Name of the Patient : Abc Xyz Mlmn / F / 33 yrs.
Referred by : Dr. Abc XyzWalvekar.
Examination : M.R.I. of the Pelvis.
CLINICAL PROFILE :
C/O pain in the abdomen and back.
M.R.I of the pelvis was performed using the following parameters:
6 mm thick T1 Weighted and STIR coronal images.
6 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
6 mm thick T2 Weighted (with fat saturation) sagittal images.
There is evidence of a fairly well-defined mass lesion measuring approximately 6.1 x 7.0 x 7.3 cms and located in the utero-rectal pouch in the pelvis.
This lesion is hypointense with hyperintense areas on the T1 Weighted images and turns predominantly hyperintense with a few areas of intermediate signal intensity on the T2 Weighted images. A few areas within this lesion are seen to follow fat signal characteristics on all the pulse sequences.
This lesion is seen to compress upon the uterus and which is pushed anteriorly, inferiorly and to the right.
The ovaries cannot be well differentiated from this lesion. The urinary bladder is unremarkable.
No enlarged lymph nodes are seen in the pelvis.
Incidental note is made of a posterior disc herniation at the L5-S1 level and a posterior disc bulge at the L4-L5 level. The discs at these levels are dessicated.
The MRI features are suggestive of a mass lesion within the utero-rectal pouch in the pelvis measuring approximately 6.1 x 7.0 x 7.3 cms and represents a neoplastic process. This may represent a dermoid/teratoma.