sb/ke
Date : 00.00.00

Name of the Patient : Abc XyzJ. Palmn / F / 57 yrs.
Referred by : Dr. Abc Xyzdi / Dr. Abc Xyzedia.
Examination : M.R.I. of the Abdominal Wall.

CLINICAL PROFILE :

H/O Laproscopic cholecystectomy for gall stones done in November 0000.
C/O discharging sinus from the operative site since December 0000.
Known hypertensive.

EXAMINATION :

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

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

6 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 in the anterior abdominal wall on the right, laterally, just proximal to the right iliac crest, approximately 6.0 cms proximal to the anterior superior iliac spine. This lesion appears hyperintense on the T2 Weighted and STIR images. The lesion is limited to the subcutaneous fat of the abdominal wall, not reaching upto the muscle layer. The underlying muscle of the anterior abdominal wall shows normal signal intensity. A linear sinus tract is noted within the above described lesion in the subcutaneous fat not extending into the anterior abdominal wall.







The visualized liver, pancreas, spleen and both adrenal glands are unremarkable.

The gall bladder is not visualized due to previous surgery.

Both kidneys are not identified in their normal positions. A kidney is seen in the pelvis and would require further evaluation.

There are no abnormally enlarged lymph nodes identified in the visualized abdomen and pelvis. There is no free fluid.

IMPRESSION :

1. Post-cholecystectomy status.

2. A sinus tract in the anterior abdominal wall on the right, anteriorly, just proximal to the iliac crest, which is limited to the subcutaneous fat of the abdominal wall. Altered signal around the sinus tract in the abdominal wall may represent inflammatory tissue.

3. Both kidneys are not visualized in their normal position.