sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzed lmn / M / 17 yrs.
Referred by : Dr. Abc Xyzarbhase.
Examination : M.R.I. of the Thorax.
CLINICAL PROFILE :
C/O fever (on and off) with loss of appetite since 15-20 days.
Known C/O pulmonary tuberculosis.
EXAMINATION :
M.R.I. of the thorax was performed using the following parameters:
10 mm thick T1 Weighted and T2 Weighted axial images.8 mm thick T1 Weighted and T2 Weighted coronal images.8 mm thick T1 Weighted and T2 Weighted sagittal images.OBSERVATION :
There is reduction in the right lung volume with near complete collapse of the right middle and lower lobes. There is resultant hyperplasia of the left lung which is seen to extend into the right hemithorax. The mediastinum and the heart are also pulled to the right. The aortic arch is more horizontally oriented. The descending thoracic aorta is however slightly to the left of the midline (the visualized liver and spleen are in their normal anatomic position).
The trachea is also pulled to the right. The right main bronchus is well identified. The right middle and lower lobe bronchus are most likely obstructed.
Probable bronchiectasic changes are noted in the residual right lung.
Scan-00007
It is difficult to evaluate the status of the left lung parenchyma, though no gross abnormality is noted.
No obvious, enlarged mediastinal lymph nodes are noted. No pleural effusion is identified.
IMPRESSION :In a known C/O pulmonary tuberculosis, there is near complete collapse the right middle and lower lobes with obstructed right middle and lower lobe bronchus and probable bronchiectasic changes in the residual right lung. The heart and the mediastinum are pulled to the right (less likely to represent dextrocardia). The descending thoracic aorta is slightly to the left of the midline (the visualized liver and spleen are in their normal position). There are no enlarged mediastinal lymph nodes.