component of the lesion is identified. No definite involvement of the sacro-iliac joint per se is noted. The rest of the visualized bones of the pelvis show a hyperintense marrow signal on the T1 Weighted images (when compared to normal marrow) which suggests fatty marrow changes, most likely the sequelae of previous radiotherapy.

Scar of previous surgery is noted in the anterior abdominal wall in the midline.

There are no obvious abnormally enlarged pelvic lymphnodes identified.
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IMPRESSION :

1. Post-hysterectomy/post-radiotherapy status.

2. Altered signal in the sacrum adjacent to the sacro-iliac joints on either side is not specific for a single etiology. These changes may represent metastasis in the given clinical setting.

3. Fatty marrow changes in the rest of the visualized pelvic bones is the sequelae of previous radiotherapy.
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