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sb/hs/nl/rg.

Name of the Patient : Abc Xyz Dlmn / F / 51 yrs.
Referred by : Dr. Abc Xyzroff.
Examination : M.R.I. of the Pelvis.

CLINICAL PROFILE :

C/O fever with loss of weight and appetite.

EXAMINATION :

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

8 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

6 mm thick T1 Weighted and STIR coronal images.

7 mm thick T2 Weighted (with fat saturation) sagittal images.

4 mm thick GRASS (with fat saturation) sagittal images.

OBSERVATION :

There is evidence of an approximately 3.0 cms diameter sized intermediate signal intensity mass lesion on the T1 Weighted images in the left adnexal region, anterior to the broad ligament. This lesion appears hypointense on the T2 Weighted, Fast Scan (T2 *) and STIR images. The lesion appears separate from the uterus. The left ovary is probably displaced along the postero-lateral margin of the mass lesion. The right ovary shows evidence of a small cyst.

The uterus appears normal in size. The uterine myometrium and the endometrium are well-identified. The junctional zone is well identified and appears a little fuzzy. The visualized cervix is unremarkable.



The urinary bladder shows no intrinsic lesion

The ischio-rectal fossae on either side appear normal.

There are no abnormally enlarged pelvic lymph nodes identified. No obvious vascular anomaly is noted. There is no free fluid in the pelvis.

IMPRESSION :

An approximately 3.0 cms diameter sized mass lesion in the left adnexal region, anterior to the broad ligament on the left, most likely represents a calcified, broad ligament fibroid (The possibility of this being a calcified ovarian neoplasm cannot be entirely excluded). The left ovary is probably noted along the postero-lateral margin of the mass lesion. No abnormally enlarged pelvic lymph nodes are identified.






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