Date : 00.00.00
Name of the Patient : Abc Xyz Ralmn / M / 15 yrs.
Referred by : Dr. Abc Xyzacker / Dr. Abc Xyzkar.
Examination : M.R.I. of the Nasopharynx.
CLINICAL PROFILE :
H/O persistent bleeding from right nostril since 10-12 days.
M.R.I of the nasopharynx was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick STIR coronal images.
There is seen a fairly large, approximately 3.5 x 5.5 x 3.0 cms sized intermediate signal intensity mass lesion on the T1 Weighted images in the posterior nasopharyngeal wall, slightly more to the right of the midline. This lesion appears heterogeneously hyperintense on the T2 Weighted and STIR images and is seen to extend into the posterior nasal cavity on the right. There are punctate, signal void areas within this lesion on all the pulse sequences which may represent blood vessels. There is slight inferior displacement of the soft palate.
The paranasal sinuses and the right mastoid air cells show evidence of inflammatory changes, bilaterally. Inflammatory changes, to a lesser extent are also noted in the left mastoid air cells.
There is no obvious bone erosion or destruction seen. No obvious intracranial extension of the lesion is noted.
The parapharyngeal spaces and the carotid sheath are unremarkable on either side. Small deep cervical lymph nodes are noted bilaterally.
A hypointense signal, best appreciated on the T2 Weighted images in the right nasal cavity would represent the nasal pack.
A fairly large, approximately 3.5 x 5.5 x 3.0 cms sized mass lesion in the posterior nasopharyngeal wall, extending into the right nasal cavity as described, most likely represents a nasopharyngeal angiofibroma. A nasal pack is noted in position. The paranasal sinuses and mastoid air cells show inflammatory changes bilaterally.