sb/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyztala Ralmn / F / 63 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Pelvis.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 6 months which has increased since 2 1/2 months.
H/O right Ca breast (infiltrating duct carcinoma) for which patient was operated 1 year back. Received 25 sittings of radiotherapy.

EXAMINATION :

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

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

5 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is an ill-defined, hypointense signal on the T1 Weighted images involving the left iliac, pubic and ischial bones. This lesion appears hyperintense on the T2 Weighted and STIR images. Part of the left iliac bone in the region of the left sacro-iliac joint and the iliac crest seem to be spared. Minimal expansion of the affected bone segments is also noted, with probable minimal periosteal reaction. No significant soft tissue component of the lesion is noted.

Similar signal intensity changes are noted in the right iliac bone, posteriorly adjacent to the right sacro-iliac joint and in the sacral segments as described.



A suspicious lesion is also seen in the mid shaft of the left femur.

A small left hip joint effusion is noted. The femoral heads are otherwise unremarkable on either side. The right acetabulum is unremarkable.

There are no abnormally enlarged pelvic lymph nodes identified.

IMPRESSION :

In a known C/O Ca breast, altered signal in the left iliac, pubic and ischial bones, in the right iliac bone, posteriorly adjacent to the right sacro-iliac joint and in the sacral segments as described most likely represents metastasis.