ke/hs/rg.
Date : 00.00.00

Name of the Patient : Abc XyzShlmn / M / 59 yrs.
Referred by : Dr. Abc Xyz Naik.
Examination : M.R.I. of the Neck.

CLINICAL PROFILE :

C/O pain in the throat with difficulty in swallowing since 1 month with pain below the left ear and change in voice.

EXAMINATION :

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

5 mm thick T1 Weighted, proton and T2 Weighted (with fat saturation) axial images.

4 mm thick T1 Weighted and STIR coronal images.

4 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is an intermediate signal intensity mass lesion having its epicentre in the left pyriform sinus. Anteriorly this is seen to extend into the left paralaryngeal space with involvement of the left aryepiglottic fold. The anterior junction however appears to be spared. This lesion is slightly hyperintense to normal muscle on the T1 Weighted images and turns hyperintense on the T2 Weighted and STIR images. There is slight extension along the posterior aspect to the right of the midline with mild encroachment into the right pyriform sinus.

The right aryepiglottic fold is unremarkable.

The carotid sheaths bilaterally appear to be normal.

The thyroid shows normal configuration and signal characteristics. The visualized muscles are unremarkable. The visualized bones show normal signal intensity and no obvious bone destruction is evident.
..2/.





- 2 - scan-00003

The visualized salivary glands are unremarkable.

Enlarged lymphnodes are noted on the left side.

IMPRESSION :

In a known C/O Ca larynx the MRI features are suggestive of a
mass lesion having its epicentre in the left pyriform sinus with extensions as described.