sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz N. Nathlmn / F / 74 yrs.
Referred by : Dr. Abc Xyzlal.
Examination : M.R.I. of the Abdomen, Liver and Pelvis.

CLINICAL PROFILE :

Operated C/O Ca ovary in April 0000. Received chemotherapy.
C/O pain in the abdomen and vomiting.

EXAMINATION :

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

8 mm thick T1 Weighted and T2 Weighted axial images.
7 mm thick STIR axial images through the liver.
7 mm thick T2 Weighted coronal images.

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 T2 Weighted (with fat saturation) sagittal images.
8 mm thick T1 Weighted coronal images.

OBSERVATION :

ABDOMEN :

The liver and spleen are slightly enlarged. There is no focal or diffuse area of altered signal intensity. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architecture is normal.

The gall bladder shows evidence of multiple gall stones.

The left kidney is enlarged.

The pancreas is normal in size bulk and signal characteristics.

Both adrenal glands are unremarkable.
..2/.






The right kidney is normal in size and signal characteristics.

No obvious lymphadenopathy is detected. There is no evidence of free fluid within the abdomen.

Susceptibility artifacts noted in the left hypochondrium, is probably due to the chemotherapy port.

Bilateral small, pleural effusions are noted with probable basal atelectasis bilaterally.

Focal fatty marrow changes/hemangiomas with fat content are noted in some of the dorsal and lumbar vertebral bodies.

PELVIS :

Scar of previous surgery is noted in the lower anterior abdominal wall, in the midline. The uterus and its adnexae are not visualized, the sequelae of previous surgery. A distended rectum with probable fecal material is noted in the pelvis.

The urinary bladder shows normal wall thickness.

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 :

1. Post-operative status.

2. Multiple gall bladder calculi.

3. Bilateral pleural effusion with probable basal atelectasis.

4. Mild hepatosplenomegaly.

5. Enlarged left kidney (? hydronephrosis).