sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzbdulrelmn / M / 24 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Distal Left Forearm &
Left Wrist.

CLINICAL PROFILE :

C/O pain and swelling over the left wrist since 2 1/2 months.

EXAMINATION :

M.R.I of the distal left forearm and left wrist joint was performed using the following parameters :

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

3 mm thick T1 Weighted and STIR coronal images.

3 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is seen an expansile lesion at the distal end of the left radius measuring approximately 3.2 x 3.7 x 3.3 cms. This lesion is of intermediate signal on the T1 Weighted images and appears hyperintense on the T2 Weighted and STIR images. The supero-inferior extent of the lesion is about 3.3 cms. The lesion extends right upto the distal end of the left radius. The zone of transition between the normal and the abnormal marrow is well demarcated. Erosion of the cortical margin of the distal end is noted. The flexor and extensor tendons around the distal end of the radius are displaced to the periphery of this lesion. No vascular encasement is noted. Extension of this lesion into the left radiocarpal joint, is noted laterally.






A focal hypointense signal on all the pulse sequences in the lunate bone which appears hyperintense on the T2 Weighted and STIR images most likely represent a bone island.

The visualized distal end of the left ulna bone appears unremarkable.

IMPRESSION :

An approximately 3.2 x 3.7 x 3.3 cms. expansile mass lesion in the distal end of the left radius extending upto the articular margin as described, is not specific for a single etiology. A giant cell tumor is a likely possibility. Extension of this lesion into the radiocarpal joint along its margin is noted.