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sb/ke/nl/rg.

Name of the Patient : Abc Xyzlmn / F / 56 yrs.
Referred by : Dr. Abc Xyzne.
Examination : M.R.I. of the Parotid Region.

CLINICAL PROFILE :

H/O left ear discharge while eating. Suspected parotid - middle or inner ear fistula.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted axial images.

3 mm thick T1 Weighted coronal images.

MR cisternogram was obtained in the coronal, axial and sagittal images.

OBSERVATION :

The parotid glands on either side appear normal in bulk and signal characteristics. No focal mass lesion is identified within the parotid glands on either side. No obvious fistulous tract is noted between the left parotid gland and the left middle or inner ear. Minimal fluid/inflammatory changes are noted in the mastoid processes, bilaterally.

The seventh and eighth cranial complexes are unremarkable on either side.

The visualized submandibular glands, pharyngeal and parapharyngeal spaces and the carotid spaces on either side are unremarkable. Very small, subcentimeter lymph nodes are noted deep to the sternocleidomastoid muscles in the visualized neck, bilaterally.

Inflammatory mucosal thickening is noted in the maxillary sinuses bilaterally and sphenoid sinus on the left. Minimal fluid is noted in the right temporo-mandibular region.

IMPRESSION :

1. Inflammatory changes in the mastoid processes, in the maxillary sinuses bilaterally and sphenoid sinus on the left.

2. Minimal fluid in the right temporo-mandibular region.

3. No obvious fistulous tract is identified between the left parotid gland and the left middle/inner ear.


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