Date : 00.00.0000
Name of the Patient : Abc Xyzh Palmn / F / 74 yrs.
Referred by : Dr. Abc Xyzbash.
Examination : M.R.I. of the Abdomen.
CLINICAL PROFILE :
C/O pain in the abdomen and low back.
M.R.I of the abdomen was performed using the following parameters:
6 mm thick T1 Weighted, T2 Weighted and STIR axial images.
6 mm thick T1 Weighted and STIR coronal images.
6 mm thick T2 Weighted with fat saturation sagittal images.
There is seen an approximately 2.5 cms diameter sized well-marginated, hyperintense lesion on the T2 Weighted and STIR images in the left lobe of the liver, anteriorly. This lesion appears relatively hypointense to normal hepatic parenchyma on the T1 Weighted images. Similar, smaller lesions are noted in the right lobe of liver (scans 103.7, 8, 12) and a diffuse lesion is noted in the left lobe of liver, centrally (scans 106.4, 5, 6).
The head of the pancreas appears bulky with an intermediate signal intensity mass lesion in the region of the head of the pancreas/peripancreatic region, which appears relatively hyperintense on the T2 Weighted and STIR images. Indentation on the portal vein is noted. The parenchyma of the body and tail of the pancreas is relatively atrophied, with probable dilatation of the pancreatic duct.
There is no intrahepatic biliary radicle dilatation. The intrahepatic venous architexture is normal.
The gall bladder is normal and reveals no intrinsic abnormality.
The spleen and both adrenal glands are normal.
Both the kidneys are normal in size and signal characteristics.
No lymphadenopathy is detected. There is no evidence of free fluid within the abdomen.
There is no definite evidence of duodenal obstruction or obstructive dilatation of the stomach noted.
1. Multiple mass lesions in the liver as described are not specific for a single etiology. These lesions most likely represents metastasis.
The possibility of a primary hepatic neoplasm or hemangiomas is less likely.
2. Mass lesion in the region of the head of the pancreas is a ? enlarged peripancreatic lymph node or ?? pancreatic head neoplasm.