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ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzlesh N. lmn / M / 13 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Pelvis.

CLINICAL PROFILE :

C/O increase in weight with no increase in height (? Cushings).

EXAMINATION :

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

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

4 mm thick T1 Weighted and STIR coronal images.

4 mm thick T1 Weighted sagittal images.

OBSERVATION :

The left scrotal sac is empty and appears slightly hypoplastic when compared to the right. The left testis is not visualized in its normal position. The left sided cord structures also appear hypoplastic when compared to the right.

There is a well-defined structure within the left inguinal canal
which is of intermediate signal on the T1 Weighted images and appears hyperintense on the T2 Weighted images (scan 104.17-18). This most likely represents an undecended (canalicular) testis. A hypointense signal on the T2 Weighted images along the supero-lateral margin of the lesion represents the epididymis. This lesion lies anterior to the anterior abdominal wall muscles.

The urinary bladder shows normal wall thickness.

The ischio-rectal fossae on either side appear normal.

There are no abnormally enlarged pelvic lymphnodes identified. No obvious vascular anomaly is noted. There is no free fluid in the pelvis.
..2/.





Small, subcentimeter, inguinal lymphnodes are noted bilaterally.

IMPRESSION :

The MRI features suggest a left sided undecended testis, lying in the left inguinal canal.

Small subcentimeter lymphnodes are noted in the inguinal region bilaterally.

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