Date : 00.00.0000
Name of the Patient : Abc Xyzi Karalmn / F / 20 yrs.
Referred by : Dr. Abc Xyzrdikar.
Examination : M.R.I. of the Right Axilla.
CLINICAL PROFILE :
C/O pain (since 4 years) and swelling over the right shoulder region with inability to lift the RUE since 1 month.
M.R.I of the right axilla was performed using the following parameters :
6 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
7 mm thick T1 Weighted sagittal images.
5 mm thick T1 Weighted and STIR coronal images.
There is seen a fairly large, lobulated, intermediate signal intensity mass lesion on the T1 Weighted images with its epicentre in the right axilla. This lesion appears significantly hyperintense on the T2 Weighted and STIR images and measures approximately 7.0 x 7.0 x 12.0 cms. This lesion extends superiorly into the supraclavicular region and inferiorly along the right lateral chest wall with resultant inferior displacement of the right breast. The right shoulder girdle is displaced laterally. Medially, there is mild indentation on the right lateral chest wall by the lesion. The right pectoral muscles are displaced anteriorly. Posteriorly, the lesion extends into the subscapular region. There is no extension of the lesion into the right hemithorax. There is slight atrophy of the muscles around the right shoulder joint. The neurovascular bundle is seen to be displaced anteriorly. No obvious vascular encasement is noted.
The visualized right shoulder joint per se is unremarkable.
Small lymphnodes are noted deep to the sternocleidomastoid muscles bilaterally.
A fairly large, lobulated, mass lesion measuring approximately 7.0 x 7.0 x 12.0 cms. in the right axilla with signal characteristics and extensions as described is not specific for a single etiology. This lesion may either represent a lymphnodal mass (as suggested by the Histopathology report dated 00.00.0000) or may represent soft tissue neoplasm.