Date : 00.00.0000
Name of the Patient : Abc Xyzce lmn / M / 6 mnths.
Referred by : Dr. Abc Xyzadkat.
Examination : M.R.I. of the Chest.
CLINICAL PROFILE :
C/O fever, cough and breathlessness.
M.R.I. of the chest was performed using the following parameters:
5 mm thick T1 Weighted and T2 Weighted axial images.4 mm thick T1 Weighted and 5 mm thick T2 Weighted (with fat saturation) coronal images.5 mm thick T1 Weighted sagittal images.OBSERVATION :
There is a large, ill-defined area within the left upper lobe and the superior, inferior and lateral basal segments of the left lower lobe. This is hyperintense to normal muscle on the T1 Weighted images and turns heterogeneously hyperintense on the T2 Weighted images. Few hypointense areas on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen and may represent areas of necrosis. Air bronchogram is seen within this lesion.
Intermediate signal intensity lesion which is well-circumscribed and measures approximately 1.9 x 2.5 cms on the T1 Weighted images is seen in the subcarinal region. This is seen to turn heterogeneously hypointense on the T2 Weighted images and would represent enlarged lymphnodes. This is seen to cause external compression upon the left main broncus. Enlarged right paratracheal lymphnodes are also noted.
- 2 - Scan-00001
The thymus is well-identified separately from the lesion and shows normal signal intensity and is normal for the patients age.
The right lung fields appear to be normal. Minimal pleural fluid is seen on the left side.
The vascular structures in the mediastinum are unremarkable.
IMPRESSION :The MRI features are suggestive of :
1. Areas of altered signal within the left upper lobe and the left lower lobe as described and these may represent areas of consolidation.
2. Enlarged mediastinal lymphnodes.
3. Minimal left pleural effusion.
The above findings are most likely infective in etiology (probably tuberculous).
The possibility of this being a neoplastic process is less likely.