ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz. Jagaslmn / F / 34 yrs.
Referred by : Dr. Abc Xyzsai.
Examination : M.R.I. of the Pelvis.

CLINICAL PROFILE :

C/O lump since 2 years.

EXAMINATION :

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

8 mm thick T1 Weighted and T2 Weighted axial images.

6 mm thick T1 Weighted and STIR coronal images.

6 mm thick T1 Weighted and T2 Weighted sagittal images.

OBSERVATION :

There is a large mass lesion within the pelvis which measures approximately 15.7 x 11.0 x 12.0 cms. This lesion appears along the right lateral margin of the uterus and is in close relation to it. This lesion is hyperintense to normal muscle on the T1 Weighted images and is heterogeneously hypointense on the T2 Weighted and STIR images. Few hypointense areas are noted within this lesion on the T1 Weighted images which turn hyperintense on the T2 Weighted and STIR images and would represent cystic/necrotic changes. The uterus is displaced to the left and anteriorly. There is slight widening of the endometrial cavity. The urinary bladder is compressed and indented upon its superior aspect. The iliac vessels are displaced further laterally. Multiple flow void signals at the periphery of this lesion are suggestive of increased vascularity of the lesion.

The right ovary is not well identified on this study. The left ovary appears normal (scan 105.13/14).


The ischio-rectal fossae on either side appear normal.

There are no abnormally enlarged pelvic lymph nodes identified. There is no free fluid in the pelvis.

IMPRESSION :

The MRI features are suggestive of a mass lesion within the pelvis which measures approximately 16.0 x 12.7 x 10.2 cms and is to the right of the uterus and most probably represents a subserosal/broad ligament fibroid.