sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzSadlmn / M / 76 yrs.
Referred by : Dr. Abc Xyz. Gandhi.
Examination : M.R.I. of the Abdomen.

CLINICAL PROFILE :

C/O pain in abdomen with weight loss since 6 months.
H/O ascites and cirrhosis 4-5 days back.

EXAMINATION :

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

6 mm thick T1 Weighted, T2 Weighted and STIR axial images.

7 mm thick T1 Weighted coronal images.

SOME IMAGES SHOW PATIENT MOTION AS THE PATIENT WAS NOT VERY CO-OPERATIVE.

OBSERVATION :

The liver appears smaller in size, with a nodular margin. There is seen an approximately 3.0 cms diameter sized nodular lesion between the anatomic right and left lobe of the liver which is slightly hyperintense on the T1 Weighted images and is relatively hypointense on the T2 Weighted images. This may represent a regenerating nodule (scans 105.9 & 107.9). Another similar lesion is noted in the left lobe of the liver superiorly (scans 105.6).

There is interpositioning of the large bowel between the liver and the right dome of the diaphragm.

There is no intrahepatic biliary radicle dilation. The intrahepatic venous architexture is normal.

The gall bladder is distended and shows evidence of a gall stone. There is no thickening of the gall bladder wall.


The pancreas is normal in bulk and signal intensity. There is mild splenomegaly without focal lesion.

Both the adrenal glands are normal.

Both the kidneys are normal in size and shape.

No lymphadenopathy is detected. There is evidence of a small amount of free fluid in the abdomen.

Few MR Venogram images were also obtained and there is visualization of the portal vein and faint visualization of the splenic vein.

IMPRESSION :

1. Changes in the liver suggests Cirrhosis of liver with evidence of regenerating nodules as described.

2. Gall bladder calculus.

3. Mild splenomegaly.

4. Mild ascites.