sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzPlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzlal.
Examination : M.R.I. of the Neck.

CLINICAL PROFILE :

C/O intraoral swelling, gradually progressive since 2 years with change in voice since 10-15 days.

EXAMINATION :

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

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

5 mm thick T1 Weighted and T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is seen a fairly large, approximately 6.5 x 4.1 x 5.8 cms sized mass lesion in the left parapharyngeal space. This lesion is of intermediate signal on the T1 Weighted images and turns heterogeneously hyperintense on the T2 Weighted images. Cystic/necrotic areas (hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images) are noted within this lesion. A focal, hyperintense signal on all the pulse sequences is noted within this lesion, inferiorly, which may represent haemorrhage. There is resultant compression of the nasopharynx
and oropharynx, which is displaced to the right. The pterygoid muscles on the left are displaced laterally. The base of the tongue is pushed anteriorly and the left carotid sheath is displaced posteriorly. Effacement of the left Fossa of Rosenmuller and eustachion tube is noted.

The parotid and submandibular glands are seen separate from the lesion.
..2/.






Small, subcentimeter, lymph nodes are noted deep to the sternocleidomastoid muscles bilaterally.

Inflammatory mucosal thickening is noted in the maxillary sinuses and mastoid air cells bilaterally.

IMPRESSION :

An approximately 6.5 x 4.1 x 5.8 cms sized mass lesion in the left parapharyngeal space with signal characteristics and relations as described is not specific for a single etiology. This most likely represents a salivary gland tumor arising from salivary cell rests.