ke/hs
Date : 00.00.00

Name of the Patient : Abc Xyz Mohlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Neck.

CLINICAL PROFILE :

C/O hyperparathyroidism with multiple bone lesions.
To look for ectopic sites of parathyroid gland.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

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

3 mm thick T1 Weighted and STIR axial images.

OBSERVATION :

There is a well-defined lesion in the region of the inferior parathyroid gland on the right side. This lesion measures approximately 1.3 x 0.7 x 1.8 cms. This lesion is located lateral to the trachea and medial to the carotid sheath and is iso to hyperintense to muscle on the T1 Weighted images and turns heterogeneously hyperintense on the T2 Weighted and STIR images (scans 102.9, 106.11-106.14, 105.11-105.14, 103.9).

No mass lesion is seen in the region of the superior parathyroid, left inferior parathyroid and the visualized mediastinum.

The thyroid gland per se is unremarkable.

No obviously enlarged lymphnodes are evident on this scan.







The thyroid and the larynx show normal configuration and signal characteristics. The visualized bones show normal signal intensity. No obvious bone destruction is evident.

The visualized salivary glands are unremarkable.

A well-defined lesion is seen in the left mandible which is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images. Similar ill-defined area is seen in the right mandible, ? brown tumor, ?? cyst.

IMPRESSION :

The MRI features are suggestive of :

1. A mass lesion in the region of the inferior parathyroid gland on the right side measuring approximately 1.3 x 0.7 x 1.8 cms may represent a parathyroid adenoma.

2. A well-defined lesion in the mandibular region, left more than right and may represent brown tumors.