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sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzLadlmn / M / 19 yrs.
Referred by : Dr. Abc Xyzansali.
Examination : M.R.I. of the Neck.

CLINICAL PROFILE :

C/O pain and swelling over the right side of the neck with pus discharge since 1 1/2 years.

EXAMINATION :

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

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

4 mm thick T1 Weighted and STIR coronal images.

Vitamin E capsules were placed as markers at the site of the sinus opening.

OBSERVATION :

There is seen a linear, intermediate signal on the T1 Weighted images in the subcutaneous fat on the right side of the neck at about the level of the hyoid bone, anterior to the anterior margin of the right sternocleidomastoid muscle (scans 102.13-15, 103.7,8). This signal appears hyperintense on the T2 Weighted and STIR images and most likely represents a sinus tract. This tract ends blindly into the subcutaneous tissues of the neck. No obvious collection is noted in the subcutaneous tissues in that region. Multiple, small subcentimeter lymph nodes are noted deep to the sternocleidomastoid muscles bilaterally.

The prevertebral space, parapharyngeal regions and the carotid spaces are unremarkable on either side.






The visualized salivary glands are unremarkable.

The visualized oropharynx and larynx also appear unremarkable.

A Thornwaldts cyst is noted in the posterior nasopharynx wall.

IMPRESSION :

1. A sinus tract in the subcutaneous fat on the right side of neck as described.

2. Multiple subcentimeter lymph nodes deep to the sternocleidomastoid muscles bilaterally.


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