ke/sb/rg.
Date : 00.00.0000

Name of the Patient : Abc Xyzel Kalarilmn / M / 4 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Right Leg.

CLINICAL PROFILE :

C/O pain in the right calf with limp since 8-9 days.

EXAMINATION :

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

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

3 mm thick T1 Weighted coronal images.

3 mm thick T1 Weighted and STIR sagittal images.

OBSERVATION :

There is a well-defined, slightly expansile, hypointense lesion within the upper one third of the right fibula which measures approximately 2.2 x 1.1 x 1.1 cms. This lesion is seen to turn hyperintense on the T2 Weighted and STIR images. There is a clear zone of transition between the lesion and the normal bone. A break in the cortex is seen postero-laterally. Hyperintense signal on the T2 Weighted and STIR images is noted in the adjacent soft tissues, suggestive of edema.

The rest of the visualized muscles of the right leg and the right tibia show normal signal intensity.
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- 2 - Scan-00000


IMPRESSION :

The MRI features are suggestive of a slightly expansile lesion within the upper one third of the right fibula measuring approximately 2.2 x 1.1 x 1.1 cms. in diameter. The possibilities to be considered are,

1. Aneurysmal bone cyst/Simple bone cyst.

2. Enchondroma.

3. Fibrous dysplasia.

4. An infective etiology is less likely.